Willoughby Post Acute
37603 Euclid Ave, Willoughby, OH 44094 · Lake County · (440) 951-5551
157 certified beds, about 132 residents a day · For profit - Corporation · Medicare and Medicaid since 1974
Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 365305 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 3, 2023, inspectors cited 1 health deficiency (the Ohio average is 10.5, the national average 9.2).
Of 21 health citations since October 2018, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $39,840 in the last three years; the largest was $39,840, and the latest is dated October 22, 2025.
Nurses and nurse aides worked 2.99 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.52 of those hours.
43.9% of nursing staff left within the year CMS measured (Ohio average 48.7%).
CMS links it to PACS Group, an affiliated group of 275 nursing homes.
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.
610/18
111/19
108/23
108/24
109/24
511/24
408/25
110/25
104/26
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 21 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
16D
1E
2F
Potential for minimal harm
0A
0B
0C
April 23, 2026Complaint inspection · 1 citation
- D Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Inspectors wroteBased on medical record review, interview and review of facility policy, the facility failed to ensure behavioral health services were appropriately provided for one resident (#122) of three reviewed for behavioral health services. The facility census was 121.
October 22, 2025Complaint inspection · 1 citation
- G Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on closed record review, policy review and interview, the facility failed to provide adequate and timely pain assessment and interventions following a fall with acute injury. This affected one resident (#148) of three residents reviewed for pain. The facility census was 146. Actual Harm occurred on 09/25/25 when Resident #148 was diagnosed with displaced fractures of the left lower leg bones (tibia and fibula) from a fall that had occurred on 09/24/25. Resident #148, who was admitted to the facility on [DATE] for respite care with hospice services was not adequately assessed or provided timely pain interventions following the fall on 09/24/25. During the morning of 09/25/25 it was noted Resident #148 had been up all night the previous night screaming, crying loudly and being aggressive. Resident #148's pain escalated throughout the day on 09/25/25 until an x-ray was ordered. [...]
August 5, 2025Complaint inspection · 4 citations
- F Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation, interview and facility policy review, the facility did not ensure the carpeting in the hallways of all units was maintained in a clean manner. This had the potential to affect all 136 residents residing in the facility.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, review of the medical record, Employee Counseling Form review and review of the facility policy, the facility did not ensure fall interventions were implemented including proper staff assistance with bed mobility and toileting per the Kardex (summary of resident's information for reference) and the care plan. This affected one (Resident #12) out of three residents reviewed for falls. The facility census was 136.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on observation, interview, medical record review, review of manufacture guidelines and facility policy review, the facility failed to ensure residents were free from significant medication error. This affected two (Residents #133, and #137) out of seven residents observed and/or reviewed for medication administration. The facility census was 136.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, review of medical record and review of facility policy revealed the facility did ensure proper infection control during incontinence care. This affected one Resident (#12) out of five residents reviewed for incontinence care. This had the potential to affect 70 residents (#1, #2, #4, #7. #9, #10, #12, #13, #15, #19, #20, #22, #25, #27, #29, #30, #31, #33, #37, #38, #39, #40, #41, #45, #46, #47, #48, #53, #54, #56, #57, #58, #60, #61, #62, #71, #57, #77, #80, #81, #83, #84, #89, #90, #91, #93, #95, #96, #97, #98, #100, #101, #102, #104, #106, #107, #111, #112, #114, #115, #116, #119, #122, #124, #129, #131, #132, #133, #134, and #125) identified by the facility as incontinent. [...]
November 20, 2024Complaint inspection · 5 citations
- F Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on review of the Payroll-Based Journal (PBJ) Staffing Data Report, interview with residents and staff and review of the facility assessment, the facility failed to assure sufficient staff to care for residents needs. This had the potential to affect all residents residing at the facility. The facility census was 132.
- E Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation, interview, and review of the facility policy, the facility failed to assure rooms were appropriately cleaned and sanitized prior to admitting a new resident to the room. This had the potential to affect all new admissions. The facility census was 132.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on closed record review and interview, the facility failed to collect a urinalysis for one resident, Resident #136 per the physicians orders. This affected one resident (Resident #136) of three residents reviewed for physician orders/labs. The facility census was 132.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on record review ,interview, and policy review, the facility failed to administer the correct medication to the resident. This affected one resident (Resident #136) of one resident reviewed for medication errors. The facility census was 132.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and interview, the facility failed to document a medication error, the name of the medication, and follow up in one resident, Resident #136's medical record. This affected one resident (Resident #136) of one resident reviewed for medication errors. The facility census was 132.
