Willowbrooke Ctskdcarectr Atnormandy Farms Estates
Inspection history, citations, penalties and survey trends for this long-term care facility in Blue Bell, Pennsylvania.
- Location
- 8000 Twin Silo Drive, Blue Bell, Pennsylvania 19422
- CMS Provider Number
- 395665
- Inspections on file
- 21
- Latest survey
- December 11, 2025
- Citations (last 12 mo.)
- 2
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.
Latest citations in Pennsylvania
Surveyors identified that a fire-rated separation door between building levels did not meet NFPA 101 multiple occupancy requirements. Initially, the basement separation door had holes where panic hardware had been removed and only a turning knob remained, compromising the door’s fire-rated function. On revisit, although panic hardware had been installed, the door still failed to latch properly in the frame due to friction. Facility leadership and maintenance staff acknowledged these door deficiencies.
Surveyors found that the facility’s Emergency Preparedness Plan was not compliant with regulatory requirements because it lacked a documented community-based all-hazards risk assessment and the facility-based hazard vulnerability analysis had not been updated on an annual basis. During document review and an interview with the Maintenance Director, it was confirmed that the community-based HVA was missing from the plan and that the existing facility-based assessment had last been updated in 2024, leaving the plan without current, comprehensive all-hazards risk assessments.
Surveyors observed that stair towers used as exits were not properly maintained, as multiple stair landings were being used for storage. Chairs were found stored on landings in several stairwells on one floor, and the Maintenance Director confirmed that these items were being kept within the stair towers.
Surveyors found that the common area soiled linen room on the second floor, classified as a hazardous area in a sprinklered location, had a door that failed to positively latch when tested. This door is required to self-close and latch to maintain proper separation for hazardous areas. The issue was confirmed with the Maintenance Director during the survey.
Surveyors found that oxygen storage requirements were not maintained when a freestanding oxygen cylinder was observed unsecured in a third-floor room and the C-Hall oxygen storage room door failed to close and latch due to a coordinator malfunction. The Maintenance Director confirmed these oxygen storage deficiencies during the survey exit interview.
Surveyors found that the facility failed to review and update its emergency preparedness policies and procedures on an annual basis. During document review, the facility could not provide a community-based HVA, which is required to inform updates to the emergency preparedness plan, and the facility-based HVA had not been updated as required. In an interview, the Maintenance Director confirmed both the missing community-based HVA and the lack of an annual update to the facility-based HVA.
Surveyors found that the facility’s Emergency Preparedness Plan lacked required policies and procedures for tracking the location of on-duty staff and sheltered patients during and after an emergency. The plan also did not include a method to document the specific name and location of any receiving facility or other site if staff and patients were relocated. During the exit interview, the Maintenance Director confirmed that these tracking and documentation procedures were not present in the plan, affecting the entire facility.
Surveyors found that the facility failed to develop and maintain required arrangements with other facilities and providers to receive patients if operations were limited or ceased. Document review showed that transfer agreements were missing, and this absence of formal arrangements to ensure continuity of services was confirmed by the Maintenance Director during the exit interview.
Surveyors determined that the facility’s emergency preparedness communication plan did not include any method for sharing appropriate information from the emergency plan with residents and their families or representatives. During document review and staff interviews, it was confirmed that the written plan lacked a defined process for communicating emergency planning information to residents and their representatives, and this omission affected the entire facility.
Two residents receiving PRN anti‑anxiety medications were not protected from potential chemical restraints when PRN lorazepam/Ativan orders lacked required 14‑day stop dates and physician re‑evaluation. One resident with schizoaffective disorder, dementia, and anxiety had a PRN Ativan order without a stop date that was administered multiple times over several months. Another resident with metabolic encephalopathy, heart failure, and peripheral vascular disease had a PRN lorazepam order without a stop date that was still being administered weeks later, with no documented physician reassessment. The DON confirmed that these PRN psychotropic orders should have included 14‑day limitations but did not.
