Willowbrooke Court-Spring Hous
Lower Gwynedd, Pennsylvania · CCN 395495
7 surveys since 2011. The first finding at harm level was recorded in 2015.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 12
- Surveys
- 7
- Harm or worse
- 2
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
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
- Montgomery
- Medicare-certified since
- 1981
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=2, floor 20).
Last survey on record
Jul 23, 2026
109 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 | 4.05 | 4.80 |
| Registered-nurse hours per resident day | 1.25 | — |
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 | D2100.0% | E— | F— |
| No harm, potential for minimal | A— | B— | C— |
In the surveyor’s words
From the most serious findings on record at Willowbrooke Court-Spring Hous, in the surveyor’s own words.
- No harm, potential for more than minimal, isolatedF689Jul 23, 2026
Based on review of facility policy, review of clinical records, review of facility documentation, and staff interview it was determined that the facility failed to provide adequate supervision for one of five residents reviewed (Resident R1).Findings Include: Review of facility policy titled, Elopement, Unescorted Exit last revised July 2023 states, Policy- To strive to report an unauthorized, unescorted, and/or unsafe exit of a cognitively impaired resident from the community and to locate and report any resident suspected of being missing. […]
- No harm, potential for more than minimal, isolatedF755May 28, 2024
Based on review of the facility policies, facility documentation, and staff interviews, it was determined that the facility failed to implement procedures to promote accurate narcotic medication records on one of one medication storage room reviewed. (Pine nursing unit) Finding include: Review of the facility policy on Storage and Expiration Dating of Medications, Biologicals, revised on August 7, 2023, indicated that facility should ensure that all controlled substances are stored in a manner that maintains their integrity and security. […]
Every survey on record
FindingsAt actual harm or above
- Jul 23, 2026Complaint1 finding
- May 28, 2024Standard1 finding
- Sep 20, 2019Standard4 findings · 1 harm
- Aug 1, 2016Standard2 findings
- Sep 1, 2015Standard2 findings · 1 harm
- Sep 5, 2013—1 finding
- Aug 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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