Nursing homeActive

Willowbrook Manor

G-4436 Beecher Road, Flint, MI 485328107330290130 certified beds · 110 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
11
since 2023
Deficiencies
46
0433
Penalties · 3 yrs
$89,021
2 fines · 1 action
Last survey
2026-03-16
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 4
Quality 3
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Michigan LARA · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-03-16Complaint010CMS-2567 (Care Compare)
2026-02-05Complaint020CMS-2567 (Care Compare)
2025-11-13Complaint010CMS-2567 (Care Compare)
2025-06-27Standard080CMS-2567 (Care Compare)
2025-03-19Complaint010CMS-2567 (Care Compare)
2024-10-16Complaint010CMS-2567 (Care Compare)
2024-09-18Complaint020CMS-2567 (Care Compare)
2024-06-04Standard0120CMS-2567 (Care Compare)
2024-05-23Complaint021CMS-2567 (Care Compare)
2023-12-20Complaint011CMS-2567 (Care Compare)
2023-06-16Standard0121CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Michigan LARA publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-03-16Complaint survey · 1 deficiencyOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-08Record 235550-20260316-F684
2026-02-05Complaint survey · 2 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-05Record 235550-20260205-F550
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-05Record 235550-20260205-F695
2025-11-13Complaint survey · 1 deficiencyOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-11Record 235550-20251113-F684
2025-06-27Standard survey · 8 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-24Record 235550-20250627-F550
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-24Record 235550-20250627-F578
F585Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-24Record 235550-20250627-F585
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-24Record 235550-20250627-F684
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-24Record 235550-20250627-F692
F790Provide routine and 24-hour emergency dental care for each resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-24Record 235550-20250627-F790
F809Ensure 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.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-24Record 235550-20250627-F809
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-24Record 235550-20250627-F812
2025-03-19Complaint survey · 1 deficiencyOfficial report
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-14Record 235550-20250319-F697
2024-10-16Complaint survey · 1 deficiencyOfficial report
F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-12Record 235550-20241016-F694
2024-09-18Complaint survey · 2 deficienciesOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-15Record 235550-20240918-F684
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-15Record 235550-20240918-F690
2024-06-04Standard survey · 12 deficienciesOfficial report
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-02Record 235550-20240604-F578
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-02Record 235550-20240604-F604
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-02Record 235550-20240604-F656
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-02Record 235550-20240604-F677
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-02Record 235550-20240604-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-02Record 235550-20240604-F686
F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-02Record 235550-20240604-F740
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-02Record 235550-20240604-F759
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-02Record 235550-20240604-F760
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-02Record 235550-20240604-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-02Record 235550-20240604-F812
F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-02Record 235550-20240604-F849
2024-05-23Complaint survey · 3 deficienciesOfficial report
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-06-20Record 235550-20240523-F686
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-20Record 235550-20240523-F600
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-20Record 235550-20240523-F689
2023-12-20Complaint survey · 2 deficienciesOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-01-23Record 235550-20231220-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-23Record 235550-20231220-F689
2023-06-16Standard survey · 13 deficienciesOfficial report
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-08-01Record 235550-20230616-F686
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-01Record 235550-20230616-F550
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-01Record 235550-20230616-F584
F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-01Record 235550-20230616-F640
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-01Record 235550-20230616-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-01Record 235550-20230616-F657
F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-01Record 235550-20230616-F688
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-01Record 235550-20230616-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-01Record 235550-20230616-F690
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-01Record 235550-20230616-F695
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-01Record 235550-20230616-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-08-01Record 235550-20230616-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-01Record 235550-20230616-F880

Penalties & enforcement

DateActionAmountSource
2024-05-23Civil money penalty$58,422CMS · Penalties
2024-05-23Denial of payment for new admissions
Payment denial for 10 days, from 2024-06-22
CMS · Penalties
2023-12-20Civil money penalty$30,599CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.64
Facility
Michigan
National
Michigan 0.78 · National 0.69
Total nurse hours per resident day4.02
Facility
Michigan
National
Michigan 3.99 · National 3.86
Weekend total nurse hours3.45
Facility
Michigan
National
Michigan 3.50 · National 3.42
Total nursing staff turnover38%
Facility
Michigan
National
Michigan 44% · National 46%
Registered nurse turnover46%
Facility
Michigan
National
Michigan 39% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityMichiganNational
Percentage of long-stay residents with pressure ulcers
lower is better
6.5%5.1%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
1.9%3.0%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
6.1%14.8%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
2.2%1.5%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.1%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
12.6%10.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
7.5%5.4%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
9.4%19.4%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Cherry, Melvin
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Ciena Healthcare Management Inc
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Khan, Anis
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Pedrotti, Rebecca
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Qazi, Mohammad
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Cherry, Melvin
Individual
ADP OF THE SNFNOT APPLICABLE
Ciena Healthcare Management Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Deutsch, Neal
Individual
ADP OF THE SNFNOT APPLICABLE
Gardina, Anna
Individual
ADP OF THE SNFNOT APPLICABLE
Khan, Anis
Individual
ADP OF THE SNFNOT APPLICABLE
Khan, Anis
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Mohammad A Qazi Living Trust Dated 09/26/97
Organization
ADP OF THE SNFNOT APPLICABLE
Pedrotti, Rebecca
Individual
ADP OF THE SNFNOT APPLICABLE
Qazi, Mohammad
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Qazi, Mohammad
Individual
ADP OF THE SNFNOT APPLICABLE
Part of a chain
Ciena Healthcare/Laurel Health Care81 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Michigan.

No county cost figures on file for Genesee.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Villa at Beecher Place
Flint
0.0 mi2026-06-241739
Kith Haven
Flint
2.5 mi2026-04-291443
Majestic Care of Flushing
Flushing
5.1 mi2026-06-300427
Regency at Grand Blanc
Grand Blanc
6.7 mi2026-04-071171
Briarwood Nursing and Rehabilitation
Flint
7.4 mi2026-06-030351
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01