Noncompliant Fire-Rated Separation Door Between Multiple Occupancies
Penalty
Summary
The facility failed to meet NFPA 101 multiple occupancy construction type requirements by not maintaining a compliant fire-rated separation door between building levels. During an observation in the basement, surveyors found that the building separation door had holes where the fire exit (panic) hardware had been removed, and the only remaining hardware was a turning knob, compromising the integrity of the fire-rated door. In a subsequent onsite revisit, surveyors observed that although panic hardware had been installed on the same fire-rated door, the door failed to latch properly in the frame due to friction. The administrator and maintenance staff confirmed the presence of the holes in the fire-rated door and later confirmed that the door continued to have a deficiency because it did not latch.
Plan Of Correction
The Facility submits this Plan of Correction under procedures established by the Department of Health in order to comply with the Department's directive to change conditions which the Department alleges is deficient under State and/or Federal Long Term Care Regulations. This Plan of Correction should not be construed as either a waiver of the facility's right to appeal or challenge the accuracy or severity of the alleged deficiencies or an admission of past or ongoing violation of State and Federal regulatory requirements. Please accept this plan of correction as the facility's written credible allegation of compliance such that all alleged deficiencies cited have been or will be corrected by the date or dates indicated. To remain in compliance with all federal and state regulations, the facility has taken or will take the actions set forth in the following plan of correction. 1. The correct fire rated hardware was ordered and will be installed on the basement building separation door. 2. Results will be shared with the Quality Assurance Performance Improvement Committee with corrections made as needed.
Failure to Maintain Current All-Hazards Emergency Preparedness Risk Assessments
Penalty
Summary
The deficiency involves the facility’s failure to maintain an Emergency Preparedness Plan that was based on and included both a documented facility-based and community-based risk assessment utilizing an all-hazards approach. During document review, surveyors found that the Emergency Preparedness Plan did not contain a documented community-based risk assessment. The plan therefore lacked the required community-based hazard vulnerability analysis (HVA) component that should identify and address community-level emergency events. Surveyors also determined that the facility-based risk assessment within the Emergency Preparedness Plan had not been updated annually as required. The last update to the facility-based HVA was documented in 2024, indicating that it was not current at the time of review. During the exit interview, the Maintenance Director confirmed both the absence of the community-based HVA and that the facility-based HVA had not received the required annual update.
Plan Of Correction
4.1. The facility will update the facility assessment to include the All Hazards Assessment annually. 4.2. The Director of Maintenance or designee Services will monitor bi-annually to meet compliance with E-006. Completion Date: 06/30/2026 Status: APPROVED Date: 06/09/2026
Improper Storage of Chairs in Exit Stair Towers
Penalty
Summary
Surveyors found that stairways and smokeproof enclosures used as exits were not properly maintained as required by NFPA 101. On one of five levels, multiple stair tower landings were being used for storage. During observations on May 4, 2026, chairs were stored on the landings of stair #2 on the third floor C-wing at 11:30 a.m., stair #3 on the third floor B-wing at 11:40 a.m., and stair #4 on the third floor A-wing at 11:50 a.m. In an exit interview on the same day at 1:30 p.m., the Maintenance Director confirmed the presence of this storage within the stair towers.
Plan Of Correction
4.1. The chairs were permanently removed from the third floor C-wing, stair # 2, the third floor B-wing, stair # 3, and the third floor A-wing, stair # 4 on Tuesday, May 5th, 2026. 4.2. The maintenance staff will be in-serviced on importance of verifying that stairwells are cleared Stairways and smokeproof enclosures used 4.3. The maintenance staff will perform monthly audits to confirm that stairwells are cleared. Audits will be completed for 6 months. 4.4. The maintenance director will monitor to meet the compliance
Soiled Linen Room Door Failed to Latch in Hazardous Area
Penalty
Summary
Surveyors identified a deficiency related to NFPA 101 hazardous area enclosure requirements when observing the soiled linen room on the second floor. During the survey, the common area soiled linen room door was tested and found to fail to positively latch. This room qualifies as a hazardous area in a sprinklered location, and the door is required to self-close and latch to maintain proper separation. The deficiency was confirmed during an exit interview with the Maintenance Director, who acknowledged the door problem. No residents or specific patient conditions were mentioned in the report, and no additional contributing actions or events beyond the failed latching mechanism of the soiled linen room door were described.
