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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 208th out of 287 homes in Indiana. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 22m per day | ▼ 45% State avg: 40m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 51m per day | ▲ 11% State avg: 46m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 3m per day | ▼ 10% State avg: 2h 16m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 50m per day | ▼ 12% State avg: 3h 14m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 3m per day | ▼ 25% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 26m per day | ▼ 4% State avg: 27m per day · National avg: 28m per day |
Lower than the Indiana average: 68.1%Willows of Richmond is legally operated by Henry County Memorial Hospital, and administrated by Merry Goodwin.
Key information about the people who lead and staff this community.
In Indiana, the Department of Health, Division of Long Term Care is the primary regulatory body that performs onsite inspections and quality of care reviews for all licensed facilities.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Indiana state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 28 | 36 | This facility has 22% fewer total deficiencies than a typical Indiana nursing home (28 vs. IN avg 36).↓ 22% better |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 9.3 | 12 | This facility has 23% fewer deficiencies per year than a typical Indiana nursing home (9.3 vs. IN avg 12).↓ 23% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1.4 | 1.9 | This facility has 26% fewer deficiencies per inspection than a typical Indiana nursing home (1.4 vs. IN avg 1.9).↓ 26% better |
Inspections
| This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
|
Total visits
Combined count of all on-site visits — routine inspections, complaint visits, follow-ups, and other focused visits.
| 20 | 19 | This facility has 5% more total visits than a typical Indiana nursing home (20 vs. IN avg 19).↑ 5% worse |
|
Inspections with deficiencies
Inspections that resulted in at least one regulatory deficiency.
| 9 | 7 | This facility has 29% more inspections with deficiencies than a typical Indiana nursing home (9 vs. IN avg 7).↑ 29% worse |
|
Inspection deficiency rate
Percentage of inspections that resulted in at least one deficiency.
| 45% | 37% | This facility has 8 percentage points higher inspection deficiency rate than a typical Indiana nursing home (45% vs. IN avg 37%).↑ 8% worse |
|
Inspections
Routine, scheduled inspections conducted by state regulators.
| 10 | 13 | This facility has 23% fewer inspections than a typical Indiana nursing home (10 vs. IN avg 13).↓ 23% better |
Complaints & Investigations
| This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 4 | 5 | This facility has 20% fewer total complaints than a typical Indiana nursing home (4 vs. IN avg 5).↓ 20% better |
|
Complaints per year
Average complaints per year since 2023.
| 1.3 | 1.7 | This facility has 24% fewer complaints per year than a typical Indiana nursing home (1.3 vs. IN avg 1.7).↓ 24% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on May 30, 2025, found the facility deficient in areas including resident hydration, assistance with eating, medication allergy management, oxygen orders, and kitchen sanitation. Earlier inspections showed a pattern of deficiencies related to resident care documentation, medication administration errors, and sanitation issues, as well as Life Safety Code concerns such as egress door locking and sprinkler system maintenance. Complaint investigations were mostly unsubstantiated, except for one substantiated complaint involving medication errors and another related to sanitation and pest control that resulted in federal deficiencies. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s inspection history shows ongoing challenges in care and sanitation with some recurring issues, indicating a need for continued attention to compliance.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsIndiana average 6
Last Health inspection on Oct 2025
Indiana average 25
Indiana average 4.12
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
14 of 21 citations resulted from standard inspections; and 7 of 21 resulted from complaint investigations.
