SNF
WILLOWBROOKE COURT AT INDIAN RIVER ESTATES
CCN: 105593 · VERO BEACH, FL 32966 · Indian River County
Overview
- Address
- 2440 CITRUS BLOSSOM CIR, VERO BEACH, FL 32966
- Phone
- 7725628700
- Certified beds
- 20
- Avg daily residents
- 13 (63% of beds filled)
- Ownership
- Non-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1987-11-25
- Setting
- Urban
5 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 4.76 | 3.62 | 5.09 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 1.14 | 0.63 | 1.21 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.68 | 0.80 | 0.73 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.95 | 2.18 | 3.15 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.82 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.68 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
4.38
hrs / resident / day
RN (weekend)
0.95
hrs / resident / day
Total nurse (adjusted, weekend)
4.67
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Resident acuity
Nursing Case-Mix Index
1.28
higher acuity than avg
Case-Mix Index Ratio
0.93
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2024-10-24 | 2 | 2 | 0 | 8 | 1 | 8 |
| Cycle 2/3 (prior) | 2023-08-03 | 1 | 1 | 0 | 16 | 1 | 16 |
Total weighted health score
10.0
lower is better
Deficiencies (10)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
10 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | 2024-10-24 | 2024-11-24 |
| 0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2024-10-24 | 2024-11-24 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-08-03 | 2023-08-10 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2022-03-31 | 2022-05-01 |
| 0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2022-03-31 | 2022-05-01 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2022-03-31 | 2022-05-01 |
| 0693 | 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. | D | 2022-03-31 | 2022-05-01 |
| 0761 | 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. | D | 2022-03-31 | 2022-05-01 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2022-03-31 | 2022-05-01 |
| 0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2022-03-31 | 2022-05-01 |
Penalties (1)
Fines issued
1
last 3 years
Total fines
$18,330
| Date | Type | Fine amount |
|---|---|---|
| 2023-08-03 | Fine | $18,330 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Operating performance
Operating Margin
23.0%
Total Margin
26.9%
Occupancy Rate
70.2%
Cost per Resident Day
$78
Revenue & costs
Net Patient Revenue
$46.0M
Total Costs
$2.4M
Net Income
$13.0M
Balance sheet
Total Assets
$161.6M
Total Liabilities
$35.0M
Fund Balance
$126.7M
Current Ratio
0.03
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: ACTS RETIREMENT-LIFE COMMUNITIES
- Chain ID
9- Facilities in chain
- 26
- Legal business name
- ACTS RETIREMENT-LIFE COMMUNITIES INC
Chain-average star ratings (for peer context)
Overall
4.8
Health
4.3
Staffing
4.7
QM
4.6
Owner / manager organizations (3)
| Organization | Role | Association |
|---|---|---|
| ACTS MANAGEMENT SERVICES, INC. | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2012 |
| ACTS RETIREMENT-LIFE COMMUNITIES INC | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2012 |
| ACTS RETIREMENT-LIFE COMMUNITIES MANAGEMENT, LLC | OPERATIONAL/MANAGERIAL CONTROL | since 12/31/2022 |
Owner / manager individuals (29)
| Name | Role | Association |
|---|---|---|
| AHERN, SUSAN | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2020 |
| CHRISTIANSEN, KAREN | OPERATIONAL/MANAGERIAL CONTROL | since 01/26/2009 |
| FOX, GLENN | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2017 |
| GRANT, GERALD | OPERATIONAL/MANAGERIAL CONTROL | since 01/26/2009 |
| ALLMOND, SUSAN | CORPORATE DIRECTOR | since 01/01/2015 |
| BROD, KATHRYN | CORPORATE DIRECTOR | since 02/15/2024 |
| CALLAWAY, WARREN | CORPORATE DIRECTOR | since 03/30/2022 |
| CHAMBERLAIN, LINDA | CORPORATE DIRECTOR | since 01/01/2025 |
| DETWEILER, HAROLD | CORPORATE DIRECTOR | since 01/26/2009 |
| ESTERHAI, JOHN | CORPORATE DIRECTOR | since 01/26/2009 |
| GERNER, ELRIC | CORPORATE DIRECTOR | since 04/01/2009 |
| GLYNN, JAMES | CORPORATE DIRECTOR | since 01/01/2023 |
| GRANT, GERALD | CORPORATE DIRECTOR | since 05/04/2017 |
| GREER, JASON | CORPORATE DIRECTOR | since 03/30/2022 |
| KELLY, MICHAEL | CORPORATE DIRECTOR | since 02/11/2020 |
| LAMMERS, JOHN | CORPORATE DIRECTOR | since 12/15/2020 |
| LAWSON, DANIEL | CORPORATE DIRECTOR | since 06/11/2019 |
| MASHNER, MARVIN | CORPORATE DIRECTOR | since 01/26/2009 |
| MIDDLEBROOKS, DANIEL | CORPORATE DIRECTOR | since 01/01/2023 |
| REICHARD, DAWN | CORPORATE DIRECTOR | since 06/01/2025 |
| AHERN, SUSAN | CORPORATE OFFICER | since 01/01/2020 |
| ALLMOND, SUSAN | CORPORATE OFFICER | since 01/01/2025 |
| CHRISTIANSEN, KAREN | CORPORATE OFFICER | since 08/01/2014 |
| ESTERHAI, JOHN | CORPORATE OFFICER | since 01/01/2016 |
| FOX, GLENN | CORPORATE OFFICER | since 01/01/2017 |
Showing 25 of 29 individuals. Full list in CSV.
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 112 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $78 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.03 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicare Day Share (%) | 10.3% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $13,031,033 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $46,044,979 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 70.2% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 23.0% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $161,631,316 | metrics.total_assets |
| Cost Report | Total Costs ($) | $2,405,999 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $126,667,229 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $34,964,087 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 26.9% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.72677 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 3.14595 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 1.21476 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 5.08748 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 4.67315 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | 27 | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 12.5 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.80232 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.18052 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.63240 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.61523 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.18645 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 4.3 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 4.8 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 4.6 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 4.7 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 9 | Chain ID |
| Provider Information | Chain Name | ACTS RETIREMENT-LIFE COMMUNITIES | Chain Name |
| Provider Information | City/Town | VERO BEACH | City/Town |
| Provider Information | CMS Certification Number (CCN) | 105593 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Indian River | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1987-11-25 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 4 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 27.6459 | Latitude |
| Provider Information | Legal Business Name | ACTS RETIREMENT-LIFE COMMUNITIES INC | Legal Business Name |
| Provider Information | Location | 2440 CITRUS BLOSSOM CIR,VERO BEACH,FL,32966 | Location |
| Provider Information | Long-Stay QM Rating | — | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | 2 | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -80.488 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | — | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 20 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 26 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 1 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.28072 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.92964 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 5 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | Non profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 2440 CITRUS BLOSSOM CIR | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | WILLOWBROOKE COURT AT INDIAN RIVER ESTATES | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 300 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 4 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 8 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 0 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 2 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2024-10-24 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 8 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 2 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 1 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2023-08-03 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 16 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 0 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 16 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 1 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.94672 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | — | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | 27 | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.81798 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.68052 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.94575 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.68319 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 1.13746 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 4.76373 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 4 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 5 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | FL | State |
| Provider Information | Telephone Number | 7725628700 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 18330.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 4.37577 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 1 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | — | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | 27 | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 10.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 32966 | ZIP Code |