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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D14 | E2 | F· |
| Minimal | A· | B· | C2 |
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 | |
|---|---|---|---|---|---|---|
| Aug 19, 2026 | Health | Health Standard | 1 | Minimal | — | Open → |
| Jul 8, 2025 | Health | Health Standard | 3 | Potential harm | — | Open → |
| May 30, 2024 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| May 30, 2024 | Health | Health Standard | 3 | Potential harm | — | Open → |
| May 11, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jan 8, 2020 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D14 | E2 | F· |
| Minimal | A· | B· | C2 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 19, 2026 | F-0575 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. Resident Rights Deficiencies · Resident rights & abuse/neglect | C · Minimal Widespread | No revisit needed Sep 11, 2026 | |
| Jul 8, 2025 | 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 Jul 25, 2025 | |
| Jul 8, 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, 2003 |
| 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 Retirement-Life Communities Management, LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2022 |
| ACTS Signature Community Services Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 24, 2009 |
| 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, 2003 |
| 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 Sc Ctr at Tryon Estates 619 Laurel Lake Drive, Columbus, NC 28722 CCN 345459 | 16 | Dec 17, 2025 | 2 | — |
Coordinates as published by CMS (geocoding footnote 22).
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Royal Park Rehabilitation & Health Center 2700 Roal Commons Lane, Matthews, NC 28105 CCN 345026 | 0 km | 169 | Dec 5, 2025 | 331 IJ3 harm | $40k | |
| Matthews Health & Rehab Center 600 Fullwood Lane, Matthews, NC 28105 CCN 345103 | 3.5 km | 166 | Apr 16, 2026 | 342 IJ11 open | $83k | |
| Lake Park Nursing and Rehabilitation Center 3315 Faith Church Road, Indian Trail, NC 28079 CCN 345502 | 6.8 km | 120 | Jan 22, 2026 | 394 harm3 open | $35k | |
| Brookdale Carriage Club Providence 5804 Old Providence Road, Charlotte, NC 28226 CCN 345482 | 8.6 km | 14 | May 7, 2026 | 401 open | — | |
| Ignite Medical Resort South Charlotte 5151 Sardis Road, Charlotte, NC 28270 CCN 345331 | 10.1 km | 124 | Dec 18, 2025 | 24 | — | |
| Redwood Health & Rehab 5939 Reddman Road, Charlotte, NC 28212 CCN 345243 | 11 km | 116 | Jun 23, 2026 | 292 open | $15k | |
| White Oak Manor - Charlotte 4009 Craig Avenue, Charlotte, NC 28211 CCN 345238 | 11.4 km | 180 | Apr 13, 2026 | 492 IJ | $70k | |
| Pelican Health Randolph LLC 4801 Randolph Road, Charlotte, NC 28211 CCN 345134 | 11.4 km | 100 | Sep 17, 2025 | 612 IJ3 open | $20k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 345326 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 345326 | 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
| F-0812 |
| E · Potential harm Pattern |
| Corrected Jul 25, 2025 |
| Jul 8, 2025 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | C · Minimal Widespread | Corrected Jul 25, 2025 |
| May 30, 2024 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 10, 2024 |
| May 30, 2024 | 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 Aug 10, 2024 |
| May 30, 2024 | 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 Aug 10, 2024 |
| May 30, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 10, 2024 |
| May 30, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 10, 2024 |
| May 30, 2024 | 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 Aug 10, 2024 |
| May 30, 2024 | 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 Aug 10, 2024 |
| May 30, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 27, 2024 |
| May 30, 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 Jun 27, 2024 |
| May 30, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 27, 2024 |
| May 11, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 7, 2023 |
| Jan 8, 2020 | 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 Feb 21, 2020 |
| Jan 8, 2020 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 21, 2020 |
| Jan 8, 2020 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 21, 2020 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.11 (case-mix index 1.24).
| INDIRECT OWNERSHIP INTEREST |
| not provided |
| Dec 31, 2022 |
| ACTS Retirement Services, Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 24, 2009 |
| ACTS Retirement-Life Communities Management, LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2022 |
| ACTS Signature Community Services Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 24, 2009 |
| 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 | May 25, 2010 |
| 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 | Jun 1, 2005 |
| 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 |
| Karen Christiansen | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2020 |
| Harold Detweiler | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Nov 1, 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 | May 4, 2017 |
| 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 1, 1991 |
| 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 | May 25, 2010 |
| 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 | Jun 1, 2005 |
| 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 |
| ACTS Retirement-Life Communities Inc | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Nov 1, 1988 |
| ACTS Management Services, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 21, 2025 |
| ACTS Retirement-Life Communities Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Nov 1, 1988 |
| ACTS Retirement-Life Communities Management, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 21, 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 9, 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 | May 25, 2010 |
| Thad Clements | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 17, 2021 |
| Shacana Fleming | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 13, 2020 |
| Glenn Fox | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2017 |
| Gerald Grant | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2005 |
| 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 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 | — |