Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

WILLOW RIDGE OF MENNONITE HOME COMMUNITIES OF OHIO

BLUFFTON, OH · 20 certified beds · Last Life Safety survey July 23, 2026

CMS Certification Number 366402 · first certified March 2013

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Church related

No change of ownership on CMS record since January 1, 2016, when the records begin.

11
Citations on file
CMS's current file
3
Life Safety surveys
CMS's current file
1
Tags cited more than once
Across separate surveys
10
Inspection & testing records
Of the citations on file

Position within OH

11 citations — more than 28% of the 924 certified nursing homes in OH. Compared within OH rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in CMS's current file.

The latest survey found 4 citations; the earlier surveys on file averaged 3.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens February 2028 — about 16 months from now. This facility’s last Life Safety survey was July 2026. Facilities in OH are typically surveyed 19–32 months after the last one (median 26), measured over 985 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to about three years in Virginia. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities cited for sprinkler inspection and testing in CMS’s current file are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 11 Life Safety citations above. The Physical Environment Index

  • F-0584 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.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations in CMS's current file

Compared with the median facility in OH, and nationally. Surveyors differ markedly between states, so the OH figure is the meaningful one.

This facility11OH median16National median11
Citations in CMS's current file, compared
MeasureCitations
This facility11
Median facility in OH16
Median facility nationally11

Survey history

Citations at each Life Safety survey
32022-0142024-0742026-07
Citations at each Life Safety survey
Survey dateCitations
January 25, 20223
July 11, 20244
July 23, 20264

Most-cited tags

Most-cited tags at this facility
K-03632K-09181K-07121K-05111K-07611K-03451K-09231K-02911
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0363Install corridor and hallway doors that block smoke.22026-07-23
K-0918Have generator or other power source capable of supplying service within 10 seconds.12024-07-11
K-0712Have simulated fire drills held at unexpected times.12026-07-23
K-0511Have properly installed electrical wiring and gas equipment.12026-07-23
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12022-01-25
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12024-07-11
K-0923Have proper medical gas storage and administration areas.12022-01-25
K-0291Install emergency lighting that can last at least 1 1/2 hours.12022-01-25

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Egress Deficiencies 2
  • Miscellaneous Deficiencies 2
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies2
Egress Deficiencies2
Miscellaneous Deficiencies2
Services Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

July 23, 2026 — 4 citations

Citations issued on July 23, 2026
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (August 14, 2026)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (August 14, 2026)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (August 14, 2026)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (August 14, 2026)

July 11, 2024 — 4 citations

Citations issued on July 11, 2024
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (July 27, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 27, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (July 27, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (July 27, 2024)

January 25, 2022 — 3 citations

Citations issued on January 25, 2022
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (February 16, 2022)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (February 16, 2022)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (February 16, 2022)

Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.