At a glance
Official CMS profileCMS overall rating
5 / 5
Certified beds
15
Residents / day
13
Ownership
Non profit - Corporation
Facility information
- Certification
- Medicare
- Ownership
- Non profit - Corporation
- County
- Mecklenburg
- Certified beds
- 15
- Average residents per day
- 13
- First certified
- September 6, 1990
CMS quality ratings
- Overall
- 5 / 5
- Health inspections
- 5 / 5
- Staffing
- 5 / 5
- Quality measures
- 5 / 5
These are CMS quality ratings, not customer reviews.
How this home compares locally
Other homes in Mecklenburg, North Carolina. Missing values are excluded; this home is excluded from peer averages.
| Measure | This home | County peers | State peers |
|---|---|---|---|
| CMS overall rating / 5 | 5.00 | 2.96 (n=27) | 3.01 |
| Nurse hours / resident / day | 4.51 | 4.04 (n=26) | 3.87 (n=404) |
| Weekend nurse hours / resident / day | 4.25 | 3.61 (n=26) | 3.39 (n=404) |
| Nursing staff turnover (%) | Not reported | 55.14 (n=26) | 48.68 (n=395) |
CMS overall rating / 5
- This home
- 5.00
- County peers
- 2.96
- n=27
- State peers
- 3.01
Nurse hours / resident / day
- This home
- 4.51
- County peers
- 4.04
- n=26
- State peers
- 3.87
- n=404
Weekend nurse hours / resident / day
- This home
- 4.25
- County peers
- 3.61
- n=26
- State peers
- 3.39
- n=404
Nursing staff turnover (%)
- This home
- Not reported
- County peers
- 55.14
- n=26
- State peers
- 48.68
- n=395
Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology
Questions for your visit
- Reported weekend staffing is 5.8% below the all-days average. How is weekend coverage maintained?
- What has changed since your latest health inspection?
- How do you retain nursing staff and maintain continuity of care?
- Which services are included, what costs extra, and can you provide a written care and payment plan?
Published record coverage
- Hospital measures
- 4
- Fire safety citations
- 11
- Health citations
- 7
- Resident measures
- 17
- Ownership records
- 54
- Penalties
- 0
- SNF rehabilitation measures
- 57
- Inspection summaries
- 3
- Medicare performance records
- 1
Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.
Full CMS profile
Staffing & operations
Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.
- Reported Total Nurse Staffing Hours per Resident per Day
- 4.51121
- Reported RN Staffing Hours per Resident per Day
- 0.90429
- Reported LPN Staffing Hours per Resident per Day
- 0.98561
- Reported Nurse Aide Staffing Hours per Resident per Day
- 2.62130
- Total number of nurse staff hours per resident per day on the weekend
- 4.24970
- Registered Nurse hours per resident per day on the weekend
- 0.67018
- Reported Physical Therapist Staffing Hours per Resident Per Day
- 1.18340
- Total nursing staff turnover
- Not reported
- Registered Nurse turnover
- Not reported
- Number of administrators who have left the nursing home
- Not reported
- Chain Name
- ACTS RETIREMENT-LIFE COMMUNITIES
- Number of Facilities in Chain
- 27
- Chain Average Overall 5-star Rating
- 4.9
- Special Focus Status
- Not reported
- Provider Changed Ownership in Last 12 Months
- N
- With a Resident and Family Council
- Resident
- Automatic Sprinkler Systems in All Required Areas
- Yes
All provider source fields
- State
- NC
- Urban
- Y
- Chain ID
- 9
- Latitude
- 35.1143
- Location
- 740 Pavilion View Drive,Matthews,NC,28105
- ZIP Code
- 28105
- City/Town
- Matthews
- Longitude
- -80.694
- QM Rating
- 5
- Abuse Icon
- N
- Chain Name
- ACTS RETIREMENT-LIFE COMMUNITIES
- County/Parish
- Mecklenburg
- Provider Name
- Willowbrooke Court SC Ctr at Matthews Glen
- Provider Type
- Medicare
- Overall Rating
- 5
- Ownership Type
- Non profit - Corporation
- Number of Fines
- 0
- Processing Date
- 2026-10-01
- Staffing Rating
- 5
- Provider Address
- 740 Pavilion View Drive
- Telephone Number
- 7048456220
- Geocoding Footnote
- 22
- QM Rating Footnote
- Not reported
- Legal Business Name
- ACTS RETIREMENT-LIFE COMMUNITIES INC
- Long-Stay QM Rating
- Not reported
- High Performing Icon
- N
- Short-Stay QM Rating
- 5
- Special Focus Status
- Not reported
- Nursing Case-Mix Index
- 1.23580
- Chain Average QM Rating
- 4.5
- Overall Rating Footnote
