CMS data shows Willoughby Post Acute earning a D grade with a score of 42/100, placing it below most facilities in Ohio. Prospective residents and families should carefully review the specific areas of concern detailed below.
Staffing levels are a potential concern at Willoughby Post Acute, with 3.04 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent inspections identified 23 deficiencies at Willoughby Post Acute. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.04 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.54 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.75 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 1.75 | 2.4 | Below Average |
| Weekend Total Nursing | 2.73 | 3.8 | Below Average |
| Weekend RN Hours | 0.40 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0697 Severity GProvide safe, appropriate pain management for a resident who requires such services.Oct 21, 2025 · Quality of Life and Care Deficiencies
- Tag 0921 Severity FMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Aug 4, 2025 · Environmental Deficiencies
- Tag 0689 Severity DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Aug 4, 2025 · Quality of Life and Care Deficiencies
- Tag 0760 Severity DEnsure that residents are free from significant medication errors.Aug 4, 2025 · Pharmacy Service Deficiencies
- Tag 0880 Severity DProvide and implement an infection prevention and control program.Aug 4, 2025 · Infection Control Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 3.5% | 4.5% | Better |
| Falls with major injury | 0.4% | 3.0% | Better |
| On antipsychotic medication | 6.3% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 9.7% | 14.0% | Better |
| Excessive weight loss | 2.4% | 7.5% | Better |
| New/worsened incontinence | 29.6% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $52,600
How This Grade Was Calculated
This facility's grade of D is based on a score of 42 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -5 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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