Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Willows Center during CMS and state inspections, most recent first.
Surveyors found that PTAC units in three resident rooms were not maintained in a clean and safe condition, with debris and a black-like substance observed in the upper vents of multiple units during a complaint survey. The facility Administrator confirmed these environmental issues, which affected the residents’ right to a safe, clean, comfortable, and homelike environment.
The facility did not submit required five-day follow-up documentation for investigations into suspected abuse and failed to report results to all necessary state agencies. For two residents, investigation files lacked timely follow-up, witness statements, and evidence of proper notification, as confirmed by the administrator.
Multiple allegations of abuse, neglect, and mistreatment were not thoroughly investigated, with missing or incomplete documentation, lack of timely reporting to authorities, and insufficient interviews of staff and residents. Investigations were often inconclusive due to conflicting statements, and required follow-up actions and reports were not consistently completed or documented.
Three residents did not receive scheduled showers or adequate assistance with ADLs as documented in their care plans, with staff and resident interviews confirming missed care and lack of refusals. The DON verified that documentation did not support that showers were provided as scheduled.
Surveyors found that the facility did not serve food and beverages at safe and appetizing temperatures, with milk on a beverage cart measured above FDA guidelines and food tray temperatures not documented. A resident reported that meal preferences were not updated, food was often cold, and meal presentation was poor, with items mixed together on the plate. The Food Service Director confirmed these issues during the survey.
Surveyors identified multiple failures in food storage, preparation, and sanitation, including soiled food delivery carts, missing temperature logs, improperly stored and undated food items, dirty kitchen equipment, and incomplete documentation of sanitizer levels. Additional issues included outdated food, improper trash can use, and food containers placed directly on the floor. Staff confirmed these deficiencies and acknowledged lapses in following proper food safety and sanitation procedures.
A resident receiving hospice care developed multiple pressure ulcers, but the facility did not document timely assessments or ensure that wound care orders were included in the TAR or MAR. The DON confirmed that full assessments and evidence of treatment were lacking for the pressure ulcers and related interventions.
A resident's MPOA was not informed of multiple medical appointments, resulting in the resident being transported and left at appointments without the MPOA's knowledge or presence. The facility acknowledged the communication lapse and confirmed that on one occasion, the resident was left at an appointment without staff present after the van driver became ill.
A resident's MPOA reported grievances about the facility transporting the resident to medical appointments without prior notification and leaving the resident at appointments without ensuring the MPOA was present. The complaints were not logged or investigated according to facility policy, and staff interviews confirmed the lack of documentation and follow-up.
A resident who required supervision during meals, as documented in their care plan and meal ticket, was served a meal without staff supervision. Staff failed to notice or follow the supervision order, and facility policy required that such residents be supervised or not served until assistance was available.
Failure to Maintain Clean and Safe PTAC Units in Resident Rooms
Penalty
Summary
The facility failed to honor residents' right to a safe, clean, comfortable, and homelike environment by not maintaining Packaged Terminal Air Conditioners (PTACs) in good condition in three of five resident rooms reviewed. During a complaint survey with a facility census of 92, the State Agency (SA) observed debris in the upper vent of the PTAC unit in one resident room at approximately 9:15 a.m., debris and a black-like substance in the upper vent of the PTAC unit in a second resident room at approximately 9:18 a.m., and debris in the upper vent of the PTAC unit in a third resident room at approximately 12:30 p.m. The facility Administrator verified these findings during an interview at approximately 1:15 p.m., and the observations were acknowledged by the administrative staff upon exit later that afternoon. No additional clinical information, medical history, or specific conditions of the residents occupying these rooms were provided in the report.
Failure to Timely Report and Document Investigation Results of Suspected Abuse
Penalty
Summary
The facility failed to report the results of investigations into suspected abuse, neglect, or theft within the required time frames to the state survey agency. For one resident, the file for a facility-reported incident was missing the required five-day follow-up documentation, despite the initial report being submitted on time. The file lacked evidence of any attempt to transmit the follow-up to the appropriate authorities, and the only documentation present included undated and unsigned statements, as well as non-disciplinary performance improvement plans with no noted corrections or follow-up actions. For another resident, an allegation of physical abuse was reported, but the investigation file did not contain documentation that the incident was reported to all required state agencies. There were no witness statements from staff or other residents, and no documented five-day follow-up was found. The administrator confirmed during interviews that there was no additional documentation or statements available regarding the incident.
