01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-05-28 | 8 | 2025-05-28 | 3 |
| Cycle 2 | 2023-05-04 | 4 | 2023-05-04 | 2 |
| Cycle 3 | 2019-10-17 | 2 | 2019-10-17 | 3 |
CMS CCN 3662462026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Cherith Care Center At Willow Brook
100 Willow Brook Way, South · Delaware, OH 43015 · Delaware County
Certified beds34CMS provider file
Recent citation rows22current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
22 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-05-28 · HEALTHF0582Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Deficient, Provider has date of correction · 2025-06-152025-05-28 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2025-06-152025-05-28 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-06-152025-05-28 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2025-06-152025-05-28 · HEALTHF0727Severity F · widespread; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Correction field: Deficient, Provider has date of correction · 2025-06-152025-05-28 · HEALTHF0756Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2025-06-152025-05-28 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2025-06-152025-05-28 · HEALTHF0883Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2025-06-152025-05-28 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2025-06-152025-05-28 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-06-152025-05-28 · FIREK0511Severity F · widespread; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2025-06-152023-05-04 · HEALTHF0756Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2023-05-252023-05-04 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2023-05-252023-05-04 · HEALTHF0760Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2023-05-252023-05-04 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2023-05-252023-05-04 · FIREK0222Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2023-05-252023-05-04 · FIREK0324Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2023-05-252019-10-17 · HEALTHF0578Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Correction field: Deficient, Provider has date of correction · 2019-12-012019-10-17 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2019-12-012019-10-17 · FIREK0222Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2019-12-012019-10-17 · FIREK0311Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Correction field: Deficient, Provider has date of correction · 2019-12-012019-10-17 · FIREK0923Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2019-12-0103 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- BARTH, PHILIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/01/2005
- DAVIS, BRANDIIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/11/2024
- DULGAR, JASONIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/13/2023
- IRWIN, TERRYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/01/2005
- JOHNSON, KIMIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/14/2019
- JOHNSON, WILLIAMIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/14/2019
- LONGO, SCOTTIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/10/2007
- MARCH, JUDYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 08/10/2017
- MCKENNA, BLYTHEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/23/2025
- PICKENS, ROGERIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/08/2012
- SARKEL, EDIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/09/2019
- SLINGLUFF, DANAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/18/2023
- SUSENNA, KARENIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/09/2017
- TIDWELL, PEGGYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/16/2013
- BARTH, PHILIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2005
- DAVIS, BRANDIIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/11/2024
- DULGAR, JASONIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/13/2023
- IRWIN, TERRYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2005
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.34per resident day
RN hours0.66per resident day
Weekend nurse hours4.06per resident day
Staff turnover49.0%CMS reported field
06 / LOCAL RECORDS
Open the Delaware ledger →