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Willowbrooke Court at Azalea Trace

10100 Hillview Dr, Pensacola, FL 32514 · Escambia County · (850) 478-5200

24 certified beds, about 11 residents a day · Non profit - Corporation · Medicare and Medicaid since 1983

Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 105444 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 7, 2025, inspectors cited 0 health deficiencies (the Florida average is 7.1, the national average 9.2).

CMS lists no health citations for this home in the inspections on file.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.06 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 1.10 of those hours.

25.0% of nursing staff left within the year CMS measured (Florida average 41.4%).

CMS links it to Acts Retirement-Life Communities, an affiliated group of 27 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 0 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
0D
0E
0F
Potential for minimal harm
0A
0B
0C
August 7, 2025Standard inspection · 0 citations
July 24, 2024Standard inspection · 0 citations
May 3, 2023Standard inspection · 0 citations

Fire safety inspections

3 fire safety citations on file: 3 on May 3, 2023.

Every fire safety citation3 citations
  1. D
    Provide properly protected cooking facilities.
    K 324 · May 3, 2023 · Corrected (the home has a date of correction)
  2. D
    Install corridor and hallway doors that block smoke.
    K 363 · May 3, 2023 · Corrected (the home has a date of correction)
  3. D
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · May 3, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeFloridaUnited States
All nursing staff (RN, LPN and aides)4.063.823.86
Registered nurses1.100.730.69
All nursing staff on weekends3.443.493.42
Nurse aides2.46
Licensed practical nurses0.50
Nursing staff turnover (share who left in a year)25.0%41.4%45.8%
Registered nurse turnover50.0%46.0%42.9%
Administrators who left1

CMS expects 3.15 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.32 on weekdays and 3.44 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.82 in April to June 2025 to 4.06 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.061.104.323.44 0.0%0 of 9011
Oct to Dec 20254.471.214.604.14 0.0%0 of 929
Jul to Sep 20254.901.215.134.29 0.0%0 of 929
Apr to Jun 20255.821.416.115.05 0.0%0 of 917
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Florida, Jan to Mar 20263.760.703.903.441.1%0.2% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeFloridaUS
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.11.51.6
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
40.226.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
24.59.112.0

Owners and operators

Legal business name: ACTS RETIREMENT-LIFE COMMUNITIES INC. CMS links this home to Acts Retirement-Life Communities, a group of 27 nursing homes averaging 4.9 stars overall.

NameRoleTypeShareSince
Acts Retirement Services, Inc5% or greater direct ownership interestOrganization100%08/01/2012
Acts Acquisition and Development Company LLCIndirect ownership interestOrganization12/31/2022
Acts Alliance Management LLCIndirect ownership interestOrganization12/31/2022
Acts Communities of Maryland, Inc.Indirect ownership interestOrganization04/01/2019
Acts Legacy Foundation, Inc.Indirect ownership interestOrganization12/31/2022
Acts Signature Community Services IncIndirect ownership interestOrganization12/31/2022
Bonita Springs Retirement Village IncIndirect ownership interestOrganization11/01/2024
Mease Life IncIndirect ownership interestOrganization10/01/2023
Allmond, SusanCorporate directorIndividual01/01/2015
Brod, KathrynCorporate directorIndividual02/15/2024
Callaway, WarrenCorporate directorIndividual03/30/2022
Chamberlain, LindaCorporate directorIndividual01/01/2025
Christiansen, KarenCorporate directorIndividual01/01/2020
Detweiler, HaroldCorporate directorIndividual11/01/2009
Esterhai, JohnCorporate directorIndividual05/01/1996
Gerner, ElricCorporate directorIndividual04/01/2009
Glynn, JamesCorporate directorIndividual01/01/2023
Grant, GeraldCorporate directorIndividual05/04/2017
Greer, JasonCorporate directorIndividual03/30/2022
Kelly, MichaelCorporate directorIndividual02/11/2020
Lammers, JohnCorporate directorIndividual12/15/2020
Lawson, DanielCorporate directorIndividual06/11/2019
Mashner, MarvinCorporate directorIndividual01/01/1991
Middlebrooks, DanielCorporate directorIndividual01/01/2023
Reichard, DawnCorporate directorIndividual06/01/2025
Ahern, SusanCorporate officerIndividual01/01/2020
Allmond, SusanCorporate officerIndividual01/01/2025
Christiansen, KarenCorporate officerIndividual05/25/2010
Fox, GlennCorporate officerIndividual01/01/2017
Gerner, ElricCorporate officerIndividual01/01/2010
Grant, GeraldCorporate officerIndividual06/01/2005
Lawson, DanielCorporate officerIndividual01/01/2025
Mashner, MarvinCorporate officerIndividual01/01/2025
Acts Management Services, Inc.Operational/managerial controlOrganization08/01/2012
Acts Retirement-Life Communities IncOperational/managerial controlOrganization01/01/2012
Acts Retirement-Life Communities Management, LLCOperational/managerial controlOrganization12/31/2022
Ahern, SusanOperational/managerial controlIndividual01/01/2020
Christiansen, KarenOperational/managerial controlIndividual08/01/2012
Fox, GlennOperational/managerial controlIndividual01/01/2017
Grant, GeraldOperational/managerial controlIndividual08/01/2012
U.s. BankTrustee of the SNFOrganization07/09/2025
Acts Management Services, Inc.Adp of the SNFOrganization07/17/2025
Acts Retirement-Life Communities IncAdp of the SNFOrganization01/01/2012
Acts Retirement-Life Communities Management, LLCAdp of the SNFOrganization07/17/2025
Baker Tilly Advisory Group LPAdp of the SNFOrganization02/03/2025
Baker Tilly Us LLPAdp of the SNFOrganization11/05/2024
U.s. BankAdp of the SNFOrganization07/13/2025
Ahern, SusanAdp of the SNFIndividual01/01/2020
Christiansen, KarenAdp of the SNFIndividual08/01/2014
Denapoles, ChristopherAdp of the SNFIndividual01/01/2020
Fox, GlennAdp of the SNFIndividual01/01/2017
Grant, GeraldAdp of the SNFIndividual08/01/2014
Peterson, LisaAdp of the SNFIndividual05/09/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.44 hours per resident per day, below the Florida average of 3.49.
  2. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Florida contacts for a concern about a nursing home

These are the official offices in Florida. NursingHomeClear cannot take or act on complaints.

Common questions

What is Willowbrooke Court at Azalea Trace's Medicare star rating?
CMS rates Willowbrooke Court at Azalea Trace 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Willowbrooke Court at Azalea Trace get at its last inspection?
0 health deficiencies at the standard inspection on August 7, 2025. The Florida average is 7.1.
Has Willowbrooke Court at Azalea Trace been fined?
CMS lists no fines in the last three years.
Does Willowbrooke Court at Azalea Trace accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Willowbrooke Court at Azalea Trace?
CMS lists 53 owners and managers, and links the home to Acts Retirement-Life Communities. Legal business name: ACTS RETIREMENT-LIFE COMMUNITIES INC.

Sources

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