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 18 of 18 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

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

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

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

    Health citation F-0657, Resident Assessment and Care Planning 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

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

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

    Health citation F-0676, Quality of Life and Care 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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care 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

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

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of October 4, 2018. Found during a standard inspection.

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

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, 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).

  13. No harm, with potential for minimal harm

    Establish procedures for tracking staff and patients during an emergency.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0018, Emergency Preparedness 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 minimal harm

    Establish policies and procedures for sheltering.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0022, Emergency Preparedness Deficiencies. Inspection of October 4, 2018. Found during a standard inspection.

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

  15. No harm, with potential for minimal harm

    Establish policies and procedures for volunteers.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0024, Emergency Preparedness Deficiencies. Inspection of October 4, 2018. Found during a standard inspection.

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

  16. No harm, with potential for minimal harm

    Provide a means of sharing information on occupancy/needs.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0034, Emergency Preparedness Deficiencies. Inspection of October 4, 2018. Found during a standard inspection.

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

  17. No harm, with potential for minimal harm

    Provide family notifications of emergency plan.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0035, Emergency Preparedness Deficiencies. Inspection of October 4, 2018. Found during a standard inspection.

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

  18. No harm, with potential for minimal harm

    Install properly constructed and protected linen or trash chutes.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0541, Services 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.