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WILLOW BROOK REHABILITATION AND HEALTHCARE CENTER

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WILLOW BROOK REHABILITATION AND HEALTHCARE CENTER is a for profit - corporation facility in KUTZTOWN, PA with 140 certified beds and a 5-star overall CMS rating. The facility has 5 deficiency records on file.

120 TREXLER AVENUE, KUTZTOWN, PA 19530

Phone: 6106836220

Overall Rating

5/5

Health Inspection

5/5

Staffing

2/5

Quality Measures

4/5

Long-Stay Quality

5/5

Facility Information

Provider Number
395680
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
140
Residents
135
In Hospital
No
County
Berks
Last Inspection
Feb 7, 2025

Staffing Data

RN Hours
0.42 (nat'l avg: 0.68)
LPN Hours
0.91
CNA Hours
2.09
Total Nursing Hours
3.42 (nat'l avg: 3.89)
PT Hours
0.07
Nursing Turnover
48.9%
RN Turnover
41.2%

What the CMS Record Reveals About WILLOW BROOK REHABILITATION AND HEALTHCARE CENTER

WILLOW BROOK REHABILITATION AND HEALTHCARE CENTER operates 140 certified beds in KUTZTOWN, PA with approximately 135 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (5★), staffing levels (2★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 5 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 3.42 total nursing hours per resident day (national average 3.89), with RN coverage at 0.42 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, WILLOW BROOK REHABILITATION AND HEALTHCARE CENTER falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 48.9%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (5 most recent)

F — Widespread - Minimal harm Mar 15, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 16, 2024

C — Widespread - No harm Mar 15, 2024 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Apr 16, 2024

D — Isolated - Minimal harm Mar 16, 2023 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 28, 2023

D — Isolated - Minimal harm Mar 16, 2023 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Apr 28, 2023

D — Isolated - Minimal harm Mar 16, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 28, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 5.3% Yes
Percentage of long-stay residents who lose too much weight Long Stay 5.1% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 25.7% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.5% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 99.7% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 2.8% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 3.9% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 19.0% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 93.8% No
Percentage of long-stay residents with pressure ulcers Long Stay 2.6% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 18.5% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 27.0% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for WILLOW BROOK REHABILITATION AND HEALTHCARE CENTER?
WILLOW BROOK REHABILITATION AND HEALTHCARE CENTER has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (5★), staffing levels (2★), and quality measures (4★).
What are the staffing levels at WILLOW BROOK REHABILITATION AND HEALTHCARE CENTER?
WILLOW BROOK REHABILITATION AND HEALTHCARE CENTER reports 3.42 total nursing hours per resident day (national average: 3.89). RN hours are 0.42 per resident day (national average: 0.68). Nursing staff turnover is 48.9%.
How many beds does WILLOW BROOK REHABILITATION AND HEALTHCARE CENTER have?
WILLOW BROOK REHABILITATION AND HEALTHCARE CENTER has 140 certified beds with approximately 135 residents. The facility is located at 120 TREXLER AVENUE, KUTZTOWN, PA 19530.
Does WILLOW BROOK REHABILITATION AND HEALTHCARE CENTER have any deficiencies on record?
Yes, WILLOW BROOK REHABILITATION AND HEALTHCARE CENTER has 5 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has WILLOW BROOK REHABILITATION AND HEALTHCARE CENTER received any fines or penalties?
No, WILLOW BROOK REHABILITATION AND HEALTHCARE CENTER has no fines or penalties on record.
Who owns WILLOW BROOK REHABILITATION AND HEALTHCARE CENTER?
WILLOW BROOK REHABILITATION AND HEALTHCARE CENTER is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was WILLOW BROOK REHABILITATION AND HEALTHCARE CENTER last inspected?
The most recent health inspection for WILLOW BROOK REHABILITATION AND HEALTHCARE CENTER was on Feb 7, 2025. The facility received a health inspection rating of 5 out of 5 stars.
What quality measures are tracked for WILLOW BROOK REHABILITATION AND HEALTHCARE CENTER?
WILLOW BROOK REHABILITATION AND HEALTHCARE CENTER is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial