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Nursing HomeMedicaid

Willow Brook Rehabilitation and Healthcare Center

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

120 Trexler Avenue, Kutztown, PA 19530140 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.7/5

based on 302 Google reviews

5
4
3
2
1
Willow Brook Rehabilitation and Healthcare Center Nursing Home in Kutztown, PA — Street View
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What this means for your family

This facility excels in aesthetics, front-desk hospitality, and physical therapy, making it a pleasant environment for short-term visitors. However, given the recurring, serious reports of medical negligence and communication breakdowns, I strongly advise families to monitor clinical care daily and ensure a clear plan for medication management and wound care is in place.

Google Reviews

Google Reviews

302 reviews on Google
Willow Brook Rehabilitation and Healthcare Center receives polarized feedback, with many families praising the welcoming front desk staff, clean environment, and effective physical therapy department. However, significant concerns regarding medical negligence, understaffing, and poor communication persist, with multiple reviewers reporting serious health complications like infections and pressure ulcers. Families should weigh the positive, friendly atmosphere against these recurring reports of inconsistent clinical care.

Quality Themes

Tap a score for details
Food3.0Staff6.0Clean9.0Activities8.0Meds2.0MemoryN/AComms4.0Value5.0

Strengths

  • Welcoming and friendly front desk staff
  • Clean, well-maintained facility
  • Effective physical and occupational therapy
  • Responsive admissions and social work team

Concerns

  • Clinical negligence leading to serious health issues (infections, pressure ulcers, sepsis) (mentioned by 5 reviewers)
  • Understaffing and inconsistent care quality (mentioned by 4 reviewers)
  • Poor communication with families and medical providers (mentioned by 3 reviewers)
  • Poor food quality and lack of diabetic-friendly options (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

2344.22024(42)4.72025(93)4.92026(92)

Distribution · 227 analyzed

5
199
4
13
3
1
2
2
1
12

How They Respond to Reviews

97%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed your team is very active in responding to feedback online; how do you use that family input to improve the daily experience for residents?
  • 2With the CMS staffing rating being lower than your other metrics, what specific steps are you taking to ensure residents receive consistent, hands-on attention throughout the day?
  • 3Given that some families have expressed concerns regarding clinical care, what is your protocol for monitoring and preventing skin integrity issues like pressure ulcers?
  • 4How does your nursing team coordinate with outside physicians to ensure that medication management is accurate and communicated clearly to families?
  • 5We understand that dining is an area you are working to improve; how are you currently accommodating specific dietary needs, such as diabetic-friendly meal planning?
  • 6What does the daily activity schedule look like for residents who are not in active therapy, and how do you encourage social engagement among the 140 residents here?

Personalized based on this facility's data


Key Review Excerpts

The nursing staff in Willow Brook has made her feel as comfortable, cared for, and personally valued as we could ask for. They treat her with respect and kindness.

Long-term resident's family · 2024★★★★

The therapy department was outstanding. They got her strong enough so I could take her home for good on Thanksgiving. The nursing staff was so kind as well as the admission department, social worker and the administrator.

Rehab patient's family · 2025★★★★★

My grandfather was here for TWO WEEKS and left unresponsive in an ambulance due to the negligence of this place. Understaffed, overbooked. His diagnosis: SEPSIS from the infected catheter.

Resident's family · 2025☆☆☆☆
Source: 302 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.37hrs
50%
Registered nurses for medical care
Total Nursing
3.42hrs
83%
All nurses + aides combined
Staff Turnover
45%
Lower is better (< 30% = good)
RN Turnover
53%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

13

measures

Worse Than Avg

3

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility28.2%
Worse than Avg
Here
28.2%
US
12.1%
PA
8.3%
Berks
17.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility3.6%
Better than Avg
Here
3.6%
US
15.3%
PA
18.4%
Berks
22.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility4.8%
Better than Avg
Here
4.8%
US
14.4%
PA
17.5%
Berks
21.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
PA
87.1%
Berks
88.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility27.1%
Worse than Avg
Here
27.1%
US
15.5%
PA
17.7%
Berks
15.3%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility16.4%
Better than Avg
Here
16.4%
US
19.4%
PA
26.0%
Berks
26.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
PA
69.2%
Berks
66.9%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility93.8%
Better than Avg
Here
93.8%
US
79.8%
PA
68.7%
Berks
63.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.5%
Worse than Avg
Here
2.5%
US
1.6%
PA
1.4%
Berks
0.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
1penalties
Well below state avg (10.1)
2 complaint-triggered

Willow Brook has recurring fire safety and building maintenance issues, with families filing complaints about sprinkler system problems and fire alarm deficiencies. The facility shows a pattern of deficiencies in fire safety systems, building construction, and some care planning issues, though all violations have been corrected according to state records. Recent surveys continue to find fire safety problems, suggesting ongoing challenges with maintaining safety systems.

Mar 27, 2026Routine
4
0694Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

0755Potential for harm · WidespreadCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Feb 7, 2025Routine
3
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0100Potential for harm · PatternCorrected

Construction Deficiencies

Meet other general requirements.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Mar 15, 2024Routine
7
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0325Potential for harm · PatternCorrected

Smoke Deficiencies

Have properly installed hallway dispensers for alcohol-based hand rub.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0362Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

0541Potential for harm · PatternCorrected

Services Deficiencies

Install properly constructed and protected linen or trash chutes.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0623Minimal · WidespreadCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Jan 23, 2024Complaint
2
0343Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

0354Potential for harm · PatternCorrected

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Mar 16, 2023Routine
9
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0133Potential for harm · PatternCorrected

Construction Deficiencies

Install a two-hour-resistant firewall separation.

0225Potential for harm · PatternCorrected

Egress Deficiencies

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0541Potential for harm · PatternCorrected

Services Deficiencies

Install properly constructed and protected linen or trash chutes.

0100Minimal · WidespreadCorrected

Construction Deficiencies

Meet other general requirements.

0345Minimal · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0355Minimal · WidespreadCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0918Minimal · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Federal Penalties

Fine

Mar 27, 2026

$12,740

Ownership & Operations

Who Operates This Facility

Owner / Operator

Willow Brook Rehabilitation and Healthcare Center

Organization Type

for profit

Chain Affiliation

Chain Name

Prestige Healthcare Administrative Services

Chain Size

15 facilities nationwide

Chain avg rating: 3.4/5 · Rank 1 of 15 (Best)

Ownership & Management

Owners

Willow Brook Rehab LLC

Owner · Organization

100%

Clyde II LLC

Owner (parent company) · Organization

10%

Pa Noble Parentco LLC

Owner (parent company) · Organization

70%

Star Pa I Holdings LLC

Owner (parent company) · Organization

20%

Stern, Moshe

Owner (parent company)

Key personnel

Roos-Meiser, SamanthaW-2 Managing Employee
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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