CONTACT INFORMATION REVIEWS & MORE DATA

Legacy Willoughby

  • Date Updated:  February 01, 2025
  • CMS Overall 5-Star Rating:  
  • Address:  37603 EUCLID AVE
    WILLOUGHBY OH 44094 Map
  • Phone:  440-951-5551
  • Website:   N/A
  • Medicare Provider Number:  365305
  • Participating in Medicare Since:  May 02, 1974
  • No. of Certified Beds:  157
  • No. of Residents:   N/A
  • Occupancy:   N/A
  • Amount Fined:  $52,599.60
  • Complaints Filed:   13
  • Accepts:  Medicare and Medicaid

  About Legacy Willoughby

Legacy Willoughby, located in WILLOUGHBY, OH, is a for-profit organization that accepts Medicare and Medicaid. It is not part of a continuing care retirement community. It is not located in a hospital. Legacy Willoughby offers a range of services including skilled nursing, long-term care, short-term rehabilitation, and specialized memory care. The center is equipped with modern amenities and a supportive environment designed to enhance the quality of life for its residents. With a focus on personalized care plans and community engagement.

  • Legacy Willoughby is ranked #15 out of 36 facilities within a 10 mile radius and #48 out of 118 facilities within a 25 mile radius. See Ranking Report
  • Review Specific City Measures
  • CMS 5-Star Overall Rating is (2 out of 5):
  • Current Trend:   Worsening
  • Total Nursing Hours Spent Per Resident Per Day: 2.83
    (The national average is 3.85 )
  • The percentage of short-stay residents who were re-hospitalized after a nursing home admission is 27.27% .
  •    There is no indication of abuse occuring at Legacy Willoughby. (CMS flags facilities where abuse has either happened or is very likely.)

  Legacy Willoughby Owner & Operator Information

Business Entity Name:

LEGACY WILLOUGHBY OPERATING COMPANY, LLC

Owners:

Managers and Directors:

  Legacy Willoughby Ratings and Inspection Scores

Centers for Medicare and Medicaid (CMS) regularly inspects every skilled nursing facility. The results of the multi-day inspection is a series of star ratings. The health inspection scores are an absolute value, so you can compare one facility's score directly to another.

Ratings

Overall Rating 2:
Health Inspection Rating 3:
Quality Rating 4:
Staffing Rating 1:

Inspection Scores

Cycle 1 Score (as of August 03, 2023) 64
Cycle 2 Score (as of November 21, 2019) 48
Cycle 3 Score (as of October 04, 2018) 32
Weighted All Cycles Score 53

  Complaints by Residents

This table shows complaints filed by residents in Legacy Willoughby:

Provide appropriate treatment and care according to orders, resident?s preferences and goals. 11/29/2024
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. 11/29/2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. 11/29/2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. 11/29/2024
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 11/29/2024
Ensure that residents are free from significant medication errors. 09/20/2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. 09/16/2024
Provide care and assistance to perform activities of daily living for any resident who is unable. 05/12/2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing. 05/12/2023
Ensure that residents are free from significant medication errors. 05/12/2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. 07/08/2022
Ensure medication error rates are not 5 percent or greater. 07/08/2022
Provide and implement an infection prevention and control program. 07/08/2022

  Nursing Hours Spent Per Patient

CMS provides detailed information about how long nursing staff spends with residents. This data includes nursing subcategories of Registered Nurse, Licensed Practical Nurse, and non-nursing Certified Nursing Assistants. More hours spend per patient should can indicate a better facility or it could indicate more complicated situations.

The nursing staff of Legacy Willoughby spends LESS time on average with its residents than the state average and LESS time than the national average for total nursing hours spent per resident.

Type Facility State / National Avg
Registered Nurse (RN)
Hours 0.59 0.62 / 0.67
Case Mix 0.70 0.69 / 0.66
Adjusted 0.56 NA / NA
Licensed Practical Nurse (LPN)
Hours 0.64 0.96 / 0.87
Case Mix 0.91 NA / NA
Adjusted 0.61 NA / NA
Certified Nursing Assistants (CNA)
Hours 1.60 2.12 / 2.32
Case Mix 2.42 NA / NA
Adjusted 1.52 NA / NA
Total Licensed Staff
Hours 1.23 1.57 / 1.53
Physical Therapist (PT)
Hours 0.00 0.05 / 0.07
Total Nursing Hours Spent per Resident on Average
Hours 2.83 3.69 / 3.85
Case Mix 4.02 4.00 / 3.83
Adjusted 2.69 NA / NA

  Quality Measures

Quality measures are based both on patient survey information and on the results of actual claims that are filed with CMS. It is not clear what period is covered in the measures.

