Willows of Richmond
2070 Chester Blvd, Richmond, IN 47374 · Wayne County · 87 certified beds · avg 62 residents/day · certified since Jan 1, 1984
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · 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.
All citations in the current public record (21)
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 |
|---|---|---|
| Oct 15, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint |
| May 30, 2025 | F · Potential for harm, facility-wide | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| May 30, 2025 | 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. |
| May 30, 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. |
| May 30, 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. |
| May 30, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jan 3, 2025 | 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. · from a complaint |
| Jun 18, 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. · from a complaint |
| Apr 19, 2024 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Apr 19, 2024 | D · Potential for harm, one-off | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Apr 19, 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. |
| Apr 19, 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. |
| Apr 19, 2024 | 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. |
| Jan 18, 2024 | 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. · from a complaint |
| Jan 18, 2024 | F · Potential for harm, facility-wide | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint |
| Jan 18, 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. · from a complaint |
| Jan 18, 2024 | D · Potential for harm, one-off | The facility did not dispose of garbage and refuse properly. · from a complaint |
| Mar 17, 2023 | 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. |
| Mar 17, 2023 | 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 17, 2023 | D · Potential for harm, one-off | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Mar 17, 2023 | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | D |
| 2024 | 10 | 0 | F |
| 2025 | 7 | 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) | 2.56 | 3.42 | 3.95 | bottom 5% in Indiana; bottom 4% in the U.S. |
| Registered Nurse hours | 0.28 | 0.62 | 0.69 | bottom 4% in Indiana; bottom 8% in the U.S. |
| Weekend total nurse staffing | 1.98 | 3.01 | 3.50 | bottom 1% in Indiana; bottom 2% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.28 | 0.47 | 0.48 | bottom 19% in Indiana; bottom 28% in the U.S. |
| Total nursing staff turnover (%) | 35.8 | 45.9 | 45.8 | top 19% in Indiana; top 26% in the U.S. |
| RN turnover (%) | 20.0 | 40.4 | 42.9 | top 14% in Indiana; top 13% 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 3.16, RN 0.35, weekend 2.45. Staffing rating: 2/5.
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: 4/5 · short-stay residents: 1/5
Who owns this facility
Government - County
| 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 |
| Goodwin, Merry | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/03/2018 |
| Goodwin, Merry | Individual | ADP of the SNF | NOT APPLICABLE | 09/03/2018 |
| Pidgeon, John | Individual | Corporate Director | NOT APPLICABLE | 01/01/2012 |
| Reis, James | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2023 |
| Reis, James | Individual | ADP of the SNF | NOT APPLICABLE | 07/31/2023 |
| Richmond in Operating Company, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2023 |
| Richmond in Operating Company, LLC | Organization | 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.
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "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 |
|---|---|---|---|---|---|
| Rosebud Village | 0.0 mi | Richmond, IN | ★★★☆☆ | 3/5 | |
| Springs of Richmond, the | 0.5 mi | Richmond, IN | ★★★☆☆ | 2/5 | |
| Brickyard Healthcare - Richmond Care Center | 2.7 mi | Richmond, IN | ★☆☆☆☆ | 1/5 | abuse |
| Forest Park Health Campus | 3.4 mi | Richmond, IN | ★★★☆☆ | 3/5 | |
| Arbor Trace Health & Living Community | 3.8 mi | Richmond, IN | ★★★★★ | 4/5 | |
| Brickyard Healthcare - Golden Rule Care Center | 4.4 mi | Richmond, IN | ★☆☆☆☆ | 1/5 | abuse |
| Ambassador Healthcare | 5.8 mi | Centerville, IN | ★★☆☆☆ | 2/5 | |
| Vancrest Health Care Center of Eaton | 14.5 mi | Eaton, OH | ★★★☆☆ | 3/5 | |
| Greenbriar Nursing Center | 14.8 mi | Eaton, OH | ★★★★★ | 4/5 | |
| Envive of Liberty | 15.7 mi | Liberty, IN | ★☆☆☆☆ | 2/5 | |
| Maple Gardens Rehabilitiation and Nursing Center | 16.0 mi | Eaton, OH | ★★★★☆ | 4/5 | |
| Hickory Creek at Connersville | 18.7 mi | Connersville, IN | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 155228.