Willows At Bellevue

Location & what’s nearby

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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.

62.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 203 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 66.4% 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 107 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 0.57 therapist hours per resident per day in 2026Q1 — more than 86% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 14% 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 60 beds and averages 56.8 residents a day — about 95% occupied, or roughly 3 beds typically open. It runs fairly full. 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 3.79 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.20 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.74 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 3.31 hrs/resident/day on weekends vs 3.99 on weekdays — 17% thinner on weekends. RN hours go from 1.40 to 0.72 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 41% is about the same as 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 fewer than at the previous inspection — improving. 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.

15 citations, most serious first. The 10 most serious are shown; the remaining 5 are one tap away and print in full.

• Potential for harm · F2025-04-10 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview, and review of the facility policies, the facility failed to ensure food items stored in unit refrigerators were labeled and dated and further failed to ensure unit refrigerators did not contain expired food items. This had the potential to affect all 57 residents who received food from the kitchen. The facility census was 57. Findings include: Observation beginning on 04/07/25 at approximately 5:38 P.M. of the unit refrigerator located centrally between all resident units hallways with Registered Nurse (RN) #396 revealed the following concerns: In the refrigerator, there was one plastic container containing prunes which was dated 03/29/25, one plastic container containing potato soup which was dated 03/30/25, one plastic container containing grapefruit which was labeled 03/30/25, one container of prunes which was dated 03/31/25, one undated disposable container from a restaurant which contained fried chicken, two containers of pudding which expired in August 2024, and one unlabeled and undated container of cottage cheese which had been opened.…

  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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-04-10 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observation, staff interview, and review of facility policy, the facility failed to ensure call lights were within reach. This affected two (#11 and #33) of two residents reviewed for call lights. The facility census was 57. Findings include: 1. Review of the medical record for Resident #11 revealed diagnoses including encephalopathy, myocardial infarction, stage four chronic kidney disease, venous insufficiency, anxiety, bipolar disorder, depression, schizoaffective disorder, left knee effusion, history of falling, chronic pain, weakness, lymphedema, cardiac pacemaker, atrial fibrillation, communication deficit, and mild cognitive impairment. Review of the quarterly Minimum Data Set 3.0 (MDS) assessment dated [DATE] for Resident #11 revealed she was a fall risk, had mild cognitive impairment, used a wheelchair, required supervision with transfers, and required assistance with toileting. Observation on 04/07/25 at 9:46 A.M. of Resident #11's room revealed she was unable to see or…

  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 before2025-04-10 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observation, resident interview, staff interview, and review of the facility policy, the facility failed to ensure Resident #205 received oxygen at the correct rate as prescribed by the physician. This affected one (Resident #205) of one resident reviewed for respiratory care. The facility census was 57. Findings include: Review of the medical record revealed Resident #205 was admitted to the facility on [DATE]. Diagnoses included acute respiratory failure with hypoxia, acute kidney failure, heart failure, chronic kidney disease, chronic venous insufficiency (peripheral), type II diabetes mellitus, obstructive sleep apnea, dyspnea, hypoxemia, and weakness. Review of the admission Minimum Data Set assessment dated [DATE] identified Resident #205 was cognitively intact. The resident required some level of staff assistance for all activities of daily living and also received oxygen therapy. Review of the active physician orders for April 2025 identified an order dated 03/27/25 for…

  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 · D2023-02-02 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  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 observations, medical record review, staff interview and review of facility policy, the facility failed to complete an assessment for self-medication administration for one (#28) of one resident reviewed for self-administration of medication. The facility census was 53. Findings include: Review of the medical record revealed Resident #28 admitted to facility on 06/15/22. Diagnoses included dry eye syndrome of unspecified lacrimal gland. Review of Minimum Data Set assessment (MDS) dated [DATE] revealed Resident #28 had moderately impaired cognition. Review of the current physician orders revealed Resident #28's medications included Gen Teal Tears moderate artificial tear over the counter eye drop to be used twice daily in the morning and evening. There was no order for the resident to self administer any medications. Observations on 01/31/23 at 2:00 P.M. revealed two green boxes that contained over the counter lubricating eye drops at the Resident #28's bedside. Interview with Resident #28 on 01/31/23 at…

  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 · D2023-02-02 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on medical record review, staff interview, and review of facility policy, the facility failed to provide timely physician and resident representative notification of changes in condition. This affected one (#31) of two residents reviewed for notification of change. The facility census was 53. Findings include: 1. Review of Resident #31's medical record revealed an admission date of 03/09/22. Diagnoses included type II diabetes, dementia, hypertensive chronic kidney disease, atrial fibrillation, other symptoms and signs concerning food and fluid intake, weakness and metabolic encephalopathy. Review of the annual Minimum Data Set (MDS) assessment, dated 01/12/23, revealed Resident #31 was moderately cognitively impaired, required limited assistance with activities of daily living (ADLs), supervision for eating and experienced a significant weight loss and was not on physician prescribed weight loss program. Review of a plan of care focus area, initiated 01/13/23, revealed Resident #31 experienced a significant weight loss. Interventions included provide diet, supplements,…

