Willow Brook Rehabilitation and Healthcare CenterCMS ratings, inspections and fines
- Address
- 90 West Street, Wilmington, MA 01887
- CCN
- 225568
- Ownership type
- For-profit, corporation
- Certified beds
- 142
- Residents per day
- 132
- CMS flags
- CMS abuse icon
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Willow Brook Rehabilitation and Healthcare Center an overall rating of 2 of 5 stars. The last standard survey was on 12 Sep 2025. The latest survey cycle has 12 health citations. The median for nursing homes in Massachusetts is 6. CMS lists 1 fine of $10,358 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in Massachusetts (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Middlesex County median | Massachusetts median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 4.0 | 3.0 | 2.9 |
| Quality measure rating | 3 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 72 homes in the county, 341 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Massachusetts median |
|---|---|---|---|
| Cycle 1 (latest) | 12 Sep 2025 | 12 | 6 |
| Cycle 2 | 19 Sep 2024 | 19 | 8 |
| Cycle 3 | No date | 25 | 10 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | C0 |
Survey cycle 1 (latest): 12 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 12 Sep 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 7 Oct 2025 |
| 12 Sep 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 7 Oct 2025 |
| 12 Sep 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Standard survey | 7 Oct 2025 |
| 12 Sep 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 7 Oct 2025 |
| 12 Sep 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 28 Oct 2025 |
| 12 Sep 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard survey | 7 Oct 2025 |
| 12 Sep 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 28 Oct 2025 |
| 12 Sep 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard survey | 28 Oct 2025 |
| 12 Sep 2025 | F0729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | D | Standard survey | 7 Oct 2025 |
| 12 Sep 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 7 Oct 2025 |
| 12 Sep 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 7 Oct 2025 |
| 12 Sep 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 7 Oct 2025 |
Survey cycle 2: 19 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 28 Feb 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 31 Mar 2025 |
| 19 Sep 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 1 Nov 2024 |
| 19 Sep 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 1 Nov 2024 |
| 19 Sep 2024 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | Standard survey | 1 Nov 2024 |
| 19 Sep 2024 | F0641 | Ensure each resident receives an accurate assessment. | B | Standard survey | 1 Nov 2024 |
| 19 Sep 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 1 Nov 2024 |
| 19 Sep 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 1 Nov 2024 |
| 19 Sep 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 1 Nov 2024 |
| 19 Sep 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 1 Nov 2024 |
| 19 Sep 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 1 Nov 2024 |
| 19 Sep 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Standard survey | 1 Nov 2024 |
| 19 Sep 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 1 Nov 2024 |
| 19 Sep 2024 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 1 Nov 2024 |
| 19 Sep 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 1 Nov 2024 |
| 19 Sep 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 1 Nov 2024 |
| 19 Sep 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 1 Nov 2024 |
| 19 Sep 2024 | F0761 | 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. | E | Standard survey | 1 Nov 2024 |
| 19 Sep 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 1 Nov 2024 |
| 19 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 1 Nov 2024 |
Survey cycle 3: 25 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 19 Mar 2024 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Complaint investigation | 17 Apr 2024 |
| 8 Sep 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 15 Oct 2023 |
| 8 Sep 2023 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Standard survey | 15 Oct 2023 |
| 8 Sep 2023 | F0584 | 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. | D | Standard survey | 15 Oct 2023 |
| 8 Sep 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 15 Oct 2023 |
| 8 Sep 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 15 Oct 2023 |
| 8 Sep 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 15 Oct 2023 |
| 8 Sep 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 15 Oct 2023 |
| 8 Sep 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 15 Oct 2023 |
| 8 Sep 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 15 Oct 2023 |
| 8 Sep 2023 | F0693 | 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. | D | Standard survey | 15 Oct 2023 |
| 8 Sep 2023 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 15 Oct 2023 |
| 8 Sep 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 15 Oct 2023 |
| 8 Sep 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 15 Oct 2023 |
