CMS data shows Willow Terrace earning a D grade with a score of 45/100, placing it below most facilities in Pennsylvania. Prospective residents and families should carefully review the specific areas of concern detailed below.
Staffing at Willow Terrace is near the national average, with 3.61 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 57 deficiencies at Willow Terrace, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.61 | 3.8 | Average |
| Registered Nurses (RN) | 0.40 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.99 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.22 | 2.4 | Average |
| Weekend Total Nursing | 2.97 | 3.8 | Below Average |
| Weekend RN Hours | 0.23 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0550 Severity DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Dec 10, 2025 · Resident Rights Deficiencies
- Tag 0740 Severity DEnsure each resident must receive and the facility must provide necessary behavioral health care and services.Dec 10, 2025 · Quality of Life and Care Deficiencies
- Tag 0835 Severity DAdminister the facility in a manner that enables it to use its resources effectively and efficiently.Dec 10, 2025 · Administration Deficiencies
- Tag 0692 Severity DProvide enough food/fluids to maintain a resident's health.Nov 19, 2025 · Quality of Life and Care Deficiencies
- Tag 0689 Severity JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Aug 6, 2025 · 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 | 2.5% | 4.5% | Better |
| Falls with major injury | 0.2% | 3.0% | Better |
| Urinary tract infections | 0.5% | 2.5% | Better |
| ADL decline (daily activities) | 7.9% | 14.0% | Better |
| Excessive weight loss | 4.2% | 7.5% | Better |
| New/worsened incontinence | 15.5% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $9,113
How This Grade Was Calculated
This facility's grade of D is based on a score of 45 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -0 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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