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

WILLOW WOODS REHABILITATION AND NURSING

NORTH LIMA, OH · 85 certified beds · Last Life Safety survey April 8, 2026

CMS Certification Number 365708 · first certified January 1988

Ownership

Operated by MORDECHAI WEISZ · For profit - Limited Liability company

  • Ownership changed February 15, 2022 (change of ownership)from ROLLING ACRES CARE CENTER LLC
14
Citations on file
Rolling three-year window
4
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
10
Inspection & testing records
Of the citations on file

Position within OH

14 citations — more than 40% of the 922 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

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 5 citations; the earlier surveys in the window averaged 3. With 4 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens December 2027 — about 14 months from now. This facility’s last Life Safety survey was April 2026. Facilities in OH are typically surveyed 20–32 months after the last one (median 26), measured over 889 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 three years in Maryland. 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 ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

6 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 14 Life Safety citations above. The Physical Environment Index

  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • 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-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

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

This facility14OH median16National median11
Citations on file over three years, compared
MeasureCitations
This facility14
Median facility in OH16
Median facility nationally11

Survey history

Citations at each Life Safety survey
52022-1012024-1232025-0452026-04
Citations at each Life Safety survey
Survey dateCitations
October 6, 20225
December 18, 20241
April 10, 20253
April 8, 20265

Most-cited tags

Most-cited tags at this facility
K-05212K-07001K-03631K-09151K-02221K-03451K-07611K-02911
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.22026-04-08
K-0700Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.12024-12-18
K-0363Install corridor and hallway doors that block smoke.12022-10-06
K-0915Have proper power supply for life support equipment.12026-04-08
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.12025-04-10
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12022-10-06
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12022-10-06
K-0291Install emergency lighting that can last at least 1 1/2 hours.12026-04-08

What the citations cover

Citations by CMS category
  • Miscellaneous Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Services Deficiencies 3
  • Smoke Deficiencies 2
  • Other 2
Citations by CMS category
CategoryCitations
Miscellaneous Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies3
Services Deficiencies3
Smoke Deficiencies2
Egress Deficiencies2

Every citation on file

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

April 8, 2026 — 5 citations

Citations issued on April 8, 2026
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (May 8, 2026)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (May 8, 2026)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (May 8, 2026)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (May 8, 2026)
K-0915Have proper power supply for life support equipment.Deficient, Provider has plan of correction

April 10, 2025 — 3 citations

Citations issued on April 10, 2025
TagWhat the surveyor checksStatus
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (April 22, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 22, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (April 22, 2025)

December 18, 2024 — 1 citation

Citations issued on December 18, 2024
TagWhat the surveyor checksStatus
K-0700Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.Deficient, Provider has date of correction (January 13, 2025)

October 6, 2022 — 5 citations

Citations issued on October 6, 2022
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (November 1, 2022)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (November 1, 2022)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (November 1, 2022)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (November 1, 2022)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (November 1, 2022)

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