CCN 345326
Willowbrooke Court SC Ctr at Matthews Glen
740 Pavilion View Drive, Matthews, NC 28105 · Mecklenburg County
- Ownership
- Non profit - Corporation
- Certified beds
- 15
- Residents per day
- 13.9
- Health citations
- 6
- Penalties
- 0
- Fines
- 0 · $0
- Map
- Open location. CMS based the coordinates on the ZIP code because the street address did not match.
Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Staffing hours
Reported hours per resident per day come from the Payroll-Based Journal figures in the Provider Information file. Case-mix and adjusted hours account for how much care CMS expects given the residents’ needs. State and U.S. figures are averages from the same release.
- Measure
- This home
- State
- U.S.
- Nurse aide
- 2.72
- 2.34
- 2.32
- LPN/LVN
- 1.02
- 0.89
- 0.86
- Registered nurse
- 0.92
- 0.62
- 0.69
- Total nurse staff
- 4.67
- 3.85
- 3.86
- Weekend total
- 4.36
- 3.42
- 3.42
- Weekend RN
- 0.73
- 0.42
- 0.48
Adjusted total nurse hours: 5.32. Adjusted RN hours: 1.05. Case-mix total: 3.37. Case-mix index: 1.231.
Total nursing staff turnover: —. RN turnover: —. Administrators who left: —. This facility submitted staffing data that did not meet the criteria required to calculate a turnover measure. CMS excludes this measure from the staffing rating and rescales the staffing score.
How to read staffing hours
Payroll-Based Journal figures in Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Fines and penalties
CMS reports 0 fines totaling $0, and 0 payment denials.
The Penalties file has no individual penalty rows for this CCN.
Cycle 1 standard survey: July 8, 2025. Health deficiencies counted in cycle 1: 3. Cycle 1 total health score: 12.
Cycle 2 standard survey: May 30, 2024. Cycle 2/3 health deficiencies: 3. Total weighted health survey score: 12.
Penalties file and Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Health inspection citations
The Health Deficiencies file lists 6 citations for this home, including 0 at immediate jeopardy and 0 at actual harm. CMS may display some citations here that are not used in the health inspection rating, including citations under dispute.
July 8, 2025
3 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Standard survey · Cycle 1 | E: pattern, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · July 25, 2025 |
| F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Standard survey · Cycle 1 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · July 25, 2025 |
| F732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Standard survey · Cycle 1 | C: widespread, no actual harm, with potential for minimal harm | Deficient, Provider has date of correction · July 25, 2025 |
May 30, 2024
3 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Standard survey · Cycle 2 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 27, 2024 |
| F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Standard survey · Cycle 2 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 27, 2024 |
| F880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Standard survey · Cycle 2 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 27, 2024 |
Health Deficiencies. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections