Fort Washington, PA

Willowbrooke Ctskdcarectr At Fortwashingtonestates

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

735 Susquehanna Road, Fort Washington, PA

(215) 542-8110

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

9

Certified beds

Average residents

3

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Acts Retirement-Life Communities

Operator or chain grouping

Approved since

1980-12-04

CMS approved date

Coverage

Medicare

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.64

Registered nurse staffing

LPN hours / resident day

0.75

Licensed practical nurse staffing

Aide hours / resident day

2.12

Nurse aide staffing

Weekend hours

4.33

Weekend nurse staffing

RN turnover

0%

Annual RN turnover

Total nurse turnover

33%

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 100.0%
68.9%
31.1 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 16.3%
9.8%
6.5 pts worse
12.0%
4.3 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 2.8%
1.5%
1.3 pts worse
1.6%
1.2 pts worse
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 37.7%
23.1%
14.6 pts worse
23.9%
13.8 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-27 · Fire 2025-02-27

1 health deficiencies

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

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-04-26 · Fire 2024-04-26

0 health deficiencies

No concentrated health issue counts in this cycle.

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-07-20 · Fire 2023-07-20

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

3 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-02-27

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-03-14

E · Potential for more than minimal harm 2024-04-26

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-06-21

E · Potential for more than minimal harm 2024-04-26

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-06-21

E · Potential for more than minimal harm 2024-04-26

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-06-21

E · Potential for more than minimal harm 2023-07-20

K132 · Construction Deficiencies

Fire Safety

Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.

Corrected 2023-09-29

E · Potential for more than minimal harm 2023-07-20

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-09-29

C · Minimal harm 2023-07-20

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-09-29

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-02-27

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-03-19

D · Potential for more than minimal harm 2023-07-20

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-08-28

D · Potential for more than minimal harm 2023-07-20

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2023-09-08

Penalties and ownership

What sits behind the stars

Ownership

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 2023-01-01
Acts Retirement-Life Communities Inc

5% Or Greater Mortgage Interest · Organization

0% 19 facilities 2012-01-01
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
Allmond, Susan

Corporate Officer · Individual

0% 23 facilities 2025-01-01
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 2010-05-25
Christiansen, Karen

Corporate Director · Individual

0% 27 facilities 2020-01-01
Christiansen, Karen

Corporate Officer · Individual

0% 27 facilities 2010-05-25
Detweiler, Harold

Corporate Director · Individual

0% 25 facilities 2009-11-01
Esterhai, John

Corporate Director · Individual

0% 21 facilities 1996-05-01
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 2010-01-01
Glynn, James

Corporate Director · Individual

0% 21 facilities 2023-01-01
Grant, Gerald

Operational/Managerial Control · Individual

0% 29 facilities 2008-05-13
Grant, Gerald

Corporate Director · Individual

0% 29 facilities 2008-05-13
Grant, Gerald

Corporate Officer · Individual

0% 29 facilities 2005-06-01
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 1991-01-01
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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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 3-star inspections with 7 recent health deficiencies

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

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