Willowbrooke Court-Spring Hous
728 Norristown Road, Lower Gwynedd, PA 19002
Willowbrooke Court-Spring Hous is a nursing home in Lower Gwynedd, Pennsylvania. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
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
- (215) 628-3545
- Last standard health inspection
- April 2, 2026 (7 months ago)
- Certified beds
- 16
- Residents per day, on average
- 11.7
- 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 Pennsylvania average (2 vs 31).
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.
1 citation
Health inspection on July 23, 2026
CMS lists this as a complaint inspection.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on July 31, 2026.
CMS update of April 29, 2026
Star rating
The CMS staffing star rating changed from 4 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 4 of 5.
CMS update of November 20, 2025
Star rating
The CMS staffing star rating changed from 4 of 5 to 5 of 5.
CMS update of April 30, 2025
Star rating
The CMS staffing star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
Staffing
Total nurse staffing reported to CMS went from 4.2 to 3.8 hours per resident per day.
5 citations
Fire safety inspection on April 17, 2025
CMS lists this as a standard inspection.
Citation K0133. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install a two-hour-resistant firewall separation.
CMS lists it as corrected on May 30, 2025.
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 May 30, 2025.
Citation K0342. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
CMS lists it as corrected on May 30, 2025.
Citation K0911. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Meet requirements for the installation and maintenance of electrical systems.
CMS lists it as corrected on May 30, 2025.
CMS has cited this home for K0911 2 times since 2024.
Citation K0920. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on May 30, 2025.
CMS update of February 26, 2025
Staffing
Total nurse staffing reported to CMS went from 5.4 to 4.2 hours per resident per day.
CMS update of October 30, 2024
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
1 citation
Health inspection on May 28, 2024
CMS lists this as a standard inspection.
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on May 28, 2024.
6 citations
Fire safety inspection on May 28, 2024
CMS lists this as a standard inspection.
Citation K0761. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
CMS lists it as corrected on August 1, 2024.
Citation K0131. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Meet requirements for sections of health care facilities separated by fire resistive construction.
CMS lists it as corrected on August 1, 2024.
Citation K0321. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on August 1, 2024.
Citation K0521. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on August 1, 2024.
Citation K0911. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Meet requirements for the installation and maintenance of electrical systems.
CMS lists it as corrected on August 1, 2024.
Citation K0923. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on August 1, 2024.
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
- ACTS RETIREMENT-LIFE COMMUNITIES MANAGEMENT, LLCIndirect ownership interest · not applicable · since 12/31/2022
- ACTS SIGNATURE COMMUNITY SERVICES INCIndirect ownership interest · not applicable · since 03/24/2009
- 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 12/31/2022
- 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 01/26/2009
- FOX, GLENNOperational/managerial control · not applicable · since 01/01/2017
- GRANT, GERALDOperational/managerial control · not applicable · since 08/01/2014
Questions
When was Willowbrooke Court-Spring Hous last inspected?
CMS lists April 2, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Willowbrooke Court-Spring Hous have?
CMS lists 2 health citations since May 28, 2024. CMS also calls these deficiencies.
Has Willowbrooke Court-Spring Hous been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Willowbrooke Court-Spring Hous?
Its CMS overall star rating is 5 of 5.
Is Willowbrooke Court-Spring Hous a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.