Lower Gwynedd, PA

Willowbrooke Court-Spring Hous

5-star overall rating with 5-star inspections with 5 fire-safety deficiencies in the latest cycle

728 Norristown Road, Lower Gwynedd, PA

(215) 628-3545

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

16

Certified beds

Average residents

8

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Acts Retirement-Life Communities

Operator or chain grouping

Approved since

1981-01-31

CMS approved date

Coverage

Medicare

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.16

Registered nurse staffing

LPN hours / resident day

0.49

Licensed practical nurse staffing

Aide hours / resident day

2.07

Nurse aide staffing

Weekend hours

3.42

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	99.4%	68.9% 30.5 pts better	81.7% 17.7 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit	2.2%	9.8% 7.6 pts better	12.0% 9.8 pts better	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	100.0%	68.7% 31.3 pts better	79.7% 20.3 pts better	Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission	31.1%	23.1% 8 pts worse	23.9% 7.2 pts worse	Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-17 · Fire 2025-04-17

0 health deficiencies

No concentrated health issue counts in this cycle.

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2024-05-28 · Fire 2024-05-28

1 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

6 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2023-08-11 · Fire 2023-08-11

0 health deficiencies

No concentrated health issue counts in this cycle.

3 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-04-17

K133 · Construction Deficiencies

Fire Safety

Install a two-hour-resistant firewall separation.

Corrected 2025-05-30

E · Potential for more than minimal harm 2025-04-17

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-05-30

E · Potential for more than minimal harm 2025-04-17

K342 · Smoke Deficiencies

Fire Safety

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

Corrected 2025-05-30

E · Potential for more than minimal harm 2025-04-17

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2025-05-30

E · Potential for more than minimal harm 2025-04-17

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-05-30

F · Potential for more than minimal harm 2024-05-28

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2024-08-01

E · Potential for more than minimal harm 2024-05-28

K131 · Construction Deficiencies

Fire Safety

Meet requirements for sections of health care facilities separated by fire resistive construction.

Corrected 2024-08-01

E · Potential for more than minimal harm 2024-05-28

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-08-01

E · Potential for more than minimal harm 2024-05-28

K521 · Services Deficiencies

Fire Safety

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

Corrected 2024-08-01

E · Potential for more than minimal harm 2024-05-28

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2024-08-01

E · Potential for more than minimal harm 2024-05-28

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-08-01

E · Potential for more than minimal harm 2023-08-11

K131 · Construction Deficiencies

Fire Safety

Meet requirements for sections of health care facilities separated by fire resistive construction.

Corrected 2023-10-25

E · Potential for more than minimal harm 2023-08-11

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2023-10-25

E · Potential for more than minimal harm 2023-08-11

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-10-25

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-05-28

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-05-28

Penalties and ownership

What sits behind the stars

Ownership

Acts Retirement-Life Communities Inc

5% Or Greater Direct Ownership Interest · Organization

100% 19 facilities 1990-01-01

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 2022-12-31

Acts Retirement-Life Communities Inc

5% Or Greater Mortgage Interest · Organization

0% 19 facilities 1990-01-01

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

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 2014-08-01

Detweiler, Harold

Corporate Director · Individual

0% 25 facilities 2009-01-26

Esterhai, John

Corporate Director · Individual

0% 21 facilities 2009-01-26

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 2009-04-01

Glynn, James

Corporate Director · Individual

0% 21 facilities 2023-01-01

Grant, Gerald

Operational/Managerial Control · Individual

0% 29 facilities 2014-08-01

Grant, Gerald

Corporate Director · Individual

0% 29 facilities 2017-05-04

Grant, Gerald

Corporate Officer · Individual

0% 29 facilities 2014-08-01

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 2009-01-26

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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Overall: 5 / 5
Health: 3 / 5
Staffing: 5 / 5
Fines: $0

#2

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5-star overall rating with 5-star inspections with 2 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle

Overall: 5 / 5
Health: 5 / 5
Staffing: 2 / 5
Fines: $0

#3

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5-star overall rating with 5-star inspections with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

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

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Supporting pages

City page

Best nursing homes in Lower Gwynedd, PA

See how this facility ranks inside its city.

1 facilities

County

Montgomery County

County ranking page for nearby alternatives.

58 facilities

Chain

Acts Retirement-Life Communities

Chain page for the operating group.

26 facilities