Home›Browse›Ohio›Middletown›Willow Knoll Post-acute and Senior Living

Nursing homeFAID #9671

Willow Knoll Post-acute and Senior Living

4400 VANNEST AVENUE, MIDDLETOWN, OH, 45042

(513) 422-5600

58 licensed beds

★★★★★3/5CMS Five-Star overall4/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

Generate this report

Primary Report$79 Advanced Report$99

Delivered within 24–48 hours

Address

4400 Vannest Avenue

Middletown, OH 45042

Get directions

Map facilities in this area

All facilities in Middletown

Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

365648

Care type

Nursing home

County

Butler

Facility name

Willow Knoll Post-acute and Senior Living

Street address

4400 VANNEST AVENUE

City / state / ZIP

Middletown, OH 45042

Phone

(513) 422-5600

About this facility — Willow Knoll Post-acute and Senior Living

Willow Knoll Post-acute and Senior Living is a Medicare/Medicaid-certified skilled nursing facility in Middletown, Ohio. It is licensed for 58 beds — below the median for skilled nursing facilities in Ohio (86 beds).

It is one of 21 senior care facilities in Middletown and 922 skilled nursing facilities across Ohio. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Willow Knoll Post-acute and Senior Living 55 times across 8 inspections in the last three years, including 1 food-safety citation; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Pacs Group

Ownership type

For profit - Limited Liability company

Registered owners & officers

Apt, Frederick

Officer — since 2024

Castellanos, Andrew

Managing employee — since 2023

Chaney, Steve

Managing employee · Operational control — since 2021

Hancock, Mark

Officer — since 2024

Jergensen, Joshua

Officer — since 2024

Mitchell, John

Officer — since 2024

Regulatory standing

Federal court records

6 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1985-02-08

CMS overall rating

3 of 5 stars

Health deficiencies

3 at the last standard inspection

Federal fines

None on record

Last standard inspection

2025-12-05

Nurse staffing

3.4 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$403 per day (≈ $12,250/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

24% Medicaid · 5% Medicare · 71% private/other

Occupancy

53% (fiscal year 2023)

Vs. state median

11% above the OH median of $364/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.

2026-06-16Health inspectionComplaint-triggered1 citation

F-0689

E · No harm foundFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-07-20

2025-12-05Health inspectionComplaint-triggered2 citations

F-0584

D · No harm foundFrom a complaint

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.

Corrected 2026-01-20

F-0812

F · No harm foundFood safety

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

Corrected 2026-01-20

4 earlier / fire-safety inspections (52 citations)

2021-07-09Health inspection6 citations

F-0563

F · No harm found

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

Corrected 2021-08-25

F-0656

D · No harm found

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

Corrected 2021-08-25

F-0657

E · No harm found

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

Corrected 2021-08-25

F-0756

D · No harm found

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

Corrected 2021-08-25

F-0760

D · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2021-08-25

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2021-08-25

2025-12-05Fire-safety inspection8 citations

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2026-01-20

K-0351

E · No harm found

Install an approved automatic sprinkler system.

Corrected 2026-01-20

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-01-20

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2026-01-20

K-0521

F · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2026-01-20

K-0753

E · No harm found

Have restrictions on the use of highly flammable decorations.

Corrected 2026-01-20

K-0761

F · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2026-01-20

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2026-01-20

2024-08-22Fire-safety inspection17 citations

K-0222

F · No harm found

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.

Corrected 2024-11-20

K-0232

E · No harm found

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2024-11-20

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2024-11-20

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-11-21

K-0346

F · No harm found

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2024-11-20

K-0351

E · No harm found

Install an approved automatic sprinkler system.

Corrected 2024-11-20

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-11-20

K-0354

F · No harm found

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2024-11-20

K-0364

E · No harm found

Install properly constructed windows in hallway walls or doors.

Corrected 2024-11-20

K-0372

F · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-11-20

K-0511

F · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2024-11-21

K-0521

F · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-11-20

K-0741

E · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-11-20

K-0754

E · No harm found

Provide properly sized and located linen or trash receptacles.

Corrected 2024-11-20

K-0761

F · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-11-20

K-0914

F · No harm found

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-11-20

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-11-20

2021-07-09Fire-safety inspection21 citations

E-0004

F · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2021-08-25

E-0006

F · No harm found

Conduct risk assessment and an All-Hazards approach.

Corrected 2021-08-25

E-0029

F · No harm found

Develop a communication plan.

Corrected 2021-08-25

E-0036

F · No harm found

Establish emergency prep training and testing.

Corrected 2021-08-25

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2021-08-25

K-0223

E · No harm found

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2021-08-25

K-0291

F · No harm found

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2021-08-25

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2021-08-25

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2021-08-25

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-08-25

K-0355

F · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2021-08-25

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2021-08-25

K-0511

F · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2021-08-25

K-0521

F · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2021-08-25

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2021-08-25

K-0741

E · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2021-08-25

K-0753

E · No harm found

Have restrictions on the use of highly flammable decorations.

Corrected 2021-08-25

K-0761

F · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2021-08-25

K-0914

F · No harm found

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2021-08-25

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2021-08-25

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2021-08-25

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 365648.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 55 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

Unlock the full file

Citations, owner history, lawsuits — decoded into one PDF.

$79 $99 Advanced

Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered