Willowbrooke Court At St Andrews Estates

Inspection history (17)

• May 1, 2025 · D

  Citation F0761

  Federal surveyors cited this nursing home on 2025-05-01 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-05-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-01.GOV

• May 1, 2025 · D

  Citation F0726

  Federal surveyors cited this nursing home on 2025-05-01 under CMS tag F0726 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-05-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-01.GOV

• May 1, 2025 · D

  Citation F0755

  Federal surveyors cited this nursing home on 2025-05-01 under CMS tag F0755 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2025-05-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-01.GOV

• May 1, 2025 · D

  Citation F0880

  Federal surveyors cited this nursing home on 2025-05-01 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-05-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-01.GOV

• May 1, 2025 · D

  Citation F0693

  Federal surveyors cited this nursing home on 2025-05-01 under CMS tag F0693 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-05-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-01.GOV

• May 1, 2025 · E

  Citation F0812

  Federal surveyors cited this nursing home on 2025-05-01 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2025-05-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-01.GOV

• May 1, 2025 · D

  Citation F0919

  Federal surveyors cited this nursing home on 2025-05-01 under CMS tag F0919 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Make sure that a working call system is available in each resident's bathroom and bathing area. The deficiency was recorded as corrected on 2025-05-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-01.GOV

• May 1, 2025 · D

  Citation F0757

  Federal surveyors cited this nursing home on 2025-05-01 under CMS tag F0757 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident’s drug regimen must be free from unnecessary drugs. The deficiency was recorded as corrected on 2025-05-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-01.GOV

• January 25, 2024 · D

  Citation F0684

  Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2024-02-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOV

• January 25, 2024 · D

  Citation F0761

  Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-02-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOV

• January 25, 2024 · D

  Citation F0690

  Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0690 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2024-02-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOV

• January 25, 2024 · D

  Citation F0550

  Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0550 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2024-02-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOV

• January 25, 2024 · D

  Citation F0908

  Federal surveyors cited this nursing home on 2024-01-25 under CMS tag F0908 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Keep all essential equipment working safely. The deficiency was recorded as corrected on 2024-02-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-25.GOV

• September 9, 2022 · D

  Citation F0684

  Federal surveyors cited this nursing home on 2022-09-09 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2022-10-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-09-09.GOV

• September 9, 2022 · D

  Citation F0700

  Federal surveyors cited this nursing home on 2022-09-09 under CMS tag F0700 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2022-10-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-09-09.GOV

• September 9, 2022 · D

  Citation F0761

  Federal surveyors cited this nursing home on 2022-09-09 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2022-10-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-09-09.GOV

• September 9, 2022 · D

  Citation F0689

  Federal surveyors cited this nursing home on 2022-09-09 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2022-10-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-09-09.GOV

Penalties

Total fines on file: $0

Staffing

Latest: 4.14 nurse staffing hours per resident per day (2026-06-01)

Ownership

Non profit - Corporation

1. Parent organization: Acts Retirement-Life Communities INC

   chain · PAC 1951212380