Pensacola, FL

Willowbrooke Court At Azalea Trace

5-star overall rating with 5-star inspections

10100 Hillview Dr, Pensacola, FL

(850) 478-5200

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

24

Certified beds

Average residents

9

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Acts Retirement-Life Communities

Operator or chain grouping

Approved since

1983-08-20

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.21

Registered nurse staffing

LPN hours / resident day

0.58

Licensed practical nurse staffing

Aide hours / resident day

3.10

Nurse aide staffing

Weekend hours

4.29

Weekend nurse staffing

RN turnover

29%

Annual RN turnover

Total nurse turnover

16%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	83.5%	94.3% 10.8 pts worse	81.7% 1.8 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit	31.2%	9.3% 21.9 pts worse	12.0% 19.2 pts worse	Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.5% 1.5 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	83.3%	94.7% 11.4 pts worse	79.7% 3.6 pts better	Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission	19.1%	26.2% 7.1 pts better	23.9% 4.8 pts better	Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-07 · Fire 2025-08-07

0 health deficiencies

No concentrated health issue counts in this cycle.

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-07-24 · Fire 2024-07-24

0 health deficiencies

No concentrated health issue counts in this cycle.

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-05-03 · Fire 2023-05-03

0 health deficiencies

No concentrated health issue counts in this cycle.

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2023-05-03

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-07-24

D · Potential for more than minimal harm 2023-05-03

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-07-24

D · Potential for more than minimal harm 2023-05-03

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-07-24

Inspection history

Recent health citations

Penalties and ownership

What sits behind the stars

Ownership

Acts Management Services, Inc.

Operational/Managerial Control · Organization

0% 27 facilities 2012-08-01

Acts Retirement Services, Inc

5% Or Greater Direct Ownership Interest · Organization

0% 4 facilities 2012-08-01

Acts Retirement-Life Communities Inc

5% Or Greater Direct Ownership Interest · Organization

0% 19 facilities 2012-01-01

Acts Retirement-Life Communities Inc

Operational/Managerial Control · Organization

0% 19 facilities 2012-01-01

Acts Retirement-Life Communities Management, LLC

Operational/Managerial Control · Organization

0% 25 facilities 2022-12-31

Ahern, Susan

Operational/Managerial Control · Individual

0% 27 facilities 2020-01-01

Ahern, Susan

Corporate Officer · Individual

0% 27 facilities 2020-01-01

Allmond, Susan

Corporate Director · Individual

0% 23 facilities 2015-01-01

Allmond, Susan

Corporate Officer · Individual

0% 23 facilities 2025-01-01

Brod, Kathryn

Corporate Director · Individual

0% 22 facilities 2024-02-15

Callaway, Warren

Corporate Director · Individual

0% 19 facilities 2022-03-30

Chamberlain, Linda

Corporate Director · Individual

0% 20 facilities 2025-01-01

Christiansen, Karen

Operational/Managerial Control · Individual

0% 27 facilities 2012-08-01

Christiansen, Karen

Corporate Director · Individual

0% 27 facilities 2020-01-01

Christiansen, Karen

Corporate Officer · Individual

0% 27 facilities 2010-05-25

Detweiler, Harold

Corporate Director · Individual

0% 25 facilities 2009-11-01

Esterhai, John

Corporate Director · Individual

0% 21 facilities 1996-05-01

Fox, Glenn

Operational/Managerial Control · Individual

0% 27 facilities 2017-01-01

Fox, Glenn

Corporate Officer · Individual

0% 27 facilities 2017-01-01

Gerner, Elric

Corporate Director · Individual

0% 24 facilities 2009-04-01

Gerner, Elric

Corporate Officer · Individual

0% 24 facilities 2010-01-01

Glynn, James

Corporate Director · Individual

0% 21 facilities 2023-01-01

Grant, Gerald

Operational/Managerial Control · Individual

0% 29 facilities 2012-08-01

Grant, Gerald

Corporate Director · Individual

0% 29 facilities 2017-05-04

Grant, Gerald

Corporate Officer · Individual

0% 29 facilities 2005-06-01

Greer, Jason

Corporate Director · Individual

0% 19 facilities 2022-03-30

Kelly, Michael

Corporate Director · Individual

0% 33 facilities 2020-02-11

Lammers, John

Corporate Director · Individual

0% 21 facilities 2020-12-15

Lawson, Daniel

Corporate Director · Individual

0% 25 facilities 2019-06-11

Lawson, Daniel

Corporate Officer · Individual

0% 25 facilities 2025-01-01

Mashner, Marvin

Corporate Director · Individual

0% 23 facilities 1991-01-01

Mashner, Marvin

Corporate Officer · Individual

0% 23 facilities 2025-01-01

Middlebrooks, Daniel

Corporate Director · Individual

0% 19 facilities 2023-01-01

Reichard, Dawn

Corporate Director · Individual

0% 19 facilities 2025-06-01

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Other facilities in reach

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5-star overall rating with 5-star inspections

Overall: 5 / 5
Health: 5 / 5
Staffing: 4 / 5
Fines: $0

#2

Aviata At University Hills

Pensacola, FL

3-star overall rating with 2-star inspections with $39,545 in total fines with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

Overall: 3 / 5
Health: 2 / 5
Staffing: 2 / 5
Fines: $39,545

#3