WILLOWBROOK POST ACUTE
State inspectors recorded 1 citation(s) in the last three years where CMS determined a resident was actually harmed.
Serious inspection findings
2024-05-17 — ACTUAL HARM (tag F0688, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
2023-12-07 — IMMEDIATE JEOPARDY (tag F0658, severity J)
Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data
Ensure services provided by the nursing facility meet professional standards of quality.
2023-12-07 — IMMEDIATE JEOPARDY (tag F0609, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2023-12-07 — IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Staffing, from payroll records
Nursing hours / resident / day
3.79
state median 4.21
Weekend staffing gap
−6%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.45
registered nurses only
Contract (agency) staff
18%
share of all nursing hours
Nursing staff turnover
53%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
2 enforcement action(s), totaling $80,796 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-05-17 | Fine | $61,458 |
| 2023-12-07 | Fine | $19,338 |
Ownership
Ownership type: For profit - Limited Liability company. Part of the PACS GROUP chain.
Other facilities under the same ownership, with their CMS overall ratings:
- CENTENNIAL POST ACUTE (ANCHORAGE, AK) —
- APACHE JUNCTION HEALTH CENTER (APACHE JUNCTION, AZ) —
- RIDGECREST POST ACUTE (PHOENIX, AZ) —
- SANDRIDGE POST ACUTE (MESA, AZ) —
- Sun City Post Acute (SUN CITY, AZ) —
- MARYLAND GARDENS POST ACUTE (PHOENIX, AZ) —
- Palm Valley Post Acute (GOODYEAR, AZ) —
- Ahwatukee Post Acute (PHOENIX, AZ) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-04-21 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2026-03-19 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-03-19 | F0757 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-08-22 | F0554 | Resident Rights Deficiencies | D | not recorded |
| 2025-08-22 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-08-22 | F0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-08-22 | F0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-08-22 | F0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-08-22 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-08-22 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-08-22 | F0725 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2025-08-22 | F0732 | Nursing and Physician Services Deficiencies | B | not recorded |
| 2025-08-22 | F0756 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-08-22 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-08-22 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-08-22 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-08-22 | F0825 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-08-22 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-05-17 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-05-17 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-05-17 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-05-17 | F0688 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-05-17 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-05-17 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-05-17 | F0756 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-05-17 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-05-17 | F0759 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-05-17 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2023-12-07 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2023-12-07 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2023-12-07 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-12-07 | F0658 | Resident Assessment and Care Planning Deficiencies | J | not recorded |
| 2023-12-07 | F0835 | Administration Deficiencies | E | not recorded |
| 2023-12-07 | F0868 | Administration Deficiencies | F | not recorded |
| 2019-12-13 | F0552 | Resident Rights Deficiencies | D | not recorded |
| 2019-12-13 | F0636 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2019-12-13 | F0655 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2019-12-13 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2019-12-13 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2019-12-13 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2019-12-13 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2019-12-13 | F0725 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2019-12-13 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |