Federal inspection record · CMS data as of October 1, 2026

Willowbrooke Court Skilled Care Center at Mease Li

910 New York Ave, Dunedin, FL · (727) 733-2113

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
100
Residents per day
45
Ownership
Non-Profit
Chain
Acts Retirement-Life Communities
Medicare / Medicaid
Medicare + Medicaid
Certified since
June 12, 1991

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Florida.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Florida homes

Willowbrooke Court Skilled Care Center at Mease Li carries 1 inspection point. That is fewer than 98% of Florida's 691 rated homes.

5★4★3★2★1★+21 homes above 238.505102550100200inspection points → fewer is better on the leftThis home · 1 pts · 5★

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

5 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 4 4 pts
E 1 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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

Resident Rights2E
  1. E

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    April 2, 2021 · Standard · F623 · Corrected April 22, 2021

  2. D

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    April 2, 2021 · Standard · F625 · Corrected April 22, 2021

Nursing and Physician Services1D
  1. D

    Post nurse staffing information every day.

    August 18, 2022 · Standard · F732 · Corrected September 18, 2022

Quality of Life and Care1D
  1. D

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    April 2, 2021 · Standard · F676 · Corrected April 22, 2021

Pharmacy Service1D
  1. D

    Ensure medication error rates are not 5 percent or greater.

    April 2, 2021 · Standard · F759 · Corrected April 23, 2021

Inspection history

  1. 2024-07-25

    0 health deficiencies · 5 fire-safety deficiencies

    No concentrated health issue counts in this cycle.

  2. 2022-08-18

    1 health deficiencies · 0 fire-safety deficiencies

    Top issue: Nursing and Physician Services (1 deficiency)

  3. 2021-04-02

    4 health deficiencies · 3 fire-safety deficiencies

    Top issue: Resident Rights (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 31 min of nursing staff time a day, 38 min of it from a registered nurse.

This home

4 h 31 min

Florida average

3 h 51 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 41% of nursing staff and 63% of registered nurses left in the past year, along with 2 administrators.

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.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.2 pts worse2.22.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better0.91.11.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine8.1 pts worse90.3%98.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.8 pts worse96.6%99.4%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts worse2.9%2.5%3.2%
Percentage of long-stay residents who have depressive symptoms5.4 pts better0.0%5.4%13.5%
Percentage of long-stay residents who lose too much weight1.1 pts better4.4%5.5%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication11 pts better2.9%13.9%19.5%
Percentage of long-stay residents who received an antipsychotic medication24.6 pts worse33.3%8.7%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased1.7 pts worse10.0%8.3%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1.8 pts worse2.1%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection2.3 pts worse2.9%0.6%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.5 pts worse15.0%9.5%18.3%
Percentage of long-stay residents with pressure ulcers1.1 pts worse5.5%4.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3.4 pts worse92.2%95.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit0.6 pts worse9.5%8.9%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts better0.8%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.3 pts worse93.0%96.3%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission3.7 pts worse29.5%25.8%23.4%

