Deficiency Index

Willowbrooke Court Skilled Care Center at Brittany

Lansdale, Pennsylvania · CCN 395762

11 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
23
Surveys
11
Harm or worse
0
Immediate jeopardy
0
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file9/11

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
92
Ownership
Non profit - Corporation
Chain
ACTS RETIREMENT-LIFE COMMUNITIES
County
Montgomery
Medicare-certified since
1988

CMS ratings

Overall
5
Health inspection
5
Staffing
5
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=4, floor 20).

Last survey on record

Jul 3, 2025

494 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.214.44
Registered-nurse hours per resident day1.27—
Annual nurse turnover29.4%37.5%

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

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD266.7%E—F133.3%
No harm, potential for minimalA—B—C—
CMS’s current file: 3 of the 23 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F6841×

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

In the surveyor’s words

From the most serious findings on record at Willowbrooke Court Skilled Care Center at Brittany, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Jul 13, 2023

    Based on review of facility policy, observation, and staff interview, it was determined that the facility failed to maintain sanitary conditions in the dietary department. Findings include: Review of the facility policy entitled Cleaning and Sanitation Culinary Nutrition Department, last reviewed April 11, 2023, revealed that a regular schedule of cleaning was to be developed and posted for employees to maintain cleanliness and sanitation of the culinary nutrition services department. The procedure was for the culinary services manager to initiate the cleaning schedule and supervise employee compliance to the schedule. All cleaning tasks were to be checked nightly to ensure that they met standards. […]

  • No harm, potential for more than minimal, widespreadF812Aug 12, 2022

    Based on observation, it was determined that the facility failed to store food under sanitary conditions in the kitchen. Findings include: Observation of the main kitchen on August 9, 2022 at 12:15 p.m., revealed an accumulation of a large amount of small, black insects in and around boxes of sweet potatoes and red skinned potatoes in the dry storage area. The insects were in contact with the food items, the inside of the boxes, and flying around the area. In the walk in freezer, there were two boxes of shrimp, one box of strawberries, and one container of strawberry sherbet that were stored directly on the floor. In a walk-in refrigerator, there was a container with multiple raspberries with a white substance, resembling mold, on the surface of the fruit. […]

  • No harm, potential for more than minimal, isolatedF684Jul 3, 2025

    Based on clinical record review, observations, and staff interview, it was determined that the facility failed to implement physicians' orders for two of 18 sampled residents. (Residents 25, 219) Findings include: Clinical record review revealed that Resident 25 had diagnoses that included Parkinson's disease and hypotension (low blood pressure). A physician's order dated February 18, 2025, directed staff to administer a medication (midodrine hydrochloride) three times a day for hypotension. The medication was to be held if the resident's systolic blood pressure (SBP, the first measurement of blood pressure when the heart beats and the pressure is at its highest) was greater than 140 millimeters of mercury (mm/Hg). […]

  • No harm, potential for more than minimal, isolatedF812Jul 3, 2025

    Based on policy review, observations, and staff interview, it was determined that the facility failed to properly serve food and maintain sanitary conditions in the one of two dining rooms. (First floor dining room) Findings include: Review of the facility policy entitled, Personal Appearance Standards, last reviewed March 11, 2025, revealed that male staff with facial hair, moustache, and/or beard, must wear a beard guard while in the production kitchen, and defines the production kitchen as the area as where food is prepared or plated from a hot or cold workstation. Observation of meal service in the first-floor production kitchen on July 1, 2025, from 12:15 p.m. to 12:45 p.m., and July 2, 2025, at 8:20 a.m. […]

Read 20 findings in full →The most serious and the most recent: 20 of 23 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 3, 2025Standard2 findings
  • Jul 13, 2023Standard1 finding
  • Aug 12, 2022Standard1 finding
  • Apr 19, 2019Standard3 findings
  • Apr 28, 2017Standard1 finding
  • May 20, 2016Standard1 finding
  • May 2, 2014Standard1 finding
  • Jun 14, 2013—5 findings
Show the 3 earlier surveys
  • May 25, 2012—4 findings
  • Jun 30, 2011—2 findings
  • Feb 14, 2011—2 findings

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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