Willow Knoll Post-Acute and Senior Living

4400 Vannest Avenue · Middletown, OH · 45042 · 5134225600

58 certified beds For profit - Limited Liability company Chain: Pacs Group Part of a CCRC

  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

RN staffing in the bottom 10% nationally

0.27 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Score breakdown

Inspection record 30% of score 78
Serious harm & abuse 20% 100
Staffing 20% 60
Federal penalties 15% 100
Trend 10% 60
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 5 of 5 Inspections: 5 of 5 Staffing: 2 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.663.48 min · 4.1 strong
RN hours / resident-day0.270.55–0.75
Weekend hours / resident-day3.36≈ weekday level
Nursing turnover / year42%median 45%
Fines (3-yr window)none

Inspection citations (8 in the current record)

  • Potential for harm · F December 5, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected January 20, 2026 · Nutrition and Dietary

  • Potential for harm · D December 5, 2025 · found via 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.

    Corrected January 20, 2026 · Resident Rights

  • Potential for harm · F July 9, 2021

    Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

    Corrected August 25, 2021 · Resident Rights

  • Potential for harm · D July 9, 2021

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected August 25, 2021 · Resident Assessment and Care Planning

  • Potential for harm · E July 9, 2021

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected August 25, 2021 · Resident Assessment and Care Planning

  • Potential for harm · D July 9, 2021

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected August 25, 2021 · Pharmacy Service

  • Potential for harm · D July 9, 2021

    Ensure that residents are free from significant medication errors.

    Corrected August 25, 2021 · Pharmacy Service

  • Potential for harm · D July 9, 2021

    Provide and implement an infection prevention and control program.

    Corrected August 25, 2021 · Infection Control

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 365648 · certified since February 8, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.