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

Willowbrooke Court Skilled Care Center - Edgewater

23305 Blue Water Circle, Boca Raton, FL · (561) 368-5600

  • CMS high-performer trophy

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
60
Residents per day
25
Ownership
Non-Profit
Chain
Acts Retirement-Life Communities
Medicare / Medicaid
Medicare
Certified since
November 7, 1984

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 (already 5)

    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 (already 5)

    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 - Edgewater carries 8 inspection points. That is fewer than 88% of Florida's 691 rated homes.

5★4★3★2★1★+21 homes above 238.505102550100200inspection points → fewer is better on the leftThis home · 8 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

4 health citations on record since 2022. 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 2 4 pts
E 0 8 pts
F 2 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

Nutrition and Dietary2F
  1. F

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    December 14, 2023 · Standard · F804 · Corrected January 12, 2024

  2. F

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

    December 14, 2023 · Standard · F812 · Corrected January 12, 2024

Pharmacy Service2D
  1. D

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    August 4, 2022 · Standard · F758 · Corrected September 3, 2022

  2. 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.

    August 4, 2022 · Standard · F761 · Corrected September 3, 2022

Inspection history

  1. 2025-03-27

    0 health deficiencies · 5 fire-safety deficiencies

    No concentrated health issue counts in this cycle.

  2. 2023-12-14

    2 health deficiencies · 0 fire-safety deficiencies

    Top issue: Nutrition and Dietary (2 deficiencies)

  3. 2022-08-04

    2 health deficiencies · 0 fire-safety deficiencies

    Top issue: Pharmacy Service (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 21 min of nursing staff time a day, 1 h 16 min of it from a registered nurse.

This home

4 h 21 min

Florida average

3 h 51 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 14% of nursing staff and 18% of registered nurses left in the past year.

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.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.6 pts better100.0%98.4%93.7%
Percentage of long-stay residents experiencing one or more falls with major injury5.5 pts worse8.0%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 weight12.7 pts worse18.2%5.5%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication9.4 pts better4.5%13.9%19.5%
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 increased5.3 pts worse13.6%8.3%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better0.0%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection0.6 pts better0.0%0.6%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.5 pts better4.0%9.5%18.3%
Percentage of long-stay residents with pressure ulcers0.5 pts worse4.9%4.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.4 pts better100.0%95.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit0.9 pts worse9.8%8.9%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better0.0%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.7 pts worse83.6%96.3%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission1.3 pts better24.5%25.8%23.4%

·

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
NameRoleShareHomes
Acts Acquisition And Development Company LLCIndirect 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.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 IncOperational/Managerial Control · Organization0%22 facilities
Acts Retirement-Life Communities IncAdp Of The SNF · Organization0%22 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
Allmond, SusanCorporate Director · Individual0%23 facilities
Allmond, SusanCorporate Officer · Individual0%23 facilities
Baker Tilly Advisory Group LPAdp Of The SNF · Organization0%83 facilities
Baker Tilly Us LlpAdp Of The SNF · Organization0%75 facilities
Bonita Springs Retirement Village IncIndirect Ownership Interest · Organization0%25 facilities
Brod, KathrynCorporate Director · Individual0%24 facilities
Callaway, WarrenCorporate Director · Individual0%21 facilities
Chamberlain, LindaCorporate Director · Individual0%22 facilities
Christiansen, KarenCorporate Director · Individual0%27 facilities
Christiansen, KarenCorporate Officer · Individual0%27 facilities
Christiansen, KarenOperational/Managerial Control · Individual0%27 facilities
Christiansen, KarenAdp Of The SNF · Individual0%27 facilities
Detweiler, HaroldCorporate Director · Individual0%25 facilities
Esterhai, JohnCorporate Director · Individual0%21 facilities
Fox, GlennCorporate Officer · Individual0%27 facilities
Fox, GlennOperational/Managerial Control · Individual0%27 facilities
Fox, GlennAdp Of The SNF · Individual0%27 facilities
Gerner, ElricCorporate Director · Individual0%24 facilities
Gerner, ElricCorporate Officer · Individual0%24 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
Greer, JasonCorporate Director · Individual0%21 facilities
Kelly, MichaelCorporate Director · Individual0%30 facilities
Lammers, JohnCorporate Director · Individual0%21 facilities
Lawson, DanielCorporate Director · Individual0%25 facilities
Lawson, DanielCorporate Officer · Individual0%25 facilities
Mashner, MarvinCorporate Director · Individual0%23 facilities
Mashner, MarvinCorporate Officer · Individual0%23 facilities
Mease Life IncIndirect Ownership Interest · Organization0%25 facilities
Middlebrooks, DanielCorporate Director · Individual0%21 facilities
Nembhard, DonovanAdp Of The SNF · Individual0%1 facilities
Palhano, MelissaAdp Of The SNF · Individual0%1 facilities
Reichard, DawnCorporate Director · Individual0%21 facilities
U.s. BankTrustee Of The SNF · Organization0%42 facilities
U.s. BankAdp Of The SNF · Organization0%42 facilities

·

Fire safety

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

Smoke2F
  1. F

    Inspect, test, and maintain automatic sprinkler systems.

    March 27, 2025 · K353 · Corrected May 1, 2025

  2. F

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

    March 27, 2025 · K372 · Corrected May 1, 2025

Emergency Preparedness1F
  1. F

    Provide emergency officials' contact information.

    March 27, 2025 · E31 · Corrected May 1, 2025

Services1F
  1. F

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

    March 27, 2025 · K521 · Corrected May 1, 2025

Gas, Vacuum, and Electrical Systems1F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    March 27, 2025 · K918 · Corrected May 1, 2025

·

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