A

WILLOW BROOK REHABILITATION AND HEALTHCARE CENTER

120 TREXLER AVENUE, KUTZTOWN, PA 19530
Score: 85 / 100

Among nursing homes in Pennsylvania, Willow Brook Rehabilitation And Healthcare Center stands out with an A grade and a score of 85 out of 100. It ranks in the 81th percentile statewide, reflecting consistently high performance across CMS quality metrics.

Staffing at Willow Brook Rehabilitation And Healthcare Center is near the national average, with 3.42 total nursing hours per resident per day (national average: 3.8 hours).

Willow Brook Rehabilitation And Healthcare Center shows a strong inspection record, with just 5 deficiencies noted in recent CMS surveys, none of which were classified as serious.

Score Breakdown

Overall CMS Rating 40 / 40 pts
5 ★ CMS rating
Health Inspections 25 / 25 pts
5 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.42 3.8 Average
Registered Nurses (RN) 0.42 0.7 Below Average
Licensed Practical Nurses (LPN) 0.91 0.7 Above Average
Certified Nursing Assistants (CNA) 2.09 2.4 Below Average
Weekend Total Nursing 3.27 3.8 Below Average
Weekend RN Hours 0.28 0.7 Below Average

🔍 Inspection & Deficiency History

5
Total Deficiencies
Mar 14, 2024
Most Recent Inspection
⚪ 1 Minor 🟠 4 Moderate
View recent deficiencies (4 shown)
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Mar 14, 2024 · Nutrition and Dietary Deficiencies
  • Tag 0656 Severity D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Mar 15, 2023 · Resident Assessment and Care Planning Deficiencies
  • Tag 0689 Severity D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Mar 15, 2023 · Quality of Life and Care Deficiencies
  • Tag 0690 Severity D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent
    Mar 15, 2023 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 2.6% 4.5% Better
Falls with major injury 2.5% 3.0% Better
On antipsychotic medication 27.0% 14.5% Worse
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 5.3% 14.0% Better
Excessive weight loss 5.1% 7.5% Better
New/worsened incontinence 18.5% 45.0% Better

How This Grade Was Calculated

This facility's grade of A is based on a score of 85 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 5★ → 40 pts (max 40)
  • Health Inspection Rating: 5★ → 25 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
140
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Feb 6, 2025
Deficiencies (Cycle 1)
0