| 8 Sep 2023 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Standard survey | 15 Oct 2023 |
| 8 Sep 2023 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard survey | 15 Oct 2023 |
| 8 Sep 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 15 Oct 2023 |
| 8 Sep 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 15 Oct 2023 |
| 8 Sep 2023 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 15 Oct 2023 |
| 8 Sep 2023 | F0761 | 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. | E | Standard survey | 15 Oct 2023 |
| 8 Sep 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 15 Oct 2023 |
| 8 Sep 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 15 Oct 2023 |
| 8 Sep 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 15 Oct 2023 |
| 8 Sep 2023 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | F | Standard survey | 15 Oct 2023 |
| 8 Sep 2023 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Standard survey | 15 Oct 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 12 Sep 2025 | Fine | $10,358 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Massachusetts median | Massachusetts average (CMS) |
|---|---|---|---|
| All nurse staff | 3.68 | 3.70 | 3.86 |
| Registered nurses (RN) | 0.65 | 0.60 | 0.65 |
| Licensed practical nurses (LPN) | 0.85 | 0.95 | |
| Nurse aides | 2.17 | 2.26 | |
| All nurse staff, weekends | 3.33 | 3.30 | 3.48 |
- Nurse staff turnover in a year
- 43.2%
- Nurse staff turnover, Massachusetts median
- 37.7%
- RN turnover in a year
- 36.4%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Massachusetts median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 8.7% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.2% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.1% | 1.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.6% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.5% | 14.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.4% | 3.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 28.3% | 19.6% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Willow Brook Operator LLC
- Chain
- Marquis Health Services (87 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Quinto Nexgen LLC | Direct ownership interest | 31 Oct 2024 | |
| Ukr Nexgen LLC | Direct ownership interest | 31 Oct 2024 | |
| Rsbrmk Holdings LLC | Indirect ownership interest | 31 Oct 2024 | |
| Tryko Nexgen Holdings LLC | Indirect ownership interest | 31 Oct 2024 | |
| Forbright Bank | 5% or greater security interest | 31 Oct 2024 | |
| Reliant Pro Rehab LLC | Operational/managerial control | 23 Jan 2025 | |
| Quinto Nexgen LLC | Adp of the snf | 31 Oct 2024 | |
| Reliant Pro Rehab LLC | Adp of the snf | 23 Jan 2025 | |
| Rsbrmk Holdings LLC | Adp of the snf | 31 Oct 2024 | |
| Tryko Nexgen Holdings LLC | Adp of the snf | 31 Oct 2024 | |
| Ukr Nexgen LLC | Adp of the snf | 31 Oct 2024 | |
| Willow Brook Property LLC | Adp of the snf | 31 Oct 2024 |
The site shows organisations only. It does not show the names of persons.
Other homes in Middlesex County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Care One at Wilmington | Wilmington | 5 of 5 | 1 | $0 | 31 Jul 2025 | |
| Oc Reading Center LLC | Reading | 1 of 5 | 8 | $54,360 | 31 Dec 2025 | |
| Bear Hill Healthcare and Rehabilitation Center | Stoneham | 5 of 5 | 7 | $16,146 | 15 Jan 2026 | |
| Woburn Rehabilitation and Nursing Center | Woburn | 2 of 5 | 15 | $8,512 | 9 Jan 2025 | |
| Royal Meadow View Center | North Reading | 4 of 5 | 2 | $0 | 29 Jan 2026 | |
| Regalcare at Wakefield | Wakefield | 1 of 5 | 9 | $111,093 | 3 Mar 2026 | |
| Greenwood Nursing & Rehabilitation Center | Wakefield | 5 of 5 | 8 | $0 | 7 Aug 2025 | |
| Aberjona Rehabilitation and Nursing Center | Winchester | 5 of 5 | 0 | $0 | 13 May 2025 | |
| Winchester Rehabilitation and Nursing Center | Winchester | 5 of 5 | 3 | $0 | 6 Feb 2026 | |
| Carleton-Willard Village Retirement & Nursing Ctr | Bedford | 5 of 5 | 0 | $25,497 | 13 May 2026 | |
| Melrose HealthcareSpecial Focus candidate | Melrose | 1 of 5 | 27 | $49,324 | 9 Apr 2025 | |
| Life Care Center of Stoneham | Stoneham | 4 of 5 | 3 | $39,559 | 17 Sep 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Willow Brook Rehabilitation and Healthcare Center (CCN 225568). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/willow-brook-rehabilitation-and-healthcare-center-wilmington-ma-225568/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Willow Brook Rehabilitation and Healthcare Center last inspected?
- The latest inspection with a citation in the CMS record was on 12 Sep 2025. It was a standard survey. It gave 12 citations. The standard survey before the last one was on 19 Sep 2024.
- Who operates Willow Brook Rehabilitation and Healthcare Center?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Marquis Health Services. The CMS ownership file names Reliant Pro Rehab LLC for operational or managerial control. This site does not show the names of persons.
- Is Willow Brook Rehabilitation and Healthcare Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in Massachusetts as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.