Willows Of Richmond

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Met the expected recovery: 30.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 20 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.22 therapist hours per resident per day in 2026Q1 — more than 26% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 18% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 87 beds and averages 62.3 residents a day — about 72% occupied, or roughly 25 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.16 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.35 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.98 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.45 hrs/resident/day on weekends vs 3.45 on weekdays — 29% thinner on weekends — a notable drop. RN hours go from 0.37 to 0.28 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 36% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are unchanged from the previous inspection. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

• Potential for harm · D2025-10-15 · tag F0585 — failed to handle grievances — isolated
  Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to assure a grievance was forwarded to the grievance official for a lost item for 1 of 4 residents reviewed for grievances.(Resident B) Findings include:The clinical record for Resident B was reviewed on 10/14/25 at 1:30 p.m. The diagnoses included, but were not limited to, hypertension and flaccid hemiplegia ( a condition where one side of the body experiences weakness and loss of muscle tone).The Annual Minimum Data Set (MDS) assessment, dated 9/5/25, indicated Resident B was cognitively intact.During an interview with Resident B, on 10/14/25 at 2:05 p.m., the resident indicated they had lost their cell phone a couple of months ago. The resident had told nursing staff about the lost phone, but no one had ever followed up with her about it. Resident B indicated she would have to go to the nurse's station to make or receive any phone calls.During an interview with Certified Nursing Assistant (CNA) 2 on 10/14/25 at 2:18 p.m. CNA 2 indicated Resident B did have a cell phone (flip phone) that she would use and a couple of months…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-05-30 · tag F0921 — failed to keep a safe, functional, sanitary building — widespread
  Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to maintain the kitchen in a sanitary manner with a black substance on the walls lining the dish sink and failed to ensure the walk-in freezer was maintained from ice buildup. This had the potential to affect 49 of 51 residents who consumed food from the kitchen. (Facility) Findings include: During a tour of the kitchen with the Dietary Manager (DM) on 5/27/25 at 11:30 a.m., a black substance was noted all along the dish sink area beside the dishwasher. The black substance lined the entire length of the sink, and some were also noted underneath the soap dispenser on the wall above the sink area. The DM indicated the black substance had been behind the sink area for about two weeks and she was waiting for maintenance to clean and re-caulk the area. During an observation of the walk-in freezer, there was an ice buildup lining the ceiling, walls, fans, floor, bags of food, and door handle. The DM indicated they recently fixed the motor on one of the fans in the freezer. So, before it was fixed, there was water condensation built…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-30 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
  Reasonably accommodate the needs and preferences of each resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure availability of fluids at the bedside for 1 of 1 resident reviewed for accommodation of needs. (Resident 35) Findings include: The clinical record for Resident 35 was reviewed on 5/28/25 at 11:45 a.m. The diagnoses included, but were not limited to, dementia and protein-calorie malnutrition. During an observation on 5/27/25 at 1:54 p.m., Resident 35 was lying in bed with no water available at the bedside. During an observation on 5/28/25 at 9:54 a.m., Resident 35 had an empty clear cup at the bedside. No water was available at the bedside. During an observation on 5/28/25 at 1:19 p.m., Resident 35 was lying in bed with no fluids at the bedside. During an observation on 5/29/25 at 9:01 a.m. and 1:30 p.m., Resident 35 did not have any fluids available at the bedside. An Annual Minimum Data Set (MDS) assessment, dated 4/22/25, indicated Resident 35 was severely cognitively impaired and required partial/moderate assistance with using suitable utensils to bring food and/or liquid to the mouth and swallow.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-30 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to provide assistance with eating for 1 of 3 residents reviewed for activities of daily living (ADLs). (Resident 35) Findings include: The clinical record for Resident 35 was reviewed on 5/28/25 at 11:45 a.m. The diagnoses included, but were not limited to, dementia and protein-calorie malnutrition. During an observation on 5/27/25 at 12:45 p.m., Resident 35 was lying in bed sleeping with a full lunch tray sitting in front of her. During an observation on 5/27/25 at 1:25 p.m., Resident 35 continued to lay in bed asleep throughout lunch with a full lunch tray sitting in front of her. No staff were in to assist Resident 35 with eating. During an observation on 5/28/25 at 11:55 a.m., Resident 35 had food sitting in front of her while lying in bed. She was pouring lemonade onto her lunch tray and appeared confused about what to do with the eating utensils. No staff members were in to assist Resident 35 with eating. During an observation on 5/29/25 at 12:00 p.m., Resident 35 was sitting up in bed, attempting to feed…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-30 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to timely address a resident's documented medication allergy for 1 of 1 resident whose medications were reviewed for allergies. (Resident 40) Findings include: The clinical record for Resident 40 was reviewed on 5/27/25 at 12:55 p.m. Her diagnoses included, but were not limited to, congestive heart failure. The 4/15/25 Quarterly MDS (Minimum Data Set) assessment indicated she was moderately, cognitively impaired. An interview was conducted with Resident 40 on 5/27/25 at 1:00 p.m. She indicated she could not take Tylenol (acetaminophen) because it made her legs