September 16, 2024Complaint inspection · 1 citation
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to administer an antiparkinsonian medication as ordered by the prescriber to ensure Resident #118 was free from significant medication error. This affected one resident (#118) out of three residents reviewed for medication administration.
August 7, 2024Complaint inspection · 1 citation
- D 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.
Inspectors wroteBased on observation, interview and record review, the facility failed to maintain a clean, comfortable, homelike environment for Resident #134 and Resident #109. This affected two residents (#134 and #109) of three residents reviewed for physical environment. The facility census was 128.
August 3, 2023Standard inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteTHE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on observation, record review and interview the facility failed to ensure Resident #49 was transferred safely between the bed and the wheelchair. Actual harm occurred on 07/02/23 when Resident #49 began complaining of pain in her right leg after her leg got caught between her bed and wheelchair during a staff assisted transfer. X-ray results dated 07/04/23 indicated Resident #49 had a right tibia and fibula fracture. The facility investigation determined this injury was caused from the staff assisted transfer. This affected one resident (#49) of six residents reviewed for accident hazards. The total census was 143.
November 21, 2019Standard inspection · 1 citation
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on record review, interview and review of facility policy the facility failed to provided Notice of Medicare Non-Coverage (NOMNC) to Resident #220 and Resident #221 with a minimum of two days notice before the end of covered services as required by Medicare guidelines. This affected two residents (Resident #220 and #221) of the three residents (Resident #104, #220, and #221) reviewed for liability notices. The facility census was 113.
October 4, 2018Standard inspection · 6 citations
- D Honor the resident's right to choose his or her attending physician.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure Resident #373 was provided with the right to change physicians per his request. This affected one of four residents reviewed for choices. The facility census was 123.
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure personal privacy was provided during a dressing change for Resident #6. This affected one (Resident #6) of two residents observed for personal care. The facility census was 123.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a care plan was updated for Resident #6 regarding skin impairment. This affected one resident (Resident # 6) of two residents reviewed for skin impairment. The facility census was 123.
- D Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Inspectors wroteBased on interview, observation and record review the facility failed to ensure Resident #77's electric wheelchair was repaired. This affected one resident (Resident #77) of three residents with electric wheelchairs. The facility census was 123.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure accurate and on-going assessments for Resident #6 regarding skin impairment. This affected one resident (Resident #6) of two reviewed for skin impairment. The facility census was 123.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on interview and record review the facility failed to ensure pharmacy recommendations for Resident #29 were addressed by the physician. This affected one resident (Resident #29) of five residents reviewed for unnecessary medication use. The facility census was 123.
Fire safety inspections
15 fire safety citations on file: 3 on August 3, 2023, 1 on November 21, 2019, 11 on October 4, 2018.
Every fire safety citation15 citations
- F 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.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Properly install and monitor supervisory attachments on automatic sprinkler systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- E Meet requirements for the installation and maintenance of electrical systems.
- D Install an approved automatic sprinkler system.
- C Establish procedures for tracking staff and patients during an emergency.
- C Establish policies and procedures for sheltering.
- C Establish policies and procedures for volunteers.
- C Provide a means of sharing information on occupancy/needs.
- C Provide family notifications of emergency plan.