·

Who owns and runs it

50 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Acts Acquisition And Development Company LLCDirect Ownership Interest · Organization0%25 facilities
Acts Alliance Management LLCIndirect Ownership Interest · Organization0%25 facilities
Acts Communities Of Maryland, Inc.Indirect Ownership Interest · Organization0%25 facilities
Acts Legacy Foundation, Inc.Indirect Ownership Interest · Organization0%25 facilities
Acts Management Services, Inc.Indirect Ownership Interest · Organization0%27 facilities
Acts Management Services, Inc.Operational/Managerial Control · Organization0%27 facilities
Acts Management Services, Inc.Adp Of The SNF · Organization0%27 facilities
Acts Retirement Services, IncIndirect Ownership Interest · Organization0%26 facilities
Acts Retirement-Life Communities Management, LLCIndirect Ownership Interest · Organization0%27 facilities
Acts Retirement-Life Communities Management, LLCOperational/Managerial Control · Organization0%27 facilities
Acts Retirement-Life Communities Management, LLCAdp Of The SNF · Organization0%27 facilities
Acts Signature Community Services IncIndirect Ownership Interest · Organization0%25 facilities
Ahern, SusanCorporate Officer · Individual0%27 facilities
Ahern, SusanOperational/Managerial Control · Individual0%27 facilities
Ahern, SusanAdp Of The SNF · Individual0%27 facilities
Baker Tilly Advisory Group LPAdp Of The SNF · Organization0%83 facilities
Baker Tilly Us LlpAdp Of The SNF · Organization0%75 facilities
Bate, JohnCorporate Director · Individual0%1 facilities
Beck, JeffreyCorporate Officer · Individual0%1 facilities
Bonita Springs Retirement Village IncIndirect Ownership Interest · Organization0%25 facilities
Bullock, JenniferAdp Of The SNF · Individual0%1 facilities
Chamberlain, LindaCorporate Officer · Individual0%22 facilities
Chambers Carroll, Mary BethCorporate Director · Individual0%1 facilities
Chambers Carroll, Mary BethCorporate Officer · Individual0%1 facilities
Christiansen, KarenCorporate Officer · Individual0%27 facilities
Christiansen, KarenOperational/Managerial Control · Individual0%27 facilities
Christiansen, KarenAdp Of The SNF · Individual0%27 facilities
Fox, GlennCorporate Officer · Individual0%27 facilities
Fox, GlennOperational/Managerial Control · Individual0%27 facilities
Fox, GlennAdp Of The SNF · Individual0%27 facilities
Glynn, JamesCorporate Director · Individual0%23 facilities
Grant, GeraldCorporate Director · Individual0%29 facilities
Grant, GeraldCorporate Officer · Individual0%29 facilities
Grant, GeraldOperational/Managerial Control · Individual0%29 facilities
Grant, GeraldAdp Of The SNF · Individual0%29 facilities
Grant, JonathanCorporate Officer · Individual0%6 facilities
Grant, JonathanOperational/Managerial Control · Individual0%6 facilities
Grant, JonathanAdp Of The SNF · Individual0%6 facilities
Kelly, MichaelCorporate Director · Individual0%30 facilities
Kelly, MichaelCorporate Officer · Individual0%30 facilities
Mathew, DaniAdp Of The SNF · Individual0%3 facilities
Mease Life IncDirect Ownership Interest · Organization0%25 facilities
Mease Life IncOperational/Managerial Control · Organization0%25 facilities
Mease Life IncAdp Of The SNF · Organization0%25 facilities
Ora, MelvinCorporate Director · Individual0%1 facilities
Ora, MelvinCorporate Officer · Individual0%1 facilities
Pointer Kynes, DeborahCorporate Director · Individual0%2 facilities
U.s. BankTrustee Of The SNF · Organization0%42 facilities
U.s. BankAdp Of The SNF · Organization0%42 facilities
Wolf, DanielCorporate Director · Individual0%2 facilities

·

Fire safety

8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke3D
  1. D

    Inspect, test, and maintain automatic sprinkler systems.

    July 25, 2024 · K353 · Corrected August 23, 2024

  2. D

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    July 25, 2024 · K372 · Corrected August 23, 2024

  3. D

    Inspect, test, and maintain automatic sprinkler systems.

    April 2, 2021 · K353 · Corrected June 24, 2021

Services2D
  1. D

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    July 25, 2024 · K521 · Corrected August 23, 2024

  2. D

    Have properly installed electrical wiring and gas equipment.

    April 2, 2021 · K511 · Corrected April 1, 2021

Miscellaneous2D
  1. D

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

    July 25, 2024 · K761 · Corrected August 23, 2024

  2. D

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

    April 2, 2021 · K761 · Corrected April 12, 2021

Gas, Vacuum, and Electrical Systems1D
  1. D

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    July 25, 2024 · K914 · Corrected August 23, 2024

·

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