Desc. Perc./ State Avg. / Comparison
Percentage of short-stay residents who were rehospitalized after a nursing home admission (qm521)
This measure is considered when computing the 5-Star Overall Rating
27.3% / 26.1%
Worse
Percentage of short-stay residents who had an outpatient emergency department visit (qm522)
This measure is considered when computing the 5-Star Overall Rating
11.0% / 13.3%
Better
Number of hospitalizations per 1000 long-stay resident days (qm551)
This measure is considered when computing the 5-Star Overall Rating
Not Available
Number of outpatient emergency department visits per 1000 long-stay resident days (qm552)
This measure is considered when computing the 5-Star Overall Rating
Not Available
Percentage of long-stay residents whose need for help with daily activities has increased (qm401) 23.6% / 10.4%
Worse
Percentage of long-stay residents who lose too much weight (qm404) 5.3% / 6.4%
Better
Percentage of long-stay residents with a catheter inserted and left in their bladder (qm406) 0.4% / 0.4%
Worse
Percentage of long-stay residents with a urinary tract infection (qm407) 0.0% / 0.7%
Better
Percentage of long-stay residents who have depressive symptoms (qm408) 3.3% / 20.6%
Better
Percentage of long-stay residents who were physically restrained (qm409) 0.0% / 0.1%
Better
Percentage of long-stay residents experiencing one or more falls with major injury (qm410) 0.8% / 3.5%
Better
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (qm415) 94.7% / 91.5%
Better
Percentage of long-stay residents who received an antipsychotic medication (qm419) 4.4% / 10.6%
Better
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (qm430) 87.5% / 77.3%
Better
Percentage of short-stay residents who newly received an antipsychotic medication (qm434) 0.8% / 1.5%
Better
Percentage of long-stay residents whose ability to walk independently worsened (qm451) 41.1% / NA
Percentage of long-stay residents who received an antianxiety or hypnotic medication (qm452) 24.6% / 24.6%
Better
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (qm454) 92.6% / 93.6%
Worse
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (qm472) 79.2% / 72.4%
Better
Percentage of long-stay residents with pressure ulcers (qm479) 3.9% / NA
Percentage of long-stay residents with new or worsened bowel or bladder incontinence (qm480) 29.9% / NA

  Hospitals Near Legacy Willoughby

Quite often skilled nursing facilities and hospitals work closely together to help patients recover or manage a terminal illness. Hospitals deals with acute care while nursing homes treat patients for a longer period of time. New residents at skilled nursing homes typically come from a hospital and nursing home residents may be readmitted to a hospital if their recovery does not proceed well. (Hospital readmission rates are closely monitored by CMS.) Consequently it is important that you consider which hospitals are near a nursing home which choosing one. Below is a list of hospitals near Legacy Willoughby.

Legacy Willoughby is near several hospitals, each with its own rating based on overall performance:

Hospital 5-Star Overall Rating
LUTHERAN HOSPITAL
1730 WEST 25TH STREET
CLEVELAND, OH 44113
3
LAKE HEALTH
7590 AUBURN ROAD
CONCORD, OH 44077
3
UH REGIONAL HOSPITALS
13207 RAVENNA ROAD
CHARDON, OH 44024
3
UH CLEVELAND MEDICAL CENTER
11100 EUCLID AVENUE
CLEVELAND, OH 44106
3
METROHEALTH SYSTEM
2500 METROHEALTH DRIVE
CLEVELAND, OH 44109
3
UHHS MEMORIAL HOSPITAL OF GENEVA
870 WEST MAIN STREET
GENEVA, OH 44041
4
SOUTH POINTE HOSPITAL
20000 HARVARD ROAD
WARRENSVILLE HEIGHTS, OH 44122
4
EUCLID HOSPITAL
18901 LAKE SHORE BOULEVARD
EUCLID, OH 44119
4
SOUTHWEST GENERAL HEALTH CENTER
18697 BAGLEY ROAD
MIDDLEBURG HEIGHTS, OH 44130
4
HILLCREST HOSPITAL
6780 MAYFIELD ROAD
MAYFIELD HEIGHTS, OH 44124
4
UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER
3999 RICHMOND ROAD
BEACHWOOD, OH 44122
4
PARMA COMMUNITY GENERAL HOSPITAL
7007 POWERS BOULEVARD
PARMA, OH 44129
5
CLEVELAND-WADE PARK VA MEDICAL CENTER
10701 EAST BLVD
CLEVELAND, OH 44106
5
FAIRVIEW HOSPITAL
18101 LORAIN AVENUE
CLEVELAND, OH 44111
5
MARYMOUNT HOSPITAL
12300 MCCRACKEN ROAD
GARFIELD HEIGHTS, OH 44125
5
CLEVELAND CLINIC
9500 EUCLID AVENUE
CLEVELAND, OH 44195
5
LAKE HEALTH BEACHWOOD MEDICAL CENTER
25501 CHAGRIN BLVD
BEACHWOOD, OH 44122
Not Available
RAINBOW BABIES AND CHILDRENS HOSPITAL
11100 EUCLID AVENUE
CLEVELAND, OH 44106
Not Available
CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHAB
2801 MARTIN LUTHER KING, JR DRIVE
CLEVELAND, OH 44104
Not Available
NORTHCOAST BEHAVIORAL HEALTHCARE NORTHFIELD CAMPUS
1756 SAGAMORE ROAD
NORTHFIELD, OH 44067
Not Available

