Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Willow Springs Rehabilitation and Healthcare Cente

BRICK, NJ · 164 certified beds · Last Life Safety survey January 8, 2026

CMS Certification Number 315213 · first certified January 1985

Ownership

Operated by MARQUIS HEALTH SERVICES · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

19
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
8
Inspection & testing records
Of the citations on file

Position within NJ

19 citations — more than 68% of the 348 certified nursing homes in NJ. Compared within NJ rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 8. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens April 2027 — about 7 months from now. This facility’s last Life Safety survey was January 2026. Facilities in NJ are typically surveyed 16–20 months after the last one (median 17), measured over 431 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 19 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0584 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.

How that compares

Citations on file over three years

Compared with the median facility in NJ, and nationally. Surveyors differ markedly between states, so the NJ figure is the meaningful one.

This facility19NJ median15National median11
Citations on file over three years, compared
MeasureCitations
This facility19
Median facility in NJ15
Median facility nationally11

Survey history

Citations at each Life Safety survey
02022-12162024-0732026-01
Citations at each Life Safety survey
Survey dateCitations
December 20, 20220
July 12, 202416
January 8, 20263

Most-cited tags

Most-cited tags at this facility
K-02222K-03532K-09201K-03551K-02931K-03471K-09181K-09111
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.22026-01-08
K-0353Inspect, test, and maintain automatic sprinkler systems.22026-01-08
K-0920Ensure proper usage of power strips and extension cords.12024-07-12
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12024-07-12
K-0293Have properly located and lighted "Exit" signs.12024-07-12
K-0347Properly provide smoke detection systems in areas open to corridors.12024-07-12
K-0918Have generator or other power source capable of supplying service within 10 seconds.12024-07-12
K-0911Meet requirements for the installation and maintenance of electrical systems.12024-07-12

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 9
  • Egress Deficiencies 5
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Services Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies9
Egress Deficiencies5
Gas, Vacuum, and Electrical Systems Deficiencies3
Services Deficiencies1
Miscellaneous Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

January 8, 2026 — 3 citations

Citations issued on January 8, 2026
TagWhat the surveyor checksStatus
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (February 15, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 15, 2026)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (February 15, 2026)

July 12, 2024 — 16 citations

Citations issued on July 12, 2024
TagWhat the surveyor checksStatus
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (September 11, 2024)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (August 29, 2024)
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (October 1, 2024)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (September 19, 2024)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (September 17, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (August 26, 2024)
K-0347Properly provide smoke detection systems in areas open to corridors.Deficient, Provider has date of correction (August 29, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 22, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (August 29, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (September 24, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (August 26, 2024)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (October 1, 2024)
K-0541Install properly constructed and protected linen or trash chutes.Deficient, Provider has date of correction (August 26, 2024)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (October 7, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (July 15, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (August 29, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.