Willowbrooke Court at Lanier Village Estates
4145 Misty Morning Way, Gainesville, GA 30506
Willowbrooke Court at Lanier Village Estates is a nursing home in Gainesville, Georgia. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating5 of 5
- Last standard health inspectionSeptember 21, 2025 (1 year ago)
- Health citations since February 12, 20238 (Georgia average 17)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
Get an email when CMS publishes something new about this home
One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
Email alerts for this home open soon.
CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
CMS update of July 29, 2026
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
CMS update of January 14, 2026
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5.
Health inspection on September 21, 2025
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on October 21, 2025.
Fire safety inspection on September 21, 2025
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0345. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on November 24, 2025.
Citation K0341. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install a fire alarm system that can be heard throughout the facility.
CMS lists it as corrected on November 24, 2025.
CMS update of June 26, 2024
Star rating
The CMS health inspection star rating changed from 3 of 5 to 4 of 5.
Health inspection on April 28, 2024
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation F0655. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS lists it as corrected on June 12, 2024.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on June 12, 2024.
Citation F0690. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS lists it as corrected on June 12, 2024.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on June 12, 2024.
Fire safety inspection on April 28, 2024
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0353. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on June 12, 2024.
CMS update of April 25, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
CMS update of January 31, 2024
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS staffing star rating changed from 4 of 5 to 5 of 5.
Health inspection on February 12, 2023
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation F0813. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
CMS lists it as corrected on March 29, 2023.
Citation F0758. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
CMS lists it as corrected on March 29, 2023.
Citation F0812. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on March 29, 2023.
Fire safety inspection on February 12, 2023
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0351. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install an approved automatic sprinkler system.
CMS lists it as corrected on March 29, 2023.
CMS star ratings
- 5 of 5CMS overall star rating
- 5 of 5CMS health inspection star rating
- 5 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (678) 450-3005
- Last standard health inspection
- September 21, 2025 (1 year ago)
- Certified beds
- 48
- Residents per day, on average
- 44.3
- Ownership type
- Non profit - Corporation
- Legal business name
- Acts Retirement-Life Communities INC
- Chain
- Acts Retirement-Life Communities
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Georgia average (8 vs 17).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- ACTS ACQUISITION AND DEVELOPMENT COMPANY LLCIndirect ownership interest · not applicable · since 01/01/2003
- ACTS ALLIANCE MANAGEMENT LLCIndirect ownership interest · not applicable · since 12/31/2022
- ACTS COMMUNITIES OF MARYLAND, INC.Indirect ownership interest · not applicable · since 04/01/2019
- ACTS LEGACY FOUNDATION, INC.Indirect ownership interest · not applicable · since 12/31/2022
- ACTS RETIREMENT SERVICES, INCIndirect ownership interest · not applicable · since 03/24/2009
Show 11 more
- ACTS RETIREMENT-LIFE COMMUNITIES MANAGEMENT, LLCIndirect ownership interest · not applicable · since 12/31/2022
- ACTS SIGNATURE COMMUNITY SERVICES INCIndirect ownership interest · not applicable · since 12/31/2022
- BONITA SPRINGS RETIREMENT VILLAGE INCIndirect ownership interest · not applicable · since 11/01/2024
- MEASE LIFE INCIndirect ownership interest · not applicable · since 10/01/2023
- ACTS MANAGEMENT SERVICES, INC.Operational/managerial control · not applicable · since 01/01/2012
- ACTS RETIREMENT-LIFE COMMUNITIES INCOperational/managerial control · not applicable · since 08/01/2012
- ACTS RETIREMENT-LIFE COMMUNITIES MANAGEMENT, LLCOperational/managerial control · not applicable · since 12/31/2022
- AHERN, SUSANOperational/managerial control · not applicable · since 01/01/2020
- CHRISTIANSEN, KARENOperational/managerial control · not applicable · since 05/25/2010
- FOX, GLENNOperational/managerial control · not applicable · since 01/01/2017
- GRANT, GERALDOperational/managerial control · not applicable · since 06/01/2005
Questions
When was Willowbrooke Court at Lanier Village Estates last inspected?
CMS lists September 21, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Willowbrooke Court at Lanier Village Estates have?
CMS lists 8 health citations since February 12, 2023. CMS also calls these deficiencies.
Has Willowbrooke Court at Lanier Village Estates been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Willowbrooke Court at Lanier Village Estates?
Its CMS overall star rating is 5 of 5.
Is Willowbrooke Court at Lanier Village Estates a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.