nursing home in Matthews, NC
Willowbrooke Court Sc Ctr at Matthews Glen
740 Pavilion View Drive, Matthews, NC 28105 · (704) 845-6220
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★5
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Willowbrooke Court Sc Ctr at Matthews Glen at a glance
Willowbrooke Court Sc Ctr at Matthews Glen is a 15-bed non-profit nursing home in Matthews, North Carolina (Mecklenburg County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the North Carolina average of 2.9.
Residents receive about 4.7 hours of nursing care per day (0.9 of them from registered nurses), better than the state average of 3.9 hours.
Its most recent standard health inspection (July 8, 2025) found 3 health citations. The North Carolina average is 4.7.
It has not received a federal fine in the past three years.
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 15
- Certified for
- Medicare
- Chain / affiliated entity
- Acts Retirement-Life Communities
- Medicare-certified since
- September 6, 1990
- Continuing care retirement community
- Yes
- Resident/family council
- Resident
- County
- Mecklenburg County
- CMS Certification Number
- 345326
Ratings
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 2.9 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.9 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 2.7 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.3 / 5 | 3.6 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.67 hrs | 3.85 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.92 hrs | 0.62 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.72 hrs | 2.34 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 4.36 hrs | 3.42 hrs | 3.42 hrs | Better |
Inspections
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 3 | 5 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 12 | 49.2 | 80.6 | Better |
Penalties
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $36,617 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 15 | 105 | 107 | |
| Average residents per day | 14 | 87 | 86 | |
| Occupancy | 92.7% | 83.6% | 80.9% |
Short-stay residents
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.2% | 1.4% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 96.3% | 78.1% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 90.1% | 80.6% | 82% | Better |
Inspection citations
State inspectors cited this home for 6 health deficiencies and 11 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 8, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected July 25, 2025 |
| July 8, 2025 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected July 25, 2025 |
| July 8, 2025 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected July 25, 2025 |
| May 30, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected August 10, 2024 |
| May 30, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected August 10, 2024 |
| May 30, 2024 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected August 10, 2024 |
| May 30, 2024 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | D Potential harm, isolated | Corrected August 10, 2024 |
| May 30, 2024 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected August 10, 2024 |
| May 30, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | D Potential harm, isolated | Corrected August 10, 2024 |
| May 30, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected August 10, 2024 |
| May 30, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 27, 2024 |
| May 30, 2024 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected June 27, 2024 |
| May 30, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected June 27, 2024 |
| May 11, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected July 7, 2023 |
| January 8, 2020 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | E Potential harm, pattern | Corrected February 21, 2020 |
| January 8, 2020 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected February 21, 2020 |
| January 8, 2020 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected February 21, 2020 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ACTS RETIREMENT-LIFE COMMUNITIES INC Organization | 5% or greater mortgage interest | NOT APPLICABLE | 11/01/1988 |
| ACTS MANAGEMENT SERVICES, INC. Organization | adp of the snf | NOT APPLICABLE | 07/21/2025 |
| ACTS RETIREMENT-LIFE COMMUNITIES INC Organization | adp of the snf | NOT APPLICABLE | 11/01/1988 |
| ACTS RETIREMENT-LIFE COMMUNITIES MANAGEMENT, LLC Organization | adp of the snf | NOT APPLICABLE | 07/21/2025 |
| AHERN, SUSAN Individual | adp of the snf | NOT APPLICABLE | 01/01/2020 |
| BAKER TILLY ADVISORY GROUP LP Organization | adp of the snf | NOT APPLICABLE | 02/03/2025 |
| BAKER TILLY US LLP Organization | adp of the snf | NOT APPLICABLE | 11/05/2024 |
| CHRISTIANSEN, KAREN Individual | adp of the snf | NOT APPLICABLE | 05/25/2010 |
| CLEMENTS, THAD Individual | adp of the snf | NOT APPLICABLE | 09/17/2021 |
| FLEMING, SHACANA Individual | adp of the snf | NOT APPLICABLE | 11/13/2020 |
| FOX, GLENN Individual | adp of the snf | NOT APPLICABLE | 01/01/2017 |
| GRANT, GERALD Individual | adp of the snf | NOT APPLICABLE | 06/01/2005 |
| U.S. BANK Organization | adp of the snf | NOT APPLICABLE | 07/09/2025 |
| ALLMOND, SUSAN Individual | corporate director | NOT APPLICABLE | 01/01/2017 |
| BROD, KATHRYN Individual | corporate director | NOT APPLICABLE | 02/15/2024 |
| CALLAWAY, WARREN Individual | corporate director | NOT APPLICABLE | 03/30/2022 |
| CHAMBERLAIN, LINDA Individual | corporate director | NOT APPLICABLE | 01/01/2025 |
| CHRISTIANSEN, KAREN Individual | corporate director | NOT APPLICABLE | 01/01/2020 |
| DETWEILER, HAROLD Individual | corporate director | NOT APPLICABLE | 11/01/2009 |
| ESTERHAI, JOHN Individual | corporate director | NOT APPLICABLE | 05/01/1996 |
| GERNER, ELRIC Individual | corporate director | NOT APPLICABLE | 04/01/2009 |
| GLYNN, JAMES Individual | corporate director | NOT APPLICABLE | 01/01/2023 |
| GRANT, GERALD Individual | corporate director | NOT APPLICABLE | 05/04/2017 |
| GREER, JASON Individual | corporate director | NOT APPLICABLE | 03/30/2022 |
| KELLY, MICHAEL Individual | corporate director | NOT APPLICABLE | 02/11/2020 |
| LAMMERS, JOHN Individual | corporate director | NOT APPLICABLE | 12/15/2020 |
| LAWSON, DANIEL Individual | corporate director | NOT APPLICABLE | 06/11/2019 |
| MASHNER, MARVIN Individual | corporate director | NOT APPLICABLE | 01/01/1991 |
| MIDDLEBROOKS, DANIEL Individual | corporate director | NOT APPLICABLE | 01/01/2023 |
| REICHARD, DAWN Individual | corporate director | NOT APPLICABLE | 06/01/2025 |
| AHERN, SUSAN Individual | corporate officer | NOT APPLICABLE | 01/01/2020 |
| ALLMOND, SUSAN Individual | corporate officer | NOT APPLICABLE | 01/01/2025 |
| CHRISTIANSEN, KAREN Individual | corporate officer | NOT APPLICABLE | 05/25/2010 |
| FOX, GLENN Individual | corporate officer | NOT APPLICABLE | 01/01/2017 |
| GERNER, ELRIC Individual | corporate officer | NOT APPLICABLE | 01/01/2010 |
| GRANT, GERALD Individual | corporate officer | NOT APPLICABLE | 06/01/2005 |
| LAWSON, DANIEL Individual | corporate officer | NOT APPLICABLE | 01/01/2025 |
| MASHNER, MARVIN Individual | corporate officer | NOT APPLICABLE | 01/01/2025 |
| ACTS ACQUISITION AND DEVELOPMENT COMPANY LLC Organization | indirect ownership interest | NOT APPLICABLE | 01/01/2003 |
| ACTS ALLIANCE MANAGEMENT LLC Organization | indirect ownership interest | NOT APPLICABLE | 12/31/2022 |
Showing 40 of 54 records.
Other nursing homes near Willowbrooke Court Sc Ctr at Matthews Glen
Royal Park Rehabilitation & Health Center
2700 Roal Commons Lane, Matthews, NC 28105 · under 1 mi
For-profit · 169 beds · Part of Liberty Senior Living
★★★★★2Below averageMatthews Health & Rehab Center
600 Fullwood Lane, Matthews, NC 28105 · 2.1 mi
For-profit · 166 beds · Part of Saber Healthcare Group
★★★★★2Below averageLake Park Nursing and Rehabilitation Center
3315 Faith Church Road, Indian Trail, NC 28079 · 4.2 mi
For-profit · 120 beds · Part of Principle Long Term Care
★★★★★4Above averageBrookdale Carriage Club Providence
5804 Old Providence Road, Charlotte, NC 28226 · 5.3 mi
For-profit · 14 beds · Part of Brookdale Senior Living
★★★★★5Much above averageSardis Oaks
5151 Sardis Road, Charlotte, NC 28270 · 6.3 mi
Non-profit · 124 beds · Part of Atrium Health
★★★★★3AverageRedwood Health & Rehab
5939 Reddman Road, Charlotte, NC 28212 · 6.8 mi
For-profit · 116 beds · Part of Simcha Hyman & Naftali Zanziper
★★★★★2Below average
Frequently asked questions
What is Willowbrooke Court Sc Ctr at Matthews Glen's rating?
Willowbrooke Court Sc Ctr at Matthews Glen has 5 out of 5 stars on the CMS overall star rating. The average for North Carolina nursing homes is 2.9 stars.
How many inspection citations did Willowbrooke Court Sc Ctr at Matthews Glen receive?
Its most recent standard health inspection found 3 citations, compared with a North Carolina average of 4.7. Every citation is listed on this page with its severity.
Does Willowbrooke Court Sc Ctr at Matthews Glen accept Medicare and Medicaid?
CMS lists it as certified for: Medicare. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Willowbrooke Court Sc Ctr at Matthews Glen?
It is non profit - corporation and part of Acts Retirement-Life Communities. The ownership section on this page lists the owners and managers reported to CMS.
Where is Willowbrooke Court Sc Ctr at Matthews Glen and how do I contact it?
Willowbrooke Court Sc Ctr at Matthews Glen is at 740 Pavilion View Drive, Matthews, NC 28105. Phone: (704) 845-6220.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.