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Willowbrooke Court at Azalea Trace
10100 Hillview Dr, Pensacola, FL 32514 · CMS Certification Number (CCN) 105444
At a glance
- CMS overall rating
- ★★★★★ 5 of 5
- Health inspection citations
- 0 in the last 3 inspection cycles
- Fire safety citations
- 3
- Fines (last 3 years)
- 0 fines, total $0
- Payment denials
- 0
- Most recent standard inspection
- August 7, 2025
- Official record
- Medicare Care Compare page for this facility
Source: CMS Nursing Home Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
CMS star ratings
CMS rates every Medicare- and Medicaid-certified nursing home from 1 to 5 stars. Health inspection stars are relative to other homes in the same state: the top 10% get 5 stars and the bottom 20% get 1 star. CMS says to use the ratings together with other information, including a visit. Technical Users’ Guide
| Rating | This facility | Florida average | U.S. average |
|---|---|---|---|
| Overall | ★★★★★ 5 of 5 | 3.3 | 3 |
| Health inspections | ★★★★★ 5 of 5 | 2.9 | 2.8 |
| Staffing | ★★★★★ 5 of 5 | 3.3 | 2.9 |
| Quality measures | ★★☆☆☆ 2 of 5 | 4.2 | 3.6 |
| Long-stay quality | Not published Not enough data available to calculate a star rating. | Not published | Not published |
| Short-stay quality | ★★☆☆☆ 2 of 5 | Not published | Not published |
Averages: CMS State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Health inspections
| Inspection cycle | Standard survey date | Health citations | From standard survey | From complaints |
|---|---|---|---|---|
| Cycle 1 (most recent) | August 7, 2025 | 0 | 0 | 0 |
| Cycle 2 | July 24, 2024 | 0 | 0 | 0 |
CMS weighted health inspection score: 0 (lower is better; it counts citation severity, complaints and repeat revisits). Citations from infection control inspections: Not published. How to read these citations
No health citations published for this facility in the CMS Health Deficiencies file.
Source: CMS Health Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Fire safety inspections
3 fire safety citations across 1 inspection dates
| Date | Severity | Tag | What was cited | Status |
|---|---|---|---|---|
| 05/03/2023 | D | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies | Deficient, Provider has date of correction Corrected 07/24/2023 |
| 05/03/2023 | D | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies | Deficient, Provider has date of correction Corrected 07/24/2023 |
| 05/03/2023 | D | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies | Deficient, Provider has date of correction Corrected 07/24/2023 |
Automatic sprinklers in all required areas: Yes. CMS does not count fire safety citations in the health inspection star rating.
Source: CMS Fire Safety Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Penalties
No fines or payment denials published for this facility in the CMS Penalties file (last 3 years).
Source: CMS Penalties: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Staffing
| Measure | This facility | Florida average | U.S. average |
|---|---|---|---|
| Total nurse staff hours per resident per day | 4.06 | 3.82 | 3.86 |
| Registered nurse (RN) hours per resident per day | 1.1 | 0.73 | 0.69 |
| LPN/LVN hours per resident per day | 0.5 | Not published | Not published |
| Nurse aide hours per resident per day | 2.46 | Not published | Not published |
| Total nurse staff hours per resident per day, weekends | 3.44 | Not published | Not published |
| RN hours per resident per day, weekends | 0.67 | Not published | Not published |
| Total nursing staff turnover (%) | 25 | 41.4 | 45.8 |
| Registered nurse turnover (%) | 50 | Not published | Not published |
| Administrators who have left | 1 | Not published | Not published |
Reported hours come from the Payroll-Based Journal (PBJ) staffing data that facilities submit to CMS each quarter.
