Willowbrooke Court Skilled Center at Manor House

Name: Willowbrooke Court Skilled Center at Manor House
Address: 1001 MIDDLEFORD ROAD, Seaford, DE, 19973, US
Telephone: 3026294593

1001 Middleford Road, Seaford, DE 19973 · Sussex County · 15 certified beds · avg 11 residents/day · certified since Nov 16, 1967

Part of chain: ACTS RETIREMENT-LIFE COMMUNITIES (27 facilities, chain avg rating 4.7★)

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.13

Nurse hours/resident/day (adjusted)

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 (7)

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
May 6, 2025	D · Potential for harm, one-off	The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition.
May 6, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
May 6, 2025	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jun 3, 2024	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Jun 3, 2024	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Jun 21, 2023	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Jun 21, 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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 3).

Year	Citations	Worst severity that year
2023	2	D
2024	2	D
2025	3	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)	5.13	4.67	3.95	top 21% in Delaware; top 11% in the U.S.
Registered Nurse hours	1.58	1.04	0.69	top 12% in Delaware; top 4% in the U.S.
Weekend total nurse staffing	4.52	4.18	3.50	top 21% in Delaware; top 12% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.82	0.64	0.48	top 19% in Delaware; top 11% in the U.S.
Total nursing staff turnover (%)	23.1	41.3	45.8	top 5% in Delaware; top 5% in the U.S.
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 4.05, RN 1.25, weekend 3.57. 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	07/01/2014
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	07/01/2014
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	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
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.

"How do you track that every resident's quarterly assessment happens on time?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
"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
Lofland Park Center	0.2 mi	Seaford, DE	★★★★☆	4/5
Seaford Center	0.5 mi	Seaford, DE	★★★☆☆	3/5
Delaware Bay Rehabilitation and Healthcare Center	11.7 mi	Georgetown, DE	★★☆☆☆	2/5
Delmar Nursing & Rehabilitation Center	13.0 mi	Delmar, DE	★★★★★	4/5
Ocean Grove Post Acute	17.1 mi	Millsboro, DE	★★☆☆☆	2/5
Deer's Head Center	18.1 mi	Salisbury, MD	★★★★★	5/5
Wicomico Nursing Home	18.4 mi	Salisbury, MD	★★★★☆	4/5
Bay Harbor Post Acute Healthcare Center	18.9 mi	Salisbury, MD	★☆☆☆☆	1/5	SFF
Anchorage Rehabilitation and Wellness Center	19.3 mi	Salisbury, MD	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Seaford →

Facility data as of CMS processing date 2026-08-01. CCN 085009.

The Care File

Visit checklist — Willowbrooke Court Skilled Center at Manor House

1001 Middleford Road, Seaford, DE 19973 · 3026294593

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you track that every resident's quarterly assessment happens on time?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 085009 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)