Above average — CMS composite of the measures below.
The next survey window likely opens around November 2026
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 Willowbrooke Ctskdcarectr Atnormandy Farms Estates during CMS and state inspections, most recent first.
A door leading to an enclosed courtyard in the Ivy Wing South Living Room was observed without a 'Not an Exit' sign, making it possible to mistake the door for an exit. This lack of signage was confirmed by facility leadership and resulted in noncompliance with NFPA 101 requirements for maintaining clear means of egress.
The facility failed to maintain smoke barrier walls free of unsealed penetrations, affecting two of six smoke compartments. An unsealed penetration was observed around data wires above the smoke doors by the Ivy South bathroom. This deficiency was confirmed during an exit interview with the Administrator and Maintenance Director.
The facility did not perform the required annual testing of electrical receptacles at patient bed locations, as per NFPA 101 standards. Documentation review revealed the absence of records confirming the testing within the past year. This was confirmed in an interview with the Administrator and Maintenance Director.
Willowbrooke Court Skilled Care Center failed to maintain comfortable air temperature levels for residents on the Cherry and Magnolia units due to an HVAC system issue. The problem began when the NHA noticed flashing thermostats, and despite efforts to increase hallway heat and provide additional heating units, room temperatures remained below the required range. A resident reported cold conditions before receiving extra heaters.
A resident with Alzheimer's and other conditions requiring maximum assistance for transfers was injured during a bed-to-chair transfer due to inadequate staffing. The resident's care plan required two staff members for assistance, but only one was present, leading to a trimalleolar fracture of the left ankle. The nurse involved was unaware of the care plan updates, resulting in the resident's injury and subsequent hospitalization.
Missing 'Not an Exit' Signage on Courtyard Door
Penalty
Summary
Surveyors observed that a door leading to an enclosed courtyard in the Ivy Wing South Living Room could be mistaken for an exit, as it lacked signage indicating 'Not an Exit.' This observation was made during a facility inspection and was confirmed in an interview with the Administrator and Maintenance Director. The absence of appropriate signage resulted in the means of egress not being continuously maintained free of all obstructions to full use in case of emergency, as required by NFPA 101 standards. No information about specific residents, their medical history, or their condition at the time of the deficiency was provided in the report.
Plan Of Correction
Preparation and/or execution of this plan of correction does not constitute admission or agreement by the providers of the truth of the facts alleged or conclusions set forth in the statement of deficiencies. The plan of correction is prepared solely as a matter of compliance with federal and state law. A temporary sign was put on the door and a permanent sign ordered and installed. An inspection of doors exiting the egress path was done and no others entering an enclosed area was without appropriate signage. Weekly random inspections of doors will be conducted by the Maintenance Director/designee for the next 6 weeks. Results of the inspections will be reported to the Quality Assurance Performance Improvement (QAPI) Steering Committee in January for further recommendation.
Unsealed Penetration in Smoke Barrier Walls
Penalty
Summary
The facility failed to maintain smoke barrier walls free of unsealed penetrations, which is a requirement for ensuring a 1/2-hour fire resistance rating. This deficiency was identified during an observation on January 27, 2025, at 11:20 a.m., where an unsealed penetration was found around data wires above the smoke doors by the Ivy South bathroom. This issue affected two of the six smoke compartments in the facility. The deficiency was confirmed during an exit interview with the Administrator and Maintenance Director on the same day at 12:30 p.m. The unsealed penetration compromises the integrity of the smoke barrier, which is essential for preventing the spread of smoke in the event of a fire.
Plan Of Correction
by the providers of the truth of the facts alleged or conclusions set forth in the statement of deficiencies. The plan of correction is prepared solely as a matter of compliance with federal and state law. The penetration was sealed by the maintenance staff using approved firestop materials. A thorough inspection of the area was completed, and no other penetrations were found. Weekly random inspections, above ceilings throughout WBC, including firewalls, will be conducted by the Maintenance Director/designee for the next 3 months. Results of the inspections will be documented and reported to the Quality Assurance Performance Improvement (QAPI) Steering Committee for further recommendation.
Failure to Conduct Annual Receptacle Testing
Penalty
Summary
The facility failed to conduct the required annual testing of electrical receptacles at patient bed locations, as mandated by NFPA 101 standards. During a document review on January 27, 2025, it was discovered that the facility could not provide documentation to confirm that the necessary testing had been performed within the previous 12 months. This deficiency was confirmed during an exit interview with the Administrator and Maintenance Director, who acknowledged the absence of the required documentation.
Plan Of Correction
Preparation and/or execution of this plan of correction does not constitute admission or agreement by the providers of the truth of the facts alleged or conclusions set forth in the statement of deficiencies. The plan of correction is prepared solely as a matter of compliance with federal and state law. Maintenance Director/Designee will conduct annual receptacle testing in patient care rooms at bed locations. Maintenance Director/Designee will document results and maintain documentation for review, annually. Results of the inspections will be documented and reported to the Quality Assurance Performance Improvement (QAPI) Steering Committee for further recommendation.
