Home / Pennsylvania / Kutztown
Willow Brook Rehabilitation and Healthcare Center
120 Trexler Avenue, Kutztown, PA 19530 · Berks County · (610) 683-6220
140 certified beds, about 131 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1984
CMS Care Compare ratings, data as of September 1, 2026 · CCN 395680 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 27, 2026, inspectors cited 4 health deficiencies (the Pennsylvania average is 10, the national average 9.2).
Of 7 health citations since March 2024, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $8,281 in the last three years; the largest was $8,281, and the latest is dated March 27, 2026.
Nurses and nurse aides worked 3.49 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.
41.4% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).
CMS links it to Prestige Healthcare Administrative Services, an affiliated group of 15 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 7 health citations on file.
June 18, 2026Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on facility policy review, clinical record review, review of facility documentation, and staff interview, it was determined that the facility failed to implement interventions to prevent accidents related to falls for one of four sampled residents which resulted in actual harm of a left femoral neck fracture (broken hip). (Resident 1)
March 27, 2026Standard inspection · 4 citations
- J Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Inspectors wroteBased on select facility policy review, clinical record review, review of Centers for Disease Control (CDC) guidelines, observation, and resident and staff interview, it was determined that the facility failed to implement appropriate measures for the care and management of a midline peripheral venous access device (a vascular access tool inserted into an upper arm vein to serve as an alternative to a shorter IV for treatment) in accordance with facility policy and professional standards of practice for one of three residents (Resident 8). These failures resulted in an Immediate Jeopardy situation.
- F Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on facility policy review, review of facility documentation, and staff interview, it was determined that the facility failed to maintain accurate reconciliation records for controlled substances on six of six medication carts. (Unit I Carts 1, 2, 3 and Unit II Carts 1, 2, 3)
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure physicians' orders were implemented for three of 28 sampled residents. (Residents 14, 22, and 70)
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on facility policy review, observation, and staff interview, it was determined that the facility failed to administer medications in a manner that prevents the spread of infections for one of 28 sampled residents. (Resident 19)
February 7, 2025Standard inspection · 0 citations
March 15, 2024Standard inspection · 2 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and staff interview, it was determined that the facility failed to maintain sanitary conditions in the kitchen.
- C Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to notify the resident and the resident's representative(s) of transfer(s), including the reasons for the moves, and Ombudsman information, in writing upon transfer from the facility for seven of seven sampled residents who were transferred to the hospital. (Residents 18, 50, 76, 83, 95, 102, and 109)
Fire safety inspections
19 fire safety citations on file: 3 on February 7, 2025, 5 on March 15, 2024, 2 on January 23, 2024, 9 on March 16, 2023.
Every fire safety citation19 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- E Meet other general requirements.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Have properly installed hallway dispensers for alcohol-based hand rub.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- E Install properly constructed and protected linen or trash chutes.
- E Ensure proper usage of power strips and extension cords.
- F Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
- E Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F Inspect, test, and maintain automatic sprinkler systems.
- E Install a two-hour-resistant firewall separation.
- E Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install properly constructed and protected linen or trash chutes.
- C Meet other general requirements.
- C Have approved installation, maintenance and testing program for fire alarm systems.
- C Properly select, install, inspect, or maintain portable fire extinguishes.
