B
PruittHealth - Limestone
65/100 score
0.45 hrs RN staffing
5 deficiencies
WILLOWBROOKE COURT AT LANIER VILLAGE ESTATES
4145 MISTY MORNING WAY, GAINESVILLE, GA 30506
Operator
ACTS ACQUISITION AND DEVELOPMENT · 25 facilities
- Provider number (CCN)
- 115687
- Certification
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified beds
- 48
- Phone
- (678) 450-3005
- CMS data as of
- August 1, 2026
A
●
stable
Staffing 0% · Deficiencies 0% over tracking period
What the records show
CMS rates WILLOWBROOKE COURT AT LANIER VILLAGE ESTATES 5 out of 5 stars overall, with 5 of 5 for health inspections, 5 of 5 for staffing, 4 of 5 for quality measures. Federal inspectors cited 8 health deficiencies across the last three survey cycles, most recently surveyed in 2025. CMS lists no fines or payment denials for this facility in the covered period.
Facility Assessment
This facility is operated by ACTS ACQUISITION AND DEVELOPMENT, which scores 35 points above the national average.
Reviews, Ratings and Official Records
This page reviews WILLOWBROOKE COURT AT LANIER VILLAGE ESTATES using federal government records — CMS star ratings, health-inspection findings, staffing data and enforcement actions. NursingHomeGrade does not collect, host or publish resident or family testimonials, and no star rating below is a consumer review score.
At or above the 2024 benchmark — review the inspection and enforcement records below for the safety history behind the grade.
Ratings and Grade Breakdown
|
RN Staffing
Registered nurse time each resident receives daily. 2024 federal benchmark: 0.55 hrs. Repealed February 2026.
|
0.69 — At or above the repealed 0.55 hr benchmark |
The 0.55 hour RN standard was repealed effective February 2, 2026 and is not currently enforced. We still grade against it. Why |
|
|
Health Deficiencies (last 3 survey cycles)
Violations found during federal inspections, with how many remain open and how many involved actual harm.
|
Total
8
Outstanding
0
Actual harm or worse (G–L)
0
|
|
CMS Ratings
Federal five-star ratings published by CMS. These are regulatory ratings, not consumer review scores.
|
Overall: ★★★★★ (5/5)
Health inspection: ★★★★★ (5/5)
Quality: ★★★★☆ (4/5)
Staffing: ★★★★★ (5/5)
|
|
NursingHomeGrade Score
|
88/100 |
Loaded into NursingHomeGrade on September 5, 2026. This is the load date, not the date CMS published the underlying survey data — see release dates.
CMS scores each facility from one to five stars — one is in the bottom fifth of facilities in its state on health inspections, five is in the top tenth. Our own A–F grade is a separate 0–100 score built from staffing hours, inspection citations, and the severity and correction status of those citations, weighted as described in our grading methodology.
Staffing Compared With State and National Levels
| This facility | 0.69 hrs |
|---|---|
| GA median | 0.45 hrs |
| National average | 0.69 hrs |
Registered nurse turnover: 20.0% · Total nursing staff turnover: 23.1%
Staffing figures are the values CMS published in its file processed August 1, 2026, drawn from payroll-based journal reporting.
Inspection Records Covered
- Most recent standard health survey: September 21, 2025.
- Citations shown below span 3 recorded inspection cycles.
- Survey dates on file range from February 12, 2023 to September 21, 2025.
Source records: CMS Care Compare profile for provider 115687 ↗ · the federal files we load and when.
Inspection Deficiencies
Health inspections identify violations of federal standards. Severity ranges from no actual harm (A–F) to immediate jeopardy (J–L).
8 deficiencies found. 8 corrected. None involved actual harm.
Most recent inspection (September 21, 2025)
D
Potential harm — isolated
F0880
Status: Corrected
Provide and implement an infection prevention and control program.
Infection Control Deficiencies — Deficient, Provider has date of correction, corrected October 21, 2025
Inspection cycle 2 (April 28, 2024)
D
Potential harm — isolated
F0690
Status: Corrected
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected June 12, 2024
D
Potential harm — isolated
F0695
Status: Corrected
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected June 12, 2024
D
Potential harm — isolated
F0655
Status: Corrected
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected June 12, 2024
D
Potential harm — isolated
F0656
Status: Corrected
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected June 12, 2024
Inspection cycle 3 (February 12, 2023)
E
Potential harm — pattern
F0813
Status: Corrected
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary Deficiencies — Deficient, Provider has date of correction, corrected March 29, 2023
D
Potential harm — isolated
F0812
Status: Corrected
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies — Deficient, Provider has date of correction, corrected March 29, 2023
D
Potential harm — isolated
F0758
Status: Corrected
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies — Deficient, Provider has date of correction, corrected March 29, 2023
Fines and Enforcement Actions
CMS lists no fines and no payment denials for WILLOWBROOKE COURT AT LANIER VILLAGE ESTATES in the enforcement records covering the last three years, as published in the file processed August 1, 2026.
Ownership and Contact Information
- Facility name
- WILLOWBROOKE COURT AT LANIER VILLAGE ESTATES
- Legal business name
- ACTS RETIREMENT-LIFE COMMUNITIES INC
- Address
- 4145 MISTY MORNING WAY, GAINESVILLE, GA 30506
- Phone
- (678) 450-3005
- Provider number (CCN)
- 115687
- Ownership type
- Non profit - Corporation
- Operator
- ACTS ACQUISITION AND DEVELOPMENT · 25 facilities
- Medicare/Medicaid certified since
- October 5, 2003
- Official record
- CMS Care Compare profile ↗
- Details verified against CMS data dated
- August 1, 2026
The federal nursing-home files publish no email address for certified facilities, so none is listed here. We do not guess or construct contact addresses. Contact details above are reproduced from CMS Provider Information; call the facility to confirm before relying on them.
How We Stay Independent
NursingHomeGrade is strictly independent. We do not accept payments from facilities. Our grades are calculated solely from federal CMS datasets.
Learn about our data methodology →Nearby facilities in GAINESVILLE
Compare local nursing homes using the same CMS-backed grading method.
B
NEW HORIZONS LIMESTONE
73/100 score
0.55 hrs RN staffing
4 deficiencies
F
BELL MINOR HOME, THE
23/100 score
0.28 hrs RN staffing
1 deficiencies
Sources and Methodology
- CMS Provider Information (file processed August 1, 2026) — ratings, staffing, ownership, certification and contact details. Dataset 4pq5-n9py ↗
- CMS Health Deficiencies — inspection citations, scope and severity, correction status. Dataset r5ix-sfxw ↗
- CMS Ownership — owning and managing organisations. Dataset y2hd-n93e ↗
The NursingHomeGrade score is our own calculation from these federal files — it is not a CMS rating and not a consumer review score. See exactly how the score is calculated · full methodology · source files and load dates.
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