| Willowbrook Manor | |
| G-4436 Beecher Road, Flint, Michigan 48532 | |
| (810) 733-0290 | |
| Name | Willowbrook Manor |
|---|---|
| Location | G-4436 Beecher Road, Flint, Michigan |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 130 |
| Occupancy Rate | 84.85% |
| Medicare ID (CCN) | 235550 |
| Legal Business Name | Willowbrook Acquisition Company, LLC |
| Ownership Type | For Profit - Corporation |
| Chain | Ciena Healthcare/laurel Health Care (81 nursing homes) |
| Chain Average Overall Rating | 2.8 out of 5 |
| NPI Number | 1437156437 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Willowbrook Acquisition Company, LLC |
| Doing Business As | Willowbrook Manor |
| Address | 4436 Beecher Rd, Flint, MI 48532 |
| Phone Number | 810-733-0290 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.02 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.64 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.19 | 0.86 |
| Nurse aide hours per resident per day | 2.19 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.45 | 3.42 |
| RN hours per resident per day on the weekend | 0.2 | 0.48 |
| Physical therapist hours per resident per day | 0.05 | 0.07 |
| Total nursing staff turnover | 38.2% | 45.8% |
| Registered nurse turnover | 45.8% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 2 |
| Total Amount of Fines in Dollars | $89,021 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 3 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Mar 16, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Apr 8, 2026 |
| Feb 5, 2026 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Complaint inspection | Potential for harm, pattern | Corrected by Mar 5, 2026 |
| Feb 5, 2026 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Mar 5, 2026 |
| Nov 13, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Dec 11, 2025 |
| Jun 27, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Jul 24, 2025 |
| Jun 27, 2025 | 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. F0585, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Jul 24, 2025 |
| Jun 27, 2025 | 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. F0809, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Jul 24, 2025 |
| Jun 27, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Jul 24, 2025 |
| Jun 27, 2025 | 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. F0578, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jul 24, 2025 |
| Jun 27, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 24, 2025 |
| Jun 27, 2025 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 24, 2025 |
| Jun 27, 2025 | Provide routine and 24-hour emergency dental care for each resident. F0790, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Jul 24, 2025 |
| Mar 19, 2025 | Provide safe, appropriate pain management for a resident who requires such services. F0697, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Apr 14, 2025 |
| Oct 16, 2024 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. F0694, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Nov 12, 2024 |
| Sep 18, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Oct 15, 2024 |
| Sep 18, 2024 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Oct 15, 2024 |
| Jun 4, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Jul 2, 2024 |
| Jun 4, 2024 | 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. F0578, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jul 2, 2024 |
| Jun 4, 2024 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Jul 2, 2024 |
| Jun 4, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jul 2, 2024 |
| Jun 4, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 2, 2024 |
| Jun 4, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 2, 2024 |
| Jun 4, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 2, 2024 |
| Jun 4, 2024 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. F0740, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 2, 2024 |
| Jun 4, 2024 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jul 2, 2024 |
| Jun 4, 2024 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jul 2, 2024 |
| Jun 4, 2024 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Jul 2, 2024 |
| Jun 4, 2024 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. F0849, Administration, Standard inspection | Potential for harm, isolated | Corrected by Jul 2, 2024 |
| May 23, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Jun 20, 2024 |
| May 23, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, pattern | Corrected by Jun 20, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.59 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 7.46 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.09 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 2.17 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0.37 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.85 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.22 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.24 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 23.32 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.43 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 82.89 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 6.49 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.94 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 6.11 | 15.38 |
Briarwood Nursing and Rehabilitation Location: 3011 North Center Road, Flint, Michigan 48506 Phone: (810) 736-0600 |