D

WILLOW WOODS REHABILITATION AND NURSING

9625 MARKET STREET, NORTH LIMA, OH 44452
Score: 47 / 100

CMS data shows Willow Woods Rehabilitation And Nursing earning a D grade with a score of 47/100, 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 Willow Woods Rehabilitation And Nursing, with 3.27 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 CMS inspections identified 32 deficiencies at Willow Woods Rehabilitation And Nursing, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.27 3.8 Below Average
Registered Nurses (RN) 0.56 0.7 Below Average
Licensed Practical Nurses (LPN) 0.70 0.7 Average
Certified Nursing Assistants (CNA) 2.00 2.4 Below Average
Weekend Total Nursing 2.78 3.8 Below Average
Weekend RN Hours 0.27 0.7 Below Average

🔍 Inspection & Deficiency History

32
Total Deficiencies
Nov 24, 2025
Most Recent Inspection
🟠 31 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0689 Severity D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Nov 24, 2025 · Quality of Life and Care Deficiencies
  • Tag 0689 Severity E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Oct 6, 2025 · Quality of Life and Care Deficiencies
  • Tag 0600 Severity D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Apr 28, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0553 Severity E
    Allow resident to participate in the development and implementation of his or her person-centered plan of care.
    Apr 9, 2025 · Resident Rights Deficiencies
  • Tag 0657 Severity E
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    Apr 9, 2025 · Resident Assessment and Care Planning 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 5.4% 4.5% Worse
Falls with major injury 3.1% 3.0% Average
On antipsychotic medication 23.2% 14.5% Worse
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 1.4% 14.0% Better
Excessive weight loss 3.4% 7.5% Better
New/worsened incontinence 30.4% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $49,422

How This Grade Was Calculated

This facility's grade of D is based on a score of 47 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: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -4 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
85
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Apr 9, 2025
Deficiencies (Cycle 1)
9