Willows of New Castle
1023 N 20th St, New Castle, IN 47362 · Henry County · 95 certified beds · avg 60 residents/day · certified since Mar 14, 1969
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Jan 29, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Feb 9, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (22)
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 |
|---|---|---|
| Mar 6, 2026 | 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. |
| Mar 6, 2026 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Mar 6, 2026 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Mar 6, 2026 | D · Potential for harm, one-off | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. · from a complaint |
| Mar 6, 2026 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Jul 28, 2025 | D · Potential for harm, one-off | 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 |
| Mar 14, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Mar 14, 2025 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Mar 14, 2025 | D · Potential for harm, one-off | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. |
| Jan 9, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Jan 9, 2025 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint |
| Jan 29, 2024 | ▲ G · Actual harm, one-off | 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 |
| Jan 29, 2024 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Jan 29, 2024 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Jan 29, 2024 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Jan 29, 2024 | 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. |
| Jan 29, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jan 29, 2024 | 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. |
| Jan 29, 2024 | D · Potential for harm, one-off | 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. |
| Jan 29, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jan 29, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Jan 29, 2024 | D · Potential for harm, one-off | The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 11 | 1 | G ▲ |
| 2025 | 6 | 0 | D |
| 2026 | 5 | 0 | F |
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 | Indiana avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.03 | 3.42 | 3.95 | bottom 31% in Indiana; bottom 15% in the U.S. |
| Registered Nurse hours | 0.35 | 0.62 | 0.69 | bottom 11% in Indiana; bottom 15% in the U.S. |
| Weekend total nurse staffing | 2.64 | 3.01 | 3.50 | bottom 29% in Indiana; bottom 14% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.39 | 0.47 | 0.48 | bottom 46% in Indiana; top 50% in the U.S. |
| Total nursing staff turnover (%) | 58.8 | 45.9 | 45.8 | bottom 16% in Indiana; bottom 18% in the U.S. |
| RN turnover (%) | 81.3 | 40.4 | 42.9 | bottom 2% in Indiana; bottom 5% in the U.S. |
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 3.75, RN 0.44, weekend 3.27. 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: 2/5 · long-stay residents: 1/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Henry County Memorial Hospital | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/2012 |
| Dynes, Sheldon | Individual | Corporate Director | NOT APPLICABLE | 01/01/2012 |
| Frankel, Israel | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/08/2025 |
| Frankel, Israel | Individual | ADP of the SNF | NOT APPLICABLE | 01/13/2025 |
| New Castle in Opco, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2023 |
| New Castle in Opco, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/13/2025 |
| Patton, Elizabeth | Individual | ADP of the SNF | NOT APPLICABLE | 01/13/2025 |
| Pidgeon, John | Individual | Corporate Director | NOT APPLICABLE | 01/01/2012 |
| Reis, James | Individual | ADP of the SNF | NOT APPLICABLE | 01/13/2025 |
| Ring, Brian | Individual | Corporate Officer | NOT APPLICABLE | 08/01/2022 |
| Shore, Marion | Individual | Corporate Director | NOT APPLICABLE | 01/01/2012 |
| Ware, Deborah | Individual | Corporate Director | NOT APPLICABLE | 08/27/2021 |
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?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
- "What specific dementia training do your staff receive, and how do you handle difficult moments without medication?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "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 | Flags |
|---|---|---|---|---|---|
| Stonebrooke Rehabilitation Center | 0.2 mi | New Castle, IN | ★★★☆☆ | 3/5 | |
| Hickory Creek at New Castle | 0.2 mi | New Castle, IN | ★★☆☆☆ | 3/5 | |
| Waters of New Castle, the | 0.2 mi | New Castle, IN | ★★★☆☆ | 3/5 | |
| Glen Oaks Health Campus | 3.2 mi | New Castle, IN | ★★★★☆ | 3/5 | |
| Middletown Nursing and Rehabilitation Center | 12.3 mi | Middletown, IN | ★★★★☆ | 3/5 | |
| Waters of Middletown Skilled Nursing Facility, the | 12.7 mi | Middletown, IN | ★★★★☆ | 4/5 | |
| Waters Edge Village | 17.1 mi | Muncie, IN | ★★★★☆ | 3/5 | |
| Waters of Chesterfield Skilled Nursing Facility | 17.3 mi | Chesterfield, IN | ★★★★☆ | 4/5 | |
| Yorktown Manor | 17.4 mi | Yorktown, IN | ★★★★☆ | 4/5 | |
| Cardinal Care Strategies | 17.5 mi | Muncie, IN | ★☆☆☆☆ | 1/5 | abuseSFF |
| Envive of Muncie | 17.7 mi | Muncie, IN | ★★☆☆☆ | 3/5 | |
| Brookside Care Strategies | 17.7 mi | Muncie, IN | —/5 | abuseSFF |
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Facility data as of CMS processing date 2026-08-01. CCN 155089.