All citations for Willoughby Post Acute

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Willoughby Post Acute

Last standard health inspection on record

August 3, 2023

This is more than 2 years ago. Newer inspection results may not be on record yet, so the results below may not describe the home today. Ask the home for its most recent inspection report.

Showing 1 to 25 of 36 citations

  1. Harm to a resident

    Provide safe, appropriate pain management for a resident who requires such services.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of October 22, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 31, 2025).

  2. Harm to a resident

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of August 3, 2023. Found during a standard inspection.

    Past non-compliance: already corrected by the time of the inspection (July 6, 2023).

  3. No harm, with potential for more than minimal harm

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Widespread (many residents). CMS level F.

    Health citation F-0921, Environmental Deficiencies. Inspection of August 5, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 29, 2025).

  4. No harm, with potential for more than minimal harm

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Widespread (many residents). CMS level F.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of November 20, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 29, 2024).

  5. No harm, with potential for more than minimal harm

    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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of August 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 21, 2023).

  6. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of August 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 21, 2023).

  7. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 21, 2023).

  8. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of October 4, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 27, 2018).

  9. No harm, with potential for more than minimal harm

    Properly install and monitor supervisory attachments on automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0352, Smoke Deficiencies. Inspection of October 4, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 27, 2018).

  10. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of October 4, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 27, 2018).

  11. No harm, with potential for more than minimal harm

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0921, Environmental Deficiencies. Inspection of November 20, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 29, 2024).

  12. No harm, with potential for more than minimal harm

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of November 21, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2019).

  13. No harm, with potential for more than minimal harm

    Meet requirements for the installation and maintenance of electrical systems.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 4, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 27, 2018).

  14. No harm, with potential for more than minimal harm

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0740, Quality of Life and Care Deficiencies. Inspection of April 23, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 1, 2026).

  15. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of August 5, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 29, 2025).

  16. No harm, with potential for more than minimal harm

    Ensure that residents are free from significant medication errors.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of August 5, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 29, 2025).

  17. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of August 5, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 29, 2025).

  18. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of November 20, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 29, 2024).

  19. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of November 20, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 29, 2024).

  20. No harm, with potential for more than minimal harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of November 20, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 29, 2024).

  21. No harm, with potential for more than minimal harm

    Ensure that residents are free from significant medication errors.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of September 16, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 20, 2024).

  22. No harm, with potential for more than minimal 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of August 7, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 16, 2024).

  23. No harm, with potential for more than minimal harm

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0582, Resident Rights Deficiencies. Inspection of November 21, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 10, 2019).

  24. No harm, with potential for more than minimal harm

    Honor the resident's right to choose his or her attending physician.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0555, Resident Rights Deficiencies. Inspection of October 4, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 27, 2018).

  25. No harm, with potential for more than minimal harm

    Keep residents' personal and medical records private and confidential.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0583, Resident Rights Deficiencies. Inspection of October 4, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 27, 2018).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.