Willow Knoll Post-Acute and Senior Living

Name: Willow Knoll Post-Acute and Senior Living
Address: 4400 VANNEST AVENUE, Middletown, OH, 45042, US
Telephone: 5134225600

4400 Vannest Avenue, Middletown, OH 45042 · Butler County · 58 certified beds · avg 55 residents/day · certified since Feb 8, 1985

Part of chain: PACS GROUP (274 facilities, chain avg rating 2.9★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.84

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (9)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jun 16, 2026	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Dec 5, 2025	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Dec 5, 2025	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Jul 9, 2021	F · Potential for harm, facility-wide	The facility did not honor residents' right to receive the visitors they choose, at the times they choose.
Jul 9, 2021	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jul 9, 2021	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jul 9, 2021	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Jul 9, 2021	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Jul 9, 2021	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Inspection trend by year

Year	Citations	Worst severity that year
2021	6	F
2025	2	F
2026	1	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Ohio avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	2.84	3.45	3.95	bottom 14% in Ohio; bottom 9% in the U.S.
Registered Nurse hours	0.14	0.60	0.69	bottom 1% in Ohio; bottom 1% in the U.S.
Weekend total nurse staffing	2.41	3.07	3.50	bottom 8% in Ohio; bottom 7% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.06	0.42	0.48	bottom 1% in Ohio; bottom 1% in the U.S.
Total nursing staff turnover (%)	40.8	48.7	45.8	top 30% in Ohio; top 38% in the U.S.
RN turnover (%)	0.0	43.9	42.9	—

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.41, RN 0.17, weekend 2.89. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Apt, Frederick	Individual	Corporate Officer	NOT APPLICABLE	01/01/2024
Castellanos, Andrew	Individual	Contracted Managing Employee	NOT APPLICABLE	04/01/2023
Chaney, Steve	Individual	W-2 Managing Employee	NOT APPLICABLE	10/04/2021
Chaney, Steve	Individual	Operational/Managerial Control	NOT APPLICABLE	10/04/2021
Hancock, Mark	Individual	Corporate Officer	NOT APPLICABLE	01/01/2024
Jergensen, Joshua	Individual	Corporate Officer	NOT APPLICABLE	01/01/2024
Mitchell, John	Individual	Corporate Officer	NOT APPLICABLE	01/01/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"What are your visiting policies — can family visit any time the resident wants?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
The Laurels of Middletown	2.7 mi	Middletown, OH	★★★★☆	3/5
Momentous Health at Franklin	3.2 mi	Franklin, OH	★☆☆☆☆	1/5
Carlisle Manor Health Care INC	3.3 mi	Carlisle, OH	★★★★☆	4/5
Otterbein Middletown	3.5 mi	Franklin, OH	★★★★☆	3/5
Arlington Pointe Care Center	4.1 mi	Middletown, OH	★★★★☆	4/5
Astoria Health & Rehab Center	5.9 mi	Germantown, OH	★★★★★	5/5
Majestic Care of Middletown LLC	6.0 mi	Middletown, OH	★★☆☆☆	1/5
Ohio Living Mount Pleasant	6.4 mi	Monroe, OH	★★★★☆	3/5
Hillspring Health Care & Rehab	6.7 mi	Springboro, OH	★★★★★	4/5
Kingston of Miamisburg	7.0 mi	Miamisburg, OH	★★★★☆	4/5
Otterbein Lebanon Retirement Community	7.6 mi	Lebanon, OH	★★★★★	4/5
Sycamore Trails Post Acute	8.6 mi	Miamisburg, OH	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in Middletown →

Facility data as of CMS processing date 2026-08-01. CCN 365648.

The Care File

Visit checklist — Willow Knoll Post-Acute and Senior Living

4400 Vannest Avenue, Middletown, OH 45042 · 5134225600

Health inspection rating 4/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "What are your visiting policies — can family visit any time the resident wants?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 365648 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)