ElderGrade
B

70.5/100

Above average

Willow Knoll Post-Acute And Senior Living

4400 Vannest Avenue, Middletown, OH 45042

CMS 4/5 stars #17 of 24 in Butler County (513) 422-5600
Certified beds
58
Occupancy
94%
Ownership
For-profit
Accepts
Medicare + Medicaid

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

Staffing

6.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 2.84 total nurse hours per resident per day (national median 3.77)
  • 0.17 RN hours per resident per day
  • Weekend staffing drops 15% against weekdays

Staff stability

12/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 41% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.41 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.17 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.89 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 40.80%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: December 5, 2025 (8 months ago).

F Dec 5, 2025 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

D Dec 5, 2025 F0584 From a complaint

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

F Jul 9, 2021 F0563

Resident Rights Deficiencies

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

No actual harm, potential for more than minimal harm

E Jul 9, 2021 F0657

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

D Jul 9, 2021 F0656

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

No actual harm, potential for more than minimal harm

D Jul 9, 2021 F0756

Pharmacy Service Deficiencies

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

No actual harm, potential for more than minimal harm

D Jul 9, 2021 F0760

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

No actual harm, potential for more than minimal harm

D Jul 9, 2021 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of PACS GROUP, which operates 281 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
CASTELLANOS, ANDREW Individual CONTRACTED MANAGING EMPLOYEE
CHANEY, STEVE Individual W-2 MANAGING EMPLOYEE
APT, FREDERICK Individual CORPORATE OFFICER
HANCOCK, MARK Individual CORPORATE OFFICER
JERGENSEN, JOSHUA Individual CORPORATE OFFICER
MITCHELL, JOHN Individual CORPORATE OFFICER
CHANEY, STEVE Individual OPERATIONAL/MANAGERIAL CONTROL

What families say

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Common questions about Willow Knoll Post-Acute And Senior Living

What is the ElderGrade for Willow Knoll Post-Acute And Senior Living? +

Willow Knoll Post-Acute And Senior Living holds an ElderGrade of B (70.5 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Willow Knoll Post-Acute And Senior Living? +

Residents receive an average of 3.41 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Willow Knoll Post-Acute And Senior Living been cited for harming residents? +

No. None of the 8 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Willow Knoll Post-Acute And Senior Living accept Medicaid? +

Yes, Willow Knoll Post-Acute And Senior Living is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.