Failure to Thoroughly Investigate and Document Alleged Abuse, Neglect, and Mistreatment
Penalty
Summary
The facility failed to appropriately respond to and thoroughly investigate multiple alleged violations related to abuse, neglect, exploitation, mistreatment, and injuries of unknown source. In several cases, allegations made by residents with intact cognitive status were not promptly or fully investigated, and required documentation such as witness statements, staff interviews, and resident interviews were missing or incomplete. For example, one resident reported being left soiled for four hours and not being assisted with meals, but the investigation lacked statements from staff or other residents who may have had knowledge of the incident. In another case, a resident alleged physical abuse and not receiving a meal tray, but there was no documentation that the incident was reported to all required state agencies, and no witness statements or follow-up documentation were present. Other incidents involved allegations of sexual abuse, neglect related to pressure ulcer development, and being left soiled for extended periods. In these cases, investigations were either delayed, lacked comprehensive interviews, or failed to document actions taken to determine the facts. For instance, a nursing assistant reported concerns about a resident developing a pressure sore, but the investigation concluded with an unsigned note attributing the issue to a communication and technology error, without addressing the specific failures in communication or documentation. In several cases, statements collected were undated, unsigned, or lacked sufficient detail, and follow-up actions such as call light audits were either not performed as described or not documented. Throughout the reviewed incidents, there were repeated failures to collect and document all relevant information, including statements from all staff and residents who may have had knowledge of the events, and to report allegations to the appropriate authorities in a timely manner. Investigations were often deemed inconclusive due to conflicting statements, but no secondary interviews or clarifications were attempted. In some cases, corrective actions or plans to prevent recurrence were not documented, and required follow-up reports were missing from the files. These deficiencies were confirmed by the administrator and DON during interviews, who acknowledged missing documentation and incomplete investigations.
Failure to Provide Scheduled Showers and ADL Assistance
Penalty
Summary
Surveyors identified that the facility failed to provide assistance with activities of daily living (ADLs), specifically showers and personal hygiene, to dependent residents as per their assessed needs and care plans. Three residents were found to have received fewer showers than scheduled, with documentation showing only one or two showers in a 30-day period, despite no refusals being recorded. Residents and their representatives reported that showers were not provided as ordered or preferred, and staff cited insufficient staffing as a reason for not providing showers. Observations confirmed poor personal hygiene, such as oily and uncombed hair, and interviews with the Director of Nursing verified the lack of documentation for scheduled showers. The deficiency was substantiated through resident and MPOA interviews, direct observation of residents' hygiene, and review of ADL documentation. In each case, the residents did not receive the number of showers outlined in their care plans, and there was no evidence that they refused care. The Director of Nursing confirmed the absence of documentation supporting that showers were provided as scheduled for the affected residents.
Failure to Serve Palatable and Properly Tempered Food and Beverages
Penalty
Summary
The facility failed to ensure that food and beverages were served at safe and appetizing temperatures, as well as in a palatable and attractive manner. During the survey, milk on a beverage cart was found to be at 54°F, which is above the FDA food code requirement of 41°F. The Director of Dining acknowledged this temperature violation. Additionally, when asked for food temperatures from the lunch menu, an employee stated that the cook was responsible for recording them on the production sheet, but the cook had not documented any temperatures. This deficiency was observed across four of five hallways tested for milk temperatures and in the food tray temperature for one meal tray tested. A resident reported dissatisfaction with the food, stating that meal preferences had not been updated despite requests made three months prior, and that food was often cold and not served as requested. The resident also noted that meals were sometimes served last, resulting in food running out, and that food items were mixed together on the plate. Observation of the resident's meal confirmed that baked beans were running onto the hamburger bun, and the Food Service Director agreed that the meal presentation was not appropriate. The Food Service Director also confirmed that the resident's meal preferences had not been updated.
Widespread Food Safety and Sanitation Deficiencies in Kitchen and Food Service Areas
Penalty
Summary
Surveyors observed multiple failures in food storage, preparation, distribution, and sanitation practices within the facility's kitchen and food service areas. Food delivery carts were found with food debris and dried substances on their shelves and exteriors. The kitchen walkthrough revealed missing dish machine temperature logs, soiled equipment such as the toaster, knife rack, can opener, and coffee maker, as well as improperly stored and undated food items including margarine, hamburger buns, cake mix, drink mixes, salad, ham, and sugar. Several food containers and packages were left open to air or lacked proper labeling and dating. Trash cans were found without lids, and some lacked liners. Food storage containers and sheet pans were placed directly on the floor, and the meat slicer and mixer bowl were left uncovered when not in use. Wet nesting of food storage container lids was also noted. Outdated food items were present in the walk-in cooler and nourishment room refrigerators, and the fan cover in the walk-in cooler, as well as ceiling vents in the kitchen, were dirty and rusty. Milk on a beverage cart was measured at a temperature above the FDA food code requirement. Further observations included improperly closed dumpster lids, a soiled fan in the dish room, and clean trays placed on the hand-washing sink. Employees were found to be documenting incorrect sanitizer PPM values on the dish machine log, and the three-compartment sink log was incomplete for certain meals. Trash cans in the dish room and near the steam table were missing lids when not in use. Staff interviews confirmed these deficiencies, and staff acknowledged that proper procedures were not followed regarding food safety, sanitation, and documentation.
