Non-profit

Willowbrooke Court at Azalea Trace

10100 Hillview Dr, Pensacola, FL 32514

(850) 478-5200 · Acts Retirement-Life Communities

5CMS overall rating · out of 5

At a glance

CMS data snapshot: 2026-08-01 · Sources and limitations
5 of 5Overall
5 of 5Health inspections
5 of 5Staffing
2 of 5Resident quality
OwnershipNon profit - CorporationCertified beds24
Estimated occupancy44.2%Latest inspection2025-08-07

County and Florida comparison

Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 5 of 5
better
Health-inspection score
Facility: 0.0 points
better
Total nurse staffing
Facility: 4.06 hours/day
better
RN staffing
Facility: 1.10 hours/day
better
Staff turnover
Facility: 25.0%
better
Latest health deficiencies
Facility: 0 deficiencies
better
View data table
MetricFacilityCountyFlorida
Overall rating5 of 54 of 53 of 5
Health-inspection score0.0 points9.5 points38.5 points
Total nurse staffing4.06 hours/day3.64 hours/day3.63 hours/day
RN staffing1.10 hours/day0.68 hours/day0.62 hours/day
Staff turnover25.0%49.2%41.8%
Latest health deficiencies0 deficiencies1.5 deficiencies6 deficiencies

Comparisons describe CMS data; they are not recommendations.

Inspection history

2025-08-07
0 deficiencies
Highest severity: Not reported by CMS

Immediate-jeopardy citations: 0

No matching citation detail was published.

2024-07-24
0 deficiencies
Highest severity: Not reported by CMS

Immediate-jeopardy citations: 0

No matching citation detail was published.

2023-05-03
0 deficiencies
Highest severity: Not reported by CMS

Immediate-jeopardy citations: 0

No matching citation detail was published.

Staffing composition

2.46 hours/dayNurse aide
0.50 hours/dayLPN
1.10 hours/dayRN
Total staffing
4.06 hours/day
County median
3.64 hours/day
Florida median
3.63 hours/day
Weekend total
3.44 hours/day
Staff turnover
25.0%
RN turnover
50.0%

Reported averages, not a real-time staffing schedule.

Resident outcomes

Lower is generally better

Hospitalizations

Not reported: cms footnoteunavailableFlorida: 2.1 per 1,000 days · County: 2.3 per 1,000 days
20250101-20251231

Emergency-department visits

Not reported: cms footnoteunavailableFlorida: 1.0 per 1,000 days · County: 2.3 per 1,000 days
20250101-20251231

Falls with major injury

Not reported: cms footnoteunavailableFlorida: 2.2% · County: 3.2%
2025Q2-2026Q1

Pressure ulcers

Not reported: cms footnoteunavailableFlorida: 4.2% · County: 4.8%
2025Q2-2026Q1

Urinary tract infections

Not reported: cms footnoteunavailableFlorida: 0.0% · County: 0.2%
2025Q2-2026Q1

Antipsychotic medication use

Not reported: cms footnoteunavailableFlorida: 7.0% · County: 7.3%
2025Q2-2026Q1

These group measures do not predict an individual resident’s experience.

Questions to ask

Use these prompts during a tour or phone call

  1. How will the care plan be developed, reviewed, and shared with our family?

    Suggested because of: general care planning

Facility Details

County
Escambia County
Certified beds
24
Average daily residents
10.6
Ownership
Non profit - Corporation
Provider type
Medicare and Medicaid
In hospital
No
Date certified
1983-08-20
CCN
105444

Staffing Data

Reported measureValue
Nurse aide hours2.46008
Lpn hours0.50007
Rn hours1.10191
Reported total hours4.06207
Weekend total hours3.44224
Weekend rn hours0.66993
Adjusted total hours4.94396
Total turnover percent25
Rn turnover percent50
Administrators left1

Hours are per resident per day; turnover values are percentages. Missing values are not zero.

Penalties & Enforcement

$0.00Total fines
0Number of fines
0Payment denials

No matching penalties in the supplied CMS records.

Totals reflect the supplied CMS records, not a lifetime total.

Citations

0Health citations
3Fire safety citations

Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.

Serious Deficiencies

FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.

