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Nursing HomeMedicaid Investigative

Willow Terrace

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

One Penn Boulevard, East Germantown · Philadelphia, PA 19144174 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.8/5

based on 182 Google reviews

5
4
3
2
1
Willow Terrace Nursing Home in Philadelphia, PA — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Above-median deficiencies (25 vs median 8.0)
  • High staff turnover (51%)

Below average in PA · Below recommended RN staffing · Below chain average · $9,113 in fines

Source: Medicare data

What this means for your family

Willow Terrace shows a recent trend of improvement in staff-related feedback, but the facility continues to struggle with infrastructure and maintenance issues. When touring, specifically ask to see the exact room your loved one will occupy and check for working plumbing and climate control, as these are recurring points of failure.

Google Reviews

Google Reviews

182 reviews on Google
Willow Terrace receives highly polarized feedback, with some families praising the attentive nursing staff and clean, private rooms, while others report severe neglect, poor facility conditions, and unprofessional behavior. Recurring complaints highlight issues with building maintenance, inconsistent food quality, and slow response times to call bells. Families considering this facility should conduct a thorough, in-person site visit to assess the current state of the specific unit where their loved one will reside.

Quality Themes

Tap a score for details
Food3.0Staff6.0Clean4.0Activities3.0Meds2.0MemoryN/AComms4.0Value2.0

Strengths

  • Attentive and friendly nursing staff
  • Clean, private rooms
  • Effective physical therapy team
  • Helpful admissions and administrative staff

Concerns

  • Facility maintenance and cleanliness (odors, plumbing, temperature control) (mentioned by 14 reviewers)
  • Slow or non-existent response to call bells/patient assistance (mentioned by 7 reviewers)
  • Poor food quality and cold meals (mentioned by 6 reviewers)
  • Unprofessional or rude staff behavior (mentioned by 6 reviewers)
  • Inconsistent medication management (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'18(4)'20(16)'22(7)'24(25)'26(42)

Distribution · 188 analyzed

5
111
4
23
3
6
2
3
1
45

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1I noticed some feedback regarding facility maintenance and temperature control; could you walk me through your current process for addressing room repairs and ensuring resident comfort?
  • 2Given that medication management is a top priority for our family, what specific protocols do you have in place to ensure accuracy and consistency for each resident?
  • 3With the current staffing levels, what is your standard procedure for responding to call bells, and how do you ensure residents receive timely assistance?
  • 4I see that you actively engage with online feedback; how does that resident and family input directly influence the changes you make to your daily operations or dining services?
  • 5Could you share more about the current activity calendar and how you tailor events to keep residents socially engaged throughout the week?
  • 6Regarding the dining experience, what steps are you taking to improve the quality and temperature of the meals served to residents?

Personalized based on this facility's data


Key Review Excerpts

The staff has been wonderful in caring for my brother, and I truly feel that he is in great hands. The professionalism throughout the facility has been excellent, and the staff is friendly, respectful, and attentive.

Sibling of resident · 2026★★★★★

My sister was a patient there and this facility is NOT for hospice patients. The facility is in need of repairs/ renovations (3rd floor) and the staff is ill-prepared for hospice needs. The staff showed themselves to be catty and uncaring.

Family member of hospice patient · 2024☆☆☆☆

This place is horrible. They have my father in a room without a working shower. He basically had to wash up in the sink. And remind you he can’t bend due to back surgery. His floor smells like urine (3rd floor).

Family member of resident · 2025☆☆☆☆
Source: 182 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.39hrs
52%
Registered nurses for medical care
Total Nursing
3.87hrs
94%
All nurses + aides combined
Staff Turnover
44%
Lower is better (< 30% = good)
RN Turnover
41%
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

11

measures

Worse Than Avg

3

measures

Mixed Results

3

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility13.3%
Better than Avg
Here
13.3%
US
19.4%
PA
26.0%
Philadelphia
23.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility81.1%
Mixed vs Avgs
Here
81.1%
US
93.4%
PA
87.1%
Philadelphia
78.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
PA
8.3%
Philadelphia
12.2%

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

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility10.1%
Better than Avg
Here
10.1%
US
19.5%
PA
19.9%
Philadelphia
14.3%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility11.2%
Better than Avg
Here
11.2%
US
15.3%
PA
18.4%
Philadelphia
13.4%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility10.9%
Better than Avg
Here
10.9%
US
14.4%
PA
17.6%
Philadelphia
14.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility30.4%
Worse than Avg
Here
30.4%
US
81.8%
PA
69.2%
Philadelphia
51.2%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility45.9%
Worse than Avg
Here
45.9%
US
79.7%
PA
68.7%
Philadelphia
49.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.8%
Better than Avg
Here
0.8%
US
1.6%
PA
1.4%
Philadelphia
0.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

29deficiencies
1penalties
Well above state avg (10.1)
32 complaint-triggered
$9,113 in fines

Families have filed 29 complaints prompting inspections at this facility, revealing recurring problems with resident care quality, safety supervision, and medication management. The facility has struggled with providing appropriate treatment according to residents' care plans, maintaining safe environments free from accidents, and ensuring proper pharmaceutical services. While all deficiencies show correction dates, the pattern of repeated issues—particularly around basic care standards and safety—suggests ongoing challenges that warrant careful consideration before placement.

Mar 19, 2026Complaint
4
0600Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Dec 11, 2025Complaint
3
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0740Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

0835Potential for harm · IsolatedCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Nov 20, 2025Complaint
1
0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

Aug 7, 2025Complaint
2
0689Immediate jeopardy · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0835Potential for harm · IsolatedCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Jan 31, 2025Routine
23
0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0374Potential for harm · PatternCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0522Potential for harm · PatternCorrected

Services Deficiencies

Have an externally vented heating system.

0911Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0685Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Assist a resident in gaining access to vision and hearing services.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0710Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

0726Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

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.

0740Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0847Potential for harm · IsolatedCorrected

Administration Deficiencies

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Sep 11, 2024Complaint
2
0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Federal Penalties

Fine

Aug 7, 2025

$9,113

Ownership & Operations

Who Operates This Facility

Owner / Operator

Willow Terrace

Organization Type

for profit

Chain Affiliation

Chain Name

Jonathan Bleier

Chain Size

18 facilities nationwide

Chain avg rating: 2.6/5 · Rank 9 of 18

Ownership & Management

Owners

Bleier, Jonathan

Owner

48%

Sod, Yaakov

Owner

48%

Sofia, Lisa

Owner

5%

Key personnel

Thomas, KarenW-2 Managing EmployeeSofia, LisaOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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