All citations for Willowbrooke Ct Skilled Care Ctr at Bayleigh Chase

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Willowbrooke Ct Skilled Care Ctr at Bayleigh Chase

Last standard health inspection on record

March 25, 2026

Showing 26 to 50 of 69 citations

  1. No harm, with potential for more than minimal harm

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0223, Egress Deficiencies. Inspection of January 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 20, 2025).

  2. No harm, with potential for more than minimal harm

    Have proper medical gas storage and administration areas.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 20, 2025).

  3. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of July 12, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 31, 2019).

  4. No harm, with potential for more than minimal harm

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of July 12, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 31, 2019).

  5. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of July 12, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2019).

  6. No harm, with potential for more than minimal harm

    Install an approved automatic sprinkler system.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of July 12, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2019).

  7. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of July 12, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2019).

  8. No harm, with potential for more than minimal harm

    Reasonably accommodate the needs and preferences of each resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0558, Resident Rights Deficiencies. Inspection of March 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 30, 2026).

  9. No harm, with potential for more than minimal harm

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0585, Resident Rights Deficiencies. Inspection of March 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 30, 2026).

  10. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 30, 2026).

  11. No harm, with potential for more than minimal harm

    Respond appropriately to all alleged violations.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 30, 2026).

  12. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of March 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 30, 2026).

  13. No harm, with potential for more than minimal harm

    Provide safe, appropriate pain management for a resident who requires such services.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of March 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 30, 2026).

  14. No harm, with potential for more than minimal harm

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0849, Administration Deficiencies. Inspection of March 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 30, 2026).

  15. No harm, with potential for more than minimal harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0211, Egress Deficiencies. Inspection of March 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 18, 2026).

  16. No harm, with potential for more than minimal harm

    Have exits that are accessible at all times.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0271, Egress Deficiencies. Inspection of March 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 18, 2026).

  17. No harm, with potential for more than minimal harm

    Install an approved automatic sprinkler system.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of March 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 18, 2026).

  18. No harm, with potential for more than minimal harm

    Meet other general requirements that are deficient.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0500, Services Deficiencies. Inspection of March 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 18, 2026).

  19. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0511, Services Deficiencies. Inspection of March 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 18, 2026).

  20. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 18, 2026).

  21. No harm, with potential for more than minimal harm

    Ensure that testing and maintenance of electrical equipment is performed.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 18, 2026).

  22. No harm, with potential for more than minimal harm

    Have proper medical gas storage and administration areas.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 18, 2026).

  23. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 17, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 27, 2025).

  24. No harm, with potential for more than minimal harm

    Respond appropriately to all alleged violations.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 17, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 27, 2025).

  25. No harm, with potential for more than minimal harm

    Ensure services provided by the nursing facility meet professional standards of quality.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of January 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 27, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.