The home failed to ensure IV fluids were given safely and appropriately when needed. Cited March 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 694 — 42 CFR §483.25 — S/S: J
Nursing home report
WILLOW BROOK REHABILITATION AND HEALTHCARE CENTER
KUTZTOWN, PA · Medicare-certified · 140 beds
Needs attention
For-profitChain member
Data as of September 1, 2026
2 of 5 overall
Willow Brook Rehabilitation and Healthcare Center in Kutztown, PA has an overall 2-star rating, with 2 stars for health inspections and 1 star for staffing, despite 5 stars for quality measures. It reports 3.49 nurse staffing hours per resident per day versus the 4.1 federal benchmark and has had $8,281 in fines in the last 24 months, including a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.4908 hrs/resident/day
Quality measures
Last inspection: June 18, 2026Penalties, last 24 months: $8,281recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4908.
Staffing detail
- Registered nurses
- 0.49
- Licensed practical nurses
- 0.93
- Nurse aides
- 2.07
- Weekend nursing
- 3.28
Hours per resident per day.
Total staff turnover: 41%
Registered nurse turnover: 63%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
27.4%20.2%Improving
Residents with a fall causing major injury
2.6%1.7%Improving
Residents with pressure ulcers (bedsores)
2.1%0.6%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
4.8%4.9%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
4%3.8%No change
Residents whose ability to walk got worse
0%7.6%Worsening
Long-stay residents on antianxiety or sleep medication
21.3%18%Improving
Short-stay residents newly given an antipsychotic
3.5%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
17.4%16.9%No change
Residents with depressive symptoms
25.5%45.2%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—93.8%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited March 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $8,281 was recorded.
- PENALTY
A federal fine of $12,740 was recorded.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $8,281 in total fines.
- $8,281
Federal fine
Mar 27, 2026
Operator & ownership
Recent ownership change · Dec 29, 2021
Now operated by Willow Brook Rehabilitation and Healthcare Center LLC, previously Kutztown Manor INC.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PRESTIGE HEALTHCARE ADMINISTRATIVE SERVICES · 15 homes · 3.1 stars avg
- Occupancy
- 130.7 residents on an average day (93% of 140 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 41 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.