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 15 of 15 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  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 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

    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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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).

  14. 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).

  15. 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.