99/ 100
WILLOWBROOKE COURT SC CTR AT MATTHEWS GLEN
740 PAVILION VIEW DR, Matthews, NC 28105
Rest/Nursing Homes · NC permit/State ID 2060400163
Latest result99 / 100
Last inspectedJun 22, 2026
Inspections on record11
On record sinceMar 31, 2021
Score history
Mar 31, 2021Higher is betterJun 22, 2026
Inspections & violations
Jun 22, 2026 99 / 100 · 2 violations
#18 · Drinking fountains clean, good repair
.1314 (a) Drinking fountains shall be kept clean and in good repair. Observed fountain on 2nd floor leaking. Needs repair.
#32 · Furnishings clean and in good repair; mattresses dry, clean, good repair −1
.1319 (a) Furnishings in an institution, including furniture, curtains, rugs, and blinds, shall be kept clean and in good repair. Mattresses shall be kept clean, dry, and in good repair. Observed pillows torn in 209, 219, and 313. Observed build up of debris on lift in room 316. Observed therapy tables torn in rehab room (therapy tables have a work order in and are scheduled to be repaired soon.) REPEAT.
Dec 3, 2025 99.5 / 100 · 1 violation
#32 · Furnishings clean and in good repair; mattresses dry, clean, good repair −0.5
.1319 (a) Furnishings in an institution, including furniture, curtains, rugs, and blinds, shall be kept clean and in good repair. Mattresses shall be kept clean, dry, and in good repair. Observed tears on therapy beds in Therapy room. Observed stool at pedicure area in Salon cracking.
Jun 20, 2025 99.5 / 100 · 3 violations
Inspector comments: Report emailed to ED, Shacana Fleming at: sfleming@actslife.org
#7 · Facilities provided, accessible, clean, good repair
.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed hopper/sluice sink out of order in soiled utility room on floor 1. Repair. General comment.
#9 · Bedpans, urinals, bedside commodes and emesis basins properly cleaned and disinfected −0.5
.1312 (c) When disposable bedpans, emesis basins, and urinals are reused, they shall be labeled so that they are associated with an individual resident. Observed urinal not labeled in 1 room located on level 1.
#26 · Premises properly maintained
.1316 (d) An institution's exterior premises, including parking lots, lawns, and walkways, and interior premises within the institution's building or buildings, shall be kept free of garbage, solid waste, yard trash, and pest harborages. Observed minor debris/litter surrounding compacter dumpster. -General comment.
Dec 19, 2024 100 / 100 · 0 violations
Inspector comments: No violations were observed during time of inspection. Report emailed to:
sfleming@actslife.org
No violations were recorded for this inspection.
Jun 28, 2024 99 / 100 · 2 violations
Inspector comments: Report emailed to the following:
sfleming@actslife.org
#2 · Walls and ceilings clean, good repair −1
.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Observed touch up paint needed to walling and door frames throughout facility.
#26 · Premises properly maintained
.1316 (d) An institution's exterior premises, including parking lots, lawns, and walkways, and interior premises within the institution's building or buildings, shall be kept free of garbage, solid waste, yard trash, and pest harborages. Observed minor debris outside of dumpster contractor area (blue mask, water bottles).
Dec 22, 2023 98.5 / 100 · 2 violations
Inspector comments: *NOTE: Assistant Director of Nursing, Patricia Greene, and Head of Maintenance, John, were present during time of inspection. Report emailed to the following:
sfleming@actslife.org
Patricia.greene@actslife.org
#16 · Hot water between 105°F and 116°F
.1313 (d) Institutions shall provide water heating facilities. Hot and cold running water under pressure shall be provided to carry out all operations. Hot water shall be provided at temperatures between 105 degrees Fahrenheit and 116 degrees Fahrenheit at handwashing and bathing facilities. Observed hot water at 100F in room 129. All other ares checked during time of inspection hot water was in accordance with notated rule.
