6152 N Verde Trail, Boca Raton, FL 33433
(561) 487-5200 · Acts Retirement-Life Communities
| Ownership | Non profit - Corporation | Certified beds | 89 |
|---|---|---|---|
| Estimated occupancy | 56.5% | Latest inspection | 2025-05-01 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 4 of 5 | 3 of 5 | 3 of 5 |
| Health-inspection score | 32.0 points | 41.5 points | 38.5 points |
| Total nurse staffing | 4.17 hours/day | 3.63 hours/day | 3.63 hours/day |
| RN staffing | 1.34 hours/day | 0.82 hours/day | 0.62 hours/day |
| Staff turnover | 21.4% | 27.9% | 41.8% |
| Latest health deficiencies | 8 deficiencies | 8.5 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2025-05-31Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-05-31Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2025-05-31Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2025-05-31Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2025-05-31Ensure 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.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2025-05-31Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-05-31Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Deficient, Provider has date of correction 2025-05-31Immediate-jeopardy citations: 0
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-02-08Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-02-08Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-02-08Ensure 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.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-02-08Keep all essential equipment working safely.
Environmental Deficiencies · Deficient, Provider has date of correction 2024-02-08Immediate-jeopardy citations: 0
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-10-09Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-10-09Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-10-09Ensure 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.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2022-10-09Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
What fall-prevention program is used, and how are families notified after a fall?
Suggested because of: falls major injuryHow does the care team prevent and treat pressure injuries?
Suggested because of: pressure ulcersHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.56651 |
| Lpn hours | 0.26363 |
| Rn hours | 1.3434 |
| Reported total hours | 4.17355 |
| Weekend total hours | 3.86328 |
| Weekend rn hours | 1.17051 |
| Adjusted total hours | 4.87234 |
| Total turnover percent | 21.4 |
| Rn turnover percent | 52.9 |
| Administrators left | 1 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
No matching penalties in the supplied CMS records.
Totals reflect the supplied CMS records, not a lifetime total.
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
0
| Name | Role | Share |
|---|---|---|
| ACTS ACQUISITION AND DEVELOPMENT COMPANY LLC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| ACTS ALLIANCE MANAGEMENT LLC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| ACTS COMMUNITIES OF MARYLAND, INC. | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| ACTS LEGACY FOUNDATION, INC. | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| ACTS RETIREMENT SERVICES, INC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| ACTS SIGNATURE COMMUNITY SERVICES INC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| BONITA SPRINGS RETIREMENT VILLAGE INC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| MEASE LIFE INC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| ALLMOND, SUSAN | CORPORATE DIRECTOR | NOT APPLICABLE |
| BROD, KATHRYN | CORPORATE DIRECTOR | NOT APPLICABLE |
| CALLAWAY, WARREN | CORPORATE DIRECTOR | NOT APPLICABLE |
| CHAMBERLAIN, LINDA | CORPORATE DIRECTOR | NOT APPLICABLE |
| DETWEILER, HAROLD | CORPORATE DIRECTOR | NOT APPLICABLE |
| ESTERHAI, JOHN | CORPORATE DIRECTOR | NOT APPLICABLE |
| GERNER, ELRIC | CORPORATE DIRECTOR | NOT APPLICABLE |
| GLYNN, JAMES | CORPORATE DIRECTOR | NOT APPLICABLE |
| GRANT, GERALD | CORPORATE DIRECTOR | NOT APPLICABLE |
| GREER, JASON | CORPORATE DIRECTOR | NOT APPLICABLE |
| KELLY, MICHAEL | CORPORATE DIRECTOR | NOT APPLICABLE |
| LAMMERS, JOHN | CORPORATE DIRECTOR | NOT APPLICABLE |
| LAWSON, DANIEL | CORPORATE DIRECTOR | NOT APPLICABLE |
| MASHNER, MARVIN | CORPORATE DIRECTOR | NOT APPLICABLE |
| MIDDLEBROOKS, DANIEL | CORPORATE DIRECTOR | NOT APPLICABLE |
| REICHARD, DAWN | CORPORATE DIRECTOR | NOT APPLICABLE |
| AHERN, SUSAN | CORPORATE OFFICER | NOT APPLICABLE |
| ALLMOND, SUSAN | CORPORATE OFFICER | NOT APPLICABLE |
| CHRISTIANSEN, KAREN | CORPORATE OFFICER | NOT APPLICABLE |
| ESTERHAI, JOHN | CORPORATE OFFICER | NOT APPLICABLE |
| FOX, GLENN | CORPORATE OFFICER | NOT APPLICABLE |
| GERNER, ELRIC | CORPORATE OFFICER | NOT APPLICABLE |
| GRANT, GERALD | CORPORATE OFFICER | NOT APPLICABLE |
| LAWSON, DANIEL | CORPORATE OFFICER | NOT APPLICABLE |
| MASHNER, MARVIN | CORPORATE OFFICER | NOT APPLICABLE |
| ACTS MANAGEMENT SERVICES, INC. | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ACTS RETIREMENT-LIFE COMMUNITIES INC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ACTS RETIREMENT-LIFE COMMUNITIES MANAGEMENT, LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| AHERN, SUSAN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CHRISTIANSEN, KAREN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FOX, GLENN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GRANT, GERALD | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| U.S. BANK | TRUSTEE OF THE SNF | NOT APPLICABLE |
| ACTS MANAGEMENT SERVICES, INC. | ADP OF THE SNF | NOT APPLICABLE |
| ACTS RETIREMENT-LIFE COMMUNITIES INC | ADP OF THE SNF | NOT APPLICABLE |
| ACTS RETIREMENT-LIFE COMMUNITIES MANAGEMENT, LLC | ADP OF THE SNF | NOT APPLICABLE |
| BAKER TILLY ADVISORY GROUP LP | ADP OF THE SNF | NOT APPLICABLE |
| BAKER TILLY US LLP | ADP OF THE SNF | NOT APPLICABLE |
| U.S. BANK | ADP OF THE SNF | NOT APPLICABLE |
| AHERN, SUSAN | ADP OF THE SNF | NOT APPLICABLE |
| CHRISTIANSEN, KAREN | ADP OF THE SNF | NOT APPLICABLE |
| FOX, GLENN | ADP OF THE SNF | NOT APPLICABLE |
| FYFFE, SOPHIA | ADP OF THE SNF | NOT APPLICABLE |
| GRANT, GERALD | ADP OF THE SNF | NOT APPLICABLE |
| PHAM, DINH | ADP OF THE SNF | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology