Elder Care Record

North Carolina › Mecklenburg County › Matthews

Willowbrooke Court Sc Ctr At Matthews Glen

740 Pavilion View Drive, Matthews, NC 28105

CCN 345326 · Non-profit, corporation · 15 certified beds · chain Acts Retirement-Life Communities

Continuing care retirement community
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Willowbrooke Court Sc Ctr At Matthews Glen, in Matthews, North Carolina, is certified for 15 beds under non-profit, corporation ownership and belongs to the Acts Retirement-Life Communities chain.

CMS gives it 5 of 5 stars overall, above the North Carolina median of 3; the health inspection rating is 4, staffing 5 and quality measures 4.

Inspectors recorded 6 health deficiencies across the three most recent survey cycles (3, 3, 0 by cycle, most recent first), none at the actual-harm level. That is 40.0 per 100 beds, more than the state median of 15.6.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 4.7 hours per resident per day (0.9 RN), above the North Carolina median of 3.5.

6health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
4.7nurse hours per resident per daystate median 3.5
93%occupancy (residents ÷ beds)14 residents a day

Compared with county, state and nation

MeasureThis facilityMecklenburg Co. medianNorth Carolina medianUS average
Overall star rating5233.0
Health citations, 3 cycles6191628.7
Citations per 100 beds40.025.515.626.8
Total nurse hours per resident day4.73.53.53.9
RN hours per resident day0.90.50.50.7
Nursing staff turnover—56.1%48.6%45.8%
Fines listed$0$15,470$8,512—

County and state figures are medians across facilities (29 in the county, 419 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)3
Cycle 23
Cycle 30

Dark bar: this facility. Grey bar: North Carolina average per facility for the same cycle, as published by CMS. Standard health survey dates: 8 Jul 2025, 30 May 2024.

Severity mix: D ×4 E ×1 C ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
8 Jul 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey25 Jul 2025
8 Jul 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey25 Jul 2025
8 Jul 2025F0732Post nurse staffing information every day.CStandard survey25 Jul 2025
30 May 2024F0759Ensure medication error rates are not 5 percent or greater.DStandard survey27 Jun 2024
30 May 2024F0761Ensure 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.DStandard survey27 Jun 2024
30 May 2024F0880Provide and implement an infection prevention and control program.DStandard survey27 Jun 2024

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing4.67 h
Nurse aides2.72 h
LPN1.02 h
RN0.92 h
Weekend total4.36 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the North Carolina average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityNorth Carolina medianUS median
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.2%1.1%1.0%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: non-profit, corporation. Legal business name: Acts Retirement-Life Communities Inc. Chain: Acts Retirement-Life Communities (27 facilities).

OrganisationRole in the CMS recordInterestSince
Acts Acquisition and Development Company LLCIndirect ownership interestNOT APPLICABLE01/01/2003
Acts Alliance Management LLCIndirect ownership interestNOT APPLICABLE12/31/2022
Acts Communities of Maryland, Inc.Indirect ownership interestNOT APPLICABLE04/01/2019
Acts Legacy Foundation, Inc.Indirect ownership interestNOT APPLICABLE12/31/2022
Acts Retirement Services, IncIndirect ownership interestNOT APPLICABLE03/24/2009
Acts Retirement-Life Communities Management, LLCIndirect ownership interestNOT APPLICABLE12/31/2022
Acts Signature Community Services IncIndirect ownership interestNOT APPLICABLE03/24/2009
Bonita Springs Retirement Village IncIndirect ownership interestNOT APPLICABLE11/01/2024
Mease Life IncIndirect ownership interestNOT APPLICABLE10/01/2023
Acts Retirement-Life Communities Inc5% or greater mortgage interestNOT APPLICABLE11/01/1988
Acts Management Services, Inc.Operational/managerial controlNOT APPLICABLE01/01/2012
Acts Retirement-Life Communities IncOperational/managerial controlNOT APPLICABLE01/01/2012
Acts Retirement-Life Communities Management, LLCOperational/managerial controlNOT APPLICABLE12/31/2022
Acts Management Services, Inc.Adp of the snfNOT APPLICABLE07/21/2025
Acts Retirement-Life Communities IncAdp of the snfNOT APPLICABLE11/01/1988
Acts Retirement-Life Communities Management, LLCAdp of the snfNOT APPLICABLE07/21/2025
Baker Tilly Advisory Group LPAdp of the snfNOT APPLICABLE02/03/2025
Baker Tilly Us LLPAdp of the snfNOT APPLICABLE11/05/2024
U.S. BankAdp of the snfNOT APPLICABLE07/09/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Mecklenburg County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Brookdale Carriage Club ProvidenceCharlotte145541178.6—7 May 2026
Mecklenburg Heath and RehabilitationCharlotte10054299.0$4K23 Jul 2026
Novant Health Presbyterian Medical Center-SnuCharlotte12555541.7—15 Aug 2024
Briar Creek Health CenterCharlotte64448133.3$9K6 May 2025
Lakeside Health & Rehab CenterHuntersville1144321513.2—11 Dec 2025
The Sharon At SouthparkCharlotte194441052.6—7 Nov 2024
Huntersville Health & Rehabilitation Centerabuse iconHuntersville903231415.6—12 Jun 2026
Huntersville OaksHuntersville16834174.2$10K14 Mar 2025

All 29 facilities in Mecklenburg County

Questions and answers

How many deficiencies has Willowbrooke Court Sc Ctr At Matthews Glen been cited for?

6 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The North Carolina median is 16 per facility.

Has Willowbrooke Court Sc Ctr At Matthews Glen been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Willowbrooke Court Sc Ctr At Matthews Glen compare?

Reported total nurse staffing is 4.7 hours per resident per day against a North Carolina median of 3.5 and a national average of 3.9.

Who operates Willowbrooke Court Sc Ctr At Matthews Glen?

It is part of the Acts Retirement-Life Communities chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Acts Acquisition and Development Company LLC, Acts Alliance Management LLC and Acts Communities of Maryland, Inc.. Individual owners and managers are not listed on this site.

When was Willowbrooke Court Sc Ctr At Matthews Glen last inspected?

The most recent survey or investigation in the CMS record is dated 8 Jul 2025; the most recent standard health survey was 8 Jul 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.