Willowbrooke Court Sc Ctr At Matthews Glen
Matthews, Mecklenburg County, North Carolina · CCN 345326 · Non-profit (Corporation) · part of Acts Retirement-Life Communities (27 facilities, chain average 4.7 stars)
CMS rates Willowbrooke Court Sc Ctr At Matthews Glen 5 of 5 overall as of August 2026. 15 certified beds, 14 residents a day on average. 6 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★★ 5 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★★★★★ 5 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | — / 4 of 5 |
Staffing
| Total nurse staffing | 4.66833 hours per resident per day |
|---|---|
| Registered nurses | 0.92459 hours per resident per day |
| Weekend total | 4.35978 hours per resident per day |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-07-08 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-07-25 |
| 2025-07-08 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-25 |
| 2025-07-08 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · tag F0732 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2025-07-25 |
| 2024-05-30 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-27 |
| 2024-05-30 | Ensure 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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-27 |
| 2024-05-30 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-27 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Acts Retirement-Life Communities Inc. Organization | 5% or greater mortgage interest | — | 1988-11-01 |
| Acts Management Services, Inc. Organization | adp of the snf | — | 2025-07-21 |
| Acts Retirement-Life Communities Inc. Organization | adp of the snf | — | 1988-11-01 |
| Acts Retirement-Life Communities Management, LLC Organization | adp of the snf | — | 2025-07-21 |
| Baker Tilly Advisory Group Lp Organization | adp of the snf | — | 2025-02-03 |
| Baker Tilly US LLP Organization | adp of the snf | — | 2024-11-05 |
| U.S. Bank Organization | adp of the snf | — | 2025-07-09 |
| Acts Acquisition And Development Company LLC Organization | indirect ownership interest | — | 2003-01-01 |
| Acts Alliance Management LLC Organization | indirect ownership interest | — | 2022-12-31 |
| Acts Communities Of Maryland, Inc. Organization | indirect ownership interest | — | 2019-04-01 |
| Acts Legacy Foundation, Inc. Organization | indirect ownership interest | — | 2022-12-31 |
| Acts Retirement Services, Inc. Organization | indirect ownership interest | — | 2009-03-24 |
| Acts Retirement-Life Communities Management, LLC Organization | indirect ownership interest | — | 2022-12-31 |
| Acts Signature Community Services Inc. Organization | indirect ownership interest | — | 2009-03-24 |
| Bonita Springs Retirement Village Inc. Organization | indirect ownership interest | — | 2024-11-01 |
| Mease Life Inc. Organization | indirect ownership interest | — | 2023-10-01 |
| Acts Management Services, Inc. Organization | operational/managerial control | — | 2012-01-01 |
| Acts Retirement-Life Communities Inc. Organization | operational/managerial control | — | 2012-01-01 |
| Acts Retirement-Life Communities Management, LLC Organization | operational/managerial control | — | 2022-12-31 |
| Ahern, Susan Individual | adp of the snf | — | 2020-01-01 |
| Christiansen, Karen Individual | adp of the snf | — | 2010-05-25 |
| Clements, Thad Individual | adp of the snf | — | 2021-09-17 |
| Fleming, Shacana Individual | adp of the snf | — | 2020-11-13 |
| Fox, Glenn Individual | adp of the snf | — | 2017-01-01 |
| Grant, Gerald Individual | adp of the snf | — | 2005-06-01 |
| Allmond, Susan Individual | corporate director | — | 2017-01-01 |
| Brod, Kathryn Individual | corporate director | — | 2024-02-15 |
| Callaway, Warren Individual | corporate director | — | 2022-03-30 |
| Chamberlain, Linda Individual | corporate director | — | 2025-01-01 |
| Christiansen, Karen Individual | corporate director | — | 2020-01-01 |
| Detweiler, Harold Individual | corporate director | — | 2009-11-01 |
| Esterhai, John Individual | corporate director | — | 1996-05-01 |
| Gerner, Elric Individual | corporate director | — | 2009-04-01 |
| Glynn, James Individual | corporate director | — | 2023-01-01 |
| Grant, Gerald Individual | corporate director | — | 2017-05-04 |
| Greer, Jason Individual | corporate director | — | 2022-03-30 |
| Kelly, Michael Individual | corporate director | — | 2020-02-11 |
| Lammers, John Individual | corporate director | — | 2020-12-15 |
| Lawson, Daniel Individual | corporate director | — | 2019-06-11 |
| Mashner, Marvin Individual | corporate director | — | 1991-01-01 |
| Middlebrooks, Daniel Individual | corporate director | — | 2023-01-01 |
| Reichard, Dawn Individual | corporate director | — | 2025-06-01 |
| Ahern, Susan Individual | corporate officer | — | 2020-01-01 |
| Allmond, Susan Individual | corporate officer | — | 2025-01-01 |
| Christiansen, Karen Individual | corporate officer | — | 2010-05-25 |
| Fox, Glenn Individual | corporate officer | — | 2017-01-01 |
| Gerner, Elric Individual | corporate officer | — | 2010-01-01 |
| Grant, Gerald Individual | corporate officer | — | 2005-06-01 |
| Lawson, Daniel Individual | corporate officer | — | 2025-01-01 |
| Mashner, Marvin Individual | corporate officer | — | 2025-01-01 |
| Ahern, Susan Individual | operational/managerial control | — | 2020-01-01 |
| Christiansen, Karen Individual | operational/managerial control | — | 2010-05-25 |
| Fox, Glenn Individual | operational/managerial control | — | 2017-01-01 |
| Grant, Gerald Individual | operational/managerial control | — | 2005-06-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Willowbrooke Court Sc Ctr At Matthews Glen.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Mecklenburg County.