Source: CMS Provider Information; State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Facility details
- Legal business name
- Acts Retirement-Life Communities INC
- Ownership type
- Non profit - Corporation
- Chain
- Acts Retirement-Life Communities (27 facilities)
- Ownership changed in last 12 months
- No
- Certified beds
- 24
- Average residents per day
- 10.6
- Participates in
- Medicare and Medicaid
- Located inside a hospital
- No
- Continuing care retirement community
- Yes
- Resident and family council
- Resident
- First approved for Medicare/Medicaid
- August 20, 1983
- County/parish
- Escambia
Source: CMS Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Owners and managers reported to CMS
53 ownership and management records
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| ACTS RETIREMENT SERVICES, INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | undefined undefined, NaN |
| ACTS ACQUISITION AND DEVELOPMENT COMPANY LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | undefined undefined, NaN |
| ACTS ALLIANCE MANAGEMENT LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | undefined undefined, NaN |
| ACTS COMMUNITIES OF MARYLAND, INC. | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | undefined undefined, NaN |
| ACTS LEGACY FOUNDATION, INC. | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | undefined undefined, NaN |
| ACTS SIGNATURE COMMUNITY SERVICES INC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | undefined undefined, NaN |
| BONITA SPRINGS RETIREMENT VILLAGE INC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | undefined undefined, NaN |
| MEASE LIFE INC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | undefined undefined, NaN |
| ALLMOND, SUSAN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| BROD, KATHRYN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| CALLAWAY, WARREN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| CHAMBERLAIN, LINDA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| CHRISTIANSEN, KAREN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| DETWEILER, HAROLD | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| ESTERHAI, JOHN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| GERNER, ELRIC | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| GLYNN, JAMES | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| GRANT, GERALD | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| GREER, JASON | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| KELLY, MICHAEL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| LAMMERS, JOHN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| LAWSON, DANIEL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| MASHNER, MARVIN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| MIDDLEBROOKS, DANIEL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| REICHARD, DAWN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| AHERN, SUSAN | CORPORATE OFFICER | Individual | NOT APPLICABLE | undefined undefined, NaN |
| ALLMOND, SUSAN | CORPORATE OFFICER | Individual | NOT APPLICABLE | undefined undefined, NaN |
| CHRISTIANSEN, KAREN | CORPORATE OFFICER | Individual | NOT APPLICABLE | undefined undefined, NaN |
| FOX, GLENN | CORPORATE OFFICER | Individual | NOT APPLICABLE | undefined undefined, NaN |
| GERNER, ELRIC | CORPORATE OFFICER | Individual | NOT APPLICABLE | undefined undefined, NaN |
| GRANT, GERALD | CORPORATE OFFICER | Individual | NOT APPLICABLE | undefined undefined, NaN |
| LAWSON, DANIEL | CORPORATE OFFICER | Individual | NOT APPLICABLE | undefined undefined, NaN |
| MASHNER, MARVIN | CORPORATE OFFICER | Individual | NOT APPLICABLE | undefined undefined, NaN |
| ACTS MANAGEMENT SERVICES, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | undefined undefined, NaN |
| ACTS RETIREMENT-LIFE COMMUNITIES INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | undefined undefined, NaN |
| ACTS RETIREMENT-LIFE COMMUNITIES MANAGEMENT, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | undefined undefined, NaN |
| AHERN, SUSAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| CHRISTIANSEN, KAREN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| FOX, GLENN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| GRANT, GERALD | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| U.S. BANK | TRUSTEE OF THE SNF | Organization | NOT APPLICABLE | undefined undefined, NaN |
| ACTS MANAGEMENT SERVICES, INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | undefined undefined, NaN |
| ACTS RETIREMENT-LIFE COMMUNITIES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | undefined undefined, NaN |
| ACTS RETIREMENT-LIFE COMMUNITIES MANAGEMENT, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | undefined undefined, NaN |
| BAKER TILLY ADVISORY GROUP LP | ADP OF THE SNF | Organization | NOT APPLICABLE | undefined undefined, NaN |
| BAKER TILLY US LLP | ADP OF THE SNF | Organization | NOT APPLICABLE | undefined undefined, NaN |
| U.S. BANK | ADP OF THE SNF | Organization | NOT APPLICABLE | undefined undefined, NaN |
| AHERN, SUSAN | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| CHRISTIANSEN, KAREN | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| DENAPOLES, CHRISTOPHER | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| FOX, GLENN | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| GRANT, GERALD | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| PETERSON, LISA | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
Source: CMS Ownership: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Check it yourself
- Medicare Care Compare: Willowbrooke Court at Azalea Trace. Full inspection reports, quality measures and staffing.
- AHCA licensed health care facility complaint form. The state agency also takes nursing home complaints.
- Ask the facility to show you its most recent inspection report and plan of correction.
Page built from CMS data files processed September 1, 2026 (CMS refreshes monthly). Last checked October 26, 2026. Not a ranking or endorsement.