The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited May 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
Willowbrook Manor
Flint, MI · Medicare-certified · 130 beds
Needs attention
For-profitChain member
2 of 5 overall
Willowbrook Manor in Flint, MI has an overall rating of 2 out of 5 stars, with a 2-star health inspection rating, a 3-star quality measures rating, and a 4-star staffing rating. Reported nurse staffing is 4.23 hours per resident per day, slightly above the federal benchmark of 4.1, and the facility has had $58,422 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
4.2337 hrs/resident/day
Quality measures
Last inspection: March 16, 2026Penalties, last 24 months: $58,422recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.2337.
Staffing detail
- Registered nurses
- 0.67
- Licensed practical nurses
- 1.16
- Nurse aides
- 2.40
- Weekend nursing
- 3.66
Hours per resident per day.
Total staff turnover: 41%
Registered nurse turnover: 48%
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
7.7%3.6%Improving
Residents with a fall causing major injury
2.2%1.2%Improving
Residents with pressure ulcers (bedsores)
7%6.2%Improving
Residents with a urinary tract infection
0%3.7%Worsening
Residents who lost too much weight
8.2%6.5%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
15%8.3%Improving
Residents whose ability to walk got worse
13.8%20.8%Worsening
Long-stay residents on antianxiety or sleep medication
12.8%9.1%Improving
Short-stay residents newly given an antipsychotic
2.3%1.3%Improving
Residents with a long-term catheter
2%3.2%Worsening
Residents with new or worsening incontinence
30%18.1%Improving
Residents with depressive symptoms
0%0%No change
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
—82.9%—
Short-stay residents given the pneumonia vaccine
88%93.4%Improving
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited December 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: E
The home failed to protect residents’ right to complain without fear and did not ensure grievances were handled promptly. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 585 — 42 CFR §483.10 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $58,422 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $147,365 in total fines · 2 payment denials.
- 10 days
Medicare/Medicaid payment denial
May 23, 2024
- $58,422
Federal fine
May 23, 2024
- $30,599
Federal fine
Dec 20, 2023
- 10 days
Medicare/Medicaid payment denial
Jun 16, 2023
- $58,344
Federal fine
Jun 16, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of CIENA HEALTHCARE/LAUREL HEALTH CARE · 83 homes · 2.9 stars avg
- Occupancy
- 109.5 residents on an average day (84% of 130 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 32 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.