Federal inspection record · CMS data as of October 1, 2026
Willowbrooke Court-Spring Hous
728 Norristown Road, Lower Gwynedd, PA · (215) 628-3545
- Certified beds
- 16
- Residents per day
- 12
- Ownership
- Non-Profit
- Chain
- Acts Retirement-Life Communities
- Medicare / Medicaid
- Medicare
- Certified since
- January 31, 1981
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 Pennsylvania.
-
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.
-
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.
-
Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Pennsylvania homes
Willowbrooke Court-Spring Hous carries 3 inspection points. That is fewer than 94% of Pennsylvania's 652 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Pennsylvania: 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★ 8–33 pts
- 3★ 33–65 pts
- 2★ 65–128 pts
- 1★ over 128 pts
Bars show every rated home in Pennsylvania 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
2 health citations on record since 2024. 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 Care1D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service1D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspection history
2026-04-02
1 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2025-04-17
0 health deficiencies · 5 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2024-05-28
1 health deficiencies · 6 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 12 min of nursing staff time a day, 1 h 22 min of it from a registered nurse.
This home
4 h 12 min
Pennsylvania average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
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. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine28.8 pts better | 99.6% | 70.8% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.1 pts better | 5.4% | 9.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better | 1.1% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine29.1 pts better | 100.0% | 70.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4 pts worse | 26.0% | 22.0% | 23.4% |
·
Who owns and runs it
54 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 | 5% Or Greater Mortgage Interest · Organization | 0% | 22 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 | Indirect Ownership Interest · Organization | 0% | 27 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 |
| 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 |
| Chalfin, Robert | Adp Of The SNF · Individual | 0% | 5 facilities |
| Chamberlain, Linda | Corporate Director · Individual | 0% | 22 facilities |
| Christiansen, Karen | Corporate Director · Individual | 0% | 27 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 |
| 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 |
| 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 |
| Reichard, Dawn | Corporate Director · Individual | 0% | 21 facilities |
| Siegfried, Susan | Adp Of The SNF · Individual | 0% | 1 facilities |
| U.s. Bank | Trustee Of The SNF · Organization | 0% | 42 facilities |
| U.s. Bank | Adp Of The SNF · Organization | 0% | 42 facilities |
·
Fire safety
11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems4E
- E
Meet requirements for the installation and maintenance of electrical systems.
- E
Ensure proper usage of power strips and extension cords.
- E
Meet requirements for the installation and maintenance of electrical systems.
- E
Have proper medical gas storage and administration areas.
Construction2E
- E
Install a two-hour-resistant firewall separation.
- E
Meet requirements for sections of health care facilities separated by fire resistive construction.
Smoke2E
- E
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Egress1E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Miscellaneous1F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Services1E
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
·
Other homes nearby
-
Artman Lutheran Home
Ambler, PA
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 5 h 17 min
- Fines
- $0
-
Ambler Extended Care Center
Ambler, PA · Saber Healthcare Group
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 25 min
- Fines
- $13,070
-
Willowbrooke Ctskdcarectr At Fortwashingtonestates
Fort Washington, PA · Acts Retirement-Life Communities
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 5 h 30 min
- Fines
- $0