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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D22 | E1 | F· |
| Minimal | A· | B· | C· |
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 | |
|---|---|---|---|---|---|---|
| May 1, 2025 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| May 1, 2025 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Jan 25, 2024 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jan 25, 2024 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Sep 9, 2022 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Sep 9, 2022 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D22 | E1 | F· |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 1, 2025 | 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 May 31, 2025 | |
| May 1, 2025 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 29, 2025 | |
| May 1, 2025 |
“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 Acquisition and Development Company LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2012 |
| ACTS Alliance Management LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2022 |
| ACTS Communities of Maryland, Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2019 |
| ACTS Legacy Foundation, Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2022 |
| ACTS Retirement Services, Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 24, 2009 |
| ACTS Signature Community Services Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2022 |
| Bonita Springs Retirement Village Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 1, 2024 |
| Mease Life Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2023 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| ACTS Acquisition and Development Company LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2012 |
| ACTS Alliance Management LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2022 |
| ACTS Communities of Maryland, Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2019 |
| ACTS Legacy Foundation, Inc | Organization | Indirect owner |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Willowbrooke Ct Skilled Care Ctr Westminster Vlg 500 Spanish Fort Blvd, Spanish Fort, AL 36527 CCN 015381 | 60 | Apr 8, 2021 | 18 | — | |
| Willowbrooke Ct Skilled Care Ctr at Magnolia Trace One Crown Circle, Huntsville, AL 35802 CCN 015450 | 59 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| 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 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Legacy at Boca Raton Rehabilitation and Nursing Ce 6363 Verde Trail, Boca Raton, FL 33433 CCN 105476 | 0.7 km | 180 | Aug 7, 2025 | 41 | — | |
| Encore at Boca Raton Rehabilitation and Nursing Ce 7300 Del Prado Circle South, Boca Raton, FL 33433 CCN 105506 | 2.4 km | 154 | May 7, 2026 | 47 | — | |
| Boca Circle Rehabilitation Center 7225 Boca Del Mar Drive, Boca Raton, FL 33433 CCN 105852 | 2.6 km | 120 | Jun 11, 2026 | 401 harm | $32k | |
| Avante at Boca Raton, Inc. 1130 NW 15th Street, Boca Raton, FL 33486 CCN 105521 | 2.9 km | 144 | Aug 11, 2026 | 491 harm | — | |
| Boca Raton Rehabilitation Center 755 Meadows Road, Boca Raton, FL 33486 CCN 105219 | 3.6 km | 120 | Mar 13, 2026 | 33 | — | |
| Boca Pointe Center for Rehabilitation and Healing 6343 Via De Sonrisa Del Sur, Boca Raton, FL 33433 CCN 105851 | 3.8 km | 60 | Mar 19, 2026 | 22 | — | |
| Willowbrooke Court Skilled Care Center - Edgewater 23305 Blue Water Circle, Boca Raton, FL 33433 CCN 105489 | 4.1 km | 60 | Mar 27, 2025 | 9 | — | |
| Health Center at Sinai Residences 21044 95th Avenue South, Boca Raton, FL 33428 CCN 106111 | 5.7 km | 60 | May 21, 2025 | 10 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 105355 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 105355 | 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
| 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 May 29, 2025 |
| May 1, 2025 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 31, 2025 |
| May 1, 2025 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected May 31, 2025 |
| May 1, 2025 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 31, 2025 |
| May 1, 2025 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 31, 2025 |
| May 1, 2025 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 31, 2025 |
| May 1, 2025 | 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 | E · Potential harm Pattern | Corrected May 31, 2025 |
| May 1, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 31, 2025 |
| May 1, 2025 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 31, 2025 |
| Jan 25, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 8, 2024 |
| Jan 25, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 8, 2024 |
| Jan 25, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 8, 2024 |
| Jan 25, 2024 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 8, 2024 |
| Jan 25, 2024 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 8, 2024 |
| Jan 25, 2024 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 8, 2024 |
| Sep 9, 2022 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 13, 2022 |
| Sep 9, 2022 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 13, 2022 |
| Sep 9, 2022 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 9, 2022 |
| Sep 9, 2022 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 9, 2022 |
| Sep 9, 2022 | F-0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 9, 2022 |
| Sep 9, 2022 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Oct 9, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.87 (case-mix index 1.21).
| INDIRECT OWNERSHIP INTEREST |
| not provided |
| Dec 31, 2022 |
| ACTS Retirement Services, Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 24, 2009 |
| ACTS Signature Community Services Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2022 |
| Bonita Springs Retirement Village Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 1, 2024 |
| Mease Life Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2023 |
| ACTS Management Services, Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2012 |
| ACTS Retirement-Life Communities Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2012 |
| ACTS Retirement-Life Communities Management, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 31, 2022 |
| Susan Ahern | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2020 |
| Karen Christiansen | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 26, 2009 |
| Glenn Fox | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2017 |
| Gerald Grant | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 26, 2009 |
| Susan Allmond | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2017 |
| Kathryn Brod | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 15, 2024 |
| Warren Callaway | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Mar 30, 2022 |
| Linda Chamberlain | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2025 |
| Harold Detweiler | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 26, 2009 |
| John Esterhai | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 1, 1996 |
| Elric Gerner | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Apr 1, 2009 |
| James Glynn | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2023 |
| Gerald Grant | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 26, 2009 |
| Jason Greer | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Mar 30, 2022 |
| Michael Kelly | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 11, 2020 |
| John Lammers | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 15, 2020 |
| Daniel Lawson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 11, 2019 |
| Marvin Mashner | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 26, 2009 |
| Daniel Middlebrooks | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 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 | Jan 1, 2020 |
| Susan Allmond | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2025 |
| Karen Christiansen | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 1, 2014 |
| John Esterhai | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2017 |
| Glenn Fox | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2017 |
| Elric Gerner | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2010 |
| Gerald Grant | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 1, 2014 |
| Daniel Lawson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2025 |
| Marvin Mashner | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2025 |
| 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 | Jul 17, 2025 |
| ACTS Retirement-Life Communities Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2012 |
| ACTS Retirement-Life Communities Management, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 17, 2025 |
| 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 | Jul 12, 2025 |
| Susan Ahern | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2020 |
| Karen Christiansen | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2014 |
| Glenn Fox | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2017 |
| Sophia Fyffe | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 26, 2023 |
| Gerald Grant | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2014 |
| Dinh Pham | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2021 |
| May 17, 2022 |
13 |
| — |
| Willowbrooke Court at Country House 4830 Kennett Pike, Wilmington, DE 19807 CCN 085003 | 14 | 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 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 | — |
| 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 | — |
| Willowbrooke Court Skilled Care Center at Mease Li 910 New York Ave, Dunedin, FL 34698 CCN 105732 | 100 | Jul 25, 2024 | 13 | — |
| Renaissance at the Terraces 26475 South Tamiami Trail, Bonita Springs, FL 34135 CCN 106104 | 40 | Jul 9, 2026 | 11 | — |