Blue Bell, PA

Willowbrooke Ctskdcarectr Atnormandy Farms Estates

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

8000 Twin Silo Drive, Blue Bell, PA

(215) 699-8727

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

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

10

Certified beds

Average residents

9

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Acts Retirement-Life Communities

Operator or chain grouping

Approved since

1984-06-10

CMS approved date

Coverage

Medicare

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.35

Registered nurse staffing

LPN hours / resident day

0.70

Licensed practical nurse staffing

Aide hours / resident day

2.68

Nurse aide staffing

Weekend hours

4.22

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 95.7%
68.9%
26.8 pts better
81.7%
14 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 11.3%
9.8%
1.5 pts worse
12.0%
0.7 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 96.8%
68.7%
28.1 pts better
79.7%
17.1 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 33.3%
23.1%
10.2 pts worse
23.9%
9.4 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-11 · Fire 2025-12-11

0 health deficiencies

No concentrated health issue counts in this cycle.

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2025-01-24 · Fire 2025-01-24

1 health deficiencies

Top issue: Resident Rights (1 deficiency)

2 fire-safety deficiencies

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

Cycle 3 Health 2024-04-12 · Fire 2024-04-12

0 health deficiencies

No concentrated health issue counts in this cycle.

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-12-11

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2025-12-19

E · Potential for more than minimal harm 2025-01-24

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-02-07

E · Potential for more than minimal harm 2025-01-24

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-02-07

E · Potential for more than minimal harm 2024-04-12

K131 · Construction Deficiencies

Fire Safety

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

Corrected 2024-04-30

E · Potential for more than minimal harm 2024-04-12

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-04-30

E · Potential for more than minimal harm 2024-04-12

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2024-04-30

E · Potential for more than minimal harm 2024-04-12

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-04-30

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-12-18

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-01-07

Penalties and ownership

What sits behind the stars

Ownership

Acts Retirement-Life Communities Inc

5% Or Greater Direct Ownership Interest · Organization

100% 19 facilities 2009-01-01
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 2012-01-01
Acts Retirement-Life Communities Inc

5% Or Greater Mortgage Interest · Organization

0% 19 facilities 2009-01-01
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 2009-01-26
Christiansen, Karen

Corporate Director · Individual

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

Corporate Officer · Individual

0% 27 facilities 2009-01-26
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 2010-01-01
Glynn, James

Corporate Director · Individual

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

Operational/Managerial Control · Individual

0% 29 facilities 2009-01-26
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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5-star overall rating with 4-star inspections with $24,065 in total fines with 2 recent health deficiencies

Overall
5 / 5
Health
4 / 5
Staffing
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Fines
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#2

Silver Stream Nursing And Rehabilitation Center

Spring House, PA

2-star overall rating with 2-star inspections with 14 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
2 / 5
Staffing
3 / 5
Fines
$0

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