Willowbrooke Court Skilled Care at Evergreens
309 Bridgeboro Rd, Moorestown, NJ 08057 · Burlington County · 17 certified beds · avg 10 residents/day · certified since Jan 1, 1968
Part of chain: ACTS RETIREMENT-LIFE COMMUNITIES (27 facilities, chain avg rating 4.7★)
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 (6)
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 3, 2025 | F · Potential for harm, facility-wide | 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. |
| Jun 7, 2024 | F · Potential for harm, facility-wide | 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. |
| Jun 7, 2024 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Oct 27, 2022 | E · Potential for harm, repeated | 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. |
| Oct 27, 2022 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Oct 27, 2022 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (2 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 3 | 0 | E |
| 2024 | 2 | 0 | F |
| 2025 | 1 | 0 | F |
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 | New Jersey avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.57 | 3.88 | 3.95 | top 6% in New Jersey; top 7% in the U.S. |
| Registered Nurse hours | 1.54 | 0.67 | 0.69 | top 3% in New Jersey; top 4% in the U.S. |
| Weekend total nurse staffing | 4.77 | 3.53 | 3.50 | top 9% in New Jersey; top 8% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.89 | 0.50 | 0.48 | top 9% in New Jersey; top 8% in the U.S. |
| Total nursing staff turnover (%) | 18.2 | 39.7 | 45.8 | top 6% in New Jersey; top 2% in the U.S. |
| RN turnover (%) | 16.7 | 37.7 | 42.9 | top 10% in New Jersey; top 9% 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 5.31, RN 1.47, weekend 4.54. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
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 | 12/31/2022 |
| Acts Alliance Management LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 12/31/2022 |
| Acts Communities of Maryland, INC. | Organization | Indirect Ownership Interest | NOT APPLICABLE | 11/01/2024 |
| Acts Legacy Foundation, INC. | Organization | Indirect Ownership Interest | NOT APPLICABLE | 12/31/2022 |
| Acts Management Services, INC. | Organization | Indirect Ownership Interest | NOT APPLICABLE | 12/31/2022 |
| Acts Retirement Services, INC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 12/31/2022 |
| 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 | 12/31/2022 |
| Acts Management Services, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 07/16/2025 |
| Acts Retirement-Life Communities INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/31/2022 |
| Acts Retirement-Life Communities INC | Organization | ADP of the SNF | NOT APPLICABLE | 12/31/2022 |
| 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 | 07/16/2025 |
| Ahern, Susan | Individual | Corporate Director | NOT APPLICABLE | 12/31/2022 |
| Ahern, Susan | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2021 |
| Ahern, Susan | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2021 |
| Allmond, Susan | Individual | Corporate Director | NOT APPLICABLE | 12/31/2022 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "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 |
|---|---|---|---|---|---|
| Careone at Moorestown | 0.6 mi | Moorestown, NJ | ★★★☆☆ | 3/5 | |
| Cambridge Rehabilitation and Healthcare Center | 1.3 mi | Moorestown, NJ | ★★★☆☆ | 2/5 | |
| Total Rehab Moorestown | 1.7 mi | Moorestown, NJ | ★★★☆☆ | 2/5 | |
| Wynwood Rehabilitation and Healthcare Center | 2.5 mi | Cinnaminson, NJ | ★★☆☆☆ | 1/5 | |
| Palace Rehabilitation and Care Center, the | 4.1 mi | Maple Shade, NJ | ★☆☆☆☆ | 1/5 | |
| Laurel Brook Rehabilitation and Healthcare Center | 4.1 mi | Mount Laurel, NJ | ★★☆☆☆ | 2/5 | |
| Riverview Estates Rehab and Senior Living Center | 4.4 mi | Riverton, NJ | ★★★★☆ | 4/5 | |
| Dwellside Care and Rehab | 5.0 mi | Cherry Hill, NJ | ★☆☆☆☆ | 1/5 | |
| River's Edge Rehabilitation & Healthcare Center | 5.0 mi | Philadelphia, PA | ★★★★☆ | 3/5 | |
| Premier Cadbury of Cherry Hill | 5.2 mi | Cherry Hill, NJ | ★★☆☆☆ | 1/5 | |
| Barclays Rehabilitation and Healthcare Center | 5.7 mi | Cherry Hill, NJ | ★★★★☆ | 3/5 | |
| Aristacare at Cherry Hill | 5.8 mi | Cherry Hill, NJ | ★★☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 315077.