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Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 311 Google reviews
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This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 85% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 12 findings, above the MI average of 9.8. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
Willowbrook Manor receives high praise for its cleanliness, friendly staff, and effective physical therapy programs, with many families noting a welcoming and home-like environment. However, there are significant, recurring complaints regarding understaffing, poor medication management, and inconsistent care quality, particularly during off-hours or weekends. Families should be aware that while many experiences are positive, there are serious concerns about communication and the responsiveness of nursing staff.
Quality Themes
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Concerns
Rating Trends
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Distribution · 245 analyzed
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Key Review Excerpts
“The Nurse refused to order my medications. And finally dug some pain meds out of somewhere only after I was screaming in pain. The 3rd shift Nurse does not put the residents first.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
7
measures
1
measures
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
Willowbrook Manor has concerning patterns of recurring care problems, with families filing 18 complaints that triggered federal inspections. The facility repeatedly struggles with basic medical care, medication management, and safety supervision, with the same issues appearing across multiple surveys from 2023 through 2025. While the facility corrects deficiencies when cited, the persistent recurrence of fundamental care problems suggests ongoing quality challenges that families should carefully consider.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Emergency Preparedness Deficiencies
Develop Emergency Preparedness policies and procedures.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
Nutrition and Dietary Deficiencies
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide routine and 24-hour emergency dental care for each resident.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Federal Penalties
Fine
May 23, 2024
$58,422
Payment Denial
May 23, 2024
10-day denial
Fine
Dec 20, 2023
$30,599
Willowbrook Manor
for profit
Ciena Healthcare/laurel Health Care
81 facilities nationwide
Chain avg rating: 2.9/5 · Rank 65 of 84
Key personnel
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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. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. 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.
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