- Not reported
- Health Inspection Rating
- 5
- Number of Certified Beds
- 15
- Provider SSA County Code
- 590
- Staffing Rating Footnote
- Not reported
- Number of Payment Denials
- 0
- Registered Nurse turnover
- Not reported
- Total Number of Penalties
- 0
- Reported Staffing Footnote
- Not reported
- Long-Stay QM Rating Footnote
- 2
- Nursing Case-Mix Index Ratio
- 0.87630
- Provider Resides in Hospital
- N
- Total nursing staff turnover
- Not reported
- Chain Average Staffing Rating
- 4.9
- Number of Facilities in Chain
- 27
- Short-Stay QM Rating Footnote
- Not reported
- CMS Certification Number (CCN)
- 345326
- Administrator turnover footnote
- 27
- Total Amount of Fines in Dollars
- 0.00
- Health Inspection Rating Footnote
- Not reported
- Rating Cycle 1 Total Health Score
- 0
- Registered Nurse turnover footnote
- 27
- Total Weighted Health Survey Score
- 3.000
- With a Resident and Family Council
- Resident
- Average Number of Residents per Day
- 13.0
- Chain Average Overall 5-star Rating
- 4.9
- Rating Cycle 1 Health Revisit Score
- 0
- Rating Cycle 2/3 Total Health Score
- 12
- Continuing Care Retirement Community
- Y
- Physical Therapist Staffing Footnote
- Not reported
- Rating Cycle 2/3 Health Revisit Score
- 0
- Total nursing staff turnover footnote
- 27
- Chain Average Health Inspection Rating
- 4.6
- Rating Cycle 1 Health Deficiency Score
- 0
- Rating Cycle 1 Standard Survey Footnote
- Not reported
- Rating Cycle 2 Standard Survey Footnote
- Not reported
- Rating Cycle 1 Number of Health Revisits
- 0
- Rating Cycle 2/3 Health Deficiency Score
- 12
- Rating Cycle 1 Standard Survey Health Date
- 2026-08-19
- Rating Cycle 2 Standard Health Survey Date
- 2025-07-08
- Rating Cycle 2/3 Number of Health Revisits
- 1
- Average Number of Residents per Day Footnote
- Not reported
- Provider Changed Ownership in Last 12 Months
- N
- Adjusted RN Staffing Hours per Resident per Day
- 1.02385
- Case-Mix RN Staffing Hours per Resident per Day
- 0.60608
- Reported RN Staffing Hours per Resident per Day
- 0.90429
- Adjusted LPN Staffing Hours per Resident per Day
- 1.11592
- Case-Mix LPN Staffing Hours per Resident per Day
- 0.75525
- Reported LPN Staffing Hours per Resident per Day
- 0.98561
- Automatic Sprinkler Systems in All Required Areas
- Yes
- Rating Cycle 1 Total Number of Health Deficiencies
- 1
- Most Recent Health Inspection More Than 2 Years Ago
- N
- Rating Cycle 2/3 Total Number of Health Deficiencies
- 3
- Rating Cycle 1 Number of Standard Health Deficiencies
- 1
- Rating Cycle 2 Number of Standard Health Deficiencies
- 3
- Reported Licensed Staffing Hours per Resident per Day
- 1.88991
- Number of Citations from Infection Control Inspections
- Not reported
- Rating Cycle 1 Number of Complaint Health Deficiencies
- 0
- Adjusted Nurse Aide Staffing Hours per Resident per Day
- 2.96786
- Case-Mix Nurse Aide Staffing Hours per Resident per Day
- 2.05698
- Number of administrators who have left the nursing home
- Not reported
- Reported Nurse Aide Staffing Hours per Resident per Day
- 2.62130
- Adjusted Total Nurse Staffing Hours per Resident per Day
- 5.10764
- Case-Mix Total Nurse Staffing Hours per Resident per Day
- 3.41831
- Rating Cycle 2/3 Number of Complaint Health Deficiencies
- 0
- Reported Total Nurse Staffing Hours per Resident per Day
- 4.51121
- Registered Nurse hours per resident per day on the weekend
- 0.67018
- Date First Approved to Provide Medicare and Medicaid Services
- 1990-09-06
- Reported Physical Therapist Staffing Hours per Resident Per Day
- 1.18340
- Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
- 4.81156
- Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
- 3.00836
- Total number of nurse staff hours per resident per day on the weekend
- 4.24970
COMMUNITY EXPERIENCE
Reviews of Willowbrooke Court SC Ctr at Matthews Glen
Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.
No published community reviews yet.
Community reviews & discussions
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Third-party opinions are not verified CMS findings. Reviews have not been imported or combined into the CMS rating.
Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026