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Cherith Care Center at Willow Brook

100 Willow Brook Way, South, Delaware, OH 43015 · Delaware County · (740) 369-0048

34 certified beds, about 32 residents a day · Non profit - Corporation · Medicare and Medicaid since 2002

CMS high performing icon Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 366246 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 23, 2026, inspectors cited 2 health deficiencies (the Ohio average is 10.5, the national average 9.2).

None of its 14 health citations since May 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.34 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.66 of those hours.

49.0% of nursing staff left within the year CMS measured (Ohio average 48.7%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 14 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
12D
0E
2F
Potential for minimal harm
0A
0B
0C
April 23, 2026Standard inspection · 2 citations · risk-based survey (a shorter visit CMS gives only to higher performing homes)
  1. D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 12, 2026
    Inspectors wroteBased on medical record review, staff interview, and facility policy review, the facility failed to ensure residents had appropriate indications for use of antipsychotic medications. This affected one (Resident #21) of two residents reviewed for psychotropic medication use. The census was 32. Findings Include: Review of the medical record revealed Resident #21 was admitted to the facility on [DATE]. Diagnoses included vascular dementia, restlessness and agitation, osteoarthritis, hypertension, hyperlipidemia, hypothyroidism, dysphagia, edema, vitamin D deficiency, and unspecified protein calorie malnutrition. Review of Resident #21's Minimum Data Set (MDS) assessment, dated 03/04/26, revealed he had severe cognitive impairment. [...]
  2. D
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    F849 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 11, 2026
    Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure hospice provider documentation, including plans of care, assessments, and care notes, were provided to the facility in a timely manner to ensure the continuity of resident care. This affected one (Resident #3) of one residents reviewed for hospice services. The facility census was 32.
May 28, 2025Standard inspection · 8 citations
  1. F
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) June 15, 2025
    Inspectors wroteBased on review of the payroll based journal (PBJ), staff interviews and record review, the facility failed to ensure a Registered Nurse (RN) worked at least eight consecutive hours, seven days a week. This had the potential to affect all facility residents. Facility census 30.
  2. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 15, 2025
    Inspectors wroteBased on record review, interview and policy review the facility failed to include all required information on the skilled nursing advanced beneficiary notice (ABN). This deficient practice affected two (Resident #14 and Resident #238) of three residents reviewed for cut letters. The facility census was 40.
  3. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 15, 2025
    Inspectors wroteBased on record review, interview, observation and policy review the facility failed to ensure physician ordered wound treatments were in place to promote wound healing This affected one (Resident #9) of one residents reviewed for pressure ulcers. The facility census was 40.
  4. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 15, 2025
    Inspectors wroteBased on record review, interview, policy and facility assessment review the facility failed to prevent Resident #88 from exiting the facility unsupervised and failed to complete a comprehensive assessment and thorough investigation following the incident. This affected one resident (Resident #88) of three residents reviewed for accidents.
  5. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 15, 2025
    Inspectors wroteBased on record review, review of standing orders, and interview, the facility failed to ensure the facility bowel protocol for constipation was followed for Resident #14 and Resident #24. This affected two (Resident #14 and #24) three reviewed for bowel and bladder. Facility census was 30.
  6. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 15, 2025
    Inspectors wroteBased on record review, interview, and policy review, the facility failed to ensure a rationale was provided when a gradual dose reduction for psychotropic medications was contraindicated for Resident #24. This affected one (Resident #24) of five residents reviewed for unnecessary medications. Facility census was 30.
  7. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 15, 2025
    Inspectors wroteBased on record review, review of the incident and accident log, interview and policy review the facility failed to maintain complete and accurate medical records related to resident incidents. This affected one resident (Resident #14) of three residents reviewed for accidents. The facility census was 30.
  8. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 15, 2025
    Inspectors wroteBased on record review, interview, and policy review the facility failed to obtain resident or resident representative consent and provide education prior to administration of the influenza vaccination. This affected three resident residents (Resident #9, #10 and #20) of five residents reviewed for vaccinations.
May 4, 2023Standard inspection · 4 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 25, 2023
    Inspectors wroteBased on observations, staff interview and review of the facility policy, the facility failed to ensure safe and sanitary food storage in the refrigerator and freezer in the main kitchen area. This had the potential to affect all 31 residents residing in the facility who received food from the kitchen.
  2. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 25, 2023
    Inspectors wroteBased on staff interviews, review of the facility policy, and record review, the facility failed to ensure pharmacy recommendations were followed up and implemented timely. This affected three (Residents #14, #20 and #25) of five residents reviewed for unnecessary medications. The facility census was 31.
  3. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 25, 2023
    Inspectors wroteBased on observation, record review, staff interview, and review of the facility policy, the facility failed to have a medication error rate less than five percent. There were two medication errors out of 26 opportunities resulting an a 7.69 percent (%) medication error rate. This affected two (Resident #14 and #19) of four residents observed for medication administration. The facility census was 31.
  4. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 25, 2023
    Inspectors wroteBased on observation, record review, staff interview, and review of the facility policy, the facility failed to administer insulin correctly to a resident, resulting in a resulting in a significant medication error. This affected one (Resident #14) of four residents observed for medication administration. The facility census was 31.