0

Ownership & Operators

NameRoleShare
ACTS RETIREMENT SERVICES, INC5% OR GREATER DIRECT OWNERSHIP INTEREST100%
ACTS ACQUISITION AND DEVELOPMENT COMPANY LLCINDIRECT OWNERSHIP INTERESTNOT APPLICABLE
ACTS ALLIANCE MANAGEMENT LLCINDIRECT OWNERSHIP INTERESTNOT APPLICABLE
ACTS COMMUNITIES OF MARYLAND, INC.INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
ACTS LEGACY FOUNDATION, INC.INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
ACTS SIGNATURE COMMUNITY SERVICES INCINDIRECT OWNERSHIP INTERESTNOT APPLICABLE
BONITA SPRINGS RETIREMENT VILLAGE INCINDIRECT OWNERSHIP INTERESTNOT APPLICABLE
MEASE LIFE INCINDIRECT OWNERSHIP INTERESTNOT APPLICABLE
ALLMOND, SUSANCORPORATE DIRECTORNOT APPLICABLE
BROD, KATHRYNCORPORATE DIRECTORNOT APPLICABLE
CALLAWAY, WARRENCORPORATE DIRECTORNOT APPLICABLE
CHAMBERLAIN, LINDACORPORATE DIRECTORNOT APPLICABLE
CHRISTIANSEN, KARENCORPORATE DIRECTORNOT APPLICABLE
DETWEILER, HAROLDCORPORATE DIRECTORNOT APPLICABLE
ESTERHAI, JOHNCORPORATE DIRECTORNOT APPLICABLE
GERNER, ELRICCORPORATE DIRECTORNOT APPLICABLE
GLYNN, JAMESCORPORATE DIRECTORNOT APPLICABLE
GRANT, GERALDCORPORATE DIRECTORNOT APPLICABLE
GREER, JASONCORPORATE DIRECTORNOT APPLICABLE
KELLY, MICHAELCORPORATE DIRECTORNOT APPLICABLE
LAMMERS, JOHNCORPORATE DIRECTORNOT APPLICABLE
LAWSON, DANIELCORPORATE DIRECTORNOT APPLICABLE
MASHNER, MARVINCORPORATE DIRECTORNOT APPLICABLE
MIDDLEBROOKS, DANIELCORPORATE DIRECTORNOT APPLICABLE
REICHARD, DAWNCORPORATE DIRECTORNOT APPLICABLE
AHERN, SUSANCORPORATE OFFICERNOT APPLICABLE
ALLMOND, SUSANCORPORATE OFFICERNOT APPLICABLE
CHRISTIANSEN, KARENCORPORATE OFFICERNOT APPLICABLE
FOX, GLENNCORPORATE OFFICERNOT APPLICABLE
GERNER, ELRICCORPORATE OFFICERNOT APPLICABLE
GRANT, GERALDCORPORATE OFFICERNOT APPLICABLE
LAWSON, DANIELCORPORATE OFFICERNOT APPLICABLE
MASHNER, MARVINCORPORATE OFFICERNOT APPLICABLE
ACTS MANAGEMENT SERVICES, INC.OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ACTS RETIREMENT-LIFE COMMUNITIES INCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ACTS RETIREMENT-LIFE COMMUNITIES MANAGEMENT, LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
AHERN, SUSANOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CHRISTIANSEN, KARENOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
FOX, GLENNOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GRANT, GERALDOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
U.S. BANKTRUSTEE OF THE SNFNOT APPLICABLE
ACTS MANAGEMENT SERVICES, INC.ADP OF THE SNFNOT APPLICABLE
ACTS RETIREMENT-LIFE COMMUNITIES INCADP OF THE SNFNOT APPLICABLE
ACTS RETIREMENT-LIFE COMMUNITIES MANAGEMENT, LLCADP OF THE SNFNOT APPLICABLE
BAKER TILLY ADVISORY GROUP LPADP OF THE SNFNOT APPLICABLE
BAKER TILLY US LLPADP OF THE SNFNOT APPLICABLE
U.S. BANKADP OF THE SNFNOT APPLICABLE
AHERN, SUSANADP OF THE SNFNOT APPLICABLE
CHRISTIANSEN, KARENADP OF THE SNFNOT APPLICABLE
DENAPOLES, CHRISTOPHERADP OF THE SNFNOT APPLICABLE
FOX, GLENNADP OF THE SNFNOT APPLICABLE
GRANT, GERALDADP OF THE SNFNOT APPLICABLE
PETERSON, LISAADP OF THE SNFNOT APPLICABLE

Helpful resources

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