nursing home in Middletown, OH
Willow Knoll Post-Acute and Senior Living
4400 Vannest Avenue, Middletown, OH 45042 · (513) 422-5600
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★1
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Willow Knoll Post-Acute and Senior Living at a glance
Willow Knoll Post-Acute and Senior Living is a 58-bed for-profit nursing home in Middletown, Ohio (Butler County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Ohio average of 3.2.
Residents receive about 3.4 hours of nursing care per day (0.2 of them from registered nurses), worse than the state average of 3.7 hours.
Its most recent standard health inspection (December 5, 2025) found 3 health citations. The Ohio average is 10.3.
It has not received a federal fine in the past three years.
Nursing staff turnover is 40.8% per year (state average 48.7%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 58
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Pacs Group
- Medicare-certified since
- February 8, 1985
- Continuing care retirement community
- Yes
- Resident/family council
- Resident
- County
- Butler County
- CMS Certification Number
- 365648
Ratings
| Measure | This facility | Ohio avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3.2 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 2.4 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 4.4 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 5 / 5 | 4.8 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.3 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Ohio avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.41 hrs | 3.69 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.17 hrs | 0.64 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.97 hrs | 2.09 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.89 hrs | 3.28 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 40.8% | 48.7% | 45.8% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Ohio avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 3 | 10 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 21 | 80.7 | 80.6 | Better |
Penalties
| Measure | This facility | Ohio avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $26,381 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Ohio avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 58 | 88 | 107 | |
| Average residents per day | 55 | 74 | 86 | |
| Occupancy | 94% | 84.3% | 80.9% |
Long-stay residents
| Measure | This facility | Ohio avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 0.5% | 3.2% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 0.5% | 3.4% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 6.1% | 8.8% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1.6% | 0.4% | 1.6% | Average |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.2% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 3% | 5.3% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 0% | 6.1% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 7.7% | 6.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 94.8% | 30.1% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 26% | 25.5% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 13.8% | 21.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 94.5% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98.4% | 92.7% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Ohio avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1% | 1.2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 96.6% | 75.6% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 96.1% | 78.5% | 82% | Better |
Inspection citations
State inspectors cited this home for 9 health deficiencies and 46 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 16, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected July 20, 2026 |
| December 5, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected January 20, 2026 |
| December 5, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected January 20, 2026 |
| December 5, 2025 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected January 20, 2026 |
| December 5, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected January 20, 2026 |
| December 5, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected January 20, 2026 |
| December 5, 2025 Fire safety | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Tag K0753 | E Potential harm, pattern | Corrected January 20, 2026 |
| December 5, 2025 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | E Potential harm, pattern | Corrected January 20, 2026 |
| December 5, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected January 20, 2026 |
| December 5, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected January 20, 2026 |
| December 5, 2025 Complaint | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected January 20, 2026 |
| August 22, 2024 Fire safety | 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. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected November 20, 2024 |
| August 22, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected November 20, 2024 |
| August 22, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected November 21, 2024 |
| August 22, 2024 Fire safety | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Tag K0346 | F Potential harm, widespread | Corrected November 20, 2024 |
| August 22, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected November 20, 2024 |
| August 22, 2024 Fire safety | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Tag K0354 | F Potential harm, widespread | Corrected November 20, 2024 |
| August 22, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected November 20, 2024 |
| August 22, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected November 21, 2024 |