Plan Of Correction
K 03214.1. On the second floor, the common area soiled utility room door latch was repaired on May 4th, 2026. 4.2. The maintenance staff will be in-serviced to meet compliance requirements of K-0321; NFPA 101 Hazardous areas - enclosures. 4.3. The maintenance staff will perform monthly audits to meet compliance requirements of K-0321 to November 30th, 2026. 4.4. The maintenance director will monitor to meet the compliance requirements of K-0225. Completion Date: 06/30/2026 Status: APPROVED Date: 06/09/2026
Failure to Maintain Required Oxygen Cylinder Storage and Secured Storage Room
Penalty
Summary
Surveyors identified deficiencies in the facility’s compliance with NFPA 101 and NFPA 99 requirements for gas equipment cylinder and container storage. During observation on the third floor, surveyors found a freestanding oxygen cylinder in room 5352 at 11:30 a.m. This cylinder was not described as being secured or stored in accordance with the specified oxygen storage requirements, which include proper enclosure and handling precautions for cylinders available for immediate use in patient care areas. Further observation at 11:40 a.m. revealed that the C-Hall oxygen storage room door failed to close and latch due to a malfunctioning door coordinator. This condition meant the designated oxygen storage room was not being properly secured as required. During the exit interview on the same day at 1:30 p.m., the Maintenance Director confirmed the oxygen storage deficiencies observed by the surveyors.
Plan Of Correction
Completion Date: 06/30/2026 Status: APPROVED Date: 06/09/2026 4.1. The empty freestanding oxygen cylinder on the 3rd floor rom 5352 was removed & placed into the proper oxygen storage room on May 4th, 2026. The corridor malfunction identified on the c hall oxygen storage door will be repaired to ensure proper closure. 4.2. The maintenance staff will be in-serviced to meet compliance requirements of K-0923; NFPA 101 Gas equipment - Cylinder & container storage. 4.3. The maintenance staff will perform monthly audits to meet compliance requirements of K-0923 to November 30th, 2026. 4.4. The maintenance director will monitor to meet the compliance requirements of K-0923.
Failure to Annually Update Emergency Preparedness Policies and Risk Assessments
Penalty
Summary
The deficiency involves the facility’s failure to ensure that its emergency preparedness policies and procedures were reviewed and updated at least annually, as required. Surveyors cited that the facility did not have an emergency preparedness plan community-based risk assessment available for review. This community-based Hazard Vulnerability Analysis (HVA) is one of the required components used to update the facility’s emergency preparedness policies and procedures each year. During document review, surveyors found that the facility could not provide the community-based HVA and also confirmed that the facility-based HVA had not been updated annually as required. In an exit interview, the Maintenance Director acknowledged the absence of the community-based HVA and the missing annual update to the facility-based HVA, confirming that the emergency preparedness policies and procedures were not properly updated based on the emergency plan and risk assessment.
Plan Of Correction
4.1. The facility will update the emergency preparedness to include the community based risk assessment 4.2. The Director of Maintenance or designee Services will monitor bi-annually to meet compliance with E-013.
Missing Emergency Tracking System for Staff and Patients
Penalty
Summary
Surveyors identified a deficiency related to the facility’s Emergency Preparedness Plan, specifically the absence of required policies and procedures for tracking on-duty staff and sheltered patients during an emergency. During document review, the surveyor examined the facility’s Emergency Preparedness Plan and found that it did not contain a system to track the location of on-duty staff and sheltered patients in the facility’s care during an emergency. The review further showed that the plan lacked provisions to document the specific name and location of any receiving facility or other location if on-duty staff and sheltered patients were relocated during an emergency. In an exit interview, the Maintenance Director confirmed that these policies and procedures were missing from the Emergency Preparedness Plan, affecting the entire facility.
Plan Of Correction
4.1. The facility will update the emergency preparedness plan to include a system to track the location of on-duty staff and sheltered patients in the facility's care during an emergency; the specific name and location of the receiving facility or other location of on-duty staff and sheltered patients are relocated during an emergency. 4.2. The Director of Maintenance or designee will monitor bi-annually to meet compliance with E-0018.