100% better than Indiana averageIndiana average: 0.2
100% better than Indiana averageIndiana average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
1588135% better than Indiana average
6% worse than Indiana average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.8 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
402 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 39 | 0 | 39 | 10,172 | 92 | 100% | 6.8 |
| Licensed Practical Nurse | 10 | 0 | 10 | 4,697 | 92 | 100% | 9.5 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,426 | 92 | 100% | 7.3 |
| Medication Aide/Technician | 2 | 0 | 2 | 1,086 | 82 | 89% | 7.7 |
| Registered Nurse | 4 | 0 | 4 | 973 | 63 | 68% | 10 |
| Nurse Practitioner | 1 | 0 | 1 | 736 | 92 | 100% | 8 |
| Physical Therapy Aide | 5 | 0 | 5 | 720 | 70 | 76% | 4.3 |
| Mental Health Service Worker | 2 | 1 | 3 | 512 | 60 | 65% | 7.6 |
| Dietitian | 1 | 0 | 1 | 506 | 64 | 70% | 7.9 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 486 | 63 | 68% | 7.7 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 258 | 62 | 67% | 4 |
| Medical Director | 0 | 1 | 1 | 212 | 53 | 58% | 4 |
| Physical Therapy Assistant | 2 | 0 | 2 | 84 | 37 | 40% | 2.2 |
| Occupational Therapy Aide | 0 | 1 | 1 | 71 | 20 | 22% | 3.5 |
| Qualified Social Worker | 1 | 0 | 1 | 53 | 31 | 34% | 1.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 44 | 9 | 10% | 4.9 |
| Speech Language Pathologist | 2 | 0 | 2 | 36 | 12 | 13% | 3 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 10 | 2 | 2% | 5 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
19.9
148% worse than Indiana averageIndiana average: 8.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
33.1
94% worse than Indiana averageIndiana average: 17.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
40.6%
237% worse than Indiana averageIndiana average: 12.0%
Percent of long-stay residents whose ability to move independently worsened
38.8%
170% worse than Indiana averageIndiana average: 14.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.9%
19% better than Indiana averageIndiana average: 24.6%
Percent of long-stay residents experiencing one or more falls with major injury
8.2%
111% worse than Indiana averageIndiana average: 3.9%
Percent of long-stay high risk residents with pressure ulcers
4.9%
13% worse than Indiana averageIndiana average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Indiana averageIndiana average: 1.2%
Percent of long-stay residents who lose too much weight
6.9%
21% worse than Indiana averageIndiana average: 5.7%
Percent of long-stay residents who have depressive symptoms
78.3%
225% worse than Indiana averageIndiana average: 24.1%
Percent of long-stay residents who received an antipsychotic medication
18.7%
50% worse than Indiana averageIndiana average: 12.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
7% better than Indiana averageIndiana average: 93.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Indiana averageIndiana average: 95.4%
Number of hospitalizations per 1,000 long-stay resident days.
2.17
36% worse than Indiana averageIndiana average: 1.60
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.00
32% better than Indiana averageIndiana average: 1.48
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
22% better than Indiana averageIndiana average: 81.7%
Percent of short-stay residents who newly received an antipsychotic medication
1.6%
17% worse than Indiana averageIndiana average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
93.0%
18% better than Indiana averageIndiana average: 79.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
32.5%
45% worse than Indiana averageIndiana average: 22.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
7.4%
30% better than Indiana averageIndiana average: 10.5%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Indiana averageIndiana average: 0.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
54% of new residents, usually for short-term rehab.
9% of new residents, often for short stays.
37% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
51Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Willows of Richmond based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #263 / 290Payroll — State benchmarkedThis home is ranked 263rd out of 290 homes in Indiana. Shows total annual staff payroll benchmarked to the Indiana average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
0.4 miles from city center
Estimated distance in miles from Richmond's city center to Willows of Richmond's address, calculated via Google Maps.
Add your location
Willows of Richmond is located in RICHMOND, Indiana.
Here are the financial assistance programs available to residents in Indiana.
The information below is reported by the Indiana Department of Health, Division of Long Term Care.
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NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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| Morning Breeze Retirement Community & Healthcare Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
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NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
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NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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| Willows of Richmond |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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Tanika Shoemaker is the Director of Nursing at Willows of Richmond.
The legal owner and operator of Willows of Richmond is Henry County Memorial Hospital.
Willows of Richmond has a walk score of 76. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to IN state health department records, Willows of Richmond's license number is 25-000133-1.
According to IN state health department records, Willows of Richmond's license expires on December 31, 2025.
Willows of Richmond's occupancy is 59%.
Merry Goodwin is the administrator of Willows of Richmond.
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