Willow Knoll Post-Acute and Senior Living: Staffing, Turnover, and Inspection Record
Willow Knoll Post-Acute and Senior Living is a 58-bed for-profit nursing home in Middletown, Ohio, part of Pacs Group. In the CMS August 2026 release it reported 1.97 nurse aide hours per resident per day, 6% below the Ohio average of 2.09, and 40.8% nursing staff turnover (Ohio average 48.7%).
Willow Knoll Post-Acute and Senior Living
4400 Vannest AvenueMiddletown, OH 45042
Butler County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Willow Knoll Post-Acute and Senior Living, nurse aides logged 1.97 hours per resident per day, 6% below the Ohio average. With about 55 residents a day, that works out to roughly 107 aide hours a day, or about 13 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 15% below the all-days figure.
CMS note: The facility reported a high number of days without a registered nurse on site.
| Hours per resident per day | This home | Ohio avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.97 | 2.09 | 2.32 |
| Licensed practical nurses | 1.27 | 0.95 | 0.86 |
| Registered nurses | 0.17 | 0.64 | 0.69 |
| All nursing staff | 3.41 | 3.69 | 3.86 |
| All nursing staff, weekends | 2.89 | 3.28 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
40.8% of nursing staff at Willow Knoll Post-Acute and Senior Living left over the year CMS measured, against a Ohio average of 48.7% and a US average of 45.8%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Dec 5, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 3 health deficiencies (Ohio average 10.7). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Willow Knoll Post-Acute and Senior Living holds 3 of 5 overall; the Ohio average is 3.2.
About Willow Knoll Post-Acute and Senior Living
- Ownership: For profit - Limited Liability company
- Chain: Pacs Group, 274 homes
- Legal name: Middletown Post Acute LLC
- Medicare and Medicaid certified since: Feb 8, 1985
- Part of a continuing care retirement community
- Councils: resident council
- Area: urban
Nursing homes near Willow Knoll Post-Acute and Senior Living
The closest homes by distance, with the same CMS figures. Select a column to sort.
| The Laurels of Middletown Middletown | 2.7 | 109 | 2.10 | 3.59 | 52.9% | 4 | None |
| Momentous Health at Franklin Franklin | 3.2 | 79 | 2.09 | 3.23 | 51.8% | 1 | None |
| Carlisle Manor Health Care Inc Carlisle | 3.3 | 48 | 1.87 | 3.13 | 52.0% | 4 | None |
| Otterbein Middletown Franklin | 3.5 | 60 | 2.79 | 4.19 | 28.0% | 4 | None |
| Arlington Pointe Care Center Middletown | 4.1 | 107 | 1.99 | 3.67 | 48.4% | 4 | None |
| Astoria Health & Rehab Center Germantown | 5.9 | 50 | 1.88 | 3.17 | 44.4% | 5 | None |
| Majestic Care of Middletown LLC Middletown | 6.1 | 200 | 1.81 | 3.43 | 45.3% | 2 | $108,164 |
| Ohio Living Mount Pleasant Monroe | 6.4 | 32 | 1.42 | 4.08 | 30.0% | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.