B90

CHERITH CARE CENTER AT WILLOW BROOK

Grade B 90/100 composite score

Non profit - Church related

CMS Star Ratings

Overall
5/5
Health Insp.
4/5
Quality
5/5
Staffing
4/5
RN Staffing
Not rated

Certified Beds

34

Ownership

Non profit - Church related

Total Fines

None

Last Survey

N/A

100 WILLOW BROOK WAY, SOUTH, DELAWARE, OH 43015
7403690048

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.87h
LPN
0.89h
CNA
3.15h
Total
4.91h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

KETRON, NICOLE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2005

MCKNIGHT, MATTHEW

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2023

POULSON, THOMAS

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jun 2010

BARTH, PHIL

IndividualCORPORATE DIRECTORSince Jan 2005

DAVIS, BRANDI

IndividualCORPORATE DIRECTORSince Jan 2024

DULGAR, JASON

IndividualCORPORATE DIRECTORSince Nov 2023

IRWIN, TERRY

IndividualCORPORATE DIRECTORSince Jan 2005

JOHNSON, KIM

IndividualCORPORATE DIRECTORSince Nov 2019

JOHNSON, WILLIAM

IndividualCORPORATE DIRECTORSince Nov 2019

LONGO, SCOTT

IndividualCORPORATE DIRECTORSince Mar 2007

MARCH, JUDY

IndividualCORPORATE DIRECTORSince Aug 2017

MCKENNA, BLYTHE

IndividualCORPORATE DIRECTORSince Jan 2025

PICKENS, ROGER

IndividualCORPORATE DIRECTORSince Nov 2012

SARKEL, ED

IndividualCORPORATE DIRECTORSince May 2019

SLINGLUFF, DANA

IndividualCORPORATE DIRECTORSince Mar 2023

SUSENNA, KAREN

IndividualCORPORATE DIRECTORSince Nov 2017

TIDWELL, PEGGY

IndividualCORPORATE DIRECTORSince Mar 2013

MCKNIGHT, MATTHEW

IndividualCORPORATE OFFICERSince Jan 2023

POULSON, THOMAS

IndividualCORPORATE OFFICERSince Jun 2010

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (14)

May 28, 2025Health8 deficiencies
0582DMinimal harm, Isolated

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Resident Rights Deficiencies

Corrected Jun 15, 2025
0686DMinimal harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Jun 15, 2025
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Jun 15, 2025
0690DMinimal harm, Isolated

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected Jun 15, 2025
0727FMinimal harm, Widespread

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Nursing and Physician Services Deficiencies

Corrected Jun 15, 2025
0756DMinimal harm, Isolated

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies

Corrected Jun 15, 2025
0842DMinimal harm, Isolated

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Jun 15, 2025
0883DMinimal harm, Isolated

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Infection Control Deficiencies

Corrected Jun 15, 2025
May 4, 2023Health4 deficiencies
0756DMinimal harm, Isolated

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies

Corrected May 25, 2023
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected May 25, 2023
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected May 25, 2023
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected May 25, 2023
October 17, 2019Health2 deficiencies
0578DMinimal harm, Isolated

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Resident Rights Deficiencies

Corrected Dec 1, 2019
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Dec 1, 2019

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Frequently Asked Questions

What is the CareGrader rating for CHERITH CARE CENTER AT WILLOW BROOK?

CHERITH CARE CENTER AT WILLOW BROOK in DELAWARE, Ohio has a CareGrader grade of B (Good), with a composite score of 89.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for CHERITH CARE CENTER AT WILLOW BROOK?

CHERITH CARE CENTER AT WILLOW BROOK has an overall CMS star rating of 5 out of 5, a health inspection rating of 4/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does CHERITH CARE CENTER AT WILLOW BROOK have?

CHERITH CARE CENTER AT WILLOW BROOK has 14 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does CHERITH CARE CENTER AT WILLOW BROOK have?

CHERITH CARE CENTER AT WILLOW BROOK has 34 certified beds with approximately 30 current residents (88% occupancy). The facility is located at 100 WILLOW BROOK WAY, SOUTH, DELAWARE, Ohio 43015. It is a non profit - church related facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.