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
In good standing
For-profitChain member
Data as of July 1, 2026
2 of 5 overall
Willowbrook Manor in Flint, MI has an overall 2-star rating, with a 2-star health inspection rating, 4-star staffing, and 3-star quality measures. It reported 4.02 nurse staffing hours per resident per day, just below the federal benchmark of 4.1, with no fines in the last 24 months; recent inspection issues included pressure ulcer care, following treatment orders, and food handling standards.
Facility ratings
Health inspections
Staffing
4.0194 hrs/resident/day
Quality measures
Last inspection: March 16, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0194.
Staffing detail
- Registered nurses
- 0.64
- Licensed practical nurses
- 1.19
- Nurse aides
- 2.19
- Weekend nursing
- 3.45
Hours per resident per day.
Total staff turnover: 38%
Registered nurse turnover: 46%
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
8.2%7%Improving
Residents with a fall causing major injury
3.5%0%Improving
Residents with pressure ulcers (bedsores)
7%9.6%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
9.1%6.1%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
17.3%14.5%Improving
Residents whose ability to walk got worse
18.8%29.3%Worsening
Long-stay residents on antianxiety or sleep medication
8.9%7.6%Improving
Short-stay residents newly given an antipsychotic
3%2.7%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
26.8%26.7%No change
Residents with depressive symptoms
1.4%0%Improving
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
94.7%95.4%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 was below the federal recommendation of 4.1 hours per resident per day.
- 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: 2 fines · $89,021 in total fines · 1 payment denial.
- 10 days
Medicare/Medicaid payment denial
May 23, 2024
- $58,422
Federal fine
May 23, 2024
- $30,599
Federal fine
Dec 20, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of CIENA HEALTHCARE/LAUREL HEALTH CARE · 82 homes · 2.8 stars avg
- Occupancy
- 110.3 residents on an average day (85% 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.