Willowbrooke Court SC Ctr at Matthews Glen
740 Pavilion View Drive, Matthews, NC 28105 · CCN 345326
Ratings
- Overall
- ★★★★★ 5
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★★★ 5
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 15
- Avg residents/day
- 8.3
- Phone
- 7048456220
Inspection history vs North Carolina & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | North Carolina avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-07-08 | 3 | 5.6 | 9.5 | -2.6 better |
| 2 | 2024-05-30 | 3 | 7.2 | 9.8 | -4.2 better |
| 3 | 2023-05-11 | 0 | 7.4 | 9.3 | -7.4 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Nursing and physician services | 1 |
| Nutrition and dietary | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.97 | — |
| RN staffing (reported) | 1.06 | — |
| Total nurse staffing (adjusted) | 5.51 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- ACTS RETIREMENT-LIFE COMMUNITIES
- Facilities in chain
- 26
- Chain avg overall
- 4.80 / 5
Inspection citations (6)
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-07-08 · Health · corrected 2025-07-25
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2025-07-08 · Health · corrected 2025-07-25
Potential for minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-07-08 · Health · corrected 2025-07-25
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2024-05-30 · Health · corrected 2024-06-27
Potential for more than minimal harm
- DF0761Ensure 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.2024-05-30 · Health · corrected 2024-06-27
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-05-30 · Health · corrected 2024-06-27
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| ACTS RETIREMENT-LIFE COMMUNITIES INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 1988-11-01 |
| 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 | 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 |
| 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 |
| ACTS RETIREMENT-LIFE COMMUNITIES INC | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 1988-11-01 |
Other facilities in Matthews
| Name | Overall | Beds |
|---|---|---|
| Royal Park Rehabilitation & Health Center | ★★☆☆☆ | 169 |
| Matthews Health & Rehab Center | ★☆☆☆☆ | 166 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.