Willowbrook Manor
G-4436 Beecher Road · Flint, MI · 48532 · 8107330290
130 certified beds For profit - Corporation Chain: Ciena Healthcare/Laurel Health Care
Why this verdict
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.23 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.67 | 0.55–0.75 |
| Weekend hours / resident-day | 3.66 | ≈ weekday level |
| Nursing turnover / year | 41% | median 45% |
| Fines (3-yr window) | 2 · $89,021 |
Inspection citations (48 in the current record)
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Potential for harm · D March 16, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 8, 2026 · Quality of Life and Care
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Potential for harm · E February 5, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 5, 2026 · Resident Rights
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Potential for harm · D February 5, 2026 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 5, 2026 · Quality of Life and Care
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Potential for harm · D November 13, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 11, 2025 · Quality of Life and Care
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Potential for harm · E June 27, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 24, 2025 · Resident Rights
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Potential for harm · D June 27, 2025
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected July 24, 2025 · Resident Rights
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Potential for harm · E June 27, 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 July 24, 2025 · Resident Rights
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Potential for harm · D June 27, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 24, 2025 · Quality of Life and Care
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Potential for harm · D June 27, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected July 24, 2025 · Quality of Life and Care
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Potential for harm · E June 27, 2025
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected July 24, 2025 · Nutrition and Dietary
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Potential for harm · E June 27, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 24, 2025 · Nutrition and Dietary
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Potential for harm · D June 27, 2025 · found via complaint
Provide routine and 24-hour emergency dental care for each resident.
Corrected July 24, 2025 · Quality of Life and Care
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Potential for harm · D March 19, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected April 14, 2025 · Quality of Life and Care
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Potential for harm · D October 16, 2024 · found via complaint
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected November 12, 2024 · Quality of Life and Care
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Potential for harm · D September 18, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 15, 2024 · Quality of Life and Care
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Potential for harm · D September 18, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected October 15, 2024 · Quality of Life and Care
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Potential for harm · D June 4, 2024
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected July 2, 2024 · Resident Rights
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Potential for harm · D June 4, 2024
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected July 2, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 4, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 2, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 4, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 2, 2024 · Quality of Life and Care
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Potential for harm · D June 4, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 2, 2024 · Quality of Life and Care
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Potential for harm · D June 4, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 2, 2024 · Quality of Life and Care
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Potential for harm · D June 4, 2024
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected July 2, 2024 · Quality of Life and Care
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Potential for harm · D June 4, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected July 2, 2024 · Pharmacy Service
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Potential for harm · D June 4, 2024
Ensure that residents are free from significant medication errors.
Corrected July 2, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 23, 2024 | Fine | $58,422 |
| May 23, 2024 | Payment Denial | 10 days |
| December 20, 2023 | Fine | $30,599 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235550 · certified since April 14, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.