Failure to Maintain Adequate Temperature Levels
Penalty
Summary
Willowbrooke Court Skilled Care Center at Normandy Farms Estates was found to be non-compliant with the requirement to maintain a safe, clean, comfortable, and homelike environment for its residents. The deficiency was identified during an abbreviated survey conducted in response to a complaint. The facility failed to ensure comfortable air temperature levels for residents on the Cherry and Magnolia nursing units due to an issue with the Heating, Ventilation, and Air Conditioning (HVAC) system. The problem began on November 19, 2024, when the Nursing Home Administrator (NHA) noticed flashing thermostats in her office and in resident rooms on the affected units, which shared the same heating system. The NHA contacted the Director of Plant Services, who attempted to address the issue but ultimately required assistance from an outside contractor. The contractor visited the facility on November 20, 2024, but needed to order parts to repair the system. In the interim, the facility increased the heat in the hallways and purchased additional heating units to supplement the temperatures in resident rooms. Despite these efforts, temperature logs indicated that the heating temperatures in resident rooms ranged from 61.1 to 70.5 degrees Fahrenheit, with only one room briefly reaching above 71 degrees. A resident reported that it was cold in her room before the facility provided additional heaters. The facility's failure to maintain adequate temperature levels in resident rooms on the Cherry and Magnolia units resulted in a deficiency under the 28 PA Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations, specifically related to the requirement for a safe, clean, comfortable, and homelike environment.
Plan Of Correction
Preparation and/or execution of this plan of correction does not constitute admission or agreement by the providers of the truth of the facts alleged or conclusions set forth in the statement of deficiencies. The plan of correction is prepared solely as a matter of compliance with federal and state law. NHA noticed thermostat blinking in her office. After checking the thermostat in an adjacent room, NHA notified maintenance of the situation (19th). After reviewing the control panel, the maintenance director called the vendor to assist in determining the issue, cause, and repair. The vendor arrived the same day (19th). The heat in the hallways was increased to supplement the rooms. Residents were spoken to regarding the issue and requested to keep their doors open to allow heat transference from the hallway. Residents were offered the opportunity to remain in common areas. We monitored temperatures throughout the night in the resident rooms and offered extra blankets. Temperatures were noted to be below 71 degrees. No resident requested extra blankets. On the 20th, we were notified of the extended timeline for repair. At that time, we began obtaining individual heating units for each resident room. Residents and Families were notified. After installation of in-room heating units, temperatures in rooms were maintained above 71 degrees. Other neighborhood thermostats were inspected. It was found that no other neighborhoods were affected by this heating unit malfunction. Other neighborhood's heating units were functioning properly. The maintenance director/designee will routinely monitor thermostats via an audit. The community will continue with regular preventative maintenance schedules with the HVAC units utilizing our contracted vendor and maintenance team. Individual heating units are currently stored on campus in the event of need. Audits will be daily for 1 week, weekly for 4 weeks, then monthly for 3 months. Findings will be reported to the QAPI steering committee for further recommendation.
Failure to Provide Adequate Assistance During Transfer
Penalty
Summary
The facility failed to ensure that a resident was transferred from bed to chair with the assistance of two staff members, as required by the resident's care plan. This failure resulted in actual harm to the resident, who sustained a trimalleolar fracture of the left ankle. The resident, who was admitted with diagnoses including Alzheimer's Disease, chronic kidney disease, osteoarthritis, unsteady feet, and spinal stenosis, was assessed to require maximum assistance from two staff members for mobility and transfers. However, during a transfer from bed to wheelchair, the resident's legs gave out, and the left foot twisted under the resident, leading to a fracture. The incident occurred because the registered nurse involved in the transfer was unaware of the care plan updates that specified the need for two-person assistance. As a result, the resident was not provided with the necessary support, leading to the injury. The resident was subsequently sent to the hospital for treatment, where surgery was performed on the fractured ankle. The facility's failure to adhere to the care plan and provide adequate supervision and assistance during the transfer process directly contributed to the resident's injury.
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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.
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Nursing homes near Blue Bell
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Gwynedd Healthcare And Rehabilitation Center | 2.4 mi | ★★★★★ | 4 | 0 |
| Silver Stream Rehabilitation And Nursing Center | 2.9 mi | ★★★★★ | 13 | 0 |
| Willowbrooke Court Skilled Care Center At Brittany | 3 mi | ★★★★★ | 0 | 0 |
| Suburban Woods Health & Reha | 3.6 mi | ★★★★★ | 10 | 0 |
| Artman Lutheran Home | 3.8 mi | ★★★★★ | 4 | 0 |
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