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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 15th out of 252 homes in Florida. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 5h 3m per day |
Lower than the Florida average: 84.3%Willowbrook is legally operated by Ets Willowbrook At Marion Llc, and administrated by Johnathan Coghlan.
Key information about the people who lead and staff this community.
In Florida, the Agency for Health Care Administration (AHCA) is the primary authority that conducts unannounced inspections and completes official health quality reports for all healthcare facilities.
Formal stipulations and orders filed by Florida regulators against this facility, including fines and total monetary penalties.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Florida state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | FL Average | vs. FL Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 33 | 33 | This facility has total citations in line with the Florida average (33 vs. FL avg 33).— At avg |
|
Citations per year
Average citations per year since 2022.
| 8.3 | 8.3 | This facility has citations per year in line with the Florida average (8.3 vs. FL avg 8.3).— At avg |
|
Citations per inspection
Average citations per inspection.
| 1.4 | 1.3 | This facility has 8% more citations per inspection than a typical Florida nursing home (1.4 vs. FL avg 1.3).↑ 8% worse |
Inspections
| This Facility | FL Average | vs. FL Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 23 | 26 | This facility has 12% fewer total inspections than a typical Florida nursing home (23 vs. FL avg 26).↓ 12% better |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 13 | 16 | This facility has 19% fewer inspections with citations than a typical Florida nursing home (13 vs. FL avg 16).↓ 19% better |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 57% | 62% | This facility has 5 percentage points lower inspection citation rate than a typical Florida nursing home (57% vs. FL avg 62%).↓ 5% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Willowbrook's most recent inspection, conducted on March 25, 2025, reported that deficiencies were cited. Over a period of 23 inspections from July 27, 2012 to May 20, 2025, the facility received deficiencies in all inspections. A total of 33 line-item deficiencies were identified across these inspections. Common themes observed during inspections included records and documentation, as well as resident care and rights. The facility has demonstrated improvement by correcting previously cited deficiencies, indicating a commitment to addressing concerns and enhancing quality of care.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsFederal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Most residents typically stay for a few weeks or months before returning home or moving on.
353.2 miles from city center
Estimated distance in miles from Lake City's city center to Willowbrook's address, calculated via Google Maps.
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Willowbrook is located in LAKE CITY, Florida.
Here are the financial assistance programs available to residents in Florida.
The team at Willowbrook speaks English.
The legal owner and operator of Willowbrook is Ets Willowbrook At Marion Llc.
Willowbrook has a walk score of 67. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to FL state health department records, Willowbrook's license number is 9909.
According to FL state health department records, Willowbrook's license expires on October 22, 2026.
Willowbrook's occupancy is 59%.
Willowbrook accepts Insurance and/or HMO, Medicaid, and VA.
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