Find a nursing home

Home / Massachusetts / Wilmington

Willow Brook Rehabilitation and Healthcare Center

90 West Street, Wilmington, MA 01887 · Middlesex County · (978) 909-4586

142 certified beds, about 132 residents a day · For profit - Corporation · Medicare and Medicaid since 1993

CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 225568 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on September 12, 2025, inspectors cited 12 health deficiencies (the Massachusetts average is 6.8, the national average 9.2).

Of 56 health citations since September 2023, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $10,358 in the last three years; the largest was $10,358, and the latest is dated September 12, 2025.

Nurses and nurse aides worked 3.68 hours per resident per day, against 3.86 across Massachusetts and 3.86 nationally. Registered nurses accounted for 0.65 of those hours.

43.2% of nursing staff left within the year CMS measured (Massachusetts average 38.2%).

CMS links it to Marquis Health Services, an affiliated group of 90 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.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

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 56 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
36D
15E
2F
Potential for minimal harm
0A
2B
0C
September 12, 2025Standard inspection · 12 citations
  1. G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · Corrected (the home has a date of correction) October 7, 2025
    Inspectors wroteBased on observations, record reviews and interviews, the facility failed to keep one Resident (#45) free from neglect out of a total sample of 28 residents. Specifically, the facility failed to provide incontinence care to Resident #45 for a total of 10 hours and assisted him/her with a meal while lying in soiled incontinent briefs, resulting in a new skin impairment to the left buttock.
  2. E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 7, 2025
    Inspectors wroteBased on observation, record review and interviews, the facility failed to provide assistance with Activities of Daily Living (ADLs) for 3 Residents (#45, #109, and #7) out of a total sample of 28. Specifically;1.) For Resident #45 the facility failed to provide incontinence care for the entirety of an over-night shift and the start of the morning shift, equaling a total of ten hours, resulting in skin breakdown;2.) For Resident #109 the facility failed to ensure cueing or assistance was provided for meals, resulting in Resident #109 eating 4 of 4 meals, that were not finger foods, with his/her hands; and 3.) For Resident #7, the facility failed to provide assistance with meals.
  3. E
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 7, 2025
    Inspectors wroteBased on observations, interviews and record review, the facility failed to provide necessary treatment, services, and/or interventions to promote healing and prevent new ulcers from developing for four Residents (#45, #2, #17, and #23), who had pressure ulcers, out of 28 total sampled residents. [...]
  4. E
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 28, 2025
    Inspectors wroteBased on record review, and interviews, the facility failed to provide care and services consistent with professional standards of practice for three Residents (#2,#34 and #93) who required renal dialysis (a life sustaining treatment that helps the body remove extra fluids and waste products from the blood when the kidneys are not able to) out of a total sample of 28 residents. Specifically, the facility failed to ensure the ordered fluid restriction amounts in milliliter were tallied and documented every shift.
  5. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 7, 2025
    Inspectors wroteBased on observations, test trays, and interviews, the facility failed to a.) provide the residents of the facility palatable food on 2 out of 3 units and b.) serve the residents in the facility that are on a pureed diet what was listed on the menu.
  6. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2025
    Inspectors wroteBased on observation and interview the facility failed to ensure a dignified dining experience for three Residents (#109, #16 and #45) out of a total sample of 28 residents. Specifically,1. For Resident #109, the facility failed to provide assistance with eating, and the Resident resorted to eating non-fingerlike food with his/her hands for four entire meals. 2. For Resident #16, the facility failed to be seated at eye level while feeding the Resident. 3. For Resident #45, the facility failed to provide incontinence care prior to being served and was assisted with his/her meal while lying on top of soiled incontinence pads and with the odor of urine and feces present.
  7. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2025
    Inspectors wroteBased on observations, interviews and record review, the facility failed to notify the physician of a significant change in the Resident's skin condition for two Residents (#45 and #17) out of a total sample of 28 residents. Specifically:1.) For Resident #45, the facility failed to notify the provider of a new skin breakdown on the buttocks. 2.) For Resident #17, the facility failed to notify the provider of a change in wound condition and obtain wound care orders when his/her left heel pressure related deep tissue injury (DTI) opened and had new drainage.
  8. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 28, 2025
    Inspectors wroteBased on observation, record review and interview the facility failed to ensure care was provided in accordance with professional standards of practice for one Resident (#25) out of a total sample of 28 residents. Specifically, for Resident #25 the facility failed to identify a skin area on weekly skin checks and failed to obtain a physician's treatment order for the area.
