Willow Terrace

One Penn Boulevard · Philadelphia, PA · 19144 · 2159518500

174 certified beds For profit - Corporation Chain: Jonathan Bleier Part of a CCRC

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).

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Red flags

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

2 abuse-related citations at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Score breakdown

Inspection record 30% of score 33
Serious harm & abuse 20% 18
Staffing 20% 66
Federal penalties 15% 77
Trend 10% 46
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.873.48 min · 4.1 strong
RN hours / resident-day0.390.55–0.75
Weekend hours / resident-day3.30≈ weekday level
Nursing turnover / year44%median 45%
Fines (3-yr window)1 · $9,113

Inspection citations (61 in the current record)

  • Potential for harm · D April 30, 2026 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G March 19, 2026 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected April 10, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 19, 2026 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected April 10, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 19, 2026 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected April 10, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 19, 2026 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected April 10, 2026 · Quality of Life and Care

  • Potential for harm · D December 11, 2025 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected December 30, 2025 · Resident Rights

  • Potential for harm · D December 11, 2025 · found via complaint

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Corrected December 30, 2025 · Quality of Life and Care

  • Potential for harm · D December 11, 2025 · found via complaint

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Corrected December 30, 2025 · Administration

  • Potential for harm · D November 20, 2025 · found via complaint

    Provide enough food/fluids to maintain a resident's health.

    Corrected December 22, 2025 · Quality of Life and Care

  • Immediate jeopardy · J August 7, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected August 1, 2025 · Quality of Life and Care

  • Potential for harm · D August 7, 2025 · found via complaint

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Corrected August 25, 2025 · Administration

  • Potential for harm · D January 31, 2025

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected March 22, 2025 · Resident Rights

  • Potential for harm · E January 31, 2025

    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.

    Corrected March 22, 2025 · Resident Rights

  • Potential for harm · D January 31, 2025

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected March 22, 2025 · Resident Rights

  • Potential for harm · D January 31, 2025

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected March 22, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 31, 2025

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected March 22, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 31, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected March 22, 2025 · Quality of Life and Care

  • Potential for harm · D January 31, 2025

    Assist a resident in gaining access to vision and hearing services.

    Corrected March 22, 2025 · Quality of Life and Care

  • Potential for harm · D January 31, 2025

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected March 22, 2025 · Quality of Life and Care

  • Potential for harm · D January 31, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected March 22, 2025 · Quality of Life and Care

  • Potential for harm · D January 31, 2025

    Provide enough food/fluids to maintain a resident's health.

    Corrected March 22, 2025 · Quality of Life and Care

  • Potential for harm · D January 31, 2025

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected March 22, 2025 · Quality of Life and Care

  • Potential for harm · D January 31, 2025

    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

    Corrected March 22, 2025 · Nursing and Physician Services

  • Potential for harm · D January 31, 2025

    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.

    Corrected March 22, 2025 · Nursing and Physician Services

  • Potential for harm · D January 31, 2025

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Corrected March 22, 2025 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
August 7, 2025Fine$9,113

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 396129 · certified since August 13, 2010. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.