Federal inspection record · CMS data as of October 1, 2026
Willoughby Post Acute
37603 Euclid Ave, Willoughby, OH · (440) 951-5551
- Certified beds
- 157
- Residents per day
- 125
- Ownership
- For-Profit
- Chain
- Pacs Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 2, 1974
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Ohio.
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Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Ohio homes
Willoughby Post Acute carries 52 inspection points. That is fewer than 56% of Ohio's 913 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Ohio: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–15 pts
- 4★ 15–42 pts
- 3★ 42–69 pts
- 2★ 69–121.25 pts
- 1★ over 121.25 pts
Bars show every rated home in Ohio by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
21 health citations on record since 2018. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
G
Provide safe, appropriate pain management for a resident who requires such services.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care5D
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Pharmacy Service4D
- D
Ensure that residents are free from significant medication errors.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure that residents are free from significant medication errors.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Resident Rights4D
- D
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
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Honor the resident's right to choose his or her attending physician.
- D
Keep residents' personal and medical records private and confidential.
Environmental2F
- F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Resident Assessment and Care Planning2D
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Nursing and Physician Services1F
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspection history
2023-08-03
3 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2019-11-21
10 health deficiencies · 1 fire-safety deficiencies
Top issue: Environmental (2 deficiencies)
2018-10-04
8 health deficiencies · 11 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 3 min of nursing staff time a day, 29 min of it from a registered nurse.
This home
3 h 3 min
Ohio average
3 h 43 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 48% of nursing staff and 33% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$25,896 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-10-22 | Fine | $25,896 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine10.3 pts worse | 82.4% | 92.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.8 pts worse | 91.9% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.1 pts better | 0.0% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms26.8 pts worse | 58.4% | 31.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.5 pts better | 2.6% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.6 pts better | 21.9% | 25.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.6 pts better | 3.9% | 8.5% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2.2 pts better | 3.1% | 5.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.4 pts better | 3.6% | 5.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same | 0.2% | 0.2% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts better | 0.0% | 0.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.2 pts worse | 24.1% | 20.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.7 pts worse | 4.9% | 3.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine18.3 pts worse | 60.1% | 78.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.1 pts worse | 12.7% | 12.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts worse | 1.5% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine44.1 pts worse | 32.3% | 76.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission7.8 pts worse | 32.2% | 24.4% | 23.4% |
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Who owns and runs it
18 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| 37603 Euclid Ave Oh Owner LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Apt, Frederick | Managing Control - Governing Body · Individual | 0% | 258 facilities |
| Apt, Frederick | Corporate Officer · Individual | 0% | 258 facilities |
| Jergensen, Joshua | Managing Control - Governing Body · Individual | 0% | 262 facilities |
| Jergensen, Joshua | Corporate Officer · Individual | 0% | 262 facilities |
| Mehta, Dharmesh | Adp Of The SNF · Individual | 0% | 3 facilities |
| Mitchell, John | Managing Control - Governing Body · Individual | 0% | 276 facilities |
| Mitchell, John | Corporate Officer · Individual | 0% | 276 facilities |
| Pacs Group, Inc. | Operational/Managerial Control · Organization | 0% | 21 facilities |
| Pacs Holdings, LLC | Operational/Managerial Control · Organization | 0% | 20 facilities |
| Providence Group Nh, LLC | Operational/Managerial Control · Organization | 0% | 76 facilities |
| Ramacciato, Amarilys | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Ramacciato, Amarilys | Adp Of The SNF · Individual | 0% | 1 facilities |
| Snf Oh Holdco LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 17 facilities |
| Well Integra Master Jv LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 17 facilities |
| Well Pm Holdco Jv LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 17 facilities |
| Welltower Inc | Adp Of The SNF · Organization | 0% | 139 facilities |
| Welltower Op LLC | Adp Of The SNF · Organization | 0% | 158 facilities |
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Fire safety
15 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Properly install and monitor supervisory attachments on automatic sprinkler systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Install an approved automatic sprinkler system.
Emergency Preparedness5C
- C
Establish procedures for tracking staff and patients during an emergency.
- C
Establish policies and procedures for sheltering.
- C
Establish policies and procedures for volunteers.
- C
Provide a means of sharing information on occupancy/needs.
- C
Provide family notifications of emergency plan.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Meet requirements for the installation and maintenance of electrical systems.
Egress1F
- F
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.
Miscellaneous1E
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Services1C
- C
Install properly constructed and protected linen or trash chutes.
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Other homes nearby
-
Ohio Living Breckenridge Village
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 11 min
- Fines
- $12,735
-
Kirtland Woods Of Journey
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
- 2 h 48 min
- Fines
- $162,637
-
Mentor Ridge Health And Rehabilitation
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
- 3 h 52 min
- Fines
- $0