Willowbrook Nursing Center

Penalties

• Mar 19, 2025 — Fine ($153,439)

Inspection findings

1. Jul 9, 2025 Health · 6 findings
   • Not serious Scope/severity E Complaint

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     Corrected Jul 10, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Jul 10, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Jul 10, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Jul 10, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0805 Nutrition and Dietary Deficiencies

     Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

     Corrected Jul 10, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jul 10, 2025 · CMS health inspection

2. May 28, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Jun 15, 2025 · CMS health inspection

3. Mar 19, 2025 Health · 1 finding
   • Serious Scope/severity J Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Mar 20, 2025 · CMS health inspection

4. Jun 19, 2024 Health · 13 findings
   • Not serious Scope/severity E

     F0584 Resident Rights Deficiencies

     Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

     Corrected Jul 5, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0636 Resident Assessment and Care Planning Deficiencies

     Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

     Corrected Jul 5, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Jul 5, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0693 Quality of Life and Care Deficiencies

     Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

     Corrected Jul 5, 2024 · CMS health inspection

   • Not serious Scope/severity C Complaint

     F0732 Nursing and Physician Services Deficiencies

     Post nurse staffing information every day.

     Corrected Jul 5, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Jul 5, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Jul 5, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0908 Environmental Deficiencies

     Keep all essential equipment working safely.

     Corrected Jul 5, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0919 Environmental Deficiencies

     Make sure that a working call system is available in each resident's bathroom and bathing area.

     Corrected Jul 5, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0925 Environmental Deficiencies

     Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

     Corrected Jul 5, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Aug 29, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected Aug 29, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Aug 29, 2024 · CMS fire safety

5. Apr 19, 2023 Health · 6 findings
   • Not serious Scope/severity E

     F0584 Resident Rights Deficiencies

     Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

     Corrected May 5, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected May 5, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0761 Pharmacy Service Deficiencies

     Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

     Corrected May 5, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected May 5, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0926 Environmental Deficiencies

     Have policies on smoking.

     Corrected May 5, 2023 · CMS health inspection

   • Not serious Scope/severity E

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Jun 27, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• BALSAMO, KRYSTAL — operational/managerial control, NOT APPLICABLE, since 04/01/2018
• BALSAMO, KRYSTAL — adp of the snf, NOT APPLICABLE, since 04/01/2018
• BENAVIDES, RHONDA — adp of the snf, NOT APPLICABLE, since 08/20/2001
• BENAVIDES, RHONDA — operational/managerial control, NOT APPLICABLE, since 08/20/2001
• CASPER, ANDREA — adp of the snf, NOT APPLICABLE, since 08/30/2022
• CASPER, ANDREA — operational/managerial control, NOT APPLICABLE, since 08/30/2022
• CULP, ROLAND — operational/managerial control, NOT APPLICABLE, since 04/01/2018
• CULP, ROLAND — adp of the snf, NOT APPLICABLE, since 04/01/2018
• DASPIT, LAURENCE — operational/managerial control, NOT APPLICABLE, since 04/01/2018
• DASPIT, LAURENCE — adp of the snf, NOT APPLICABLE, since 04/01/2018
• DOHN, WILLIAM — adp of the snf, NOT APPLICABLE, since 04/01/2018
• DOHN, WILLIAM — operational/managerial control, NOT APPLICABLE, since 04/01/2018
• LINDEMANN, CAREY — adp of the snf, NOT APPLICABLE, since 04/01/2018
• MURRELL, EDWARD — operational/managerial control, NOT APPLICABLE, since 04/01/2018
• MURRELL, EDWARD — corporate officer, NOT APPLICABLE, since 11/01/2012
• PICO, ANA — operational/managerial control, NOT APPLICABLE, since 04/01/2018
• PICO, ANA — adp of the snf, NOT APPLICABLE, since 04/01/2018
• PRINCE, DEREK — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 09/12/2025
• PRINCE, DEREK — operational/managerial control, NOT APPLICABLE, since 04/01/2018
• PRINCE, DEREK — adp of the snf, NOT APPLICABLE, since 04/01/2018
• REINARZ, CHRISTIAN — operational/managerial control, NOT APPLICABLE, since 04/01/2018
• REINARZ, CHRISTIAN — adp of the snf, NOT APPLICABLE, since 04/01/2018
• ROLLO, JEFFERY — corporate officer, NOT APPLICABLE, since 11/01/2012
• ROLLO, JEFFERY — operational/managerial control, NOT APPLICABLE, since 04/01/2018
• SANDERS, JAMES — operational/managerial control, NOT APPLICABLE, since 04/03/2023
• SANDERS, JAMES — adp of the snf, NOT APPLICABLE, since 04/03/2023
• STANBRIDGE, NORMA — adp of the snf, NOT APPLICABLE, since 04/01/2018
• STRAMECKI, ANTHONY — corporate director, NOT APPLICABLE, since 11/01/2016
• STRAMECKI, ANTHONY — operational/managerial control, NOT APPLICABLE, since 04/01/2018
• STRAMECKI, ANTHONY — corporate officer, NOT APPLICABLE, since 11/01/2016
• VRATIS, KACEY — operational/managerial control, NOT APPLICABLE, since 04/01/2018
• WAY, GEORGE — corporate director, NOT APPLICABLE, since 06/27/2005
• WAY, GEORGE — operational/managerial control, NOT APPLICABLE, since 04/01/2018
• CIBC BANK USA — 5% or greater direct ownership interest, since 04/01/2018
• CIBC BANK USA — operational/managerial control, NOT APPLICABLE, since 04/01/2021
• CIBC BANK USA — adp of the snf, NOT APPLICABLE, since 04/01/2018
• FORVIS MAZARS LLP — adp of the snf, NOT APPLICABLE, since 04/01/2018
• FORVIS MAZARS LLP — 5% or greater direct ownership interest, since 04/01/2018
• FORVIS MAZARS LLP — operational/managerial control, NOT APPLICABLE, since 04/01/2018
• HMG PARK MANOR OF WILLOWBROOK LLC — operational/managerial control, NOT APPLICABLE, since 01/01/2020
• HMG PARTNERS II LLC — operational/managerial control, NOT APPLICABLE, since 01/01/2020
• ZIONS BANCORPORATION — 5% or greater direct ownership interest, since 04/01/2018
• ZIONS BANCORPORATION — adp of the snf, NOT APPLICABLE, since 04/01/2018
• ZIONS BANCORPORATION — operational/managerial control, NOT APPLICABLE, since 04/01/2021