Willoughby Post Acute
State inspectors recorded 1 citation(s) in the last three years where CMS determined a resident was actually harmed.
Serious inspection findings
2025-10-22 — ACTUAL HARM (tag F0697, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide safe, appropriate pain management for a resident who requires such services.
2023-08-03 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Staffing, from payroll records
Nursing hours / resident / day
2.84
state median 3.20
Weekend staffing gap
−9%
fewer nursing hours on weekends · state median −4%
RN hours / resident / day
0.43
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Nursing staff turnover
44%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
2 enforcement action(s), totaling $54,520 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-10-22 | Fine | $39,840 |
| 2023-08-03 | Fine | $14,680 |
Ownership
Ownership type: For profit - Corporation. Part of the PACS GROUP chain.
Other facilities under the same ownership, with their CMS overall ratings:
- CENTENNIAL POST ACUTE (ANCHORAGE, AK) —
- APACHE JUNCTION HEALTH CENTER (APACHE JUNCTION, AZ) —
- RIDGECREST POST ACUTE (PHOENIX, AZ) —
- SANDRIDGE POST ACUTE (MESA, AZ) —
- Sun City Post Acute (SUN CITY, AZ) —
- MARYLAND GARDENS POST ACUTE (PHOENIX, AZ) —
- Palm Valley Post Acute (GOODYEAR, AZ) —
- Ahwatukee Post Acute (PHOENIX, AZ) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-04-23 | F0740 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-10-22 | F0697 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-08-05 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-08-05 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-08-05 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-08-05 | F0921 | Environmental Deficiencies | F | not recorded |
| 2024-11-20 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-11-20 | F0725 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2024-11-20 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-11-20 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-11-20 | F0921 | Environmental Deficiencies | E | not recorded |
| 2024-09-16 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-08-07 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2023-08-03 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2019-11-21 | F0582 | Resident Rights Deficiencies | D | not recorded |
| 2018-10-04 | F0555 | Resident Rights Deficiencies | D | not recorded |
| 2018-10-04 | F0583 | Resident Rights Deficiencies | D | not recorded |
| 2018-10-04 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2018-10-04 | F0676 | Quality of Life and Care Deficiencies | D | not recorded |
| 2018-10-04 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2018-10-04 | F0756 | Pharmacy Service Deficiencies | D | not recorded |