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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D4 | E9 | F4 |
| Minimal | A· | B· | C1 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Apr 8, 2021 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Apr 8, 2021 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Feb 14, 2019 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Feb 14, 2019 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Mar 1, 2018 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Mar 1, 2018 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D4 | E9 | F4 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Apr 8, 2021 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected May 13, 2021 | |
| Feb 14, 2019 | K-0222 | 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. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 15, 2019 | |
| Feb 14, 2019 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates 22 facilities.
27 facilities in 9 states. CMS chain ID 9.
Chain average overall rating (CMS): 4.9
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| ACTS Retirement-Life Communities Management, LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2023 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| ACTS Retirement-Life Communities Management, LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2023 |
| ACTS Management Services, Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2023 |
| ACTS Retirement-Life Communities Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2023 |
| ACTS Retirement-Life Communities Management, LLC | Organization |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Willowbrooke Ct Skilled Care Ctr at Magnolia Trace One Crown Circle, Huntsville, AL 35802 CCN 015450 | 59 | May 17, 2022 | 13 | — | |
| Willowbrooke Court at Country House 4830 Kennett Pike, Wilmington, DE 19807 CCN 085003 | 14 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Willowbrooke Ct Skilled Care Ctr at Magnolia Trace One Crown Circle, Huntsville, AL 35802 CCN 015450 | 59 | May 17, 2022 | 13 | — |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Eastern Shore Rehabilitation and Health Center 101 Villa Drive, Daphne, AL 36526 CCN 015049 | 6.1 km | 117 | Mar 26, 2021 | 13 | — | |
| Altera Health and Rehabilitation Center 22670 Main Street, Fairhope, AL 36532 CCN 015447 | 12.6 km | 83 | Mar 10, 2023 | 14 | — | |
| Allen Health and Rehabilitation 735 South Washington Avenue, Mobile, AL 36603 CCN 015098 | 12.9 km | 119 | Feb 21, 2020 | 21 | — | |
| Kensington Health and Rehabilitation 550 Congress Street, Mobile, AL 36603 CCN 015429 | 13.2 km | 120 | Jul 21, 2023 | 32 | $4,558 | |
| Little Sisters of the Poor Sacred Heart Residence 1655 Mcgill Avenue, Mobile, AL 36604 CCN 015168 | 15.5 km | 75 | Jul 9, 2026 | 71 open | — | |
| Twin Oaks Rehabilitation and Healthcare Center 857 Crawford Lane, Mobile, AL 36617 CCN 015211 | 16 km | 131 | Oct 26, 2023 | 111 IJ | — | |
| Fairhope Health & Rehab 108 South Church Street, Fairhope, AL 36532 CCN 015222 | 16.2 km | 131 | Feb 25, 2022 | 23 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 015381 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 015381 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| K-0232 |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Environment & life safety |
| E · Potential harm Pattern |
| Corrected Mar 22, 2019 |
| Feb 14, 2019 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 21, 2019 |
| Feb 14, 2019 | K-0325 | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 27, 2019 |
| Feb 14, 2019 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 27, 2019 |
| Feb 14, 2019 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Mar 15, 2019 |
| Mar 1, 2018 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 10, 2018 |
| Mar 1, 2018 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 10, 2018 |
| Mar 1, 2018 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 10, 2018 |
| Mar 1, 2018 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 4, 2018 |
| Mar 1, 2018 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 4, 2018 |
| Mar 1, 2018 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Apr 4, 2018 |
| Mar 1, 2018 | F-0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Apr 4, 2018 |
| Mar 1, 2018 | F-0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Apr 4, 2018 |
| Mar 1, 2018 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 4, 2018 |
| Mar 1, 2018 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Apr 4, 2018 |
| Mar 1, 2018 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | C · Minimal Widespread | Corrected Apr 4, 2018 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.81 (case-mix index 1.25).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Feb 1, 2023 |
| Susan Ahern | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2023 |
| Karen Christiansen | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2023 |
| Glenn Fox | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2023 |
| Gerald Grant | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2023 |
| Kevin Varden | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2025 |
| Gloryana Webb | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2025 |
| Susan Allmond | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 1, 2023 |
| Kathryn Brod | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 15, 2024 |
| Warren Callaway | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 1, 2023 |
| Linda Chamberlain | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2025 |
| Karen Christiansen | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 1, 2023 |
| Harold Detweiler | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 1, 2023 |
| John Esterhai | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 1, 2023 |
| Elric Gerner | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 1, 2023 |
| James Glynn | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 1, 2023 |
| Gerald Grant | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 1, 2023 |
| Jason Greer | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 1, 2023 |
| Michael Kelly | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 1, 2023 |
| John Lammers | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 1, 2023 |
| Daniel Lawson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 1, 2023 |
| Marvin Mashner | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 1, 2023 |
| Daniel Middlebrooks | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 1, 2023 |
| Dawn Reichard | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 1, 2025 |
| Susan Ahern | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 1, 2023 |
| Susan Allmond | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2025 |
| Karen Christiansen | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 1, 2023 |
| Glenn Fox | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 1, 2023 |
| Elric Gerner | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 1, 2023 |
| Gerald Grant | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 1, 2023 |
| Daniel Lawson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2025 |
| Marvin Mashner | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 1, 2023 |
| U.s. Bank | Organization | Trustee | TRUSTEE OF THE SNF | not provided | Jul 9, 2025 |
| ACTS Management Services, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 5, 2025 |
| ACTS Retirement-Life Communities Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2023 |
| Baker Tilly Advisory Group LP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 3, 2025 |
| Baker Tilly US LLP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Nov 5, 2024 |
| U.s. Bank | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 5, 2025 |
| Susan Ahern | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2023 |
| Karen Christiansen | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2023 |
| Glenn Fox | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2023 |
| Gerald Grant | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2023 |
| Kevin Varden | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Gloryana Webb | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Mar 23, 2026 |
6 |
| — |
| Willowbrooke Court Skilled Center at Manor House 1001 Middleford Road, Seaford, DE 19973 CCN 085009 | 15 | Jun 5, 2026 | 63 open | — |
| Willowbrooke Court at Cokesbury Village 726 Loveville Road, Hockessin, DE 19707 CCN 085017 | 10 | Jul 29, 2025 | 11 | — |
| Willowbrooke Court at St Andrews Estates 6152 N Verde Trail, Boca Raton, FL 33433 CCN 105355 | 89 | May 1, 2025 | 23 | — |
| Willowbrooke Court at Azalea Trace 10100 Hillview Dr, Pensacola, FL 32514 CCN 105444 | 24 | Aug 7, 2025 | 3 | — |
| Willowbrooke Court Skilled Care Center - Edgewater 23305 Blue Water Circle, Boca Raton, FL 33433 CCN 105489 | 60 | Mar 27, 2025 | 9 | — |
| Willowbrooke Court at Indian River Estates 2440 Citrus Blossom Cir, Vero Beach, FL 32966 CCN 105593 | 40 | Apr 24, 2026 | 6 | — |