01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-07-25 | 0 | 2024-07-25 | 5 |
| Cycle 2 | 2022-08-18 | 1 | 2022-08-18 | 0 |
| Cycle 3 | 2021-04-02 | 4 | 2021-04-02 | 3 |
CMS CCN 1057322026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Willowbrooke Court Skilled Care Center At Mease Li
910 New York Ave · Dunedin, FL 34698 · Pinellas County
Certified beds100CMS provider file
Recent citation rows13current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
13 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2024-07-25 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-08-232024-07-25 · FIREK0372Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2024-08-232024-07-25 · FIREK0521Severity D · isolated; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2024-08-232024-07-25 · FIREK0761Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2024-08-232024-07-25 · FIREK0914Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Correction field: Deficient, Provider has date of correction · 2024-08-232022-08-18 · HEALTHF0732Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Correction field: Deficient, Provider has date of correction · 2022-09-182021-04-02 · HEALTHF0623Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Correction field: Deficient, Provider has date of correction · 2021-04-222021-04-02 · HEALTHF0625Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2021-04-222021-04-02 · HEALTHF0676Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Correction field: Deficient, Provider has date of correction · 2021-04-222021-04-02 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2021-04-232021-04-02 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2021-06-242021-04-02 · FIREK0511Severity D · isolated; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2021-04-012021-04-02 · FIREK0761Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2021-04-1203 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- ACTS ACQUISITION AND DEVELOPMENT COMPANY LLCOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2023
- MEASE LIFE INCOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2023
- ACTS ALLIANCE MANAGEMENT LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2023
- ACTS COMMUNITIES OF MARYLAND, INC.Organization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2023
- ACTS LEGACY FOUNDATION, INC.Organization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2023
- ACTS MANAGEMENT SERVICES, INC.Organization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2023
- ACTS RETIREMENT SERVICES, INCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2023
- ACTS RETIREMENT-LIFE COMMUNITIES MANAGEMENT, LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2023
- ACTS SIGNATURE COMMUNITY SERVICES INCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2023
- BONITA SPRINGS RETIREMENT VILLAGE INCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2023
- BATE, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- CHAMBERS CARROLL, MARY BETHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2023
- GLYNN, JAMESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2023
- GRANT, GERALDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2023
- KELLY, MICHAELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2023
- ORA, MELVINIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2023
- POINTER KYNES, DEBORAHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2023
- WOLF, DANIELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2023
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.36per resident day
RN hours0.53per resident day
Weekend nurse hours3.88per resident day
Staff turnover41.5%CMS reported field
06 / LOCAL RECORDS
Open the Dunedin ledger →