  9. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 28, 2025
    Inspectors wroteBased on interviews and record review, the facility failed to ensure one Resident (#109) out of a total sample of 28 residents maintained an acceptable parameter of nutritional status. Specifically, the facility failed to implement weekly weights as ordered by a physician for a Resident who was at risk for, and had experienced, clinically significant weight gain.
  10. D
    Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
    F729 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2025
    Inspectors wroteBased on observation, review of staff employee files and interviews, the facility failed to ensure incontinence care was provided to one Resident (#45) by licensed staff out of a total sample of 28 residents.
  11. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2025
    Inspectors wroteBased on record review and interviews, the facility failed to complete daily documentation for one Resident (#45) out of a total sample of 25 residents.
  12. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2025
    Inspectors wroteBased on observation, interviews and policy review the facility failed to implement appropriate infection practices. Specifically, a staff did not wear gloves while handling dirty linen.
February 28, 2025Complaint inspection · 1 citation
  1. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 31, 2025
    Inspectors wroteBased on records reviewed and interviews for one of three sampled residents (Resident #1) whose comprehensive care plan indicated he/she required assistance of two staff members for transfers, the Facility failed to ensure staff consistently implemented and followed interventions in his/her care plan, when on 11/17/25, during the evening shift, Certified Nurse Aide (CNA #1), transferred Resident #1 back to bed by physically lifting him/her from his/her wheelchair and putting him/her in bed, without another staff member present to assist with the transfer.
September 19, 2024Standard inspection · 18 citations
  1. E
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 1, 2024
    Inspectors wroteBased on observations, record reviews, and interviews, the facility failed to maintain professional standards in the management and caring for urinary catheter devices for 4 Residents (#30, #103, #108 and #471). Specifically, 1. For Resident #30, the facility failed to empty urinary drainage bag as ordered. 2. For Resident #103, the facility failed to empty urinary drainage as ordered and maintain urinary drainage bag off the floor. 3. For Resident #108, the facility failed to empty urinary drainage bag as ordered. 4. For Resident #471, the facility failed ensure urinary catheter drainage bags and tubing were not stored directly touching the floor.
  2. E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 1, 2024
    Inspectors wroteBased on observations and interviews, the facility failed to ensure staff stored all drugs and biologicals in accordance with accepted professional standards of practice. Specifically, 1.) The facility failed to ensure medications were dated once opened and discarded as appropriate according to manufacturer's guidelines. 2.) The facility failed to ensure medications were not prepared in advance and stored in original, labeled containers in the medication cart. 3.) The facility failed to properly secure medication carts on one of three units 4.) The facility failed to ensure unauthorized nurses did not have access to medication cart.
  3. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 1, 2024
    Inspectors wroteBased on observation, policy review, and interview, the facility failed to store food in accordance with professional standards for food service safety. Specifically, the facility failed to ensure food was labeled in the unit kitchenette refrigerators, and that dented cans were not accepted into storage/circulation.
  4. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 1, 2024
    Inspectors wroteBased on observations, interviews and record review, the facility failed to ensure a dignified existence was maintained for two Residents (#471 and #117) out of 27 total sampled residents. Specifically, 1.) For Resident #471, the facility failed to provide a privacy bag for a urinary catheter drainage bag. 2.) For Resident #117, the facility failed to provide a privacy bag for a urinary catheter drainage bag.
  5. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 1, 2024
    Inspectors wroteBased on observation, interviews and record review, the facility failed to ensure the interdisciplinary team was involved in determining whether the self-administration of medications was clinically appropriate for one Resident (#78), out of 27 total sampled residents. Specifically, the facility failed to assess if it was clinically appropriate for Resident #78 to self-administer an injection prior to the Resident self-administering the injection.
  6. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 1, 2024
    Inspectors wroteBased on interview and record review the facility failed to develop and implement a comprehensive person-centered care plan for one Resident (#48) out of a total sample of 27 residents. Specifically, the facility failed to a.) implement weekly weights as care planned, and b.) develop a care plan for Resident #48's history of suicide attempts. Findings Include: Review of the facility policy, titled Care Plan - Comprehensive, indicated, but was not limited to, the following: - A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident. - Facility utilizes and electronic health record for resident care plans (sic.). - The comprehensive, person-centered care plan will: [...]
  7. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 1, 2024
