Ohio › Butler County › Middletown
Willow Knoll Post-Acute and Senior Living
4400 Vannest Avenue, Middletown, OH 45042
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Willow Knoll Post-Acute and Senior Living, in Middletown, Ohio, is certified for 58 beds under for-profit, limited liability company ownership and belongs to the Pacs Group chain.
CMS gives it 3 of 5 stars overall, equal to the Ohio median; the health inspection rating is 4, staffing 1 and quality measures 4.
Inspectors recorded 9 health deficiencies across the three most recent survey cycles (3, 0, 6 by cycle, most recent first), none at the actual-harm level. That is 15.5 per 100 beds, fewer than the state median of 33.3.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.4 hours per resident per day (0.2 RN), close to the Ohio median of 3.6; nursing staff turnover is 40.8%.
Compared with county, state and nation
| Measure | This facility | Butler Co. median | Ohio median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 9 | 13 | 27 | 28.7 |
| Citations per 100 beds | 15.5 | 17.5 | 33.3 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.9 | 3.6 | 3.9 |
| RN hours per resident day | 0.2 | 0.6 | 0.6 | 0.7 |
| Nursing staff turnover | 40.8% | 48.4% | 48.5% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (25 in the county, 922 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Ohio average per facility for the same cycle, as published by CMS. Standard health survey dates: 5 Dec 2025, 22 Aug 2024.
Severity mix: D ×5 E ×2 F ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 16 Jun 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 20 Jul 2026 |
| 5 Dec 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 20 Jan 2026 |
| 5 Dec 2025 | F0584 | 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. | D | Complaint investigation | 20 Jan 2026 |
| 9 Jul 2021 | F0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | F | Standard survey | 25 Aug 2021 |
| 9 Jul 2021 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 25 Aug 2021 |
| 9 Jul 2021 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 25 Aug 2021 |
| 9 Jul 2021 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 25 Aug 2021 |
| 9 Jul 2021 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 25 Aug 2021 |
| 9 Jul 2021 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 25 Aug 2021 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Ohio average. Turnover: nursing staff 40.8%, RNs —; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Ohio median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 3.0% | 4.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.6% | 0.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.5% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 0.0% | 4.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.5% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 6.1% | 7.5% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Middletown Post Acute Llc. Chain: Pacs Group (274 facilities).
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Butler County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Birchwood Care Center | Hamilton | 75 | 5 | 5 | 3 | 4 | 5.3 | — | 14 Feb 2022 |
| Chesterwood Atc | West Chester | 125 | 5 | 4 | 2 | 13 | 10.4 | — | 14 Feb 2025 |
| Doverwood Village | Hamilton | 99 | 5 | 4 | 2 | 19 | 19.2 | — | 27 Jun 2025 |
| Gateway Springs Health Campus | Hamilton | 53 | 5 | 5 | 4 | 5 | 9.4 | — | 20 Nov 2024 |
| Glen Meadows | Hamilton | 85 | 5 | 5 | 3 | 15 | 17.6 | — | 26 Mar 2026 |
| Golden Years Nursing Center | Hamilton | 70 | 5 | 5 | 3 | 10 | 14.3 | — | 9 Nov 2022 |
| Knolls of Oxford | Oxford | 50 | 5 | 5 | 4 | 2 | 4.0 | — | 11 Dec 2025 |
| Residence At Huntington Court | Hamilton | 96 | 5 | 4 | 2 | 16 | 16.7 | — | 24 Mar 2026 |
All 25 facilities in Butler County
Questions and answers
How many deficiencies has Willow Knoll Post-Acute and Senior Living been cited for?
9 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Ohio median is 27 per facility.
Has Willow Knoll Post-Acute and Senior Living been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Willow Knoll Post-Acute and Senior Living compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Ohio median of 3.6 and a national average of 3.9.
Who operates Willow Knoll Post-Acute and Senior Living?
It is part of the Pacs Group chain. Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was Willow Knoll Post-Acute and Senior Living last inspected?
The most recent survey or investigation in the CMS record is dated 16 Jun 2026; the most recent standard health survey was 5 Dec 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.