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

Willowbrooke Court-Spring Hous

728 Norristown Road, Lower Gwynedd, PA · (215) 628-3545

CMS overall rating

5 of 5

Compare with a nearby home →
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.

  1. Health inspections

    starting point

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

  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 Pennsylvania homes

Willowbrooke Court-Spring Hous carries 3 inspection points. That is fewer than 94% of Pennsylvania's 652 rated homes.

5★4★3★2★1★+20 homes above 288.505102550100200inspection points → fewer is better on the leftThis home · 3 pts · 5★

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.

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 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

Quality of Life and Care1D
  1. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    July 23, 2026 · Complaint · F689 · Corrected July 31, 2026

Pharmacy Service1D
  1. D

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

    May 28, 2024 · Standard · F755 · Corrected May 28, 2024

Inspection history

  1. 2026-04-02

    1 health deficiencies · 0 fire-safety deficiencies

    Top issue: Quality of Life and Care (1 deficiency)

  2. 2025-04-17

    0 health deficiencies · 5 fire-safety deficiencies

    No concentrated health issue counts in this cycle.

  3. 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.

MeasureThis homeStateU.S.
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine28.8 pts better99.6%70.8%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit4.1 pts better5.4%9.5%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better1.1%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine29.1 pts better100.0%70.9%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission4 pts worse26.0%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
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 Inc5% Or Greater Mortgage Interest · Organization0%22 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, 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
Allmond, SusanCorporate Director · 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
Chalfin, RobertAdp Of The SNF · Individual0%5 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
Reichard, DawnCorporate Director · Individual0%21 facilities
Siegfried, SusanAdp Of The SNF · Individual0%1 facilities
U.s. BankTrustee Of The SNF · Organization0%42 facilities
U.s. BankAdp Of The SNF · Organization0%42 facilities

·

Fire safety

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

Gas, Vacuum, and Electrical Systems4E
  1. E

    Meet requirements for the installation and maintenance of electrical systems.

    April 17, 2025 · K911 · Corrected May 30, 2025

  2. E

    Ensure proper usage of power strips and extension cords.

    April 17, 2025 · K920 · Corrected May 30, 2025

  3. E

    Meet requirements for the installation and maintenance of electrical systems.

    May 28, 2024 · K911 · Corrected August 1, 2024

  4. E

    Have proper medical gas storage and administration areas.

    May 28, 2024 · K923 · Corrected August 1, 2024

Construction2E
  1. E

    Install a two-hour-resistant firewall separation.

    April 17, 2025 · K133 · Corrected May 30, 2025

  2. E

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

    May 28, 2024 · K131 · Corrected August 1, 2024

Smoke2E
  1. E

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

    April 17, 2025 · K342 · Corrected May 30, 2025

  2. E

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

    May 28, 2024 · K321 · Corrected August 1, 2024

Egress1E
  1. E

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

    April 17, 2025 · K211 · Corrected May 30, 2025

Miscellaneous1F
  1. F

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

    May 28, 2024 · K761 · Corrected August 1, 2024

Services1E
  1. E

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

    May 28, 2024 · K521 · Corrected August 1, 2024

·

Other homes nearby

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    3 h 25 min
    Fines
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  3. Willowbrooke Ctskdcarectr At Fortwashingtonestates

    Fort Washington, PA · Acts Retirement-Life Communities

    Worst citation, 3 yrs
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