Elder Care Record

Pennsylvania › Bucks County › Southampton

Willowbrooke Court-Southampton

238 Street Road, Southampton, PA 18966

CCN 395490 · Non-profit, corporation · 29 certified beds · chain Acts Retirement-Life Communities

Continuing care retirement community
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Willowbrooke Court-Southampton is a Non-profit, corporation nursing home in Southampton, Pennsylvania, certified for 29 beds and caring for about 20 residents a day.

CMS gives it 5 of 5 stars overall, above the Pennsylvania median of 3; the health inspection rating is 5, staffing 5 and quality measures 5.

Inspectors recorded 0 health deficiencies across the three most recent survey cycles (0, 0, 0 by cycle, most recent first), none at the actual-harm level. That is 0.0 per 100 beds, fewer than the state median of 22.2.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 4.0 hours per resident per day (1.5 RN), close to the Pennsylvania median of 3.6; nursing staff turnover is 15.4%.

0health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
4.0nurse hours per resident per daystate median 3.6
69%occupancy (residents ÷ beds)20 residents a day

Compared with county, state and nation

MeasureThis facilityBucks Co. medianPennsylvania medianUS average
Overall star rating5433.0
Health citations, 3 cycles0132628.7
Citations per 100 beds0.011.822.226.8
Total nurse hours per resident day4.03.63.63.9
RN hours per resident day1.50.70.70.7
Nursing staff turnover15.4%40.3%44.3%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (29 in the county, 656 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)0
Cycle 20
Cycle 30

Dark bar: this facility. Grey bar: Pennsylvania average per facility for the same cycle, as published by CMS. Standard health survey dates: 5 Dec 2025, 8 Jan 2025.

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

No health deficiencies in the current record.

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing4 h
Nurse aides2.1 h
LPN0.45 h
RN1.45 h
Weekend total3.69 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Pennsylvania average. Turnover: nursing staff 15.4%, RNs 9.1%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityPennsylvania medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay10.5%15.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay6.5%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.2%2.9%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay9.2%16.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.1%4.5%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay8.6%17.2%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: non-profit, corporation. Legal business name: Acts Retirement-Life Communities Inc. Chain: Acts Retirement-Life Communities (27 facilities).

OrganisationRole in the CMS recordInterestSince
Acts Acquisition and Development Company LLCIndirect ownership interestNOT APPLICABLE01/01/2003
Acts Alliance Management LLCIndirect ownership interestNOT APPLICABLE12/31/2022
Acts Communities of Maryland, Inc.Indirect ownership interestNOT APPLICABLE04/01/2019
Acts Legacy Foundation, Inc.Indirect ownership interestNOT APPLICABLE12/31/2022
Acts Retirement Services, IncIndirect ownership interestNOT APPLICABLE03/24/2009
Acts Retirement-Life Communities Management, LLCIndirect ownership interestNOT APPLICABLE12/31/2022
Acts Signature Community Services IncIndirect ownership interestNOT APPLICABLE12/31/2022
Bonita Springs Retirement Village IncIndirect ownership interestNOT APPLICABLE11/01/2024
Mease Life IncIndirect ownership interestNOT APPLICABLE10/01/2023
Acts Retirement-Life Communities Inc5% or greater mortgage interestNOT APPLICABLE05/01/1997
Acts Management Services, Inc.Operational/managerial controlNOT APPLICABLE01/01/2012
Acts Retirement-Life Communities IncOperational/managerial controlNOT APPLICABLE01/01/2012
Acts Retirement-Life Communities Management, LLCOperational/managerial controlNOT APPLICABLE12/31/2022
U.S. BankTrustee of the snfNOT APPLICABLE07/09/2025
Acts Management Services, Inc.Adp of the snfNOT APPLICABLE01/01/2012
Acts Retirement-Life Communities IncAdp of the snfNOT APPLICABLE07/20/2025
Acts Retirement-Life Communities Management, LLCAdp of the snfNOT APPLICABLE12/31/2022
Baker Tilly Advisory Group LPAdp of the snfNOT APPLICABLE02/03/2025
Baker Tilly Us LLPAdp of the snfNOT APPLICABLE11/05/2024
U.S. BankAdp of the snfNOT APPLICABLE07/09/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Bucks County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Ann'S ChoiceWarminster665451522.7—15 Aug 2025
Buckingham Valley Rehabilitation and NursingcenterBuckingham13054296.9—7 Aug 2025
Chandler Hall Health ServicesNewtown53555815.1—2 Jul 2026
Christ'S Home Retirement CommunityWarminster4855548.3—19 Feb 2026
Community At Rockhill, TheSellersville9055511.1—14 Aug 2025
Juniper Village At Bucks County Rehab and Skd CareBensalem1754519111.8—22 Apr 2026
Langhorne Gardens Health & Rehabilitation CenterLanghorne11954297.6—6 Nov 2024
Masonic Village At WarminsterWarminster4355512.3—30 Dec 2025

All 29 facilities in Bucks County

Questions and answers

How many deficiencies has Willowbrooke Court-Southampton been cited for?

0 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Pennsylvania median is 26 per facility.

Has Willowbrooke Court-Southampton been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Willowbrooke Court-Southampton compare?

Reported total nurse staffing is 4.0 hours per resident per day against a Pennsylvania median of 3.6 and a national average of 3.9.

Who operates Willowbrooke Court-Southampton?

It is part of the Acts Retirement-Life Communities chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Acts Acquisition and Development Company LLC, Acts Alliance Management LLC and Acts Communities of Maryland, Inc.. Individual owners and managers are not listed on this site.

When was Willowbrooke Court-Southampton last inspected?

No survey dates are in the current CMS record.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.