- C Install properly constructed and protected linen or trash chutes.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| October 22, 2025 | Fine | $39,840 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Ohio | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 2.99 | 3.69 | 3.86 |
| Registered nurses | 0.52 | 0.64 | 0.69 |
| All nursing staff on weekends | 2.68 | 3.28 | 3.42 |
| Nurse aides | 1.67 | ||
| Licensed practical nurses | 0.81 | ||
| Nursing staff turnover (share who left in a year) | 43.9% | 48.7% | 45.8% |
| Registered nurse turnover | 15.0% | 43.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.14 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 3.12 on weekdays and 2.68 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.95 in April to June 2025 to 2.99 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 2.99 | 0.52 | 3.12 | 2.68 | 0.2% | 0 of 90 | 132 |
| Oct to Dec 2025 | 3.03 | 0.53 | 3.15 | 2.73 | 0.7% | 0 of 92 | 138 |
| Jul to Sep 2025 | 3.04 | 0.54 | 3.16 | 2.73 | 1.1% | 0 of 92 | 140 |
| Apr to Jun 2025 | 2.95 | 0.52 | 3.05 | 2.71 | 7.1% | 0 of 91 | 142 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Ohio, Jan to Mar 2026 | 3.64 | 0.60 | 3.80 | 3.24 | 4.6% | 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.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Ohio
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Ohio, all employers | |||
| CNAs (nursing assistants) | $18.76 | $17.93 to $21.44 | 63,280 |
| LPNs and LVNs | $29.78 | $27.34 to $31.68 | 39,900 |
| Registered nurses | $39.67 | $38.08 to $47.61 | 143,730 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Ohio | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 3.2 | 5.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 0.2 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.4 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 4.0 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.0 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 3.3 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 29.3 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.1 | 12.9 | 12.0 |
Owners and operators
Legal business name: WILLOUGHBY SNF HEALTHCARE, LLC. CMS links this home to PACS Group, a group of 275 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| 37603 Euclid Ave Oh Owner LLC | 5% or greater indirect ownership interest | Organization | 12/01/2024 | |
| SNF Oh Holdco LLC | 5% or greater indirect ownership interest | Organization | 12/01/2024 | |
| Well Integra Master Jv LLC | 5% or greater indirect ownership interest | Organization | 12/01/2024 | |
| Well Pm Holdco Jv LLC | 5% or greater indirect ownership interest | Organization | 12/01/2024 | |
| Apt, Frederick | Managing control - governing body | Individual | 12/01/2024 | |
| Jergensen, Joshua | Managing control - governing body | Individual | 12/01/2024 | |
| Mitchell, John | Managing control - governing body | Individual | 12/01/2024 | |
| Apt, Frederick | Corporate officer | Individual | 12/01/2024 | |
| Jergensen, Joshua | Corporate officer | Individual | 12/01/2024 | |
| Mitchell, John | Corporate officer | Individual | 12/01/2024 | |
| PACS Group, Inc. | Operational/managerial control | Organization | 12/01/2024 | |
| PACS Holdings, LLC | Operational/managerial control | Organization | 12/01/2024 | |
| Providence Group Nh, LLC | Operational/managerial control | Organization | 12/01/2024 | |
| Ramacciato, Amarilys | Operational/managerial control | Individual | 12/01/2024 | |
| Welltower Inc | Adp of the SNF | Organization | 12/01/2024 | |
| Welltower Op, LLC | Adp of the SNF | Organization | 12/01/2024 | |
| Mehta, Dharmesh | Adp of the SNF | Individual | 12/01/2024 | |
| Ramacciato, Amarilys | Adp of the SNF | Individual | 12/01/2024 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 7 problems in this area, most recently on April 23, 2026: "Ensure each resident must receive and the facility must provide necessary behavioral health care and services."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on August 5, 2025: "Ensure that residents are free from significant medication errors."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on August 7, 2024: "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."
- Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 2 problems in this area, most recently on August 5, 2025: "Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.68 hours per resident per day, below the Ohio average of 3.28.
Other nursing homes nearby
- Ohio Living Breckenridge Village Willoughby, 1 mi · 4 of 5 stars · 5 citations
- Kirtland Woods of Journey Kirtland, 3.6 mi · 1 of 5 stars · 50 citations
- Mentor Ridge Health and Rehabilitation Mentor, 3.6 mi · 5 of 5 stars · 5 citations
- Mentor Hills Post Acute Mentor, 3.7 mi · 3 of 5 stars · 35 citations
- Wickliffe Country Place Wickliffe, 4.1 mi · 3 of 5 stars · 48 citations
- Altercare of Mayfield Village, Inc Mayfield Village, 4.6 mi · 3 of 5 stars · 19 citations
- Highland Pointe Health & Rehab Center Highland Heights, 5.8 mi · 1 of 5 stars · 26 citations
- Grande Pointe Healthcare Commu Richmond Heights, 6.2 mi · 2 of 5 stars · 33 citations
Ohio contacts for a concern about a nursing home
These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Ohio Department of Health, Nursing Homes and Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Ohio Office of the State Long-Term Care Ombudsman, 1-800-282-1206. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Ohio Long-Term Care Quality Navigator (Ohio Department of Aging), where Ohio publishes its own records on licensed homes.
Common questions
- What is Willoughby Post Acute's Medicare star rating?
- CMS rates Willoughby Post Acute 4 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Willoughby Post Acute get at its last inspection?
- 1 health deficiency at the standard inspection on August 3, 2023. The Ohio average is 10.5.
- Has Willoughby Post Acute been fined?
- Yes. CMS lists 1 fine totaling $39,840 in the last three years.
- Does Willoughby Post Acute 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 Willoughby Post Acute?
- CMS lists 18 owners and managers, and links the home to PACS Group. Legal business name: WILLOUGHBY SNF HEALTHCARE, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.