Nursing homeActive
Willowbrooke Court SC Ctr at Matthews Glen
740 Pavilion View Drive, Matthews, NC 28105704845622015 certified beds · 14 residentsNon profit - CorporationMedicare
Surveys on file
3
since 2023
Deficiencies
6
● 1● 5● 0
Penalties · 3 yrs
—
none on file
Last survey
2025-07-08
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 4
Staffing 5
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · North Carolina Division of Health Service Regulation · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-07-08 | Standard | 120 | CMS-2567 (Care Compare) | — |
| 2024-05-30 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2023-05-11 | Standard | 000 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · North Carolina Division of Health Service Regulation publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-25Record 345326-20250708-F684
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-25Record 345326-20250708-F812
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2025-07-25Record 345326-20250708-F732
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-27Record 345326-20240530-F759
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-27Record 345326-20240530-F761
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-27Record 345326-20240530-F880
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.92
Facility
North Carolina
National
North Carolina 0.61 · National 0.69
Total nurse hours per resident day4.67
Facility
North Carolina
National
North Carolina 3.83 · National 3.86
Weekend total nurse hours4.36
Facility
North Carolina
National
North Carolina 3.40 · National 3.42
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Acts Management Services, Inc. Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Acts Retirement-Life Communities Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Acts Retirement-Life Communities Management, LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ahern, Susan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Christiansen, Karen Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Fox, Glenn Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Grant, Gerald Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Acts Acquisition And Development Company LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Acts Alliance Management LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Acts Communities Of Maryland, Inc. Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Acts Legacy Foundation, Inc. Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Acts Management Services, Inc. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Acts Retirement Services, Inc Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Acts Retirement-Life Communities Inc Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Acts Retirement-Life Communities Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Acts Retirement-Life Communities Management, LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Acts Retirement-Life Communities Management, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Acts Signature Community Services Inc Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Ahern, Susan Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Ahern, Susan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Allmond, Susan Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Allmond, Susan Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Baker Tilly Advisory Group LP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Baker Tilly Us LLP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bonita Springs Retirement Village Inc Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Brod, Kathryn Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Callaway, Warren Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Chamberlain, Linda Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Christiansen, Karen Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Christiansen, Karen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Christiansen, Karen Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Clements, Thad Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Detweiler, Harold Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Esterhai, John Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Fleming, Shacana Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fox, Glenn Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fox, Glenn Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Gerner, Elric Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Gerner, Elric Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Glynn, James Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Grant, Gerald Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Grant, Gerald Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Grant, Gerald Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Greer, Jason Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Kelly, Michael Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Lammers, John Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Lawson, Daniel Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Lawson, Daniel Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Mashner, Marvin Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Mashner, Marvin Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Mease Life Inc Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Middlebrooks, Daniel Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Reichard, Dawn Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| U.S. Bank Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Acts Retirement-Life Communities — 27 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or North Carolina.
No county cost figures on file for Mecklenburg.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Royal Park Rehabilitation & Health Center Matthews | 0.0 mi | 2025-12-05 | 1154 |
| Matthews Health & Rehab Center Matthews | 2.1 mi | 2026-04-16 | 4142 |
| Lake Park Nursing and Rehabilitation Center Indian Trail | 4.2 mi | 2026-01-22 | 492 |
| Brookdale Carriage Club Providence Charlotte | 5.3 mi | 2026-05-07 | 290 |
| Redwood Health & Rehab Charlotte | 6.8 mi | 2026-06-23 | 2160 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |