Willowbrooke Court at Lanier Village Estates

Name: Willowbrooke Court at Lanier Village Estates
Address: 4145 MISTY MORNING WAY, Gainesville, GA, 30506, US
Telephone: 6784503005

4145 Misty Morning Way, Gainesville, GA 30506 · Hall County · 48 certified beds · avg 44 residents/day · certified since Oct 5, 2003

Part of chain: ACTS RETIREMENT-LIFE COMMUNITIES (27 facilities, chain avg rating 4.7★)

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.62

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (8)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Sep 21, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Apr 28, 2024	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Apr 28, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Apr 28, 2024	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Apr 28, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Feb 12, 2023	E · Potential for harm, repeated	The facility did not have a policy covering how food brought in by family and visitors is used and stored safely.
Feb 12, 2023	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Feb 12, 2023	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (4 → 1).

Year	Citations	Worst severity that year
2023	3	E
2024	4	D
2025	1	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Georgia avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	5.62	3.54	3.95	top 3% in Georgia; top 6% in the U.S.
Registered Nurse hours	0.91	0.50	0.69	top 5% in Georgia; top 20% in the U.S.
Weekend total nurse staffing	5.29	3.09	3.50	top 3% in Georgia; top 4% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.41	0.35	0.48	top 24% in Georgia; top 46% in the U.S.
Total nursing staff turnover (%)	23.1	46.0	45.8	top 4% in Georgia; top 5% in the U.S.
RN turnover (%)	20.0	44.5	42.9	top 11% in Georgia; top 13% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.24, RN 0.69, weekend 4.00. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
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
Acts Communities of Maryland, INC.	Organization	Indirect Ownership Interest	NOT APPLICABLE	04/01/2019
Acts Legacy Foundation, INC.	Organization	Indirect Ownership Interest	NOT APPLICABLE	12/31/2022
Acts Retirement Services, INC	Organization	Indirect Ownership Interest	NOT APPLICABLE	03/24/2009
Acts Retirement-Life Communities Management, LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	12/31/2022
Acts Signature Community Services INC	Organization	Indirect Ownership Interest	NOT APPLICABLE	12/31/2022
Bonita Springs Retirement Village INC	Organization	Indirect Ownership Interest	NOT APPLICABLE	11/01/2024
Mease Life INC	Organization	Indirect Ownership Interest	NOT APPLICABLE	10/01/2023
Acts Management Services, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2012
Acts Management Services, INC.	Organization	ADP of the SNF	NOT APPLICABLE	07/23/2025
Acts Retirement-Life Communities INC	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	08/01/2012
Acts Retirement-Life Communities INC	Organization	Operational/Managerial Control	NOT APPLICABLE	08/01/2012
Acts Retirement-Life Communities INC	Organization	ADP of the SNF	NOT APPLICABLE	08/01/2012
Acts Retirement-Life Communities Management, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/31/2022
Acts Retirement-Life Communities Management, LLC	Organization	ADP of the SNF	NOT APPLICABLE	07/23/2025
Ahern, Susan	Individual	Corporate Officer	NOT APPLICABLE	01/01/2020
Ahern, Susan	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2020
Ahern, Susan	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2020
Allmond, Susan	Individual	Corporate Director	NOT APPLICABLE	01/01/2015

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"What are your rules for bringing in my family member's favorite foods, and how are they stored?"
"What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Pruitthealth - Limestone	5.0 mi	Gainesville, GA	★★★★☆	3/5
New Horizons Limestone	5.6 mi	Gainesville, GA	★★★★☆	4/5
Bell Minor Home, the	6.3 mi	Gainesville, GA	★☆☆☆☆	1/5
Chelsey Park Health and Rehabilitation	11.6 mi	Dahlonega, GA	★★★★★	5/5
Gold City Health and Rehab	12.3 mi	Dahlonega, GA	★☆☆☆☆	2/5	abuse
Crossroads of Flowery Branch of Journey LLC, the	13.1 mi	Flowery Branch, GA	★☆☆☆☆	2/5
Gateway Health and Rehab	13.2 mi	Cleveland, GA	★★★★☆	5/5
Friendship Health and Rehab	17.7 mi	Cleveland, GA	★★★★★	5/5
Pruitthealth - Lanier	18.2 mi	Buford, GA	★★★★☆	4/5
Chestnut Ridge Nsg & Rehab Ctr	19.5 mi	Cumming, GA	★☆☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Gainesville →

Facility data as of CMS processing date 2026-08-01. CCN 115687.

The Care File

Visit checklist — Willowbrooke Court at Lanier Village Estates

4145 Misty Morning Way, Gainesville, GA 30506 · 6784503005

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "What are your rules for bringing in my family member's favorite foods, and how are they stored?"
☐ "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 115687 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)