Federal inspection record · CMS data as of October 1, 2026
Willowbrooke Court At St Andrews Estates
6152 N Verde Trail, Boca Raton, FL · (561) 487-5200
- Certified beds
- 89
- Residents per day
- 45
- Ownership
- Non-Profit
- Chain
- Acts Retirement-Life Communities
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 13, 1979
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Florida.
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Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Florida homes
Willowbrooke Court At St Andrews Estates carries 32 inspection points. That is fewer than 58% of Florida's 691 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Florida: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–8 pts
- 4★ 8–25 pts
- 3★ 25–46 pts
- 2★ 46–85 pts
- 1★ over 85 pts
Bars show every rated home in Florida by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
17 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care6D
- D
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.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
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.
Pharmacy Service5D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
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.
- D
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.
- D
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.
Environmental2D
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
- D
Keep all essential equipment working safely.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services1D
- D
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.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Resident Rights1D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspection history
2025-05-01
8 health deficiencies · 3 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
2024-01-25
5 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2022-09-09
4 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 13 min of nursing staff time a day, 1 h 25 min of it from a registered nurse.
This home
4 h 13 min
Florida average
3 h 51 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 24% of nursing staff and 50% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts worse | 2.1 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident daysAbout the same | 1.1 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.8 pts worse | 92.6% | 98.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine18 pts worse | 81.4% | 99.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts worse | 2.7% | 2.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.4 pts better | 1.0% | 5.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.5 pts worse | 6.0% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.1 pts worse | 15.0% | 13.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.6 pts better | 1.1% | 8.7% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.2 pts worse | 9.6% | 8.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.7 pts worse | 14.0% | 8.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts worse | 1.1% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection4.2 pts worse | 4.8% | 0.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence11.5 pts worse | 21.0% | 9.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.5 pts worse | 7.9% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16.4 pts worse | 79.2% | 95.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.9 pts better | 8.0% | 8.9% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine23.6 pts worse | 72.7% | 96.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.2 pts better | 22.6% | 25.8% | 23.4% |
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Who owns and runs it
53 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Acts Acquisition And Development Company LLC | Indirect Ownership Interest · Organization | 0% | 25 facilities |
| Acts Alliance Management LLC | Indirect Ownership Interest · Organization | 0% | 25 facilities |
| Acts Communities Of Maryland, Inc. | Indirect Ownership Interest · Organization | 0% | 25 facilities |
| Acts Legacy Foundation, Inc. | Indirect Ownership Interest · Organization | 0% | 25 facilities |
| Acts Management Services, Inc. | Operational/Managerial Control · Organization | 0% | 27 facilities |
| Acts Management Services, Inc. | Adp Of The SNF · Organization | 0% | 27 facilities |
| Acts Retirement Services, Inc | Indirect Ownership Interest · Organization | 0% | 26 facilities |
| Acts Retirement-Life Communities Inc | Operational/Managerial Control · Organization | 0% | 22 facilities |
| Acts Retirement-Life Communities Inc | Adp Of The SNF · Organization | 0% | 22 facilities |
| Acts Retirement-Life Communities Management, LLC | Operational/Managerial Control · Organization | 0% | 27 facilities |
| Acts Retirement-Life Communities Management, LLC | Adp Of The SNF · Organization | 0% | 27 facilities |
| Acts Signature Community Services Inc | Indirect Ownership Interest · Organization | 0% | 25 facilities |
| Ahern, Susan | Corporate Officer · Individual | 0% | 27 facilities |
| Ahern, Susan | Operational/Managerial Control · Individual | 0% | 27 facilities |
| Ahern, Susan | Adp Of The SNF · Individual | 0% | 27 facilities |
| Allmond, Susan | Corporate Director · Individual | 0% | 23 facilities |
| Allmond, Susan | Corporate Officer · Individual | 0% | 23 facilities |
| Baker Tilly Advisory Group LP | Adp Of The SNF · Organization | 0% | 83 facilities |
| Baker Tilly Us Llp | Adp Of The SNF · Organization | 0% | 75 facilities |
| Bonita Springs Retirement Village Inc | Indirect Ownership Interest · Organization | 0% | 25 facilities |
| Brod, Kathryn | Corporate Director · Individual | 0% | 24 facilities |
| Callaway, Warren | Corporate Director · Individual | 0% | 21 facilities |
| Chamberlain, Linda | Corporate Director · Individual | 0% | 22 facilities |
| Christiansen, Karen | Corporate Officer · Individual | 0% | 27 facilities |
| Christiansen, Karen | Operational/Managerial Control · Individual | 0% | 27 facilities |
| Christiansen, Karen | Adp Of The SNF · Individual | 0% | 27 facilities |
| Detweiler, Harold | Corporate Director · Individual | 0% | 25 facilities |
| Esterhai, John | Corporate Director · Individual | 0% | 21 facilities |
| Esterhai, John | Corporate Officer · Individual | 0% | 21 facilities |
| Fox, Glenn | Corporate Officer · Individual | 0% | 27 facilities |
| Fox, Glenn | Operational/Managerial Control · Individual | 0% | 27 facilities |
| Fox, Glenn | Adp Of The SNF · Individual | 0% | 27 facilities |
| Fyffe, Sophia | Adp Of The SNF · Individual | 0% | 1 facilities |
| Gerner, Elric | Corporate Director · Individual | 0% | 24 facilities |
| Gerner, Elric | Corporate Officer · Individual | 0% | 24 facilities |
| Glynn, James | Corporate Director · Individual | 0% | 23 facilities |
| Grant, Gerald | Corporate Director · Individual | 0% | 29 facilities |
| Grant, Gerald | Corporate Officer · Individual | 0% | 29 facilities |
| Grant, Gerald | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Grant, Gerald | Adp Of The SNF · Individual | 0% | 29 facilities |
| Greer, Jason | Corporate Director · Individual | 0% | 21 facilities |
| Kelly, Michael | Corporate Director · Individual | 0% | 30 facilities |
| Lammers, John | Corporate Director · Individual | 0% | 21 facilities |
| Lawson, Daniel | Corporate Director · Individual | 0% | 25 facilities |
| Lawson, Daniel | Corporate Officer · Individual | 0% | 25 facilities |
| Mashner, Marvin | Corporate Director · Individual | 0% | 23 facilities |
| Mashner, Marvin | Corporate Officer · Individual | 0% | 23 facilities |
| Mease Life Inc | Indirect Ownership Interest · Organization | 0% | 25 facilities |
| Middlebrooks, Daniel | Corporate Director · Individual | 0% | 21 facilities |
| Pham, Dinh | Adp Of The SNF · Individual | 0% | 1 facilities |
| Reichard, Dawn | Corporate Director · Individual | 0% | 21 facilities |
| U.s. Bank | Trustee Of The SNF · Organization | 0% | 42 facilities |
| U.s. Bank | Adp Of The SNF · Organization | 0% | 42 facilities |
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Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress2D
- D
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.
- D
Install emergency lighting that can last at least 1 1/2 hours.
Smoke2D
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Inspect, test, and maintain automatic sprinkler systems.
Services1D
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems1D
- D
Have generator or other power source capable of supplying service within 10 seconds.
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Other homes nearby
-
Legacy At Boca Raton Rehabilitation And Nursing Ce
Boca Raton, FL · Carerite Centers
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 40 min
- Fines
- $0
-
Encore At Boca Raton Rehabilitation And Nursing Ce
Boca Raton, FL · Carerite Centers
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 54 min
- Fines
- $0
-
Boca Circle Rehabilitation Center
Boca Raton, FL · Excelsior Care Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 42 min
- Fines
- $31,736