Home › Florida › Palm Beach County › Willowbrooke Court at St Andrews Estates
Willowbrooke Court at St Andrews Estates
6152 N Verde Trail, Boca Raton, FL 33433 · CMS Certification Number (CCN) 105355
At a glance
- CMS overall rating
- ★★★★☆ 4 of 5
- Health inspection citations
- 17 in the last 3 inspection cycles (0 immediate jeopardy, 0 actual harm, 0 from complaints)
- Fire safety citations
- 6
- Fines (last 3 years)
- 0 fines, total $0
- Payment denials
- 0
- Most recent standard inspection
- May 1, 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 | ★★★★☆ 4 of 5 | 3.3 | 3 |
| Health inspections | ★★★☆☆ 3 of 5 | 2.9 | 2.8 |
| Staffing | ★★★★★ 5 of 5 | 3.3 | 2.9 |
| Quality measures | ★★★★☆ 4 of 5 | 4.2 | 3.6 |
| Long-stay quality | ★★★☆☆ 3 of 5 | Not published | Not published |
| Short-stay quality | ★★★★★ 5 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) | May 1, 2025 | 8 | 8 | 0 |
| Cycle 2 | January 25, 2024 | 5 | 5 | 0 |
CMS weighted health inspection score: 32 (lower is better; it counts citation severity, complaints and repeat revisits). Citations from infection control inspections: Not published. How to read these citations
17 health citations across 3 inspection dates, newest first. The letter is CMS’s scope/severity code: A–C means potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, and J–L immediate jeopardy.
May 1, 2025: 8 citations (Standard)
| Severity | Tag | What was cited | Type | Status |
|---|---|---|---|---|
| D | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies | Standard | Deficient, Provider has date of correction Corrected 05/31/2025 |
| D | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies | Standard | Deficient, Provider has date of correction Corrected 05/31/2025 |
| E | 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 | Standard | Deficient, Provider has date of correction Corrected 05/31/2025 |
| D | 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 | Standard | Deficient, Provider has date of correction Corrected 05/31/2025 |
| D | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies | Standard | Deficient, Provider has date of correction Corrected 05/31/2025 |
| D | 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 | Standard | Deficient, Provider has date of correction Corrected 05/31/2025 |
| D | 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 | Standard | Deficient, Provider has date of correction Corrected 05/31/2025 |
| D | 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 | Standard | Deficient, Provider has date of correction Corrected 05/31/2025 |
January 25, 2024: 5 citations (Standard)
| Severity | Tag | What was cited | Type | Status |
|---|---|---|---|---|
| D | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies | Standard | Deficient, Provider has date of correction Corrected 02/08/2024 |
| D | 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 | Standard | Deficient, Provider has date of correction Corrected 02/08/2024 |
| D | 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 | Standard | Deficient, Provider has date of correction Corrected 02/08/2024 |
| D | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies | Standard | Deficient, Provider has date of correction Corrected 02/08/2024 |
| D | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies | Standard | Deficient, Provider has date of correction Corrected 02/08/2024 |
September 9, 2022: 4 citations (Standard)
| Severity | Tag | What was cited | Type | Status |
|---|---|---|---|---|
| D | 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 | Standard | Deficient, Provider has date of correction Corrected 10/09/2022 |
| D | 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 | Standard | Deficient, Provider has date of correction Corrected 10/09/2022 |
| D | 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 | Standard | Deficient, Provider has date of correction Corrected 10/09/2022 |
| D | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies | Standard | Deficient, Provider has date of correction Corrected 10/09/2022 |
Source: CMS Health Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Fire safety inspections
6 fire safety citations across 3 inspection dates
| Date | Severity | Tag | What was cited | Status |
|---|---|---|---|---|
| 05/01/2025 | D | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies | Deficient, Provider has date of correction Corrected 05/29/2025 |
| 05/01/2025 | D | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies | Deficient, Provider has date of correction Corrected 05/29/2025 |
| 05/01/2025 | D | 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 | Deficient, Provider has date of correction Corrected 05/31/2025 |
| 01/25/2024 | D | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies | Deficient, Provider has date of correction Corrected 02/08/2024 |
| 09/09/2022 | D | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies | Deficient, Provider has date of correction Corrected 10/13/2022 |
| 09/09/2022 | D | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies | Deficient, Provider has date of correction Corrected 10/13/2022 |
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 | 4.17 | 3.82 | 3.86 |
| Registered nurse (RN) hours per resident per day | 1.34 | 0.73 | 0.69 |
| LPN/LVN hours per resident per day | 0.26 | Not published | Not published |
| Nurse aide hours per resident per day | 2.57 | Not published | Not published |
| Total nurse staff hours per resident per day, weekends | 3.86 | Not published | Not published |
| RN hours per resident per day, weekends | 1.17 | Not published | Not published |
| Total nursing staff turnover (%) | 21.4 | 41.4 | 45.8 |
| Registered nurse turnover (%) | 52.9 | 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
- 89
- Average residents per day
- 50.3
- 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
- June 13, 1979
- County/parish
- Palm Beach
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 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 RETIREMENT SERVICES, 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 |
| 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 |
| ESTERHAI, JOHN | 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 |
| FOX, GLENN | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| FYFFE, SOPHIA | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| GRANT, GERALD | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| PHAM, DINH | 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 St Andrews Estates. 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.