Deficiency Index

Willow Ridge of Mennonite Home Communities of Ohio

Bluffton, Ohio · CCN 366402

6 surveys since 2015. The first finding at harm level was recorded in 2022.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
34
Surveys
6
Harm or worse
1
Immediate jeopardy
0
The record, 2015–2026
’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file3/6

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
20
Ownership
Non profit - Church related
Chain
Independent
County
Allen
Medicare-certified since
2013

CMS ratings

Overall
5
Health inspection
4
Staffing
5
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 67 not-for-profit facilities with fewer than 66 beds in Ohio.

Last survey on record

Jul 11, 2024

851 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day5.304.41
Registered-nurse hours per resident day0.85—
Annual nurse turnover32.3%50.8%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG14.3%H—I—
No harm, potential for more than minimalD1878.3%E313.0%F14.3%
No harm, potential for minimalA—B—C—
CMS’s current file: 23 of the 34 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6573×

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

  • F6562×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6842×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F6882×

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

  • F8122×

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

In the surveyor’s words

From the most serious findings on record at Willow Ridge of Mennonite Home Communities of Ohio, in the surveyor’s own words.

  • Actual harm, isolatedF684Jan 25, 2022

    Based on observation, medical record review, staff interview, and review of facility policy, the facility failed to obtain and evaluate appropriate treatment, and removed an old dressing in a manner to prevent pain and tissue damage for one (#14) resident. This resulted in actual harm when Resident #14's ordered dressing was adhering to her open wound and was removed by the nurse without any interventions to loosen the dressing before removal. Resident #14 was noted to squeeze her eyes shut, grimace, tense her upper body, grab hold of the armrest with her hand, and pull her leg away when the dressing was removed. The wound was noted to be opened and actively bleeding following the immediate removal of the adhering dressing. […]

  • No harm, potential for more than minimal, widespreadF812Jul 23, 2026

    Based on observation, review of dishwasher temperature records, staff interview, and facility policy review, the facility failed to ensure dishwasher temperature monitoring was completed as required and failed to ensure open food items were properly dated to prevent spoilage. This had the potential to affected all 16 residents residing in the facility. The facility census was 16.Findings include:1. Review of the dishwasher temperature records in the [NAME] House on 07/20/26 at 9:52 A.M. revealed no rinse cycle temperatures were recorded on 07/17/26 for breakfast and lunch, and no temperatures were recorded for dinner on 07/17/26. Additionally, no dishwasher temperatures were documented for breakfast, lunch, or supper on 07/18/26 and 07/19/26.Interview on 07/20/26 at 9:52 A.M. […]

  • No harm, potential for more than minimal, widespreadF880Jan 25, 2022

    Based on observation and staff interview, the facility failed to prevent possible transmission of COVID-19 infection by failing to ensure the thermometer used for screening was properly disinfected between use by different persons. This had the potential to affect all 18 residents in the facility. The facility census was 18. Findings include: Observations on 01/18/22 through 01/22/22 revealed surveyors had to self screen upon entrance into the facility on a sheet of paper. The surveyors used a hand held thermometer to obtain their temperatures upon entrance. The facility staff did not disinfect thermometer between uses nor was there disinfectant available to disinfect the thermometer between uses. Interview on 01/19/22 at 2:40 P.M. […]

  • No harm, potential for more than minimal, patternF565Jul 23, 2026

    Based on review of Resident Council minutes, resident and staff interview, and policy review, the facility failed to provide timely follow up to concerns brought forth by residents. This had the potential to affect all 11 (#1, #2, #3, #4, #6, #7, #9, #11, #12, #14, and #17) residents who attended Resident Council meetings. The facility census was 16. Findings include:Review of resident gathering meeting minutes dated 08/26/25 revealed Resident #1 wanted to know the cost of toenails to be trimmed.Review of resident gathering meeting minutes dated 09/22/25 revealed Resident #1 wanted to swim at the assisted living facility, and Resident #2 would like cards or dominos and the card game, UNO.Review of resident gathering meeting minutes dated 10/20/25 revealed Resident #2 would rather play UNO… […]

  • No harm, potential for more than minimal, patternF584Jul 23, 2026

    Based on observation, resident and staff interview, and facility policy review, the facility failed to maintain a comfortable and homelike environment. This had the potential affected five (#1, #5, #9, #12, and #17) out of eight residents that eat in the dining area at the [NAME] House of the facility. The census was 16.Findings include:Observation and interview on 07/20/26 at 7:45 A.M. revealed Resident #17 was observed sitting at the dining table wearing a sweater with a blanket on her lap. During interview, Resident #17 felt, cold to the bone. Interview on 07/20/26 at 8:02 A.M. […]

Read 20 findings in full →The most serious and the most recent: 20 of 34 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 23, 2026Standard9 findings
  • Jul 11, 2024Standard8 findings
  • Jan 25, 2022Standard7 findings · 1 harm
  • May 2, 2019Standard8 findings
  • Feb 4, 2017Standard1 finding
  • Feb 12, 2015Standard1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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