Failure to Assess and Document Pressure Ulcer Care
Penalty
Summary
The facility failed to assess and treat pressure ulcers according to accepted standards of care for a resident who was admitted and receiving hospice services. Although a nurse practitioner identified a stage II pressure ulcer on the sacrum and provided specific wound care orders, these orders were not included in the resident's Treatment Administration Records (TARs) or Medication Administration Records (MARs) for the relevant months. The first full assessment of the coccyx pressure ulcer was not documented until two days after its identification, and there was no evidence that the prescribed wound care was administered as ordered. Additionally, a subsequent skin check identified a new deep tissue injury to the right heel and a blister to the left scapula, with new treatment orders written for these conditions. However, these orders were also not reflected in the resident's TAR or MAR, and there was no documentation that the treatments, including the application of heel boots, were carried out. The Director of Nursing confirmed the lack of timely assessment and documentation, as well as the absence of evidence that physician orders were followed.
Failure to Notify MPOA of Resident Medical Appointments
Penalty
Summary
The facility failed to inform the Medical Power of Attorney (MPOA) for a resident about scheduled medical appointments. According to interviews and record reviews, the MPOA was not notified of multiple neurology appointments, resulting in the resident being transported to these appointments without the MPOA's knowledge or presence. The MPOA only became aware of the appointments after being contacted by the doctor's office, which expected the MPOA to accompany the resident. This lack of communication occurred on at least three separate occasions. Additionally, documentation confirmed that the resident was transported to appointments with staff present, but on one occasion, the van driver became ill and left the resident at the appointment after notifying the facility. The facility's Corporate Coordinator acknowledged that the MPOA should have been notified and that the resident was left at the appointment without staff present. No information or statements were available regarding staff presence for one of the incidents.
Failure to Process and Investigate Resident Grievance Regarding Transportation
Penalty
Summary
The facility failed to process and investigate a grievance reported by a resident's MPOA regarding transportation to medical appointments. The MPOA stated that the resident was transported to appointments on multiple occasions without prior notification, and on two specific dates, the van driver dropped the resident off without ensuring the MPOA was present. The MPOA reported these concerns directly to the facility's Director of Nursing. However, a review of the facility's grievance log and records revealed that no grievances or complaints from the MPOA were logged for the relevant dates, and there was no completed grievance form or investigation documented. Further review of progress notes and appointment logs confirmed that the resident was transported to appointments on the dates in question, with staff present according to the notes. During staff interviews, the Corporate Coordinator acknowledged that the grievances were not logged and that the facility could not provide documentation of a completed investigation. Additionally, the van driver reported becoming ill and leaving the resident at an appointment on one occasion, but no information was available for the other incident. The facility's actions did not align with its grievance policy, which requires oversight, investigation, and written decisions for reported grievances.
Failure to Provide Required Mealtime Supervision
Penalty
Summary
A deficiency occurred when a resident who required supervision during mealtimes, as indicated in both the care plan and meal ticket, was served a meal without the necessary staff supervision. During a meal observation, an employee set up the resident's tray and drink but left the room, failing to remain and supervise the resident as required. Review of facility policy confirmed that staff are to sit with or supervise residents needing assistance during meals, or not deliver the tray until assistance is available. Staff interviews revealed that the employee who delivered the meal did not notice the supervision requirement on the meal ticket, and another staff member acknowledged that the resident should have been supervised during the meal.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 96 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Parkersburg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Parkersburg Center | 1.4 mi | — | 34 | 1 |
| Eagle Pointe Healthcare Center | 2.6 mi | — | 2 | 0 |
| Belpre Landing Nursing And Rehabilitation | 2.8 mi | — | 7 | 0 |
| Rockland Ridge Nursing & Rehabilitation Center | 3 mi | — | 3 | 0 |
| Worthington Healthcare Center | 3.7 mi | — | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Willows Center.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.