swell. She was allergic to it, but the facility gave it to her anyway. The 11/9/24 hospital discharge note indicated she was allergic to Tylenol with a reaction of swelling. The 11/9/24 hospital discharge medication list indicated to stop taking acetaminophen 325 milligrams (mg) tablet. The facility physician's orders indicated an order for acetaminophen tablet 325 mg, two tablets every six hours as…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-30 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure a resident had an oxygen order for 1 of 2 residents reviewed for respiratory care. (Resident 28) Findings include: The clinical record for Resident 28 was reviewed on 5/28/25 at 11:49 a.m. The diagnoses included, but were not limited to, congestive heart failure and chronic obstructive pulmonary disease (COPD). A Quarterly Minimum Data Set (MDS) assessment, dated 5/1/25, indicated Resident 28 was cognitively intact for daily decision making. During an observation of Resident 28 on 5/28/25 at 9:15 a.m., he was sitting on the edge of his bed with his oxygen tubing laying on the bed beside him and the oxygen concentrator was located beside the bed. During an interview with Resident 28 on 5/28/25 at 12:15 p.m., he indicated he wore his oxygen at bedtime. The oxygen concentrator continued to be at the bedside. During an observation on 5/29/25 at 8:40 a.m., Resident 28's oxygen machine continued to be at the bedside. An order summary report provided by the Administrator, on 5/30/25 at 10:15 a.m., indicated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-03 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure 1 of 3 residents reviewed for accuracy of medication receipt, received their medications as ordered by the physician. (Resident F) Findings include: On 1-2-25 at 4:30 p.m., the facility notified the Indiana Department of Health's (IDOH) Long Term Care Division of a medication error related to Resident F. This notification indicated Resident F was admitted to the facility on [DATE] with a 7-day order for her to receive Xanax (an anti-anxiety agent) 2 milligrams (mg) twice daily, to end on 12-7-24. Resident F returned to the hospital on [DATE] and returned to the facility on [DATE] with an order to continue the Xanax at the same dosage of 2 mg twice daily. Medication not restarted upon return date due to prior stop date. A review of Resident F's hospital discharge instructions, dated [DATE], indicated she was to continue taking alprazolam [Xanax] 1 mg: two tablets twice daily for 14 doses. It indicated she had received the most recent dose at the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-06-18 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to maintain resident records that were accurately documented for each resident's oral hygiene and meal intakes for 3 of 3 residents reviewed for Activities of Daily Living (ADL's), specific to meal intakes and oral hygiene. (Residents B, C and D) Findings include: 1.a. The clinical record of Resident B was reviewed on 6-1-24 at 9:32 a.m. Her diagnoses included, but were not limited to, high blood pressure, age-related debility, lung cancer, a history of bladder cancer and pulmonary emboli (blood clots in the lungs) and chronic pain syndrome. It indicated she did not leave the facility during her admission, until her death on 5-28-24. A review of her meal intakes indicated the facility utilized an electronic health record (EHR) to document the meal intakes for Resident B. The documentation for May 1, through 28, 2024, indicated the following dates and meals were undocumented, as represented by a blank block in the EHR: -5-2-24: dinner. -5-9-24: dinner. -5-14-24: dinner. The documentation for May 1, through 28, 2024, for meal…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-04-19 · tag F0641 — pattern
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record, the facility failed to accurately encode the smoking status/tobacco use of Resident 30, the date of contraindication of a gradual dose reduction (GDR) for Resident 41's antipsychotic medications, the 6 month or less prognosis for Resident 50, the planned status of a discharge for Resident 51, and the utilization of non-invasive mechanical ventilation for Resident 103. This deficient practice affected 5 of 19 residents reviewed for Minimum Data Set (MDS) accuracy. Findings include: 1. The clinical record for Resident 30 was reviewed on 4/18/2024 at 11:04 a.m. The medical diagnosis included chronic obstructive pulmonary disease. An Annual MDS Assessment, dated 2/1/2024, indicated that Resident 30 did not utilize tobacco products. A smoking care plan, dated 1/7/2020, indicated that Resident 30 is a smoker. An interview with the MDS Coordinator on 4/17/2024 at 2:01 p.m. indicated that Resident 30 was a smoker. Upon review of the assessment, she indicated she would enter a modification…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-04-19 · tag F0640 — isolated
  Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
  What the surveyor found here — the official record, unedited, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to timely complete and entry tracking record for 1 of 19 residents reviewed for MDS (Minimum Data Set) timeliness. (Resident 154) Findings include: The clinical record for Resident 154 was reviewed on 4/17/2024 at 11:25 a.m. Resident 154 was admitted on [DATE] with a medical diagnosis of cerebrovascular disease. Review of the clinical record indicated no MDS assessment or entry tracking record was completed for Resident 154. An interview with the MDS Coordinator on 4/17/2024 at 2:00 p.m. indicated that no entry tracking record was completed for Resident 154, and she would complete one immediately. She confirmed this entry tracking record would be late with the latest anticipated date of completion as 4/9/2024. A policy entitled, MDS 3.0 Completion, was provided by the ADON on 4/18/2024 at 1:33 p.m. The policy indicated for entry tracking to be completed and submitted .with every entry into the facility no later than the entry date + 7 calendar days .

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 14 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted.

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 87% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.2M paid to related parties — landlords or management companies under common ownership — equal to about 23% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IN