Nursing home · Top rated by CMS
Willow Knoll Post-Acute and Senior Living
4400 Vannest Avenue, Middletown, OH 45042 · Map
For profit - Limited Liability company · Part of Pacs Group (264 facilities) · 58 certified beds
Willow Knoll Post-Acute and Senior Living is a Medicare-certified nursing home in Middletown, Ohio. CMS rates it 5 out of 5 stars overall (1/5 for staffing, 5/5 for health inspections). Nurse staffing is 3.51 hours per resident per day, below the Ohio average of 3.72. Its most recent inspection on Dec 5, 2025 cited 2 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Willow Knoll Post-Acute and Senior Living compares
This facility vs. the Ohio and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Ohio avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.51 | 3.72 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.30 | 0.63 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.91 | 2.14 | 2.34 | below avg |
| Nursing staff turnover | 38.5% | 49.8% | 46.4% | below avg |
| Deficiencies cited, last inspection | 2.0 | 10.2 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Willow Knoll Post-Acute and Senior Living
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Dec 5, 2025 · Full report (PDF) - Potential for harm
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 · Dec 5, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Resident Rights Deficiencies · Jul 9, 2021 - Potential for harm
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 · Jul 9, 2021 - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jul 9, 2021
Show all 8 deficiencies
- Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Jul 9, 2021 - Potential for harm
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 · Jul 9, 2021 - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Jul 9, 2021
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 4400 Vannest Avenue
Middletown, OH 45042 - CMS certification #
- 365648
- Ownership
- For profit - Limited Liability company
- Certified beds
- 58
- Avg residents/day
- 53.9
- Provider type
- Medicare and Medicaid
- First certified
- 1985-02-08
- Chain
- Pacs Group (264 facilities)
- Setting
- Urban
Part of Pacs Group
Pacs Group operates 264 nursing facilities across the United States. View all Pacs Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Willow Knoll Post-Acute and Senior Living using Google Maps.
Other public records
- Website says Nurse 24 hours a day, works with hospice
Full public records, with dates and sources
Care and services
From the community’s website
What Willow Knoll Post-Acute and Senior Living says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
Location and nearby care
- Nearest hospital with an emergency room
- Atrium Medical Center, Franklin. 3.6 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- The Laurels of Middletown, Middletown. 2.7 miles away, straight line.
- Nearest home health agency office
- Premier Nursing, LLC Home Health Service, Middletown. 2.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 2.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 45042 as metropolitan (metropolitan high commuting).
- Dialysis within 15 miles
- Davita Atrium Dialysis, Middletown, 2.8 miles away, straight line (CMS rating 3 of 5 stars)
Davita Butler County Dialysis, Middletown, 4.9 miles away, straight line (CMS rating 3 of 5 stars)
Davita Butler County Home Training Dialysis, Liberty Township, 5.0 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 23 Medicare hospices tell CMS they serve ZIP code 45042.
Hospice Care Of Middletown Inc, office in Middletown, 2.7 miles away, straight line (CMS family survey rating 5 of 5 stars)
Otterbein Hospice LLC, office in Lebanon, 7.5 miles away, straight line
Crossroads Hospice Of Dayton, LLC, office in Dayton, 10.3 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Mvhe Inc, Middletown. 3.6 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: very low. By hazard: hurricane very low, inland flooding relatively low, wildfire very low, tornado relatively moderate, heat wave very low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Willow Knoll Post-Acute and Senior Living a good nursing home?
CMS gives Willow Knoll Post-Acute and Senior Living an overall rating of 5 out of 5 stars, including 1/5 for staffing and 5/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Willow Knoll Post-Acute and Senior Living staffed?
Willow Knoll Post-Acute and Senior Living reports 3.51 total nurse hours per resident per day, compared with the Ohio average of 3.72.
Has Willow Knoll Post-Acute and Senior Living had inspection problems?
Its most recent CMS inspection cited 2 deficiencies.
How many beds does Willow Knoll Post-Acute and Senior Living have?
Willow Knoll Post-Acute and Senior Living is certified for 58 beds.