    Inspectors wroteBased on observations, interviews, and record review the facility failed to provide services that met professional standards of quality to two Residents (#473 and #14) out of a total sample of 27 residents. Specifically, 1.) For Resident #473, the facility failed to implement a skin graft wound treatment as ordered by the physician. 2.) For Resident #14, the facility failed to arrange a follow up urology appointment.
  8. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 1, 2024
    Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure quality of care was provided according to facility protocol and professional standards of practice for one Resident (#101), out of a total sample of 27 residents. Specifically, the facility failed to ensure physician orders were in place for a skin tear.
  9. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 1, 2024
    Inspectors wroteBased on observations, interviews, and record review for one Resident (#39), out of 27 total sampled residents, the facility failed to provide the necessary treatment to promote healing of a pressure ulcer. Specifically, the facility failed to obtain a physician's order for wound treatment of a pressure ulcer on Resident #39's left hip.
  10. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 1, 2024
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure the environment was free from accident hazards for one Resident (#93) out of a total sample of 27 residents. Specifically, the facility failed to implement an intervention intended to prevent further falls after Resident #93 had sustained multiple falls.
  11. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 1, 2024
    Inspectors wroteBased on record review and interview, the facility failed to maintain acceptable parameters of nutrition status for one Resident (#77) out of a total sample of 27 residents. Specifically, the facility failed to implement the Dietitian's recommendation for increasing the frequency of Resident #77's nutritional supplement.
  12. D
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    F694 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 1, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide care and maintenance of a peripherally inserted IV (intravenous) catheter (a thin flexible tube that is inserted into a vein for delivery of medication, blood or fluids directly into the bloodstream), consistent with professional standards of practice for one Resident (#70), out of a total sample of 27 residents. Specifically, for Resident #70, the facility failed consistently flush the peripheral IV catheter and failed to monitor the peripheral IV site for complications.
  13. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 1, 2024
    Inspectors wroteBased on observations, interviews and record review, the facility failed to provide respiratory care consistent with professional standards of practice for one Resident (#372) out of 27 total sampled residents. Specifically, for Resident #372, the facility failed to ensure the oxygen filter was cleaned as ordered.
  14. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 1, 2024
    Inspectors wroteBased on record review and interview, the facility failed to: 1. ensure physicians orders for dialysis treatment and post dialysis weights were obtained for one Resident (#77) and 2. failed to ensure post dialysis weights were obtained after treatment for two 2 Residents (#117 and #372) out of a total of 27 sampled residents.
  15. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 1, 2024
    Inspectors wroteBased on observations, interviews, and record review for one Resident (#89) out of four residents observed, the facility failed to ensure it was free from a medication error rate of greater than 5%. One out of four nurses observed made two errors out of 32 opportunities resulting in a medication error rate of 6.25%. Specifically, Nurse #1 administered the incorrect form of aspirin and administered the incorrect dose of calcium plus vitamin d3.
  16. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 1, 2024
    Inspectors wroteBased on observations, record review, and interviews the facility failed to implement the infection prevention and control program. Specifically, the facility failed to ensure staff performed appropriate hand hygiene after removing gloves during wound care.
  17. B
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) November 1, 2024
    Inspectors wroteBased on record review and interview, the facility failed to transmit Minimum Data Set (MDS) data to the Centers for Medicare and Medicaid Services (CMS) System timely for two Resident (#18 and #99), out of 27 total sampled residents. Specifically: 1.) For Resident #18, the facility failed to transmit an MDS discharge assessment within 14 days after completion. 2.) For Resident #99, the facility failed to transmit an MDS discharge assessment within 14 days after completion.
  18. B
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) November 1, 2024
    Inspectors wroteBased on interview and record review, the facility failed to accurately code the Minimum Data Set (MDS) for one Resident (#92) out of 27 total sampled residents. Specifically, the facility inaccurately coded the MDS to indicate the Resident was comatose or in a persistent vegetative state.
March 19, 2024Complaint inspection · 1 citation
  1. D
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    F604 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 17, 2024
    Inspectors wroteBased on records reviewed and interviews, for one of four sampled residents (Resident #1), whose behavior included being resistive to care, the Facility failed to ensure he/she was free from the use of physical restraints, when on 02/29/24 during morning care, Certified Nurse Aide #1 held Resident #1's left wrist firmly to restrict his/her left arm movement, as he/she displayed combative behavior.
