Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

WILLOWBROOKE COURT-GRANITE

MEDIA, PA · 10 certified beds · Last Life Safety survey April 23, 2026

CMS Certification Number 395736 · first certified July 1987

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.

13
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within PA

13 citations — more than 61% of the 656 certified nursing homes in PA. Compared within PA 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

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 0 citations; the earlier surveys in the window averaged 6.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens March 2027 — about 5 months from now. This facility’s last Life Safety survey was April 2026. Facilities in PA are typically surveyed 10–12 months after the last one (median 11), measured over 1,113 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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Which alerts

How that compares

Citations on file over three years

Compared with the median facility in PA, and nationally. Surveyors differ markedly between states, so the PA figure is the meaningful one.

This facility13PA median10National median11
Citations on file over three years, compared
MeasureCitations
This facility13
Median facility in PA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
42024-0492025-0302026-04
Citations at each Life Safety survey
Survey dateCitations
April 12, 20244
March 27, 20259
April 23, 20260

Most-cited tags

Most-cited tags at this facility
K-09112K-03721K-02001K-01311K-09201K-03631K-03531K-03551
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0911Meet requirements for the installation and maintenance of electrical systems.22025-03-27
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12025-03-27
K-0200Meet other general requirements.12025-03-27
K-0131Meet requirements for sections of health care facilities separated by fire resistive construction.12025-03-27
K-0920Ensure proper usage of power strips and extension cords.12025-03-27
K-0363Install corridor and hallway doors that block smoke.12024-04-12
K-0353Inspect, test, and maintain automatic sprinkler systems.12025-03-27
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12024-04-12

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 5
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Egress Deficiencies 3
  • Construction Deficiencies 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies5
Gas, Vacuum, and Electrical Systems Deficiencies3
Egress Deficiencies3
Construction Deficiencies2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

March 27, 2025 — 9 citations

Citations issued on March 27, 2025
TagWhat the surveyor checksStatus
K-0131Meet requirements for sections of health care facilities separated by fire resistive construction.Deficient, Provider has date of correction (April 30, 2025)
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (April 30, 2025)
K-0200Meet other general requirements.Deficient, Provider has date of correction (April 30, 2025)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (April 30, 2025)
K-0347Properly provide smoke detection systems in areas open to corridors.Deficient, Provider has date of correction (April 30, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 30, 2025)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (April 30, 2025)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (April 30, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (April 30, 2025)

April 12, 2024 — 4 citations

Citations issued on April 12, 2024
TagWhat the surveyor checksStatus
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (July 15, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (May 24, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (May 24, 2024)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (May 24, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.