Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Willowood Care Center Of Brunswick during CMS and state inspections, most recent first.
A resident dependent on staff for toileting did not receive timely incontinence care after waiting over an hour for assistance, resulting in multiple incontinence episodes. Staff were unaware of the call light due to being occupied with other tasks and a malfunctioning call light bar, which failed to display room numbers needing help. The resident was found with saturated bedding, clothing, and wheelchair cushion, and the call light system issue was confirmed by the ADON.
Surveyors identified multiple sanitation issues in the kitchen, including grime and residue on equipment such as the ice machine, beverage machines, and vent covers. These conditions were confirmed with the Dietary Manager and were not in accordance with the facility's cleaning policy, potentially affecting the majority of residents receiving meals.
A facility failed to implement physician-ordered fall prevention interventions for a resident with a history of falls. The resident's care plan included a 'Call Don't Fall' sign and ensuring the call light was within reach, but during observation, the call light was found on the floor and the sign was missing. An LPN confirmed these deficiencies, indicating non-compliance with the facility's fall risk management policy.
A resident with multiple health issues, including diabetes and impaired mobility, experienced repeated skin tears due to the facility's failure to implement a comprehensive skin prevention plan. Despite being at risk for skin breakdown, interventions like tubigrips and keeping fingernails short were not consistently applied. Observations and interviews revealed that the resident often lacked necessary protective measures, and staff were unaware or did not ensure these interventions were in place.
Failure to Provide Timely Incontinence Care Due to Call Light System Malfunction
Penalty
Summary
A resident with diagnoses including congestive heart failure, dementia, anxiety, and depression, who was dependent on staff for toileting, did not receive timely incontinence care. The resident's care plan required staff to check for incontinence every two hours and to change the adult brief as needed. On the day of the incident, the resident activated her call light and waited for assistance for an hour and a half without response. During this time, she attempted to get up on her own, resulting in incontinence episodes in both her bed and wheelchair. Observations confirmed that her bed pad, adult brief, gown, and wheelchair cushion were saturated with urine, and both the call lights in her room and bathroom were still on. Staff interviews revealed that CNAs were unaware the resident's call light was on, as they were occupied with other duties such as passing breakfast trays and assisting with showers. Additionally, the call light bar in the hallway, which displays active call lights and room numbers, was malfunctioning and intermittently failed to show which rooms required assistance, instead displaying only flashing asterisks. The Assistant Director of Nursing confirmed the call light system was not functioning correctly and acknowledged that the resident waited an excessive amount of time for assistance.
Kitchen Sanitation Deficiencies Identified During Survey
Penalty
Summary
Surveyors observed multiple sanitation concerns in the facility's kitchen during an inspection with the Dietary Manager. There was a moderate build-up of grime around the air vents above the range, as well as dirt and grease on the wall behind the convection oven extending to the extinguisher bottle of the hood fire suppression system. Grime was also found underneath the ice machine, and the exterior of the ice machine had scale build-up on the front and sides. When the interior walls of the ice machine were wiped, a black substance was removed onto a paper towel. Additional findings included a layer of dust on top of the ice machine, grime under the fountain drink machine, and dried, sticky residue on the side of the fountain drink machine. The vent register cover behind the food steamer and the fire extinguisher box near the dining room door were heavily coated with dried debris, and the hot beverage machine had a moderately heavy layer of dried-on ground coffee. These sanitation issues were verified with the Dietary Manager at the time of observation. The facility's policy, dated 2008, required food service staff to maintain cleanliness through a comprehensive cleaning schedule and held staff accountable for cleaning assignments. The deficiency had the potential to affect 68 residents who received meals from the kitchen, while four residents were identified as not eating by mouth (NPO). The facility census at the time was 72.
Failure to Implement Fall Prevention Interventions
Penalty
Summary
The facility failed to ensure that physician-ordered and care plan fall interventions were in place for a resident with a history of falls. The resident, who has diagnoses including a stable burst fracture of the fifth lumbar vertebra, ventricular tachycardia, repeated falls, and Alzheimer's disease, was identified as being at risk for falls. The care plan for the resident included interventions such as a 'Call Don't Fall' sign in the room, keeping the call light within reach, providing non-skid footwear, and maintaining clutter-free walkways. However, during an observation, it was noted that the call light was not within the resident's reach and was found on the floor between the wall and the bed. Additionally, there was no 'Call Don't Fall' sign posted in the room as ordered by the physician. The deficiency was confirmed through an interview with an LPN who verified the absence of the call light within reach and the missing sign. The facility's policy on managing falls and fall risk, dated March 2018, emphasizes the implementation of resident-centered approaches to manage falls and fall risk. This deficiency was investigated under a specific complaint number, indicating non-compliance with the facility's policies and procedures for fall prevention.
Failure to Implement Skin Prevention Plan
Penalty
Summary
The facility failed to implement and maintain a comprehensive non-pressure skin prevention plan for a resident, leading to repeated skin tears. The resident, who was re-admitted with diagnoses including apraxia following cerebrovascular disease, type two diabetes mellitus, muscle weakness, and difficulty in walking, was at risk for skin breakdown due to impaired mobility, general weakness, and diabetic neuropathy. Despite these risks, the care plan interventions, such as encouraging the use of tubigrips on the lower extremities and keeping fingernails short, were not consistently implemented. The resident experienced multiple skin tears on the right lower extremity, attributed to bumping the leg on the wheelchair and scratching. On several occasions, the resident's wounds were not dressed, and the tubigrips were not applied as required. Observations and interviews revealed that the resident was often found without the necessary protective measures, and staff were unaware or did not ensure these interventions were in place. The resident's cognitive impairment and non-compliance with assistance for transfers further contributed to the risk of injury. Interviews with nursing staff and the Assistant Director of Nursing confirmed that new interventions were not introduced following the injuries to prevent further occurrences. The existing interventions, such as the use of tubigrips and maintaining short fingernails, were not consistently applied during the review period, leading to repeated trauma and skin tears for the resident.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 1,191 citations issued within 25 miles in the last 12 months — including the 8 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Brunswick
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pearlview Rehab & Wellness Ctr | 1.1 mi | ★★★★★ | 0 | 0 |
| Brunswick Pointe Transitional Care | 1.5 mi | ★★★★★ | 8 | 0 |
| Strongsville Healthcare And Rehabilitation | 2.7 mi | ★★★★★ | 2 | 0 |
| Altenheim | 4.2 mi | ★★★★★ | 4 | 0 |
| Falling Water Healthcare Center | 5.6 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.