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
In good standing
For-profitChain member
5 of 5 overall
5 of 5 stars overall. Strong quality and inspection ratings with no fines in the last 24 months, but staffing is weak at 2 of 5 stars and reported nurse staffing is below the federal benchmark (3.42 vs. 4.1 hours per resident per day); recent inspection areas cited included IV fluids, pharmaceutical services, and food safety.
Facility ratings
Health inspections
Staffing
3.4157 hrs/resident/day
Quality measures
Last inspection: March 27, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4157.
Staffing detail
- Registered nurses
- 0.37
- Licensed practical nurses
- 0.95
- Nurse aides
- 2.09
- Weekend nursing
- 3.27
Hours per resident per day.
Total staff turnover: 45%
Registered nurse turnover: 53%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
27.1%Improving
Residents with a fall causing major injury
2.1%Improving
Residents with pressure ulcers (bedsores)
2%Improving
Residents with a urinary tract infection
0.2%Worsening
Residents who lost too much weight
4.4%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
4.8%Improving
Residents whose ability to walk got worse
3.6%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
19.5%Worsening
Short-stay residents newly given an antipsychotic
2.5%Improving
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
16.4%Improving
Residents with depressive symptoms
28.2%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
93.8%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
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
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — 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 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PRESTIGE HEALTHCARE ADMINISTRATIVE SERVICES · 15 homes · 3.5 stars avg
- Occupancy
- 133.5 residents on an average day (95% 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.