Ratings History for Legacy Willoughby

  Medical Professionals Associated with Legacy Willoughby

These are the doctors who are affiliated with Legacy Willoughby. The data is from the most recent period. Historical data is not available.

  Local Nursing Homes

When evaluating nursing homes, it's important to consider other nearby facilities to understand the available options and make comparisons. Below is a list of nursing homes near Brookline Healthcare and Rehabilitation, including Brookline itself. This list is ranked based on each home's health inspection scores, also known as the "weighted all cycles score." Additionally, we provide the facility's 5-star overall rating for a more complete view of its performance. If a nursing home has been flagged by CMS for abuse, you'll see a special icon () next to its name.

The data is based on the dataset as of February 01, 2025.

Name Health Inspection Score / Overall Rating
Ohman Family Living at Holly
(NEWBURY, OH)
3.333 / 5:
Mentor Ridge Health and Rehabilitation
(MENTOR, OH)
4 / 5:
Ohio Living Breckenridge Village
(WILLOUGHBY, OH)
7.333 / 5:
Welsh Home The
(ROCKY RIVER, OH)
8.667 / 5:
Pine Grove Healthcare Center
(GENEVA, OH)
8.667 / 5:
Oaks of Brecksville
(BRECKSVILLE, OH)
10.667 / 5:
Ohman Family Living at Blossom
(HUNTSBURG, OH)
10.667 / 5:
Homestead Ii
(PAINESVILLE, OH)
12 / 5:
O'neill Healthcare Fairview Park
(FAIRVIEW PARK, OH)
14 / 5:
Altenheim
(STRONGSVILLE, OH)
14.667 / 5:
Euclid Subacute Care Center
(EUCLID, OH)
14.667 / 5:
Algart Health Care
(CLEVELAND, OH)
16 / 5:
Ohman Family Living at Briar
(MIDDLEFIELD, OH)
16.667 / 4:
Berea Center
(BEREA, OH)
18.667 / 5:
St Augustine Manor
(CLEVELAND, OH)
19.333 / 4:
Regina Health Center
(RICHFIELD, OH)
21.333 / 4:
Kensington at Anna Maria
(AURORA, OH)
22.667 / 4:
Ahc of Landerhaven LLC
(MAYFIELD HEIGHTS, OH)
23.333 / 5:
Heather Hill Care Communities
(CHARDON, OH)
24 / 4:
Anna Maria of Aurora
(AURORA, OH)
24.667 / 3:
Rae Ann Geneva
(GENEVA, OH)
24.667 / 4:
North Park Care Center
(BROOK PARK, OH)
25.333 / 4:
Mount Saint Joseph Rehab Center
(EUCLID, OH)
28 / 4:
Concord Village Skilled Nursing and Rehabilitation
(CONCORD, OH)
28 / 4:
O'neill Healthcare North Olmsted
(NORTH OLMSTED, OH)
29.333 / 5:
Pleasantview Care Center
(PARMA, OH)
30 / 4:
Enniscourt Nursing Care
(LAKEWOOD, OH)
32 / 5:
Gardens of Mcgregor and Amasa Stone
(EAST CLEVELAND, OH)
32.667 / 5:
Avenue at Aurora
(AURORA, OH)
34.667 / 5:
Chardon Center
(CHARDON, OH)
34.667 / 4:
Shaker Gardens Nursing and Rehabilitation Center
(SHAKER HEIGHTS, OH)
35.333 / 4:
Judson Park
(CLEVELAND, OH)
35.333 / 5:
Northfield Village Retirement Community
(NORTHFIELD, OH)
37.333 / 5:
Singleton Health Care Center
(CLEVELAND, OH)
38 / 5:
Mapleview Country Villa
(CHARDON, OH)
38 / 4:
Jennings Hall
(GARFIELD HEIGHTS, OH)
38.667 / 4:
Altercare of Mayfield Village, Inc