#34 · Linens provided by the institution properly cleaned and sanitized −1.5
.1319 (c) Linens provided by the institution that are not clean shall be cleaned and sanitized in accordance with this paragraph. When hot water in washing machines is used to sanitize linens provided by the institution, the washing machines shall be operated in accordance with the manufacturer's instructions. When chemicals are used to sanitize linens provided by the institution, linens shall be washed in accordance with the following:
(1) using a solution of at least 50 parts per million chlorine; or
(2) using laundry sanitizer that is registered in accordance with 40 C.F.R. 152 and that is used in accordance with the manufacturer's instructions.
Observed no documentation on file detailing how much chlorine is pumped into washing equipment for linens that are commingled. Per conversation with Environmental Services Manager, Kim, facility has recently switched service companies and new company has not been providing required documentation.
Apr 17, 2023 96.5 / 100 · 7 violations
Inspector comments: Health.mecknc.gov has examples of vomiting and diarrhea clean up plans and employee health policies.
Note: No signature due to original signed inspection was for sister facility, which has now been deleted
#2 · Walls and ceilings clean, good repair −1
.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Observed scrapes and scuffs on walls throughout. Ceiling damage from leak in bathroom of room 117
#7 · Facilities provided, accessible, clean, good repair −1
.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed chipped shower floor in room 127. Make sure all non-slip strips in showers are not lifting. Toilet seat with damaged finish in room 114
#15 · No cross-connections observed
Observed no backflow preventers at water hydrant and faucet near compactors.
#32 · Furnishings clean and in good repair; mattresses dry, clean, good repair −1
.1319 (a) Furnishings in an institution, including furniture, curtains, rugs, and blinds, shall be kept clean and in good repair. Mattresses shall be kept clean, dry, and in good repair. Observed torn mattresses in rooms 127, 114, 117, 304. Tears in pillows in rooms 108, 117, 127, 304.
#33 · Bed linens in good repair; soiled linens changed, properly handled, containers properly labeled −0.5
.1319 (b) Bed linens that are provided by the institution for use by residents shall be free from holes and tears. Observed holes in sheets in rooms 117.
.1319 (b) A resident's bed linens shall be changed when no longer clean. Observed soiled coverlet in room 114. Sheets with debris at foot of mattress in rooms 117 and 304
#51 · Proper use of restriction, exclusion, and reporting
.1324 (c) Institution employees shall comply with the requirements for exclusion from work and restriction due to communicable
disease or illness required for food employees as set forth in Parts 2-201.12 and 2-201.13 of the Food Code incorporated by
reference at 15A NCAC 18A .2650 as amended by 15A NCAC 18A .2652. Observed no employee health policies provided. New
Rule. Rules have been updated since last inspection
#52 · Vomitus and diarrheal clean up supplies; written clean up procedures available and complete
.1324 (d) The institution shall have gloves, personal protective equipment, disinfectant, individual disposable towels, and a coagulating agent on-site for employees to use and a written procedure for employees to follow when responding to vomitus or fecal matter on institution surfaces. The procedure shall specify the actions that employees shall take to minimize the exposure
of employees, residents, guests, food, and additional surfaces to vomitus or fecal matter. Observed no vomiting and diarrheal clean up plan or kit. New Rules. Rules updated since last inspection.
Nov 10, 2022 97 / 100 · 3 violations
Inspector comments: Carts used for soiled laundry shall be labeled for soiled laundry use only. 15A NCAC 18A .1319 (b). Observed soiled linen bins in beauty salon without a soiled label.
All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a). Observed chair in room 315 with debris and build up accumulating.
All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a). Observed pillow in room 127 with staining.
Medication carts shall be cleaned when visibly soiled. 15A NCAC 18A .1318 (c). Observed debris in med cart on 2nd floor. In need of cleaning.
Clean linen shall be stored and handled in a separate room or area, or in another manner that will prevent contamination of clean linen. 15A NCAC 18A .1319 (b). Observed linens being stored on carts in linen closets on floors 1, 2, 3 with the protectant cover flipped up and exposing clean linens.