September 8, 2023Standard inspection · 24 citations
  1. F
    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
    F943 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 15, 2023
    Inspectors wroteBased on document review and interview, for 9 out of 9 sampled employee personnel files the facility failed to provide annual abuse training for their staff, as required and per facility policy. Specifically, the facility failed to provide in-servicing that included resident abuse prohibition training.
  2. F
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    F947 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 15, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure that 5 of 5 staff reviewed received 12 hours of mandatory in-service training in a year.
  3. E
    Ensure that residents are fully informed and understand their health status, care and treatments.
    F552 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 15, 2023
    Inspectors wroteBased on record reviews and interviews, the facility failed to obtain consent for the use of psychotropic medications for four Residents (#22, #31, #57, #43) out of a total sample of 43 Residents.
  4. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 15, 2023
    Inspectors wroteBased on observation, record review and interview the facility failed to implement the plan of care for six Residents (#161, #22, #74, #80, #43, #78) out of a total sample of 43 residents. Specifically: 1.) For Resident #161, the facility failed to implement a physician's order for a lymphedema pump (a medical device that helps reduce swelling and discomfort caused by lymphedema). 2.) For Resident #22, who is at high risk for skin breakdown, the facility failed to set his/her air mattress to the correct settings. 3.) For Resident #74, the facility failed to follow physician's orders for heels to be offloaded when in bed. 4.) For Resident #80, the facility failed to ensure he/she was wearing a wanderguard (a bracelet around the wrist or ankle that locks or alarms facility doors when resident is near them) as ordered. [...]
  5. E
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 15, 2023
    Inspectors wroteBased on observation, record review, and interview the facility failed to ensure staff provided respiratory care consistent with professional standards for four Residents (#41, #91, #7 and #85) out of a total sample of 43 residents. Specifically: 1. For Resident #41, the facility staff failed obtain a physician's order for the care of a tracheostomy (trach) (a surgically created artificial opening through the neck into the trachea, usually for the relief of difficulty in breathing) including the size and type of trach and failed to ensure that Nurse responsible for the care for 1 Resident (#41) out of 2 Resident's with a tracheostomy were trained, knowledgeable, and competent to provide safe care. 2. For Resident #91, the facility failed to obtain oxygen orders and date oxygen tubing. 3. [...]
  6. E
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    F726 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 15, 2023
    Inspectors wroteBased on the Facility Assessment, document review, in-servicing records, and interview, the facility failed to ensure that nursing staff completed annual competencies for Intravenous (IV) Therapy. Specifically, the facility failed to train nursing staff on the care and treatment of a Peripherally Inserted Central Catheter (PICC- intravenous catheter inserted into a vein in the upper arm and is advanced until the internal tip of the catheter is in the superior vena cava which is one of the central venous system veins that carries blood to the heart) and a peripheral IV (a thin flexible tube that is inserted into a vein for delivery of medication, blood or fluids directly into the bloodstream).
  7. E
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 15, 2023
    Inspectors wroteBased on observations, record reviews, policy review, and interviews, the facility failed to ensure it was free from a medication error rate of greater than 5 percent. Three out of three nurses observed made seven errors in 34 opportunities on three of three units resulting in a medication error rate of 20.59%. These errors impacted three Residents (#1, #94 and #312), out of 4 residents observed.
  8. E
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 15, 2023
    Inspectors wroteBased on interview, policy review, and record review, the facility failed to ensure residents were free of significant medication errors for two Residents (#78 and 310), out of a total sample of 43 residents. Specifically, the facility failed: 1. For Resident #78 , to ensure Clobazam and levetiracetam (medications used to treat seizure) were given timely per facility policy , resulting in a significant medication error. 2. For Resident #310, to ensure medication used for prophylaxis treatment for antiviral after a lung transplant was available for administration to the resident.
  9. E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 15, 2023
    Inspectors wroteBased on observation, interview and policy review the facility failed to ensure that 1. one of two medication carts was locked and secured on the [NAME] unit and 2. Medication carts were kept clean and opened medications dated/labeled per manufacturers guidelines on the Andover Unit Cart 2. and 3. Medications were stored in the original, labeled containers received from the pharmacy.
  10. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 15, 2023
    Inspectors wroteBased on observation, policy review and interview the facility failed to 1) properly store food items to prevent the risk of foodborne illness and 2) follow proper food handling practices to prevent the risk of foodborne illness and contamination.
  11. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 15, 2023
    Inspectors wroteBased on observations, interview and policy review, the facility failed to provide a dignified dining experience for Residents on one of three units, specifically, the Concord Unit.
  12. D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 15, 2023
    Inspectors wroteBased on observation and interviews the facility failed to maintain a homelike environment for one Resident # 311 out of a total sample of 43 residents.
  13. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 15, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure three Residents (#77,#38, #51), out of a sample of 43 residents received care consistent with professional standards of practice. Specifically, the facility failed: 1. For resident #77, the facility failed to administer Quetiapine (a medication used to treat schizophrenia, bipolar disorder), Keppra (a medication used to treat seizures), and Vimpat (a medication used to treat seizures), timely. 2. For Resident #38 and #51, the facility failed to to implement a physician's order to obtain weekly weights.
  14. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 15, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide the necessary activities of daily living for one Resident (#57) who is dependent on staff out of a total sample of 43 residents. Specifically, the facility failed to remove unwanted facial hair for Resident #57.
  15. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 15, 2023
    Inspectors wroteBased on interviews and record review, the facility failed to notify the physician or nurse practitioner (NP) of the recommendation made by a consultant, for one Resident (#64), out of a total sample of 43 residents. Specifically, the staff failed to notify the physician or NP that the prescription for diabetic shoes provided by the podiatrist surgeon was misplaced, thus delaying Resident #64 in receiving the diabetic shoes.
  16. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 15, 2023
    Inspectors wroteBased on observations, record review and interview the facility failed to follow a physician's order for prevention of a pressure ulcer for one Resident (#43) out of a total sample of 43 residents.
  17. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 15, 2023
    Inspectors wroteBased on observation, interview, policy review and record review, the facility failed to identify and address a significant weight gain for 1 Resident (#6) out of a total sample of 43 Residents.
  18. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 15, 2023
    Inspectors wroteBased on observation, record review and interview, the facility failed to provide care according to professional standards of practice for one Resident (#310) with a Jejunostomy tube (a feeding tube: medical device used to provide liquid nourishment, fluids and medications by bypassing oral intake) out of a total sample of 43 residents.
  19. D
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    F694 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 15, 2023
    Inspectors wroteBased on interview, policy review, and record review, the facility failed to provide care and maintenance of a peripherally inserted IV (a thin flexible tube that is inserted into a vein for delivery of medication, blood or fluids directly into the bloodstream), consistent with professional standards of practice for one Resident (#51), out of a total sample of 43 residents. Specifically, the facility failed to date Resident #51's IV line on the day of insertion.
  20. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 15, 2023
    Inspectors wroteBased on record review, observation and interview, the facility failed to provide care and services consistent with professional standards for one Resident (#22) who required renal dialysis (a life sustaining treatment that helps your body remove extra fluid and waste products from your blood when the kidneys are not able to) out of a total sample of 43 residents. Specifically, the facility failed to ensure that clamps and pressure dressings were kept in Resident #22's room for an emergency related to a tunneled hemodialysis catheter (a plastic tube used for exchanging blood between a patient and a hemodialysis machine).
  21. D
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    F740 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 15, 2023
    Inspectors wroteBased on observation, record review and interview the facility failed to provide behavioral health services as recommended by the behavioral health service therapist for one Resident (#78) out of a total sample of 43 residents.
  22. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 15, 2023
    Inspectors wroteBased on record review and staff interview, the facility failed to ensure that the pharmacy recommendations were addressed by the attending physician for 1 Resident (#64), out of a total of 43 sampled residents.
  23. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 15, 2023
    Inspectors wroteBased on observations, record reviews and interviews, the facility failed to maintain accurate medical records for two Residents (#80 and #43) out of a total sample of 43 residents. Specifically, 1. For Resident #80 staff signed off on the Treatment Administration Record (TAR) that a Resident was wearing a wander guard (a bracelet around the wrist or ankle that locks or alarms facility doors when resident is near them) when the Resident was not. 2. For Resident #43 staff signed off on Medication Administration Record (MAR) that the Resident had an air mattress when the Resident did not have one in his/her bed.
  24. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 15, 2023
    Inspectors wroteBased on observations, and interviews the facility failed to ensure infection control practices were maintained to prevent the spread of infection during medication pass.

