Tag 0732 · Severity D
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2022-09-18Non-profit
Willowbrooke Court Skilled Care Center at Mease Li
910 New York Ave, Dunedin, FL 34698
(727) 733-2113 · Acts Retirement-Life Communities
At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | Non profit - Corporation | Certified beds | 100 |
|---|---|---|---|
| Estimated occupancy | 45.1% | Latest inspection | 2024-07-25 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 5 of 5
Health-inspection score
Facility: 1.0 points
Total nurse staffing
Facility: 4.36 hours/day
RN staffing
Facility: 0.53 hours/day
Staff turnover
Facility: 41.5%
Latest health deficiencies
Facility: 0 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 5 of 5 | 2 of 5 | 3 of 5 |
| Health-inspection score | 1.0 points | 74.0 points | 38.5 points |
| Total nurse staffing | 4.36 hours/day | 3.51 hours/day | 3.63 hours/day |
| RN staffing | 0.53 hours/day | 0.56 hours/day | 0.62 hours/day |
| Staff turnover | 41.5% | 50.7% | 41.8% |
| Latest health deficiencies | 0 deficiencies | 11 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2024-07-25
0 deficiencies
Highest severity: Not reported by CMS
Immediate-jeopardy citations: 0
No matching citation detail was published.
2022-08-18
1 deficiencies
Highest severity: D
Immediate-jeopardy citations: 0
2021-04-02
4 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0623 · Severity E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2021-04-22Tag 0625 · Severity D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2021-04-22Tag 0676 · Severity D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-04-22Tag 0759 · Severity D
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2021-04-23Staffing composition
2.46 hours/dayNurse aide
1.38 hours/dayLPN
0.53 hours/dayRN
- Total staffing
- 4.36 hours/day
- County median
- 3.51 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 3.88 hours/day
- Staff turnover
- 41.5%
- RN turnover
- 60.0%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
2.0 per 1,000 dayssimilarFlorida: 2.1 per 1,000 days · County: 2.3 per 1,000 days20250101-20251231
Emergency-department visits
1.3 per 1,000 daysworseFlorida: 1.0 per 1,000 days · County: 1.1 per 1,000 days20250101-20251231
Falls with major injury
2.8%worseFlorida: 2.2% · County: 2.3%2025Q2-2026Q1
Pressure ulcers
4.3%similarFlorida: 4.2% · County: 4.6%2025Q2-2026Q1
Urinary tract infections
1.9%unavailableFlorida: 0.0% · County: 0.2%2025Q2-2026Q1
Antipsychotic medication use
33.9%worseFlorida: 7.0% · County: 7.0%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
How many RNs are typically on site during days, nights, and weekends?
Suggested because of: rn staffingWhat fall-prevention program is used, and how are families notified after a fall?
Suggested because of: falls major injuryHow are antipsychotic medications reviewed, reduced when appropriate, and discussed with families?
Suggested because of: antipsychotic useHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning
Facility Details
- County
- Pinellas County
- Certified beds
- 100
- Average daily residents
- 45.1
- Ownership
- Non profit - Corporation
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1991-06-12
- CCN
- 105732
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.4566 |
| Lpn hours | 1.37682 |
| Rn hours | 0.5277 |
| Reported total hours | 4.36112 |
| Weekend total hours | 3.87844 |
| Weekend rn hours | 0.27212 |
| Adjusted total hours | 4.47485 |
| Total turnover percent | 41.5 |
| Rn turnover percent | 60 |
| Administrators left | 1 |
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
8Fire 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
| Name | Role | Share |
|---|---|---|
| ACTS ACQUISITION AND DEVELOPMENT COMPANY LLC | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| MEASE LIFE INC | DIRECT 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 MANAGEMENT SERVICES, INC. | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| ACTS RETIREMENT SERVICES, INC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| ACTS RETIREMENT-LIFE COMMUNITIES MANAGEMENT, LLC | 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 |
| BATE, JOHN | CORPORATE DIRECTOR | NOT APPLICABLE |
| CHAMBERS CARROLL, MARY BETH | CORPORATE DIRECTOR | NOT APPLICABLE |
| GLYNN, JAMES | CORPORATE DIRECTOR | NOT APPLICABLE |
| GRANT, GERALD | CORPORATE DIRECTOR | NOT APPLICABLE |
| KELLY, MICHAEL | CORPORATE DIRECTOR | NOT APPLICABLE |
| ORA, MELVIN | CORPORATE DIRECTOR | NOT APPLICABLE |
| POINTER KYNES, DEBORAH | CORPORATE DIRECTOR | NOT APPLICABLE |
| WOLF, DANIEL | CORPORATE DIRECTOR | NOT APPLICABLE |
| AHERN, SUSAN | CORPORATE OFFICER | NOT APPLICABLE |
| BECK, JEFFREY | CORPORATE OFFICER | NOT APPLICABLE |
| CHAMBERLAIN, LINDA | CORPORATE OFFICER | NOT APPLICABLE |
| CHAMBERS CARROLL, MARY BETH | CORPORATE OFFICER | NOT APPLICABLE |
| CHRISTIANSEN, KAREN | CORPORATE OFFICER | NOT APPLICABLE |
| FOX, GLENN | CORPORATE OFFICER | NOT APPLICABLE |
| GRANT, GERALD | CORPORATE OFFICER | NOT APPLICABLE |
| GRANT, JONATHAN | CORPORATE OFFICER | NOT APPLICABLE |
| KELLY, MICHAEL | CORPORATE OFFICER | NOT APPLICABLE |
| ORA, MELVIN | CORPORATE OFFICER | NOT APPLICABLE |
| ACTS MANAGEMENT SERVICES, INC. | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ACTS RETIREMENT-LIFE COMMUNITIES MANAGEMENT, LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MEASE LIFE INC | 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 |
| GRANT, JONATHAN | 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 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 |
| MEASE LIFE INC | ADP OF THE SNF | NOT APPLICABLE |
| U.S. BANK | ADP OF THE SNF | NOT APPLICABLE |
| AHERN, SUSAN | ADP OF THE SNF | NOT APPLICABLE |
| BULLOCK, JENNIFER | ADP OF THE SNF | NOT APPLICABLE |
| CHRISTIANSEN, KAREN | ADP OF THE SNF | NOT APPLICABLE |
| FOX, GLENN | ADP OF THE SNF | NOT APPLICABLE |
| GRANT, GERALD | ADP OF THE SNF | NOT APPLICABLE |
| GRANT, JONATHAN | ADP OF THE SNF | NOT APPLICABLE |
| MATHEW, DANI | ADP OF THE SNF | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology