Columbus, NC

Willowbrooke Court SC Ctr at Tryon Estates

5-star overall rating with 5-star inspections

619 Laurel Lake Drive, Columbus, NC

(828) 894-5500

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

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

16

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

1994-06-03

CMS approved date

Coverage

Medicare

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.63

Registered nurse staffing

LPN hours / resident day

0.38

Licensed practical nurse staffing

Aide hours / resident day

2.26

Nurse aide staffing

Weekend hours

3.81

Weekend nurse staffing

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

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	90.6%	79.9% 10.7 pts better	81.7% 8.9 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit	19.4%	13.2% 6.2 pts worse	12.0% 7.4 pts worse	Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication	3.0%	1.5% 1.5 pts worse	1.6% 1.4 pts worse	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	96.7%	78.1% 18.6 pts better	79.7% 17 pts better	Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission	40.6%	22.9% 17.7 pts worse	23.9% 16.7 pts worse	Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-17 · Fire 2024-11-20

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 2024-11-20 · Fire 2023-09-08

1 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2023-09-08 · Fire 2022-04-07

0 health deficiencies

No concentrated health issue counts in this cycle.

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2023-09-08

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2023-11-10

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-11-20

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-12-17

Penalties and ownership

What sits behind the stars

Ownership

Acts Retirement-Life Communities Inc

5% Or Greater Direct Ownership Interest · Organization

100% 19 facilities 1992-04-01

Acts Management Services, Inc.

Operational/Managerial Control · Organization

0% 27 facilities 2012-01-01

Acts Retirement-Life Communities Inc

Operational/Managerial Control · Organization

0% 19 facilities 2012-01-01

Acts Retirement-Life Communities Inc

5% Or Greater Mortgage Interest · Organization

0% 19 facilities 1992-04-01

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 2009-01-26

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 2009-01-26

Grant, Gerald

Corporate Director · Individual

0% 29 facilities 2009-01-26

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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