Willowbrooke Court SC Ctr at Tryon Estates
Columbus, North Carolina · CCN 345459
7 surveys since 2011, and no finding has been recorded at harm level.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 11
- Surveys
- 7
- Harm or worse
- 0
- Immediate jeopardy
- 0
No finding on record has been cited at harm level or above.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 16
- Ownership
- Non profit - Corporation
- Chain
- ACTS RETIREMENT-LIFE COMMUNITIES
- County
- Polk · rural
- Medicare-certified since
- 1994
CMS ratings
- Overall
- 5
- Health inspection
- 5
- Staffing
- 5
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Not shown for this facility: too few citations in window (n=2, floor 20).
Last survey on record
Nov 20, 2024
719 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 4.63 | 5.15 |
| Registered-nurse hours per resident day | 1.67 | — |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D— | E1100.0% | F— |
| No harm, potential for minimal | A— | B— | C— |
In the surveyor’s words
From the most serious findings on record at Willowbrooke Court SC Ctr at Tryon Estates, in the surveyor’s own words.
- No harm, potential for more than minimal, patternF812Nov 20, 2024
Based on observations and staff interviews, the facility failed to discard food items with signs of spoilage and liquid nutritional supplements that were past the expiration date in 1 of 1 walk-in cooler and label and date prepared food items in 1 of 1 reach-in cooler. These practices had the potential to affect food and drink items served to the residents. Findings included: a. An initial observation of the walk-in cooler on [DATE] at 8:50 AM revealed the following: a) A bag of fresh parsley dated ,d+[DATE] that had a dark brown, slimy substance on some of the parsley leaves. b) A tray containing 30, eight-ounce cartons of liquid nutritional supplements with an expiration date of [DATE]. […]
- No harm, potential for more than minimal, isolatedF761Apr 7, 2022
Based on observations and staff interviews the facility failed to remove an expired medication prior to being prepared for resident administration on 1 of 2 medication carts reviewed for medication storage (Willowbrooke Medication Cart). Findings included: During an observation on [DATE] at 9:22 AM Nurse #1 removed a package of [MEDICATION(S)] (medication used to lower blood pressure) from the medication cart and compared the label to the Medication Administration Record [MEDICAL RECORD OR PHYSICIAN ORDER] . During an interview on [DATE] at 9:22 AM Nurse #1 was asked to review the expiration date on the package of [MEDICATION(S)] and revealed the medication had expired on [DATE]. Nurse #1 removed the medication from the cup she was preparing and appropriately discarded it. […]
Every survey on record
FindingsAt actual harm or above
- Nov 20, 2024Standard1 finding
- Apr 7, 2022Standard1 finding
- Jul 13, 2018Standard1 finding
- Apr 16, 2014Standard3 findings
- Feb 27, 2013—2 findings
- May 10, 2012—2 findings
- Feb 24, 2011—1 finding
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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