Willowbrooke Court at St. Andrews Estates
6152 N Verde Trail, Boca Raton, FL 33433 · Palm Beach County · (561) 487-5200
89 certified beds, about 50 residents a day · Non profit - Corporation · Medicare and Medicaid since 1979
Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 105355 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 1, 2025, inspectors cited 8 health deficiencies (the Florida average is 7.1, the national average 9.2).
None of its 17 health citations since September 2022 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.17 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 1.34 of those hours.
21.4% 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.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
409/22
501/24
805/25
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 17 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
16D
1E
0F
Potential for minimal harm
0A
0B
0C
May 1, 2025Standard inspection · 8 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, interviews, and policy review, the facility failed to follow standards of professional practice for food safety, as evidenced by raw chicken and Mighty Shakes were stored in the refrigerator past the recommended time frames for food safety. This had the potential to affect 42 of 44 residents on oral diets.
- D Ensure 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.
Inspectors wroteBased on observations, interviews and record review, the facility failed to provide appropriate treatment and services to prevent complications of enteral feeding for 1 of 1 sampled resident reviewed for tube feeding, Resident #43.
- D Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure all nursing staff professional standard of quality for 1 of 24 nurses employed by the facility observed during 1 of 4 medication administration observations, to ensure the correct process was followed.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on record review, interview and observation, the facility failed to maintain a system of records of receipt and disposition of all controlled drugs in sufficient detail to enable an accurate reconciliation, to determine that drug records are in order and that an account of all controlled drugs is maintained and periodically reconciled for 1 of 5 sampled residents reviewed for controlled medications, Resident #4.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to monitor behaviors as per physician's orders for 2 of 5 sampled residents reviewed for unnecessary medications, Resident #7 and Resident #23.
- D Ensure 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.
Inspectors wroteBased on observations, interview and record review, the facility failed to secure 1 of 3 medication carts, failed to secure 1 of 2 treatment carts, and failed to secure and properly dispose of medications (meds) during 1 of 4 medication administration observations.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, interviews and record review, the facility failed to perform hand hygiene during 1 of 4 medication (med) administration observations and failed to wear appropriate Personal Protective Equipment (PPE) during tube feeding connection for 1 of 1 sampled residents reviewed for tube feed (Resident #43).
- D Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure bathrooms are adequately equipped to allow residents / staff / visitors to call for staff assistance through a communication system for 4 of 73 bathrooms in the facility.
January 25, 2024Standard inspection · 5 citations
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, interviews, and records review, the facility failed to ensure that 1 of 12 sampled residents, Resident #5, was treated with dignity during food service, as evidenced by serving meals to the resident in an environment with a pervasive obnoxious odor in the room; and failed to follow its policy related to food service for the residents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review, observations and interviews, the facility failed to follow the physician orders for 1 of 5 sampled residents reviewed for Unnecessary Medications, as evidenced by not holding a medication when the resident's systolic blood pressure was below 120 as per physician order, Resident #15.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on record review, observations and interviews, the facility failed to ensure facility staff followed proper indwelling (Foley) catheter and pericare techniques consistent with accepted standards of practice and failed to follow the facility's Catheter Care and Perineal Care policy as observed during Foley/peri-care provided to 1 of 1 sampled resident reviewed for urinary catheter care review, Resident #10.
- D Ensure 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.
Inspectors wroteBased on review of policy and procedure, observation and interview, the facility failed to ensure it secured and floor stock medications and prescription cream wound care treatment medications for four (4) of 4 sampled residents reviewed, Resident #6, Resident #204, Resident #19, and Resident #14, on 1 of 3 Wound Care Carts, [NAME] wing Bayshore unit.
- D Keep all essential equipment working safely.
Inspectors wroteBased on review of policy and procedure, observation, interview and record review, the facility failed to ensure that it followed regular, routine Safety/Service Maintenance Checks for 3 of 6 sampled residents observed for 'active' routine and 'as needed' Nebulizer Treatment Therapy, Resident #23, Resident #18 and Resident #48.
September 9, 2022Standard inspection · 4 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review and interview, the facility failed to provide wound care as ordered by the physician for 1 of 3 sampled residents reviewed for wound care and failed to notify the physician of ordered treatment not being available (Resident #16).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview and record review, the facility failed to implement interventions to prevent falls with injury, for 1 of 2 sampled residents reviewed for falls (Resident #16); and failed to investigate 2 of 2 sampled residents reviewed for falls (Resident #16 and Resident #29).
- D Try 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.