(MAYFIELD VILLAGE, OH)
38.667 / 3:
Concord Ridge Health and Rehabilitation
(MENTOR, OH)
39.167 / 3:
Pleasant Lake Villa
(PARMA, OH)
39.333 / 5:
Parkside Villa
(MIDDLEBURG HEIGHTS, OH)
40 / 4:
Larchwood Care
(CLEVELAND, OH)
40.667 / 3:
Grand River Health and Rehab Center
(PAINESVILLE, OH)
40.667 / 4:
Eliza at Chagrin Falls
(CHAGRIN FALLS, OH)
41.333 / 4:
O'neill Healthcare Lakewood
(LAKEWOOD, OH)
42.667 / 3:
Burton Health Care Center
(BURTON, OH)
43.5 / 4:
Eliza Jennings Home
(CLEVELAND, OH)
44 / 3:
Westpark Healthcare Campus
(CLEVELAND, OH)
48 / 4:
Legacy Willoughby
(WILLOUGHBY, OH)
53.333 / 2:
Aurora Manor Special Care Cent
(AURORA, OH)
54 / 3:
Royal Oak Nursing and Rehab Ctr
(MIDDLEBURG HEIGHTS, OH)
54 / 4:
Rocky River Healthcare of Westpark
(CLEVELAND, OH)
54 / 2:
Franklin Plaza Extended Care
(CLEVELAND, OH)
54.667 / 1:
Mt Alverna Home Inc
(PARMA, OH)
55.333 / 3:
Strongsville Healthcare and Rehabilitation
(STRONGSVILLE, OH)
56 / 1:
Falling Water Healthcare Center
(STRONGSVILLE, OH)
56 / 3:
Cedarwood Plaza
(CLEVELAND HEIGHTS, OH)
58 / 3:
Avenue at Lyndhurst
(LYNDHURST, OH)
58.4 / 3:
The Avenue Care and Rehabilitation Center
(WARRENSVILLE HEIGHTS, OH)
58.667 / 3:
O'neill Healthcare Middleburg Heights
(MIDDLEBURG HEIGHTS, OH)
60.167 / 3:
Willows Health and Rehab Ctr
(EUCLID, OH)
66 / 3:
Manor of Grande Village
(TWINSBURG, OH)
66.667 / 3:
Avenue at Macedonia
(MACEDONIA, OH)
71.333 / 1:
Embassy of Painesville
(PAINESVILLE, OH)
73.333 / 2:
Gardens of North Olmsted
(NORTH OLMSTED, OH)
74.667 / 3:
Brentwood Health Care Center
(SAGAMORE HILLS, OH)
76.667 / 3:
Seven Hills Health and Rehab Center
(SEVEN HILLS, OH)
76.667 / 2:
Slovene Home For The Aged
(CLEVELAND, OH)
79.333 / 2:
Avenue at Broadview Heights
(BROADVIEW HEIGHTS, OH)
80 / 2:
Aventura at Walton Hills
(WALTON HILLS, OH)
80 / 3:
Canterbury of Twinsburg
(TWINSBURG, OH)
81.333 / 2:
Hillside Plaza
(CLEVELAND, OH)
81.333 / 3:
Legacy North Royalton
(PARMA, OH)
81.833 / 2:
Crestmont North Nursing Home
(LAKEWOOD, OH)
82.667 / 3:
Snf-The Villa at Marymount
(GARFIELD HEIGHTS, OH)
83 / 2:
The Heights Rehabilitation and Healthcare Center
(BROADVIEW HEIGHTS, OH)
86.333 / 1:
Broadview Multi Care Center
(PARMA, OH)
86.667 / 2:
Wickliffe Country Place
(WICKLIFFE, OH)
88.667 / 2:
Solon Pointe at Emerald Ridge
(SOLON, OH)
92.833 / 2:
Highland Pointe Health and Rehab Center
(HIGHLAND HEIGHTS, OH)
92.833 / 2:
Geneva Center For Rehabilitation and Nursing
(GENEVA, OH)
98.333 / 2:
Northwestern Center
(BEREA, OH)
102.667 / 2:
Middleburg Heights Health and Rehabilitation Center
(MIDDLEBURG HEIGHTS, OH)
104 / 1:
Tranquility of Richmond Heights
(RICHMOND HEIGHTS, OH)
105.333 / 2:
Greenbrier Health Center
(PARMA HEIGHTS, OH)
106.667 / 1:
Aristocrat Berea Healthcare and Rehabilitation
(BEREA, OH)
109.167 / 3:
Madison Health Care
(MADISON, OH)
109.5 / 2:
Heritage Health Care Center
