| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D· | E9 | F2 |
| 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 | |
|---|---|---|---|---|---|---|
| Dec 5, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Dec 5, 2025 | Health | Health Standard | 0 | No citations | — | Open → |
| Jan 8, 2025 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Jan 8, 2025 | Health | Health Standard | 0 | No citations | — | Open → |
| Feb 8, 2024 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Feb 8, 2024 | Health | Health Standard | 0 | No citations | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D· | E9 | F2 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Dec 5, 2025 | K-0911 | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 9, 2026 | |
| Dec 5, 2025 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 9, 2026 | |
| Jan 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 | 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, 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 Skd Care Center at Lima Estates 411 N. Middletown Road, Lima, PA 19037 CCN 395492 | 60 | May 6, 2026 | No citations in window | — | |
| Willowbrooke Court-Spring Hous 728 Norristown Road, Lower Gwynedd, PA 19002 CCN 395495 | 16 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Majestic Oaks Rehabilitation and Nursing Center 333 Newtown Road, Warminster, PA 18974 CCN 395431 | 2.4 km | 180 | Mar 5, 2026 | 642 harm | $35k | |
| Ann's Choice 16000 Ann's Choice Way, Warminster, PA 18974 CCN 396107 | 3 km | 66 | May 7, 2026 | 17 | — | |
| Luther Woods Nursing and Rehabilitation Center 313 County Line Road, Hatboro, PA 19040 CCN 395370 | 3.6 km | 140 | May 13, 2026 | 21 | — | |
| Huntingdon Skilled Nursing and Rehabilitation Cent 3430 Huntingdon Pike, Huntingdon Valley, PA 19006 CCN 395913 | 3.6 km | 125 | Apr 3, 2026 | 56 | — | |
| Willow Grove Post Acute 3485 Davisville Road, Hatboro, PA 19040 CCN 396017 | 4.1 km | 109 | May 15, 2026 | 84 | — | |
| Christ's Home Retirement Community 1 Shepherd's Way Suite 100, Warminster, PA 18974 CCN 396125 | 4.1 km | 48 | Feb 19, 2026 | 7 | — | |
| Masonic Village at Warminster 850 Norristown Road, Warminster, PA 18974 CCN 396054 | 6 km | 62 | Aug 20, 2026 | 83 open | — | |
| Garden Spring Rehab and Care Center 1113 North Easton Road, Willow Grove, PA 19090 CCN 395077 | 6.5 km | 173 | May 6, 2026 | 531 IJ | $16k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 395490 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 395490 | 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 |
| Pennsylvania DOH Nursing Homes PA | 151302 | state_license, licensed_beds, licensee Linked to the CMS record by exact normalized street address and ZIP (the state roster does not publish the CCN). | Inferred | Sep 17, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Meet requirements for sections of health care facilities separated by fire resistive construction. Construction Deficiencies · Environment & life safety |
| E · Potential harm Pattern |
| Corrected Feb 14, 2025 |
| Jan 8, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 14, 2025 |
| Jan 8, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 14, 2025 |
| Feb 8, 2024 | K-0131 | Meet requirements for sections of health care facilities separated by fire resistive construction. Construction Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 18, 2024 |
| Feb 8, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 18, 2024 |
| Feb 8, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 18, 2024 |
| Feb 8, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 18, 2024 |
| Feb 8, 2024 | K-0911 | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 18, 2024 |
| Feb 8, 2024 | K-0912 | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 18, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.81 (case-mix index 1.13).
| 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 | 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 |
| Susan Ahern | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Nov 11, 2025 |
| 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, 2015 |
| 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 | Jan 26, 2009 |
| John Esterhai | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 26, 2009 |
| 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 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 |
| 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 Retirement-Life Communities Inc | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | May 1, 1997 |
| ACTS Management Services, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2012 |
| ACTS Retirement-Life Communities Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 20, 2025 |
| ACTS Retirement-Life Communities Management, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 31, 2022 |
| 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 |
| Robert Chalfin | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2022 |
| 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 |
| Gerald Grant | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2014 |
| Taylor Reed | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 5, 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 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 | — |
| Jul 23, 2026 |
13 |
| — |
| Willowbrooke Ctskdcarectr at Fortwashingtonestates 735 Susquehanna Road, Fort Washington, PA 19034 CCN 395496 | 9 | Feb 5, 2026 | 8 | — |
| Willowbrooke Ctskdcarectr Atnormandy Farms Estates 8000 Twin Silo Drive, Blue Bell, PA 19422 CCN 395665 | 10 | Dec 11, 2025 | 8 | — |
| Willowbrooke Court-Granite 1343 West Baltimore Pike, Media, PA 19063 CCN 395736 | 10 | Apr 23, 2026 | 13 | — |
| Willowbrooke Court Skilled Care Center at Brittany 1001 Valley Forge Road, Lansdale, PA 19446 CCN 395762 | 92 | Jun 17, 2026 | 7 | — |