Willowbrooke Court at Country House
4830 Kennett Pike, Wilmington, DE 19807 · New Castle County · 14 certified beds · avg 5 residents/day · certified since Jan 1, 1967
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: ★★★★★5/5 · 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 (5)
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 |
|---|---|---|
| Feb 26, 2025 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Feb 26, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Feb 9, 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. |
| Feb 9, 2024 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Feb 9, 2024 | D · Potential for harm, one-off | The facility did not make sure residents actually saw their doctor face-to-face at all required visits. Doctors must examine nursing home residents in person on a regular schedule. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 3 | 0 | F |
| 2025 | 2 | 0 | D |
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) | 4.37 | 4.67 | 3.95 | top 37% in Delaware; top 27% in the U.S. |
| Registered Nurse hours | 1.47 | 1.04 | 0.69 | top 16% in Delaware; top 5% in the U.S. |
| Weekend total nurse staffing | 4.16 | 4.18 | 3.50 | top 30% in Delaware; top 19% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.01 | 0.64 | 0.48 | top 14% in Delaware; top 6% 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 3.92, RN 1.32, weekend 3.73. 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 Management Services, INC. | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2012 |
| Acts Retirement Services, INC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 05/01/2010 |
| 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 | 03/24/2009 |
| 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 | 07/01/2014 |
| 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 | 07/01/2014 |
| Acts Retirement-Life Communities INC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2014 |
| 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 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "How often does the attending doctor physically see each resident, and how is that documented?"
- "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 |
|---|---|---|---|---|---|
| Stonegates | 0.9 mi | Greenville, DE | ★★★★☆ | 3/5 | |
| Regal Heights Healthcare & Rehab Center | 3.2 mi | Hockessin, DE | ★★☆☆☆ | 2/5 | abuse |
| Excelcare at Wilmington LLC | 3.3 mi | Wilmington, DE | ★★★☆☆ | 2/5 | abuse |
| Willowbrooke Court at Cokesbury Village | 3.3 mi | Hockessin, DE | ★★★★★ | 4/5 | |
| Kentmere Rehabilitation and Healthcare Center | 3.5 mi | Wilmington, DE | ★★★☆☆ | 3/5 | |
| Cadia Rehabilitation Silverside | 3.8 mi | Wilmington, DE | ★★★★★ | 3/5 | |
| Wilmington Nursing & Rehabilitation Center | 3.9 mi | Wilmington, DE | —/5 | abuseSFF | |
| Regency Healthcare & Rehab Center | 4.0 mi | Wilmington, DE | ★★★★☆ | 4/5 | |
| Gilpin Hall | 4.1 mi | Wilmington, DE | ★★★☆☆ | 2/5 | abuse |
| Encore at Wilmington | 4.1 mi | Wilmington, DE | ★★★☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 085003.