Federal inspection record · CMS data as of October 1, 2026
Willow Brook Rehabilitation And Healthcare Center
120 Trexler Avenue, Kutztown, PA · (610) 683-6220
- Certified beds
- 140
- Residents per day
- 135
- Ownership
- For-Profit
- Chain
- Prestige Healthcare Administrative Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 7, 1984
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Pennsylvania.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Pennsylvania homes
Willow Brook Rehabilitation And Healthcare Center carries 89.25 inspection points. That is fewer than 31% of Pennsylvania's 652 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Pennsylvania: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–8 pts
- 4★ 8–33 pts
- 3★ 33–65 pts
- 2★ 65–128 pts
- 1★ over 128 pts
Bars show every rated home in Pennsylvania by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
7 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Everything else, by area of care
Pharmacy Service1F
- F
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Quality of Life and Care1D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights1C
- C
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspection history
2026-03-27
5 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2025-02-07
0 health deficiencies · 5 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2024-03-15
2 health deficiencies · 11 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 27 min of nursing staff time a day, 31 min of it from a registered nurse.
This home
3 h 27 min
Pennsylvania average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 40% of nursing staff and 56% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$8,281 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-03-27 | Fine | $8,281 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts better | 1.2 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts better | 0.5 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine12 pts better | 99.8% | 87.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.5 pts better | 99.2% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts better | 1.5% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms27.3 pts worse | 41.1% | 13.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.1 pts better | 4.9% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2 pts better | 18.1% | 20.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.8 pts worse | 22.4% | 17.6% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened11.3 pts better | 4.1% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased13.8 pts better | 2.6% | 16.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better | 0.0% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.2 pts better | 0.2% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence10.1 pts better | 14.9% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.7 pts better | 1.0% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine29.2 pts better | 100.0% | 70.8% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.1 pts better | 5.4% | 9.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine23.7 pts better | 94.6% | 70.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.4 pts worse | 23.4% | 22.0% | 23.4% |
·
Who owns and runs it
7 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Willow Brook Rehab LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Pa Noble Parentco LLC | 5% Or Greater Indirect Ownership Interest · Organization | 70% | 3 facilities |
| Star Pa I Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 20% | 5 facilities |
| Clyde Ii LLC | 5% Or Greater Indirect Ownership Interest · Organization | 10% | 2 facilities |
| Springman, Kathleen | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Springman, Kathleen | Adp Of The SNF · Individual | 0% | 1 facilities |
| Stern, Moshe | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 10 facilities |
·
Fire safety
19 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke11F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Have properly installed hallway dispensers for alcohol-based hand rub.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- F
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
- E
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- C
Have approved installation, maintenance and testing program for fire alarm systems.
- C
Properly select, install, inspect, or maintain portable fire extinguishes.
Construction3E
- E
Meet other general requirements.
- E
Install a two-hour-resistant firewall separation.
- C
Meet other general requirements.
Services2E
- E
Install properly constructed and protected linen or trash chutes.
- E
Install properly constructed and protected linen or trash chutes.
Gas, Vacuum, and Electrical Systems2E
- E
Ensure proper usage of power strips and extension cords.
- C
Have generator or other power source capable of supplying service within 10 seconds.
Egress1E
- E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
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Other homes nearby
-
Lutheran Home At Topton, The
Topton, PA
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 41 min
- Fines
- $0
-
Mosser Nursing Home
Trexlertown, PA
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 48 min
- Fines
- $0
-
Complete Care at Lehigh LLC
Macungie, PA · Complete Care
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 22 min
- Fines
- $8,351