Inspection lead by Grace Rutledge.
#1 · Floors easy to clean, no obstacles, drains where needed −1
Floors shall be free of obstacles to cleaning. 15A NCAC 18A .1309 (a). Observed boxes of items in storage closet on 3rd floor and 2nd floor not allowing for the floor to be cleaned. Observed another storage closet on the 2nd floor in need of cleaning and organizing.
#3 · Walls and ceilings cleanable, clean, good repair −1
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed scuffs on walls in rooms 322, 118, 127 and in halls on 1st floor near med rooms and storage.
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed ceiling tile not in place in 1st floor linen closet. Observed water stains on ceiling in bathroom in room 118.
#8 · Facilities conveniently located, clean and in good repair −1
Toilet, handwashing, and bathing facilities must be conveniently located and readily accessible to residents and staff. 15A NCAC 18A .1312 (a). Observed hand sinks not accessible due to waste bins being stored in front of it in 2nd floor and 3rd floor soiled utility rooms.
Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed toilet in room 315 with damage on seat. Observed loose toilet seating in room 216
Jun 24, 2022 99 / 100 · 1 violation
Inspector comments: NO POINTS FOR THE FOLLOWING VIOLATIONS:
#2. Keep all flooring clean. 15A NCAC 18A .1309 (a). Observed minor carpet staining sporadically throughout facility.
#3. Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Observed minor scuff markings on wall in room 217 and sporadically throughout walling throughout building.
#13 · Lavatory and bathing hot water between 100 and 116 F −1
Maintain the hot water at all resident accessible handwashing sinks and bathing facilities within the temperature range of 100°F to 116°F. 15A NCAC 18A .1312 (e). Observed hot water at 93F in room 312 and 98F in room 315.
Jul 9, 2021 97.5 / 100 · 2 violations
Inspector comments: No Points Deducted:
32. Observed debris under a few of the chair cushions in the common/sitting rooms. Keep clean.
All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a).
33. Observed a stained blanket in room 303, stained bedding in room 112, and stained pillow in room 104.
Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b).
*NOTE: All items must be clean and in good condition even if it is from the resident's home/family (not provided by the facility).
Report emailed to: sfleming@actslife.org
#8 · Facilities conveniently located, clean and in good repair −1
-Observed the hot water handle loose in room 104.
-Observed the water turned off at the sink in the resident laundry next to the Maple Crest hall. It was stated that the sink is cracked, and the water has been shut off. The laundry room was placed out of order during the inspection. Repair the sink, and turn the water back on.
*Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b).
-Observed a stain on the hopper and the hall restroom toilet on Rosewood Way. *Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).
#12 · Lavatories have mixing faucet or tempered water, soap hand towel and hand drying device −1.5
Observed no soap in room 104, the soil utility room on Cedar Ridge, and the soil and clean utility rooms on the Red Oak Way hall. Provide.
Provide liquid soap and disposable towels at all handwashing sinks. 15A NCAC 18A .1312 (d).
Mar 31, 2021 98 / 100 · 2 violations
Inspector comments: Note: 1 wing on second floor not inspected as it is vacant. 3rd floor not inspected as it's the Covid + floor.
#33 · Linen changed when soiled. Soiled linen handled properly −1
Carts used for soiled laundry shall be labeled for soiled laundry use only. 15A NCAC 18A .1319 (b). Observed soiled linen signs missing in PT and spa room.
#34 · Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately −1
Clean linen shall be stored and handled in a separate room or area, or in another manner that will prevent contamination of clean linen. 15A NCAC 18A .1319 (b). Observed gowns on floor that had fallen off cart in clean linen.
Source: Mecklenburg County Public Health – Environmental Health public inspection portal (search for “WILLOWBROOKE COURT SC CTR AT MATTHEWS GLEN” or State ID 2060400163). Inspection type (routine vs. follow-up) is not published in the county's data.