Fire safety inspections

13 fire safety citations on file: 9 on September 12, 2025, 4 on September 19, 2024.

Every fire safety citation13 citations
  1. F
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · September 12, 2025 · Corrected (the home has a date of correction)
  2. F
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · September 12, 2025 · Corrected (the home has a date of correction)
  3. F
    Have properly located and lighted "Exit" signs.
    K 293 · September 12, 2025 · Corrected (the home has a date of correction)
  4. F
    Have an enclosure around a vertical opening shaft.
    K 311 · September 12, 2025 · Corrected (the home has a date of correction)
  5. F
    Provide properly protected cooking facilities.
    K 324 · September 12, 2025 · Corrected (the home has a date of correction)
  6. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · September 12, 2025 · Corrected (the home has a date of correction)
  7. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · September 12, 2025 · Corrected (the home has a date of correction)
  8. F
    Have simulated fire drills held at unexpected times.
    K 712 · September 12, 2025 · Corrected (the home has a date of correction)
  9. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · September 12, 2025 · Corrected (the home has a date of correction)
  10. F
    Install an approved automatic sprinkler system.
    K 351 · September 19, 2024 · Corrected (the home has a date of correction)
  11. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · September 19, 2024 · Corrected (the home has a date of correction)
  12. F
    Have simulated fire drills held at unexpected times.
    K 712 · September 19, 2024 · Corrected (the home has a date of correction)
  13. D
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · September 19, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
September 12, 2025Fine $10,358

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.

MeasureThis homeMassachusettsUnited States
All nursing staff (RN, LPN and aides)3.683.863.86
Registered nurses0.650.650.69
All nursing staff on weekends3.333.483.42
Nurse aides2.17
Licensed practical nurses0.85
Nursing staff turnover (share who left in a year)43.2%38.2%45.8%
Registered nurse turnover36.4%42.6%42.9%
Administrators who left1

CMS expects 4.42 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 3.82 on weekdays and 3.33 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 5.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.64 in April to June 2025 to 3.68 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.680.653.823.33 5.8%0 of 90132
Oct to Dec 20253.710.733.903.24 5.8%0 of 92131
Jul to Sep 20253.720.863.933.21 3.1%0 of 92123
Apr to Jun 20253.640.663.803.25 1.1%0 of 91126
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Massachusetts, Jan to Mar 20263.790.613.943.415.0%0.4% 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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Massachusetts

JobMedianMiddle halfEmployed
Massachusetts, all employers
CNAs (nursing assistants)$22.44$21.32 to $23.9438,130
LPNs and LVNs$38.57$34.91 to $40.6613,210
Registered nurses$50.27$42.05 to $65.4488,200
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Willow Brook Rehabilitation and Healthcare Center. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeMassachusettsUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
8.716.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.20.80.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.11.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.63.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
6.515.414.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.44.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
28.321.415.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
27.525.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
16.611.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.71.91.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.31.51.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Willow Brook Rehabilitation and Healthcare Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (49.1% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

49.1% this home

No different from the national rate

US median of homes 51.5% · Massachusetts: 121 better, 19 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 164 eligible stays.

Potentially preventable readmissions

9.8% this home

No different from the national rate

US median of homes 10.7% · Massachusetts: 4 better, 15 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 207 eligible stays.

