Willow Brook Rehabilitation and Healthcare Center
120 Trexler Avenue, Kutztown, PA 19530 · Berks County · 140 certified beds · avg 131 residents/day · certified since Nov 7, 1984
Part of chain: PRESTIGE HEALTHCARE ADMINISTRATIVE SERVICES (15 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Mar 27, 2026 · F-0694
The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them.
Why it matters: Improper IV care can cause infections, dehydration, or dangerous fluid imbalances.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: May 6, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jun 18, 2026 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jul 16, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (7)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 18, 2026 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Mar 27, 2026 | ▲ J · Immediate jeopardy, one-off | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. |
| Mar 27, 2026 | F · Potential for harm, facility-wide | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Mar 27, 2026 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Mar 27, 2026 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Mar 15, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 15, 2024 | C · Minimal risk, facility-wide | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 2 | 0 | F |
| 2026 | 5 | 2 | J ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $8,281.
| Date | Type | Amount / length |
|---|---|---|
| Mar 27, 2026 | Fine | $8,281 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Pennsylvania avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.01 | 3.94 | 3.95 | bottom 12% in Pennsylvania; bottom 14% in the U.S. |
| Registered Nurse hours | 0.42 | 0.80 | 0.69 | bottom 13% in Pennsylvania; bottom 26% in the U.S. |
| Weekend total nurse staffing | 2.83 | 3.58 | 3.50 | bottom 17% in Pennsylvania; bottom 22% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.32 | 0.56 | 0.48 | bottom 26% in Pennsylvania; bottom 35% in the U.S. |
| Total nursing staff turnover (%) | 41.4 | 44.5 | 45.8 | top 40% in Pennsylvania; top 40% in the U.S. |
| RN turnover (%) | 62.5 | 39.9 | 42.9 | bottom 14% in Pennsylvania; bottom 19% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.49, RN 0.49, weekend 3.28. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Clyde II LLC | Organization | 5% or Greater Indirect Ownership Interest | 10% | 12/29/2021 |
| Pa Noble Parentco LLC | Organization | 5% or Greater Indirect Ownership Interest | 70% | 12/29/2021 |
| Star Pa I Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | 20% | 12/29/2021 |
| Stern, Moshe | Individual | 5% or Greater Indirect Ownership Interest | — | 12/29/2021 |
| Willow Brook Rehab LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 12/29/2021 |
| Springman, Kathleen | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Springman, Kathleen | Individual | ADP of the SNF | NOT APPLICABLE | 04/24/2026 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who on your staff manages IV therapy, and what training and monitoring is in place?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Lutheran Home at Topton, the | 3.7 mi | Topton, PA | ★★★★★ | 4/5 | |
| Mosser Nursing Home | 8.8 mi | Trexlertown, PA | ★★★★★ | 4/5 | |
| Complete Care at Lehigh LLC | 10.9 mi | Macungie, PA | ★★★☆☆ | 3/5 | |
| Laureldale Skilled Nursing and Rehabilitation Cent | 10.9 mi | Laureldale, PA | ★★★☆☆ | 3/5 | |
| Berks Heim Nursing & Rehabilitation | 11.8 mi | Leesport, PA | ★★★★★ | 4/5 | |
| Luther Crest Nursing Facility | 12.5 mi | Allentown, PA | ★★★★★ | 5/5 | |
| Cedarbrook Senior Care and Rehabilitation | 12.8 mi | Allentown, PA | ★★★★★ | 4/5 | |
| Lehigh Valley Hospital Tsu | 12.9 mi | Allentown, PA | ★★★★★ | 3/5 | |
| Laurel Center | 13.0 mi | Hamburg, PA | ★★★☆☆ | 2/5 | abuse |
| Cedar Crest Post Acute | 13.8 mi | Allentown, PA | ★★★★☆ | 4/5 | |
| Fairlane Gardens Nursing and Rehab at Reading | 15.0 mi | Reading, PA | ★☆☆☆☆ | 1/5 | |
| West Reading Skilled Nursing and Rehabilitation Ce | 15.2 mi | West Reading, PA | ★☆☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 395680.