Willowbrooke Court Skilled Care at Evergreens
309 Bridgeboro Rd, Moorestown, NJ 08057
Willowbrooke Court Skilled Care at Evergreens is a nursing home in Moorestown, New Jersey. 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 3, 2025 (1 year ago)
- Health citations since October 27, 20226 (New Jersey average 24)
- 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.
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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
Staffing
Total nurse staffing reported to CMS went from 5.3 to 4.7 hours per resident per day.
CMS update of April 29, 2026
Star rating
The CMS staffing star rating changed from 1 of 5 to 5 of 5.
CMS update of February 25, 2026
Star rating
The CMS staffing star rating changed from 5 of 5 to 1 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.
CMS update of November 20, 2025
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
Health inspection on September 3, 2025
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation F0812. Severity F: potential for more than minimal harm, widespread.
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 October 15, 2025.
CMS has cited this home for F0812 3 times since 2022.
Fire safety inspection on September 3, 2025
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation E0004. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Develop and maintain an Emergency Preparedness Program (EP).
CMS lists it as corrected on November 26, 2025.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on September 26, 2025.
CMS has cited this home for K0353 2 times since 2022.
Citation K0363. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on November 26, 2025.
CMS has cited this home for K0363 2 times since 2022.
Citation K0222. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on September 26, 2025.
CMS update of July 30, 2025
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
Staffing
Total nurse staffing reported to CMS went from 5.7 to 5.0 hours per resident per day.
Health inspection on June 7, 2024
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation F0812. Severity F: potential for more than minimal harm, widespread.
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 July 8, 2024.
Citation F0610. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Respond appropriately to all alleged violations.
CMS lists it as corrected on July 8, 2024.
Fire safety inspection on June 7, 2024
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on July 22, 2024.
Citation K0291. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install emergency lighting that can last at least 1 1/2 hours.
CMS lists it as corrected on July 22, 2024.
Citation K0531. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have elevators that firefighters can control in the event of a fire.
CMS lists it as corrected on July 22, 2024.
Citation K0912. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have power receptacles that are properly grounded.
CMS lists it as corrected on July 22, 2024.
CMS update of April 25, 2024
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
CMS update of January 31, 2024
Changed ownership in the last 12 months
CMS no longer shows a change of ownership in the past 12 months.
Health inspection on October 27, 2022
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation F0812. Severity E: potential for more than minimal harm, pattern.
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 November 18, 2022.
Citation F0578. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
CMS lists it as corrected on November 18, 2022.
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 December 30, 2022.
Fire safety inspection on October 27, 2022
9 citationsCMS lists this as a standard inspection.
Show the 9 citations
Citation K0100. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Meet other general requirements.
CMS lists it as corrected on November 18, 2022.
Citation K0293. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have properly located and lighted "Exit" signs.
CMS lists it as corrected on January 25, 2023.
Citation K0355. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on November 18, 2022.
Citation K0920. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on November 18, 2022.
Citation K0211. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on November 18, 2022.
Citation K0300. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Meet other general requirements that are deficient.
CMS lists it as corrected on November 18, 2022.
Citation K0353. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on November 18, 2022.
Citation K0363. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on November 18, 2022.
Citation K0919. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Meet requirements for the use of electrical equipment.
CMS lists it as corrected on November 18, 2022.
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
- (856) 439-2000
- Last standard health inspection
- September 3, 2025 (1 year ago)
- Certified beds
- 17
- Residents per day, on average
- 11.8
- Ownership type
- Non profit - Corporation
- Legal business name
- Acts Retirement-Life Communities INC
- Chain
- Acts Retirement-Life Communities
- Takes part in
- Medicare
Fewer health citations than the New Jersey average (6 vs 24).
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 12/31/2022
- ACTS ALLIANCE MANAGEMENT LLCIndirect ownership interest · not applicable · since 12/31/2022
- ACTS COMMUNITIES OF MARYLAND, INC.Indirect ownership interest · not applicable · since 11/01/2024
- ACTS LEGACY FOUNDATION, INC.Indirect ownership interest · not applicable · since 12/31/2022
- ACTS MANAGEMENT SERVICES, INC.Indirect ownership interest · not applicable · since 12/31/2022
Show 12 more
- ACTS RETIREMENT SERVICES, INCIndirect ownership interest · not applicable · since 12/31/2022
- 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 12/31/2022
- ACTS RETIREMENT-LIFE COMMUNITIES INCOperational/managerial control · not applicable · since 12/31/2022
- ACTS RETIREMENT-LIFE COMMUNITIES MANAGEMENT, LLCOperational/managerial control · not applicable · since 12/31/2022
- AHERN, SUSANOperational/managerial control · not applicable · since 06/01/2021
- CHRISTIANSEN, KARENOperational/managerial control · not applicable · since 05/25/2010
- FOX, GLENNOperational/managerial control · not applicable · since 01/01/2018
- GRANT, GERALDOperational/managerial control · not applicable · since 06/01/2005
Questions
When was Willowbrooke Court Skilled Care at Evergreens last inspected?
CMS lists September 3, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Willowbrooke Court Skilled Care at Evergreens have?
CMS lists 6 health citations since October 27, 2022. CMS also calls these deficiencies.
Has Willowbrooke Court Skilled Care at Evergreens been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Willowbrooke Court Skilled Care at Evergreens?
Its CMS overall star rating is 5 of 5.
Is Willowbrooke Court Skilled Care at Evergreens a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.