Willoughby Post Acute
Willoughby, Lake County, Ohio · CCN 365305 · For-profit (Corporation) · part of Pacs Group (274 facilities, chain average 2.9 stars)
CMS rates Willoughby Post Acute 4 of 5 overall as of August 2026. 157 certified beds, 132 residents a day on average. 21 citations on record from the current inspection cycles, 2 involving actual harm; 1 fine totalling $39,840.
On record
- No health inspection in more than two years, by CMS’s own flag.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★☆ 4 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 5 / 2 of 5 |
Staffing
| Total nurse staffing | 2.99472 hours per resident per day |
|---|---|
| Registered nurses | 0.51582 hours per resident per day |
| Weekend total | 2.67815 hours per resident per day |
| Nursing staff turnover | 43.9% (registered nurses 15%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-04-23 complaint survey |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · tag F0740 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-01 |
| 2025-10-22 complaint survey |
Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2025-10-31 |
| 2025-08-05 complaint survey |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · tag F0921 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-08-29 |
| 2025-08-05 complaint survey |
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 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-29 |
| 2025-08-05 complaint survey |
Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-29 |
| 2025-08-05 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-29 |
| 2024-11-20 complaint survey |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · tag F0725 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-11-29 |
| 2024-11-20 complaint survey |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · tag F0921 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-11-29 |
| 2024-11-20 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-11-29 |
| 2024-11-20 complaint survey |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-11-29 |
| 2024-11-20 complaint survey |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-11-29 |
| 2024-09-16 complaint survey |
Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-20 |
| 2024-08-07 complaint survey |
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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-16 |
| 2023-08-03 | 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 |
G Actual harm that is not immediate jeopardy; isolated | Past Non-Compliance 2023-07-06 |
| 2019-11-21 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · tag F0582 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-12-10 |
| 2018-10-04 | Honor the resident's right to choose his or her attending physician. Resident Rights Deficiencies · tag F0555 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2018-11-27 |
| 2018-10-04 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · tag F0583 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2018-11-27 |
| 2018-10-04 | 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 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2018-11-27 |
| 2018-10-04 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · tag F0676 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2018-11-27 |
| 2018-10-04 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2018-11-27 |
| 2018-10-04 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2018-11-27 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-10-22 | Fine | $39,840 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| 37603 Euclid Ave Oh Owner LLC Organization | 5% or greater indirect ownership interest | — | 2024-12-01 |
| Snf Oh Holdco LLC Organization | 5% or greater indirect ownership interest | — | 2024-12-01 |
| Well Integra Master Jv LLC Organization | 5% or greater indirect ownership interest | — | 2024-12-01 |
| Well Pm Holdco Jv LLC Organization | 5% or greater indirect ownership interest | — | 2024-12-01 |
| Welltower Inc. Organization | adp of the snf | — | 2024-12-01 |
| Welltower Op, LLC Organization | adp of the snf | — | 2024-12-01 |
| Pacs Group, Inc. Organization | operational/managerial control | — | 2024-12-01 |
| Pacs Holdings, LLC Organization | operational/managerial control | — | 2024-12-01 |
| Providence Group Nh, LLC Organization | operational/managerial control | — | 2024-12-01 |
| Mehta, Dharmesh Individual | adp of the snf | — | 2024-12-01 |
| Ramacciato, Amarilys Individual | adp of the snf | — | 2024-12-01 |
| Apt, Frederick Individual | corporate officer | — | 2024-12-01 |
| Jergensen, Joshua Individual | corporate officer | — | 2024-12-01 |
| Mitchell, John Individual | corporate officer | — | 2024-12-01 |
| Apt, Frederick Individual | managing control - governing body | — | 2024-12-01 |
| Jergensen, Joshua Individual | managing control - governing body | — | 2024-12-01 |
| Mitchell, John Individual | managing control - governing body | — | 2024-12-01 |
| Ramacciato, Amarilys Individual | operational/managerial control | — | 2024-12-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Willoughby Post Acute.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Lake County.