Public Record
Willoughby Post Acute
Operated by PACS Group
From CMS
Facility profile
- CMS overall rating
- 3 / 5
- Certified beds
- 157
- Avg. residents per day
- 138.2
*CMS Five-Star
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*CMS
Inspection record
On record from CMS
- Health citations
- 23
- Fire safety findings
- 15
- Inspections on file
- 12
- Last inspection
- 2025-10-22
*CMS
*CMS
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*CMS
Citations
23 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0697Seriousactual harm
Provide safe, appropriate pain management for a resident who requires such services.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0921Generalpotential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0760Generalpotential for harm
Ensure that residents are free from significant medication errors.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0921Generalpotential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0725Generalpotential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- 0760Generalpotential for harm
Ensure that residents are free from significant medication errors.
- 0584Generalpotential for harm
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.
- 0689Seriousactual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0686Seriousactual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 0760Generalpotential for harm
Ensure that residents are free from significant medication errors.
- 0677Seriousactual harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0582Generalpotential for harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- 0686Generalpotential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 0555Generalpotential for harm
Honor the resident's right to choose his or her attending physician.
- 0583Generalpotential for harm
Keep residents' personal and medical records private and confidential.
- 0657Generalpotential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- 0676Generalpotential for harm
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- 0756Generalpotential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- Inspection1 deficiency
F 0697 Provide safe, appropriate pain management for a resident who requires such services. Level of Harm - Actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on closed record review, policy review and interview, the facility failed to provide adequate and…
Read full statement of deficiencies - Inspection4 deficiencies
F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on…
Read full statement of deficiencies - Inspection5 deficiencies
F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on closed record review and interview, the facility failed to…
Read full statement of deficiencies - Inspection1 deficiency
F 0760 Ensure that residents are free from significant medication errors. Level of Harm - Minimal harm or potential for actual harm Based on interview, record review, and facility policy review, the facility failed to administer an antiparkinsonian medication as ordered by the prescriber to ensure…
Read full statement of deficiencies - Inspection1 deficiency
F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 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. **NOTE- TERMS IN BRACKETS HAVE BEEN…
Read full statement of deficiencies - Inspection1 deficiency
F 0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Level of Harm - Actual harm Residents Affected - Few **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT…
Read full statement of deficiencies - View inspection reportInspectionFire Safety3 deficiencies
- Inspection3 deficiencies
F 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. Level of Harm - Actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, record review and review of facility policy, the facility…
Read full statement of deficiencies - View inspection reportInspection1 deficiency
- View inspection reportInspectionFire Safety1 deficiency
Showing the 10 most recent inspections. 2 earlier inspections are also on record.
Ownership
PACS Group
279nursing homes nationwide, in CMS records
FAQ
Questions and answers
- What is Willoughby Post Acute?
- Willoughby Post Acute is a Medicare- and Medicaid-certified nursing home in Willoughby, OH, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 365305.
- What is the CMS rating for Willoughby Post Acute?
- Willoughby Post Acute has a CMS overall rating of 3 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Willoughby Post Acute have?
- Willoughby Post Acute is certified for 157 beds. It serves an average of 138.2 residents per day.
- How many citations does Willoughby Post Acute have?
- Willoughby Post Acute has 23 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Willoughby Post Acute last inspected?
- Willoughby Post Acute was last inspected on October 22, 2025. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
/nursing-home/365305-willoughby-post-acute