Willowbrooke Court at Cokesbury Village
726 Loveville Road, Hockessin, DE 19707 · New Castle County · 10 certified beds · avg 2 residents/day · certified since Oct 16, 1978
Part of chain: ACTS RETIREMENT-LIFE COMMUNITIES (27 facilities, chain avg rating 4.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (11)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 29, 2025 | F · Potential for harm, facility-wide | The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. |
| Jul 29, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Jul 29, 2025 | D · Potential for harm, one-off | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. |
| Jul 29, 2025 | D · Potential for harm, one-off | The facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation. |
| Sep 3, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Sep 3, 2024 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Sep 3, 2024 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Oct 3, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Oct 3, 2023 | D · Potential for harm, one-off | The facility did not have doctor's orders in place for a resident's immediate care at the time the resident was admitted. |
| Oct 3, 2023 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Oct 3, 2023 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | F |
| 2024 | 3 | 0 | F |
| 2025 | 4 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Delaware avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.42 | 4.67 | 3.95 | top 35% in Delaware; top 25% in the U.S. |
| Registered Nurse hours | 1.50 | 1.04 | 0.69 | top 14% in Delaware; top 5% in the U.S. |
| Weekend total nurse staffing | 3.97 | 4.18 | 3.50 | top 40% in Delaware; top 24% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.15 | 0.64 | 0.48 | top 9% in Delaware; top 4% in the U.S. |
| Total nursing staff turnover (%) | 0.0 | 41.3 | 45.8 | — |
| RN turnover (%) | 0.0 | 41.2 | 42.9 | — |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.96, RN 1.34, weekend 3.56. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: —/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Acts Acquisition and Development Company LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 05/01/2010 |
| Acts Alliance Management LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 12/31/2022 |
| Acts Communities of Maryland, INC. | Organization | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2019 |
| Acts Legacy Foundation, INC. | Organization | Indirect Ownership Interest | NOT APPLICABLE | 12/31/2022 |
| Acts Retirement Services, INC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 03/24/2009 |
| Acts Retirement-Life Communities Management, LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 12/31/2022 |
| Acts Signature Community Services INC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 12/31/2022 |
| Bonita Springs Retirement Village INC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 11/01/2024 |
| Mease Life INC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2023 |
| Acts Management Services, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2012 |
| Acts Management Services, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 07/18/2025 |
| Acts Retirement-Life Communities INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2012 |
| Acts Retirement-Life Communities INC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2012 |
| Acts Retirement-Life Communities Management, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/31/2022 |
| Acts Retirement-Life Communities Management, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/18/2025 |
| Ahern, Susan | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2020 |
| Ahern, Susan | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2020 |
| Ahern, Susan | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2020 |
| Allmond, Susan | Individual | Corporate Director | NOT APPLICABLE | 01/01/2015 |
| Allmond, Susan | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who is your infection preventionist, and what training do they have?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
- "What training do all staff get on dementia care and on spotting and reporting abuse?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "When a new resident arrives, how do you make sure the doctor's orders for their care and medications are in place from day one?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Regal Heights Healthcare & Rehab Center | 0.8 mi | Hockessin, DE | ★★☆☆☆ | 2/5 | abuse |
| Complete Care at Brackenville LLC | 2.2 mi | Hockessin, DE | ★★★★☆ | 3/5 | |
| Pike Creek Nursing & Rehabilitation Center | 2.7 mi | Wilmington, DE | ★★☆☆☆ | 1/5 | SFF |
| Coral Springs Rehab & Healthcare | 2.9 mi | Wilmington, DE | ★★☆☆☆ | 2/5 | |
| Cadia Rehabilitation Pike Creek | 3.0 mi | Wilmington, DE | ★★★★☆ | 3/5 | |
| Willowbrooke Court at Country House | 3.3 mi | Wilmington, DE | ★★★★★ | 5/5 | |
| Stonegates | 3.4 mi | Greenville, DE | ★★★★☆ | 3/5 | |
| Excelcare at Wilmington LLC | 4.7 mi | Wilmington, DE | ★★★☆☆ | 2/5 | abuse |
| Excelcare at Newark LLC | 5.3 mi | Newark, DE | ★★☆☆☆ | 1/5 | |
| Complete Care at Hillside LLC | 5.5 mi | Wilmington, DE | ★★★★☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 085017.