  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 · D2023-02-02 · 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, medical record review, family interview and staff interview, the facility failed to ensure dependent residents were provided assistance with shaving. This affected one (#16) of four residents reviewed for activities of daily living (ADLs). The facility census was 53. Findings include: Review of Resident #16's medical record revealed an admission date of 03/27/19. Diagnoses included vascular dementia, type II diabetes, chronic kidney disease, macular degeneration, hypertension, depressive disorder and muscle weakness. Review of the quarterly Minimum Data Set (MDS) assessment, dated 01/01/23, revealed Resident #16 was severely cognitively impaired and required limited one person assistance with personal hygiene. Review of a plan of care focus area, reviewed 01/05/23, revealed Resident #16 required staff assistance to complete activities of daily living (ADLs) completely and safely related to cerebrovascular disease, dementia, vision, medications and weakness and Resident #16 would have ADLs met safely by staff assistance. Observation on 01/30/23 at 11:28 A.M.…

  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 before2023-02-02 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  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 observations, medical record review, staff interview, and review of facility policy, the facility failed to implement fall interventions as care planned and per physician orders. This affected one (Resident #9) of two residents reviewed for falls. The facility census was 53. Findings include: Review of the medical record revealed Resident #9 admitted to the facility on [DATE]. Diagnoses included memory deficit following cerebral infarct, vascular dementia, psychotic disturbance, mood disturbance, anxiety disorder, disorientation, weakness, altered mental status, cognitive communication deficit, and hemiplegia and hemiparesis following cerebral infarction affecting the left non-dominant side. Review of Minimum Data Set assessment (MDS) dated [DATE] revealed Resident #9 could not complete the assessment of cognitive functioning. Resident #9 was dependent on staff for bed mobility, toileting, activities of daily living, bathing, locomotion, and dressing. Resident #9 required extensive assistance for…

  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 · D2023-02-02 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on medical record review, resident and staff interview, and review of facility policy, the facility failed to ensure the physician followed up timely on dietitian recommendations for a resident with a significant weight loss. This affected one (#31) of one residents reviewed for nutrition. The facility census was 53. Findings include: Review of Resident #31's medical record revealed an admission date of 03/09/22. Diagnoses included type II diabetes, dementia, hypertensive chronic kidney disease, atrial fibrillation, other symptoms and signs concerning food and fluid intake, weakness and metabolic encephalopathy. Review of the annual Minimum Data Set (MDS) assessment, dated 01/12/23, revealed Resident #31 was moderately cognitively impaired, required supervision for eating, experienced a significant weight loss, and was not on physician prescribed weight loss program. Review of a plan of care focus area, initiated 01/13/23, revealed Resident #31 experienced a significant weight loss. Interventions included provide diet, supplements, medications, adaptive equipment and snacks 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 · Dcited before2023-02-02 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interview, and review of facility policy, the facility failed to properly store oxygen tubing and follow their policy to date oxygen tubing when put into use. This affected one (#13) of one resident reviewed for oxygen administration. The facility identified 10 residents who had orders for oxygen. The facility census was 53. Findings include: Review of the medical record revealed Resident #13 admitted to the facility on [DATE]. Diagnoses included acute respiratory failure with hypoxia and unspecified asthma. Review of the Minimum Data Set (MDS) assessment, dated 01/02/23, revealed Resident #13 had severe cognitive impairment. Review of current physician's orders revealed orders for oxygen as needed for shortness of breath every four hours, change oxygen tubing monthly, and assess respiratory status twice daily. Observations on 01/30/23 at 12:19 P.M. revealed Resident #13's oxygen tubing was not dated and oxygen tubing draped across bed. Observations on 01/31/23 at 7:49 A.M. and 11:33…

  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 · D2023-02-02 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  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 observation, resident and staff interview, medical record review, review of pharmacy delivery slips, and review of a facility policy, the facility failed to ensure the pharmacy sent resident medications to the facility as ordered. This affected one (#7) of five residents reviewed for unnecessary medications. The census was 53. Findings include: Review of Resident #7's medical record revealed an admission date of 04/10/22. Diagnoses included diabetes mellitus type II, anemia, hypokalemia, peripheral vascular disease, altered mental status, acute pulmonary edema, and COVID-19. Review of the most recently completed Minimum Data Set (MDS) assessment, dated 01/12/23, revealed Resident #7 was assessed with moderately impaired cognition. Review of a nursing progress note dated 12/31/22 revealed Resident #7 tested positive for COVID-19 with no abnormal lung sounds or shortness of breath exhibited. Review of a subsequent nursing progress note dated 12/31/22 revealed a new order was given for Resident #7 to…

  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

“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.

Part of a chain

This home belongs to TRILOGY HEALTH SERVICES — 123 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 27 rows in the source record cover these 23 parties — each is shown once here with every role it holds. Nothing is omitted.

10 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.

This home reported $1.6M paid to related parties — landlords or management companies under common ownership — equal to about 15% 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.

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 OH