- C Have generator or other power source capable of supplying service within 10 seconds.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| March 27, 2026 | Fine | $8,281 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Pennsylvania | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.49 | 3.89 | 3.86 |
| Registered nurses | 0.49 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.28 | 3.53 | 3.42 |
| Nurse aides | 2.07 | ||
| Licensed practical nurses | 0.93 | ||
| Nursing staff turnover (share who left in a year) | 41.4% | 44.5% | 45.8% |
| Registered nurse turnover | 62.5% | 39.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.44 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.58 on weekdays and 3.28 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.38 in April to June 2025 to 3.49 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.49 | 0.49 | 3.58 | 3.28 | 0.1% | 0 of 90 | 131 |
| Oct to Dec 2025 | 3.42 | 0.37 | 3.47 | 3.27 | 0.1% | 0 of 92 | 134 |
| Jul to Sep 2025 | 3.42 | 0.42 | 3.49 | 3.27 | 0.1% | 0 of 92 | 135 |
| Apr to Jun 2025 | 3.38 | 0.46 | 3.44 | 3.24 | 0.9% | 0 of 91 | 133 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Pennsylvania, Jan to Mar 2026 | 3.69 | 0.65 | 3.82 | 3.34 | 11.3% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Pennsylvania | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 3.4 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.2 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.7 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.9 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 3.5 | 17.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.1 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 25.1 | 17.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 20.4 | 22.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.3 | 9.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.2 | 1.8 |
Owners and operators
Legal business name: WILLOW BROOK REHABILITATION AND HEALTHCARE CENTER LLC. CMS links this home to Prestige Healthcare Administrative Services, a group of 15 nursing homes averaging 3.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Willow Brook Rehab LLC | 5% or greater direct ownership interest | Organization | 100% | 12/29/2021 |
| Clyde II LLC | 5% or greater indirect ownership interest | Organization | 10% | 12/29/2021 |
| Pa Noble Parentco LLC | 5% or greater indirect ownership interest | Organization | 70% | 12/29/2021 |
| Star Pa I Holdings LLC | 5% or greater indirect ownership interest | Organization | 20% | 12/29/2021 |
| Stern, Moshe | 5% or greater indirect ownership interest | Individual | 12/29/2021 | |
| Springman, Kathleen | Operational/managerial control | Individual | 01/01/2025 | |
| Springman, Kathleen | Adp of the SNF | Individual | 04/24/2026 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on June 18, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on March 27, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on March 27, 2026: "Provide and implement an infection prevention and control program."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on March 15, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.28 hours per resident per day, below the Pennsylvania average of 3.53.
Other nursing homes nearby
- Lutheran Home at Topton, the Topton, 3.7 mi · 5 of 5 stars · 10 citations
- Mosser Nursing Home Trexlertown, 8.8 mi · 5 of 5 stars · 5 citations
- Complete Care at Lehigh LLC Macungie, 10.9 mi · 3 of 5 stars · 23 citations
- Laureldale Skilled Nursing and Rehabilitation Cent Laureldale, 10.9 mi · 3 of 5 stars · 29 citations
- Berks Heim Nursing & Rehabilitation Leesport, 11.8 mi · 5 of 5 stars · 9 citations
- Luther Crest Nursing Facility Allentown, 12.5 mi · 5 of 5 stars · 7 citations
- Cedarbrook Senior Care and Rehabilitation Allentown, 12.8 mi · 5 of 5 stars · 16 citations
- Lehigh Valley Hospital Tsu Allentown, 12.9 mi · 5 of 5 stars · 2 citations
Pennsylvania contacts for a concern about a nursing home
These are the official offices in Pennsylvania. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Pennsylvania Department of Health, Division of Nursing Care Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Pennsylvania Long-Term Care Ombudsman Program, Department of Aging, 717-783-8975. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Pennsylvania Department of Health Nursing Care Facility Locator, where Pennsylvania publishes its own records on licensed homes.
Common questions
- What is Willow Brook Rehabilitation and Healthcare Center's Medicare star rating?
- CMS rates Willow Brook Rehabilitation and Healthcare Center 2 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Willow Brook Rehabilitation and Healthcare Center get at its last inspection?
- 4 health deficiencies at the standard inspection on March 27, 2026. The Pennsylvania average is 10.
- Has Willow Brook Rehabilitation and Healthcare Center been fined?
- Yes. CMS lists 1 fine totaling $8,281 in the last three years.
- Does Willow Brook Rehabilitation and Healthcare Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Willow Brook Rehabilitation and Healthcare Center?
- CMS lists 7 owners and managers, and links the home to Prestige Healthcare Administrative Services. Legal business name: WILLOW BROOK REHABILITATION AND HEALTHCARE CENTER LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.