Infections that led to a hospital stay

8.5% this home

No different from the national rate

US median of homes 7.1% · Massachusetts: 5 better, 4 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 98 eligible stays.

Self-care and mobility at discharge

45.3% this home

Median of homes: Massachusetts51.6% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 95 residents counted.

Falls with major injury

1.2% this home

Median of homes: Massachusetts0.4% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 162 residents counted.

New or worsened pressure ulcers

4.3% this home

Median of homes: Massachusetts2.0% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 160 residents counted.

Medication list given at discharge

100.0% this home

Median of homes: Massachusetts99.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 27 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: WILLOW BROOK OPERATOR LLC. CMS links this home to Marquis Health Services, a group of 90 nursing homes averaging 3.1 stars overall.

NameRoleTypeShareSince
Quinto Nexgen LLCDirect ownership interestOrganization10/31/2024
Ukr Nexgen LLCDirect ownership interestOrganization10/31/2024
Nfr 2020 Irrv TrIndirect ownership interestOrganization10/31/2024
Rsbrmk Holdings LLCIndirect ownership interestOrganization10/31/2024
Sk Nexgen TrIndirect ownership interestOrganization10/31/2024
Tryko Nexgen Holdings LLCIndirect ownership interestOrganization10/31/2024
Uak 2020 Irrv TrIndirect ownership interestOrganization10/31/2024
Yk Nexgen TrIndirect ownership interestOrganization10/31/2024
Yr Nexgen TrIndirect ownership interestOrganization10/31/2024
Forbright Bank5% or greater security interestOrganization10/31/2024
Barry, RyanManaging control - governing bodyIndividual03/03/2025
Crowley, JeffreyManaging control - governing bodyIndividual10/31/2024
Reliant Pro Rehab LLCOperational/managerial controlOrganization01/23/2025
Barry, RyanOperational/managerial controlIndividual03/03/2025
Posen, MindeeOperational/managerial controlIndividual10/31/2024
Someswarananthan, JanarthananOperational/managerial controlIndividual10/31/2024
Kahanow, AvivaIndividual is an owner, partner or trustee of any ADP of the SNFIndividual04/02/2025
Rokeach, FraideIndividual is an owner, partner or trustee of any ADP of the SNFIndividual04/03/2025
Rokowsky, YitzchokIndividual is an owner, partner or trustee of any ADP of the SNFIndividual04/03/2025
Nfr 2020 Irrv TrAdp of the SNFOrganization10/31/2024
Quinto Nexgen LLCAdp of the SNFOrganization10/31/2024
Reliant Pro Rehab LLCAdp of the SNFOrganization01/23/2025
Rsbrmk Holdings LLCAdp of the SNFOrganization10/31/2024
Sk Nexgen TrAdp of the SNFOrganization10/31/2024
Tryko Nexgen Holdings LLCAdp of the SNFOrganization10/31/2024
Uak 2020 Irrv TrAdp of the SNFOrganization10/31/2024
Ukr Nexgen LLCAdp of the SNFOrganization10/31/2024
Willow Brook Property LLCAdp of the SNFOrganization10/31/2024
Yk Nexgen TrAdp of the SNFOrganization10/31/2024
Yr Nexgen TrAdp of the SNFOrganization10/31/2024
Barry, RyanAdp of the SNFIndividual03/03/2025
Crowley, JeffreyAdp of the SNFIndividual01/23/2025
Posen, MindeeAdp of the SNFIndividual10/31/2024
Someswarananthan, JanarthananAdp of the SNFIndividual10/31/2024

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 22 problems in this area, most recently on September 12, 2025: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 9 problems in this area, most recently on September 12, 2025: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 7 problems in this area, most recently on September 12, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 6 problems in this area, most recently on September 19, 2024: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.33 hours per resident per day, below the Massachusetts average of 3.48.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

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, 2 for staffing and 3 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?
12 health deficiencies at the standard inspection on September 12, 2025. The Massachusetts average is 6.8.
Has Willow Brook Rehabilitation and Healthcare Center been fined?
Yes. CMS lists 1 fine totaling $10,358 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 34 owners and managers, and links the home to Marquis Health Services. Legal business name: WILLOW BROOK OPERATOR LLC.

Sources

Find a nursing home Read an inspection