Fire safety inspections

7 fire safety citations on file: 2 on April 23, 2026, 3 on May 28, 2025, 2 on May 4, 2023.

Every fire safety citation7 citations
  1. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · April 23, 2026 · Corrected (the home has a date of correction)
  2. F
    Have restrictions on the use of portable space heaters.
    K 781 · April 23, 2026 · Corrected (the home has a date of correction)
  3. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · May 28, 2025 · Corrected (the home has a date of correction)
  4. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 28, 2025 · Corrected (the home has a date of correction)
  5. F
    Have properly installed electrical wiring and gas equipment.
    K 511 · May 28, 2025 · Corrected (the home has a date of correction)
  6. F
    Provide properly protected cooking facilities.
    K 324 · May 4, 2023 · Corrected (the home has a date of correction)
  7. E
    Add 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.
    K 222 · May 4, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeOhioUnited States
All nursing staff (RN, LPN and aides)4.343.693.86
Registered nurses0.660.640.69
All nursing staff on weekends4.063.283.42
Nurse aides2.74
Licensed practical nurses0.94
Nursing staff turnover (share who left in a year)49.0%48.7%45.8%
Registered nurse turnover44.4%43.9%42.9%
Administrators who left0

CMS expects 3.85 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.46 on weekdays and 4.06 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.40 in April to June 2025 to 4.34 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.340.664.464.06 4.0%0 of 9032
Oct to Dec 20254.310.664.424.06 2.2%0 of 9232
Jul to Sep 20254.690.834.864.25 3.4%1 of 9230
Apr to Jun 20255.400.925.604.89 2.6%0 of 9132
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Ohio, Jan to Mar 20263.640.603.803.244.6%0.4% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeOhioUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
3.55.313.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.20.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.00.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.03.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
11.76.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
0.93.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
8.88.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
20.824.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
13.412.912.0

Owners and operators

Legal business name: WILLOW BROOK CHRISTIAN SERVICES.

NameRoleTypeShareSince
Barth, PhilManaging control - governing bodyIndividual01/01/2005
Davis, BrandiManaging control - governing bodyIndividual01/11/2024
Dulgar, JasonManaging control - governing bodyIndividual11/13/2023
Irwin, TerryManaging control - governing bodyIndividual01/01/2005
Johnson, KimManaging control - governing bodyIndividual11/14/2019
Johnson, WilliamManaging control - governing bodyIndividual11/14/2019
Longo, ScottManaging control - governing bodyIndividual03/10/2007
March, JudyManaging control - governing bodyIndividual08/10/2017
McKenna, BlytheManaging control - governing bodyIndividual01/23/2025
Pickens, RogerManaging control - governing bodyIndividual11/08/2012
Sarkel, EdManaging control - governing bodyIndividual05/09/2019
Slingluff, DanaManaging control - governing bodyIndividual03/18/2023
Susenna, KarenManaging control - governing bodyIndividual11/09/2017
Tidwell, PeggyManaging control - governing bodyIndividual03/16/2013
Barth, PhilCorporate directorIndividual01/01/2005
Davis, BrandiCorporate directorIndividual01/11/2024
Dulgar, JasonCorporate directorIndividual11/13/2023
Irwin, TerryCorporate directorIndividual01/01/2005
Johnson, KimCorporate directorIndividual11/14/2019
Johnson, WilliamCorporate directorIndividual11/14/2019
Longo, ScottCorporate directorIndividual03/10/2007
March, JudyCorporate directorIndividual08/10/2017
McKenna, BlytheCorporate directorIndividual01/23/2025
Pickens, RogerCorporate directorIndividual11/08/2012
Sarkel, EdCorporate directorIndividual05/09/2019
Slingluff, DanaCorporate directorIndividual03/18/2023
Susenna, KarenCorporate directorIndividual11/09/2017
Tidwell, PeggyCorporate directorIndividual03/16/2013
McKnight, MatthewCorporate officerIndividual01/09/2023
Poulson, ThomasCorporate officerIndividual06/28/2010
Ketron, NicoleOperational/managerial controlIndividual01/01/2005
McKnight, MatthewOperational/managerial controlIndividual01/09/2023
Poulson, ThomasOperational/managerial controlIndividual06/28/2010
Hucek, PeterAdp of the SNFIndividual06/13/2018
Ketron, NicoleAdp of the SNFIndividual01/01/2005
McKnight, MatthewAdp of the SNFIndividual01/09/2023
Poulson, ThomasAdp of the SNFIndividual06/28/2010

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on May 28, 2025: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on May 28, 2025: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
  3. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on April 23, 2026: "Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function."
  4. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on April 23, 2026: "Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services."

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Common questions

What is Cherith Care Center at Willow Brook's Medicare star rating?
CMS rates Cherith Care Center at Willow Brook 5 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Cherith Care Center at Willow Brook get at its last inspection?
2 health deficiencies at the standard inspection on April 23, 2026. The Ohio average is 10.5.
Has Cherith Care Center at Willow Brook been fined?
CMS lists no fines in the last three years.
Does Cherith Care Center at Willow Brook accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Cherith Care Center at Willow Brook?
CMS lists 37 owners and managers. Legal business name: WILLOW BROOK CHRISTIAN SERVICES.

Sources

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