Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
WILLOWBROOKE COURT AT LANIER VILLAGE ESTATES
GAINESVILLE, GA · 48 certified beds · Last Life Safety survey September 21, 2025
CMS Certification Number 115687 · first certified October 2003
Ownership
Operated by ACTS RETIREMENT-LIFE COMMUNITIES · Non profit - Corporation
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within GA
4 citations — more than 17% of the 356 certified nursing homes in GA. Compared within GA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 2 citations; the earlier surveys in the window averaged 1. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens November 2026 — about 2 months from now. This facility’s last Life Safety survey was September 2025. Facilities in GA are typically surveyed 14–20 months after the last one (median 16), measured over 532 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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Physical environment (health survey)
1 physical-environment citation on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 4 Life Safety citations above. The Physical Environment Index
- F-0880 Provide and implement an infection prevention and control program.
How that compares
Compared with the median facility in GA, and nationally. Surveyors differ markedly between states, so the GA figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 4 |
| Median facility in GA | 8 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| February 12, 2023 | 1 |
| April 28, 2024 | 1 |
| September 21, 2025 | 2 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0351 | Install an approved automatic sprinkler system. | 1 | 2023-02-12 |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | 1 | 2025-09-21 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 1 | 2024-04-28 |
| K-0341 | Install a fire alarm system that can be heard throughout the facility. | 1 | 2025-09-21 |
What the citations cover
- Smoke Deficiencies 4
| Category | Citations |
|---|---|
| Smoke Deficiencies | 4 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
September 21, 2025 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0341 | Install a fire alarm system that can be heard throughout the facility. | Deficient, Provider has date of correction (November 24, 2025) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (November 24, 2025) |
April 28, 2024 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (June 12, 2024) |
February 12, 2023 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0351 | Install an approved automatic sprinkler system. | Deficient, Provider has date of correction (March 29, 2023) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.