Lack of Emergency Transfer Arrangements With Other Facilities
Penalty
Summary
The deficiency involves the facility’s failure to develop and maintain arrangements with other facilities and providers to receive patients if the facility experiences limitations or cessation of operations. During document review, surveyors determined that the facility did not have the required transfer agreements or documented arrangements in place as mandated under the emergency preparedness regulations, which require policies and procedures to ensure continuity of services to patients. On the date of the survey, at a specified time in the morning, the surveyor’s review of facility documentation showed that these arrangements were missing. In an exit interview later that day, the Maintenance Director confirmed that the transfer agreements were not in place, corroborating the surveyor’s findings that the facility lacked the necessary arrangements to ensure continuity of services in an emergency situation.
Plan Of Correction
4.1. The facility will update the emergency preparedness plan to provide arrangements with other facilities and other providers to receive patients in the event of limitations or cessation of operations to maintain the continuity of services to facility patients. 4.2. The Director of Maintenance or designee will monitor bi-annually to meet compliance with E-0025. Completion Date: 07/07/2026 Status: APPROVED Date: 06/09/2026
Failure to Include Resident/Family Communication Method in Emergency Plan
Penalty
Summary
Surveyors found that the facility failed to maintain and update an emergency preparedness communication plan that included a method for sharing information from the emergency plan with residents and their families or representatives. During document review and interview on May 4, 2026, at 8:30 a.m., the surveyor determined that the written emergency communications plan lacked any described process or method for communicating appropriate portions of the emergency plan to residents and their families or representatives, affecting the entire facility. In an exit interview with the Maintenance Director on the same day at 1:30 p.m., the Maintenance Director confirmed that the emergency communications plan did not include such a method for sharing information from the emergency plan with residents and their families or representatives. No specific residents, medical histories, or clinical conditions were identified in the report, and the deficiency pertained to the facility-wide emergency preparedness communication plan documentation and content.
Plan Of Correction
4.1. The facility will update the emergency communications plan to include a method of sharing information from the emergency plan with the residents and their families or representatives, affecting the entire facility. 4.2. The Director of Maintenance or designee will monitor bi-annually to meet compliance with E-0035.
Failure to Limit and Re‑Evaluate PRN Psychotropic Medications
Penalty
Summary
The deficiency involves the facility’s failure to ensure that residents were free from potential chemical restraints by not complying with federal requirements for PRN psychotropic medications. For one resident with schizoaffective disorder bipolar type, dementia, and anxiety disorder, the MDS showed cognitive impairment and the care plan identified mood problems, yelling out, and anxiety/restlessness. A physician ordered PRN Ativan for anxiety with no stop date specified. The MAR showed the PRN Ativan was administered multiple times over several months, including in January, March, and April 2026, without a 14‑day limitation or documented stop date. The DON stated that the PRN order was supposed to have a 14‑day stop date, confirming that the order did not meet regulatory requirements. For another resident with metabolic encephalopathy, heart failure, and peripheral vascular disease, a physician ordered PRN lorazepam every four hours for anxiety, again without a specified stop date. The MAR documented administration of lorazepam nearly a month after the order was written, with no evidence that the physician had re‑evaluated the continued use of the PRN anti‑anxiety medication beyond 14 days. The DON confirmed that no stop date had been added to this order. These omissions resulted in PRN psychotropic medications being available and used beyond 14 days without required time limitations or documented physician re‑evaluation, constituting a failure to ensure residents were free from potential chemical restraints and unnecessary drugs.
Plan Of Correction
Pharmacist will send out a re-education to all the providers regarding PRN psychotropics and end dates by May 4, 2026. Resident records for all residents receiving psychotropics were checked on April 30, 2026- no other orders were missing stop dates. New psychotropic orders added to Point Click Care dashboard on May 1, 2026- listing shows new orders and stop dates. Interdisciplinary team will review dashboard during clinical meeting for stop dates- any missing stop dates will be added. Charge nurses will audit order listing report for new psychotropic orders- 5 residents will be audited x 4 weeks, then 2 residents per week for 4 weeks, then random residents monthly. Audits will be added to quality indicators and reviewed at QAPI.
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