Inspectors wroteBased on observation, interview and record review, the facility failed to document the needs to be met by the use of siderails, failed to attempt alternative interventions, assessment of resident for risk of entrapment, obtain informed consent, determine the resident's risks versa benefits, identify potential areas of entrapment and ensure compatibility of mattress with frame, for 1 of 1 sampled resident reviewed realted to siderails, (Resident #36). This deficiency has the potential to affect all residents because all facility beds have side rails attached.
- D Ensure 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.
Inspectors wroteBased on observations, interviews and record review, the facility failed to secure medications for 2 of 24 sampled residents reviewed, (Residents #214 and #42).
Fire safety inspections
6 fire safety citations on file: 3 on May 1, 2025, 1 on January 25, 2024, 2 on September 9, 2022.
Every fire safety citation6 citations
- D Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Install emergency lighting that can last at least 1 1/2 hours.
- D Inspect, test, and maintain automatic sprinkler systems.
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.
| Measure | This home | Florida | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.17 | 3.82 | 3.86 |
| Registered nurses | 1.34 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.86 | 3.49 | 3.42 |
| Nurse aides | 2.57 | ||
| Licensed practical nurses | 0.26 | ||
| Nursing staff turnover (share who left in a year) | 21.4% | 41.4% | 45.8% |
| Registered nurse turnover | 52.9% | 46.0% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.28 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 4.30 on weekdays and 3.86 on weekends, 10% 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 4.33 in April to June 2025 to 4.17 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.17 | 1.34 | 4.30 | 3.86 | 0.0% | 0 of 90 | 50 |
| Oct to Dec 2025 | 4.14 | 1.19 | 4.27 | 3.80 | 0.0% | 0 of 92 | 53 |
| Jul to Sep 2025 | 4.22 | 1.22 | 4.37 | 3.83 | 0.0% | 0 of 92 | 47 |
| Apr to Jun 2025 | 4.33 | 1.22 | 4.52 | 3.85 | 0.0% | 0 of 91 | 44 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Florida, Jan to Mar 2026 | 3.76 | 0.70 | 3.90 | 3.44 | 1.1% | 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.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Florida
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Florida, all employers | |||
| CNAs (nursing assistants) | $18.03 | $17.33 to $20.34 | 96,960 |
| LPNs and LVNs | $29.70 | $28.14 to $31.11 | 38,620 |
| Registered nurses | $40.48 | $37.82 to $48.64 | 229,940 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Florida | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 12.0 | 8.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.8 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 5.3 | 0.7 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.0 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.9 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.3 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 2.2 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 19.6 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.5 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.5 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 1.1 | 1.8 |
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.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Acts Acquisition and Development Company LLC | Indirect ownership interest | Organization | 01/01/2012 | |
| Acts Alliance Management LLC | Indirect ownership interest | Organization | 12/31/2022 | |
| Acts Communities of Maryland, Inc. | Indirect ownership interest | Organization | 04/01/2019 | |
| Acts Legacy Foundation, Inc. | Indirect ownership interest | Organization | 12/31/2022 | |
| Acts Retirement Services, Inc | Indirect ownership interest | Organization | 03/24/2009 | |
| Acts Signature Community Services Inc | Indirect ownership interest | Organization | 12/31/2022 | |
| Bonita Springs Retirement Village Inc | Indirect ownership interest | Organization | 11/01/2024 | |
| Mease Life Inc | Indirect ownership interest | Organization | 10/01/2023 | |
| Allmond, Susan | Corporate director | Individual | 01/01/2017 | |
| Brod, Kathryn | Corporate director | Individual | 02/15/2024 | |
| Callaway, Warren | Corporate director | Individual | 03/30/2022 | |
| Chamberlain, Linda | Corporate director | Individual | 01/01/2025 | |
| Detweiler, Harold | Corporate director | Individual | 01/26/2009 | |
| Esterhai, John | Corporate director | Individual | 05/01/1996 | |
| Gerner, Elric | Corporate director | Individual | 04/01/2009 | |
| Glynn, James | Corporate director | Individual | 01/01/2023 | |
| Grant, Gerald | Corporate director | Individual | 01/26/2009 | |
| Greer, Jason | Corporate director | Individual | 03/30/2022 | |
| Kelly, Michael | Corporate director | Individual | 02/11/2020 | |
