SNF
WILLOWBROOKE COURT-GRANITE
CCN: 395736 · MEDIA, PA 19063 · Delaware County
CCRC
Overview
- Address
- 1343 WEST BALTIMORE PIKE, MEDIA, PA 19063
- Phone
- 6103580510
- Certified beds
- 10
- Avg daily residents
- 5 (47% of beds filled)
- Ownership
- Non-profit corporation
- Provider type
- Medicare
- Medicare/Medicaid since
- 1987-07-17
- 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 | 3.97 | 3.47 | 4.42 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 1.37 | 0.61 | 1.53 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.58 | 0.77 | 0.64 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.02 | 2.09 | 2.25 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.95 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 1.38 | — | — | — |
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)
3.74
hrs / resident / day
RN (weekend)
1.07
hrs / resident / day
Total nurse (adjusted, weekend)
4.16
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
1.23
higher acuity than avg
Case-Mix Index Ratio
0.89
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) | 2025-03-27 | 0 | 0 | 0 | 0 | 0 | 0 |
| Cycle 2/3 (prior) | 2024-04-12 | 0 | 0 | 0 | 0 | 0 | 0 |
Total weighted health score
0.0
lower is better
Deficiencies (3)
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).
3 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-05-11 | 2023-06-02 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-05-11 | 2023-06-02 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-05-11 | 2023-06-02 |
Financial Health (FY 2023)
Operating performance
Operating Margin
-9.4%
Total Margin
-4.9%
Occupancy Rate
64.4%
Cost per Resident Day
$71
Revenue & costs
Net Patient Revenue
$19.8M
Total Costs
$1.4M
Net Income
-$1.0M
Balance sheet
Total Assets
$86.9M
Total Liabilities
$57.4M
Fund Balance
$29.5M
Current Ratio
0.02
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 RETIREMENT-LIFE COMMUNITIES INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 01/01/2012 |
| ACTS MANAGEMENT SERVICES, 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 08/01/2014 |
| FOX, GLENN | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2017 |
| GRANT, GERALD | OPERATIONAL/MANAGERIAL CONTROL | since 08/01/2014 |
| ALLMOND, SUSAN | CORPORATE DIRECTOR | since 01/01/2017 |
| BROD, KATHRYN | CORPORATE DIRECTOR | since 02/15/2024 |
| CALLAWAY, WARREN | CORPORATE DIRECTOR | since 03/30/2022 |
| CHAMBERLAIN, LINDA | CORPORATE DIRECTOR | since 01/01/2025 |
| CHRISTIANSEN, KAREN | CORPORATE DIRECTOR | since 01/01/2020 |
| DETWEILER, HAROLD | CORPORATE DIRECTOR | since 11/01/2009 |
| ESTERHAI, JOHN | CORPORATE DIRECTOR | since 05/01/1996 |
| GERNER, ELRIC | CORPORATE DIRECTOR | since 04/01/2009 |
| GLYNN, JAMES | CORPORATE DIRECTOR | since 01/01/2023 |
| GRANT, GERALD | CORPORATE DIRECTOR | since 08/01/2014 |
| 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 01/01/1991 |
| 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 |
| 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
- Yes
- 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 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 ($) | $71 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.02 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicare Day Share (%) | 2.7% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-1,017,384 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $19,793,526 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 64.4% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -9.4% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $86,858,259 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,368,028 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $29,456,647 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $57,401,612 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -4.9% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.64455 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.24837 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 1.52688 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 4.41980 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 4.15711 | 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 | 4.7 | 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 | 0.76995 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.09256 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.60689 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.46940 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.05791 | 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 | MEDIA | City/Town |
| Provider Information | CMS Certification Number (CCN) | 395736 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | Y | Continuing Care Retirement Community |
| Provider Information | County/Parish | Delaware | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1987-07-17 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 5 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 39.9097 | Latitude |
| Provider Information | Legal Business Name | ACTS RETIREMENT-LIFE COMMUNITIES INC | Legal Business Name |
| Provider Information | Location | 1343 WEST BALTIMORE PIKE,MEDIA,PA,19063 | 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 | -75.447 | 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 | 10 | 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 | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.22905 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.89214 | 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 | 1343 WEST BALTIMORE PIKE | 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-GRANITE | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 290 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 0 | 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 | 0 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 0 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-03-27 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 0 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 0 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 0 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-04-12 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 0 | 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 | 0 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 0 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 0 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 1.06966 | 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 | 1.95123 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.57919 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.02037 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 1.37758 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 1.37205 | 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 | 3.97160 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 5 | 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 | PA | State |
| Provider Information | Telephone Number | 6103580510 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.73555 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | 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 | 0.000 | 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 | 19063 | ZIP Code |