Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at The Willows At Tiffin during CMS and state inspections, most recent first.
The facility failed to maintain a clean and sanitary kitchen, with food particles in microwaves and debris in the walk-in freezer. Additionally, refrigerator temperatures were not monitored daily as required, with logs missing or incomplete for several months. These issues were confirmed by the DFS and Administrator.
A facility failed to ensure staff followed physician orders for enteral feedings. A resident with multiple diagnoses, including COPD and dysphagia, did not have their tube placement verified by air bolus and aspirating stomach contents before medication delivery, as required. Instead, a nurse used water to verify placement, contrary to facility policy. The facility's policy required checking tube placement using air and auscultation only.
A resident was found with a medication cup containing five pills on her bedside table without a self-administration order for oral medications. The resident confirmed that nurses often left medications for her to take independently. The facility's policy requires medications to be administered as prescribed and only by authorized personnel, which was not followed in this case.
A facility failed to follow infection control practices during medication administration for two residents. An RN did not perform hand hygiene between glove changes while administering medications to a resident, and another resident did not receive Enhanced Barrier Precautions during high-contact care activities. The facility's policies and CDC guidelines were not adhered to, posing a risk of cross-contamination and infection spread.
Deficiency in Kitchen Sanitation and Temperature Monitoring
Penalty
Summary
The facility failed to maintain the kitchen area in a clean and sanitary manner, as observed on March 17, 2025. There was a buildup of food particles in the microwave closest to the hallway door, and the walk-in refrigerator had an unidentified dried brown fluid on the floor beneath a pan containing thawed chicken breasts. Additionally, the walk-in freezer floor was covered with dirt and debris. These observations were confirmed by the Director of Food Services. The facility's policy on storage procedures, dated January 2025, requires that all storage areas be free from garbage and waste, and that refrigeration equipment be routinely cleaned and defrosted. The facility also failed to monitor and document refrigerator temperatures daily, as required by their policy. The Daily Temperature Logs for January and February 2025 showed that temperatures were only recorded on two days each month, and there was no log available for March 2025. The Administrator confirmed the lack of documentation for March and the incomplete logs for the previous months. The facility's policy, dated January 2025, mandates that temperature checks be documented daily and that each department is responsible for maintaining appropriate temperatures and logs.
Failure to Follow Physician Orders for Enteral Feeding
Penalty
Summary
The facility failed to ensure that staff followed physician orders while administering bolus enteral feedings to a resident. Specifically, a registered nurse did not verify the tube placement by air bolus and aspirating stomach contents before medication delivery, as required by the physician's orders. The resident involved was admitted with diagnoses including acute respiratory failure with hypoxia, pneumonia, chronic obstructive pulmonary disease (COPD), moderate protein-calorie malnutrition, and dysphagia. The resident was cognitively intact according to the annual Minimum Data Set (MDS) assessment. During an observation, the registered nurse was seen not verifying tube placement by air bolus or aspirating stomach contents before administering medication. Instead, the nurse visualized the contents of the tube when attached to the syringe and used water to verify placement during the free water flush. This practice was contrary to the facility's policy, which required checking for proper tube placement using air and auscultation only, and never with water. The facility's policy also required checking gastric content for residual feeding and returning residual volumes to the stomach, reporting any residual above 100 milliliters.
Medication Mismanagement at Resident's Bedside
Penalty
Summary
The facility failed to ensure that medications were not left at a resident's bedside when the resident did not have a self-administration order for those medications. This deficiency was identified during an observation of a resident's room, where a medication cup containing five pills was found on the bedside table without a licensed nurse present. The resident, who was cognitively intact, confirmed that nurses often left medications for her to take independently, despite not having an order to self-administer oral medications. The resident's medical record indicated that she was allowed to self-administer only specific medications, including Refresh Eyedrops, Pataday Eyedrops, and Flonase Nasal Spray, but not oral medications. Interviews with nursing staff and the Director of Nursing verified that the resident did not have an order to self-administer oral medications. The facility's policy on medication administration requires that medications be administered as prescribed and only by authorized personnel, which was not adhered to in this instance.
Infection Control Deficiencies During Medication Administration
Penalty
Summary
The facility failed to adhere to proper infection control practices during medication administration for Resident #40. The registered nurse (RN) involved did not perform hand hygiene between glove changes while administering medications, including eye drops and oral medications. The RN touched potentially contaminated surfaces such as the resident's wheelchair, bed, and medication cart with the same gloves used to administer medications, which could lead to cross-contamination. The facility's policy on medication administration requires hand hygiene before and after glove use, which was not followed in this instance. In another incident, the facility did not implement Enhanced Barrier Precautions (EBP) for Resident #32, who required such precautions due to having an indwelling medical device. The RN administered medication and a bolus enteral feed to the resident without donning a gown, as required by the EBP protocol. Additionally, there was no personal protective equipment (PPE) available inside or outside the resident's room, nor was there a receptacle for disposing of used PPE, which is a violation of the facility's policy and CDC guidelines. Both incidents highlight a failure in following established infection control protocols, which are critical in preventing the spread of infections within the facility. The lack of adherence to hand hygiene and PPE protocols during high-contact care activities poses a risk to resident safety and contradicts the facility's own policies and CDC recommendations.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 96 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Tiffin
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Autumnwood Care Center | 1.5 mi | ★★★★★ | 2 | 0 |
| St Francis Senior Ministries | 1.8 mi | ★★★★★ | 0 | 0 |
| St Catherine's C C Of Fostoria | 10.5 mi | ★★★★★ | 0 | 0 |
| Good Shepherd Home | 10.6 mi | ★★★★★ | 0 | 0 |
| Independence House | 12.1 mi | ★★★★★ | 4 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release June 2026) and official state health department websites.