(OAKWOOD VILLAGE, OH)
115 / 2:
Carecore at Mentor
(MENTOR, OH)
117.333 / 1:
Legacy Mentor
(MENTOR, OH)
124 / 1:
Embassy of Euclid
(EUCLID, OH)
124.667 / 2:
Diplomat Healthcare
(NORTH ROYALTON, OH)
125 / 2:
Normandy Manor of Rocky River
(ROCKY RIVER, OH)
126.667 / 1:
The Laurels of Chagrin Falls
(CHAGRIN FALLS, OH)
129.667 / 1:
King David Post Acute Nursing and Rehabilitation LLC
(BEACHWOOD, OH)
131.333 / 2:
Legacy Twinsburg
(TWINSBURG, OH)
132 / 1:
Crawford Manor Healthcare Center
(CLEVELAND, OH)
134 / 2:
Gardens of Euclid Beach
(CLEVELAND, OH)
134.333 / 2:
Daughters of Miriam Center For Nursing and Rehabilit
(BEACHWOOD, OH)
140.667 / 1:
Phoenix of Maple Heights
(MAPLE HEIGHTS, OH)
143.333 / 2:
Parma Care Center
(PARMA, OH)
145 / 1:
Eastbrook Healthcare Center
(CLEVELAND, OH)
148.667 / 1:
University Manor Health and Reha
(CLEVELAND, OH)
149.667 / 1:
Candlewood Healthcare and Rehabilitation
(EAST CLEVELAND, OH)
150.667 / 2:
East Park Care Center
(BROOK PARK, OH)
155 / 1:
Grande Pointe Healthcare Commu
(RICHMOND HEIGHTS, OH)
156.167 / 2:
Beachwood Pointe Care Center
(BEACHWOOD, OH)
163.667 / 1:
Rocky River Gardens Rehab and Nursing Ctr
(CLEVELAND, OH)
167.667 / 1:
Cardinal Woods Skilled Nursing and Rehab Ctr
(MADISON, OH)
169 / 1:
The Gardens of Fairfax Health Care Center
(CLEVELAND, OH)
182.167 / 1:
Cityview Healthcare and Rehabilitation
(CLEVELAND, OH)
182.167 / 2:
Gardens of Mayfield Village
(MAYFIELD HEIGHTS, OH)
218.667 / 1:
Embassy of Lyndhurst
(LYNDHURST, OH)
252.667 / 1:
The Pavilion Rehabilitation and Nursing Center
(NORTH ROYALTON, OH)
256.167 / 2:
Suburban Healthcare and Rehabilitation
(NORTH RANDALL, OH)
258.667 / 1:
Harvard Gardens Rehabilitation and Care Center
(CLEVELAND, OH)
291.667 / 1:
Grande Oaks
(OAKWOOD VILLAGE, OH)
292.167 / 2:
Kirtland Rehabilitation and Care
(KIRTLAND, OH)
334 / 1:
Avenue at Brooklyn
(BROOKLYN, OH)
/ :

  Our Analysis

Best and Worst Nursing Homes in WILLOUGHBY, OH

Here is our analysis of the Best Nursing Homes in WILLOUGHBY and Worst Nursing Homes in WILLOUGHBY so that you can make better decisions when choosing a nursing home. You should also use these lists after choosing a home to stay abreast of changes.

Ownership Details for Legacy Willoughby

A list of all of the registered owners for Legacy Willoughby. This includes direct and indirect owners and managers.

Noted Deficiencies for Legacy Willoughby

A list of all of the deficiencies for the facility. This includes a description, type of deficiency, incident date and when the facility reports that the incident was corrected.

Nursing Hours Analysis for Legacy Willoughby

How long a nurse spends with a resident can be an important factor in their recovery. This page shows the average nursing hours spent per resident for RNs, LPNs, CNAs, PTs and all licensed staff.

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