| August 22, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected November 20, 2024 |
| August 22, 2024 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected November 20, 2024 |
| August 22, 2024 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected November 20, 2024 |
| August 22, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected November 20, 2024 |
| August 22, 2024 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | E Potential harm, pattern | Corrected November 20, 2024 |
| August 22, 2024 Fire safety | Install properly constructed windows in hallway walls or doors. Smoke Deficiencies · Tag K0364 | E Potential harm, pattern | Corrected November 20, 2024 |
| August 22, 2024 Fire safety | Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Tag K0232 | E Potential harm, pattern | Corrected November 20, 2024 |
| August 22, 2024 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | E Potential harm, pattern | Corrected November 20, 2024 |
| August 22, 2024 Fire safety | Provide properly sized and located linen or trash receptacles. Miscellaneous Deficiencies · Tag K0754 | E Potential harm, pattern | Corrected November 20, 2024 |
| July 9, 2021 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | F Potential harm, widespread | Corrected August 25, 2021 |
| July 9, 2021 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected August 25, 2021 |
| July 9, 2021 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected August 25, 2021 |
| July 9, 2021 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected August 25, 2021 |
| July 9, 2021 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected August 25, 2021 |
| July 9, 2021 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected August 25, 2021 |
| July 9, 2021 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected August 25, 2021 |
| July 9, 2021 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected August 25, 2021 |
| July 9, 2021 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected August 25, 2021 |
| July 9, 2021 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected August 25, 2021 |
| July 9, 2021 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected August 25, 2021 |
| July 9, 2021 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected August 25, 2021 |
| July 9, 2021 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected August 25, 2021 |
| July 9, 2021 Fire safety | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Tag E0036 | F Potential harm, widespread | Corrected August 25, 2021 |
| July 9, 2021 Fire safety | Develop a communication plan. Emergency Preparedness Deficiencies · Tag E0029 | F Potential harm, widespread | Corrected August 25, 2021 |
| July 9, 2021 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | F Potential harm, widespread | Corrected August 25, 2021 |
| July 9, 2021 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected August 25, 2021 |
| July 9, 2021 Fire safety | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Tag K0753 | E Potential harm, pattern | Corrected August 25, 2021 |
| July 9, 2021 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | E Potential harm, pattern | Corrected August 25, 2021 |
| July 9, 2021 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected August 25, 2021 |
| July 9, 2021 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | E Potential harm, pattern | Corrected August 25, 2021 |
| July 9, 2021 Standard | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Resident Rights Deficiencies · Tag F0563 | F Potential harm, widespread | Corrected August 25, 2021 |
| July 9, 2021 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected August 25, 2021 |
| July 9, 2021 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected August 25, 2021 |
| July 9, 2021 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected August 25, 2021 |
| July 9, 2021 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected August 25, 2021 |
| July 9, 2021 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected August 25, 2021 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CASTELLANOS, ANDREW Individual | contracted managing employee | NOT APPLICABLE | 04/01/2023 |
| APT, FREDERICK Individual | corporate officer | NOT APPLICABLE | 01/01/2024 |
| HANCOCK, MARK Individual | corporate officer | NOT APPLICABLE | 01/01/2024 |
| JERGENSEN, JOSHUA Individual | corporate officer | NOT APPLICABLE | 01/01/2024 |
| MITCHELL, JOHN Individual | corporate officer | NOT APPLICABLE | 01/01/2024 |
| CHANEY, STEVE Individual | operational/managerial control | NOT APPLICABLE | 10/04/2021 |
| CHANEY, STEVE Individual | w-2 managing employee | NOT APPLICABLE | 10/04/2021 |
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Frequently asked questions
What is Willow Knoll Post-Acute and Senior Living's rating?
Willow Knoll Post-Acute and Senior Living has 3 out of 5 stars on the CMS overall star rating. The average for Ohio nursing homes is 3.2 stars.
How many inspection citations did Willow Knoll Post-Acute and Senior Living receive?
Its most recent standard health inspection found 3 citations, compared with a Ohio average of 10.3. Every citation is listed on this page with its severity.
Does Willow Knoll Post-Acute and Senior Living accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Willow Knoll Post-Acute and Senior Living?
It is for profit - limited liability company and part of Pacs Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Willow Knoll Post-Acute and Senior Living and how do I contact it?
Willow Knoll Post-Acute and Senior Living is at 4400 Vannest Avenue, Middletown, OH 45042. Phone: (513) 422-5600.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.