Willowbrooke Court at Country HouseCMS ratings, inspections and fines
- Address
- 4830 Kennett Pike, Wilmington, DE 19807
- CCN
- 085003
- Ownership type
- Non-profit, corporation
- Certified beds
- 14
- Residents per day
- 5
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Willowbrooke Court at Country House an overall rating of 5 of 5 stars. The last standard survey was on 23 Mar 2026. The latest survey cycle has 0 health citations. The median for nursing homes in Delaware is 9. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | New Castle County median | Delaware median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 5 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 5 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 5 | 4.0 | 4.0 | 2.9 |
| Quality measure rating | 5 | 5.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 25 homes in the county, 44 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Delaware median |
|---|---|---|---|
| Cycle 1 (latest) | 23 Mar 2026 | 0 | 9 |
| Cycle 2 | 26 Feb 2025 | 2 | 12 |
| Cycle 3 | No date | 3 | 10 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 2: 2 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 26 Feb 2025 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 24 Apr 2025 |
| 26 Feb 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 24 Apr 2025 |
Survey cycle 3: 3 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 9 Feb 2024 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Standard survey | 18 Mar 2024 |
| 9 Feb 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 18 Mar 2024 |
| 9 Feb 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 18 Mar 2024 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Delaware median | Delaware average (CMS) |
|---|---|---|---|
| All nurse staff | 3.92 | 3.90 | 4.35 |
| Registered nurses (RN) | 1.32 | 0.80 | 0.97 |
| Licensed practical nurses (LPN) | 0.46 | 0.98 | |
| Nurse aides | 2.15 | 2.40 | |
| All nurse staff, weekends | 3.73 | 3.60 | 3.89 |
- Nurse staff turnover in a year
- No data
- Nurse staff turnover, Delaware median
- 41.7%
- RN turnover in a year
- No data
- Administrators who left in a year
- No data
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Delaware median | US median |
|---|---|---|---|---|
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.5% | 1.0% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- Non-profit, corporation
- Setting
- Continuing care retirement community
- Legal business name
- Acts Retirement-Life Communities Inc
- Chain
- Acts Retirement-Life Communities (27 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Acts Acquisition and Development Company LLC | Indirect ownership interest | 1 May 2010 | |
| Acts Alliance Management LLC | Indirect ownership interest | 31 Dec 2022 | |
| Acts Communities of Maryland, Inc. | Indirect ownership interest | 1 Apr 2019 | |
| Acts Legacy Foundation, Inc. | Indirect ownership interest | 31 Dec 2022 | |
| Acts Management Services, Inc. | Indirect ownership interest | 1 Jan 2012 | |
| Acts Retirement Services, Inc | Indirect ownership interest | 1 May 2010 | |
| Acts Retirement-Life Communities Management, LLC | Indirect ownership interest | 31 Dec 2022 | |
| Acts Signature Community Services Inc | Indirect ownership interest | 24 Mar 2009 | |
| Bonita Springs Retirement Village Inc | Indirect ownership interest | 1 Nov 2024 | |
| Mease Life Inc | Indirect ownership interest | 1 Oct 2023 | |
| Acts Management Services, Inc. | Operational/managerial control | 1 Jul 2014 | |
| Acts Retirement-Life Communities Inc | Operational/managerial control | 1 Jul 2014 | |
| Acts Retirement-Life Communities Management, LLC | Operational/managerial control | 31 Dec 2022 | |
| U.S. Bank | Trustee of the snf | 9 Jul 2025 | |
| Acts Management Services, Inc. | Adp of the snf | 18 Jul 2025 | |
| Acts Retirement-Life Communities Inc | Adp of the snf | 1 Jul 2014 | |
| Acts Retirement-Life Communities Management, LLC | Adp of the snf | 18 Jul 2025 | |
| Baker Tilly Advisory Group LP | Adp of the snf | 3 Feb 2025 | |
| Baker Tilly Us LLP | Adp of the snf | 5 Nov 2024 | |
| U.S. Bank | Adp of the snf | 12 Jul 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in New Castle County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Stonegates | Greenville | 4 of 5 | 6 | $48,696 | 12 Dec 2025 | |
| Regal Heights Healthcare & Rehab Center | Hockessin | 2 of 5 | 19 | $119,899 | 23 May 2025 | |
| Excelcare at Wilmington LLC | Wilmington | 3 of 5 | 3 | $38,290 | 13 Mar 2025 | |
| Willowbrooke Court at Cokesbury Village | Hockessin | 5 of 5 | 4 | $0 | 29 Jul 2025 | |
| Kentmere Rehabilitation and Healthcare Center | Wilmington | 3 of 5 | 5 | $8,278 | 13 Dec 2025 | |
| Cadia Rehabilitation Silverside | Wilmington | 5 of 5 | 10 | $10,608 | 27 Apr 2026 | |
| Wilmington Nursing & Rehabilitation CenterSpecial Focus Facility | Wilmington | Not rated | 35 | $424,128 | 4 Dec 2025 | |
| Regency Healthcare & Rehab Center | Wilmington | 4 of 5 | 2 | $77,867 | 1 Jul 2025 | |
| Gilpin Hall | Wilmington | 3 of 5 | 11 | $0 | 29 Aug 2025 | |
| Encore at Wilmington | Wilmington | 3 of 5 | 10 | $32,394 | 6 Jun 2025 | |
| Coral Springs Rehab & Healthcare | Wilmington | 2 of 5 | 8 | $99,184 | 8 Dec 2025 | |
| Encore at Foulk | Wilmington | 5 of 5 | 2 | $13,544 | 13 Apr 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Willowbrooke Court at Country House (CCN 085003). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/willowbrooke-court-at-country-house-wilmington-de-085003/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Willowbrooke Court at Country House last inspected?
- The latest inspection with a citation in the CMS record was on 26 Feb 2025. It was a standard survey and a complaint investigation. It gave 2 citations. The standard survey before the last one was on 26 Feb 2025.
- Who operates Willowbrooke Court at Country House?
- The CMS record gives the ownership type as non-profit, corporation. CMS lists the home in the chain Acts Retirement-Life Communities. The CMS ownership file names 3 organisations for operational or managerial control. This site does not show the names of persons.
- Is Willowbrooke Court at Country House a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Delaware as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.