Willoughby Post Acute
Willoughby Post Acute in WILLOUGHBY, OH — inspection on October 22, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of the nursing schedule for September 2025 revealed two additional staff members, CNA #212 and #213, worked while Resident #148 was at the facility. CNA #212 failed to return the surveyor's call and CNA #213 was no longer an employee and had no working telephone number.
Review of the facility policy, Pain Assessment and Management, dated 2001, revealed the facility assessed residents for pain at admission and during ongoing assessments, and monitored residents for the presence of pain and the need for further assessment when there was a change of condition.
This deficiency represents non-compliance investigated under Complaint Number 2636783.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.