| Lammers, John | Corporate director | Individual | 12/15/2020 | |
| Lawson, Daniel | Corporate director | Individual | 06/11/2019 | |
| Mashner, Marvin | Corporate director | Individual | 01/26/2009 | |
| Middlebrooks, Daniel | Corporate director | Individual | 01/01/2023 | |
| Reichard, Dawn | Corporate director | Individual | 06/01/2025 | |
| Ahern, Susan | Corporate officer | Individual | 01/01/2020 | |
| Allmond, Susan | Corporate officer | Individual | 01/01/2025 | |
| Christiansen, Karen | Corporate officer | Individual | 08/01/2014 | |
| Esterhai, John | Corporate officer | Individual | 01/01/2017 | |
| Fox, Glenn | Corporate officer | Individual | 01/01/2017 | |
| Gerner, Elric | Corporate officer | Individual | 01/01/2010 | |
| Grant, Gerald | Corporate officer | Individual | 08/01/2014 | |
| Lawson, Daniel | Corporate officer | Individual | 01/01/2025 | |
| Mashner, Marvin | Corporate officer | Individual | 01/01/2025 | |
| Acts Management Services, Inc. | Operational/managerial control | Organization | 01/01/2012 | |
| Acts Retirement-Life Communities Inc | Operational/managerial control | Organization | 01/01/2012 | |
| Acts Retirement-Life Communities Management, LLC | Operational/managerial control | Organization | 12/31/2022 | |
| Ahern, Susan | Operational/managerial control | Individual | 01/01/2020 | |
| Christiansen, Karen | Operational/managerial control | Individual | 01/26/2009 | |
| Fox, Glenn | Operational/managerial control | Individual | 01/01/2017 | |
| Grant, Gerald | Operational/managerial control | Individual | 01/26/2009 | |
| U.s. Bank | Trustee of the SNF | Organization | 07/09/2025 | |
| Acts Management Services, Inc. | Adp of the SNF | Organization | 07/17/2025 | |
| Acts Retirement-Life Communities Inc | Adp of the SNF | Organization | 01/01/2012 | |
| Acts Retirement-Life Communities Management, LLC | Adp of the SNF | Organization | 07/17/2025 | |
| Baker Tilly Advisory Group LP | Adp of the SNF | Organization | 02/03/2025 | |
| Baker Tilly Us LLP | Adp of the SNF | Organization | 11/05/2024 | |
| U.s. Bank | Adp of the SNF | Organization | 07/12/2025 | |
| Ahern, Susan | Adp of the SNF | Individual | 01/01/2020 | |
| Christiansen, Karen | Adp of the SNF | Individual | 08/01/2014 | |
| Fox, Glenn | Adp of the SNF | Individual | 01/01/2017 | |
| Fyffe, Sophia | Adp of the SNF | Individual | 02/26/2023 | |
| Grant, Gerald | Adp of the SNF | Individual | 08/01/2014 | |
| Pham, Dinh | Adp of the SNF | Individual | 01/01/2021 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on May 1, 2025: "Ensure 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."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on May 1, 2025: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 2 problems in this area, most recently on May 1, 2025: "Make sure that a working call system is available in each resident's bathroom and bathing area."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on May 1, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Legacy at Boca Raton Rehabilitation and Nursing Ce Boca Raton, 0.5 mi · 4 of 5 stars · 32 citations
- Encore at Boca Raton Rehabilitation and Nursing Ce Boca Raton, 1.5 mi · 4 of 5 stars · 34 citations
- Boca Circle Rehabilitation Center Boca Raton, 1.6 mi · 2 of 5 stars · 39 citations
- Avante at Boca Raton, Inc. Boca Raton, 1.8 mi · 1 of 5 stars · 48 citations
- Boca Raton Rehabilitation Center Boca Raton, 2.2 mi · 2 of 5 stars · 26 citations
- Boca Pointe Center for Rehabilitation and Healing Boca Raton, 2.4 mi · 5 of 5 stars · 15 citations
- Willowbrooke Court Skilled Care Center - Edgewater Boca Raton, 2.6 mi · 5 of 5 stars · 4 citations
- Health Center at Sinai Residences Boca Raton, 3.5 mi · 5 of 5 stars · 7 citations
Florida contacts for a concern about a nursing home
These are the official offices in Florida. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Florida Agency for Health Care Administration, Long Term Care Services Unit, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Florida Long-Term Care Ombudsman Program, 1-888-831-0404. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: FloridaHealthFinder, where Florida publishes its own records on licensed homes.
Common questions
- What is Willowbrooke Court at St. Andrews Estates's Medicare star rating?
- CMS rates Willowbrooke Court at St. Andrews Estates 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Willowbrooke Court at St. Andrews Estates get at its last inspection?
- 8 health deficiencies at the standard inspection on May 1, 2025. The Florida average is 7.1.
- Has Willowbrooke Court at St. Andrews Estates been fined?
- CMS lists no fines in the last three years.
- Does Willowbrooke Court at St. Andrews Estates 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 St. Andrews Estates?
- CMS lists 53 owners and managers, and links the home to Acts Retirement-Life Communities. Legal business name: ACTS RETIREMENT-LIFE COMMUNITIES INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.