Willowbrooke Court at Cokesbury Village
726 Loveville Road, Hockessin, DE 19707 · New Castle County · (302) 234-4444
10 certified beds, about 2 residents a day · Non profit - Corporation · Medicare since 1978
Part of a continuing care retirement community Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 085017 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 29, 2025, inspectors cited 4 health deficiencies (the Delaware average is 10.9, the national average 9.2).
None of its 11 health citations since October 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.96 hours per resident per day, against 4.35 across Delaware and 3.86 nationally. Registered nurses accounted for 1.34 of those hours.
CMS links it to Acts Retirement-Life Communities, an affiliated group of 27 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
410/23
309/24
407/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 11 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
1E
3F
Potential for minimal harm
0A
0B
0C
July 29, 2025Standard inspection · 4 citations
- F Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Inspectors wroteBased on interview, the facility failed to designate an onsite Infection Control Preventionist at the facility from 6/3/25 to 7/13/25.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on record review and interview, it was determined that for one (R5) out of five residents reviewed for infection control, the facility failed to offer and document pneumococcal immunization.
- D Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Inspectors wroteBased on record review and interview, one (R5) out of five residents reviewed for infection control, the facility failed to offer and document COVID-19 immunization.
- D Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Inspectors wroteBased on record review and interview, it was determined that for two (E5 and E6) out of ten employees reviewed for training, the facility failed to have records of abuse, neglect and exploitation training for the contracted employees.
September 3, 2024Standard inspection · 3 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and review of other facility documentation it was determined that the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on record review and interview, it was determined that for two (R1and R109) out of three residents reviewed for infection control, the facility failed to establish and maintain an infection control program using enhanced barrier precautions. For R1, the presence of an indwelling feeding tube was criteria for Enhanced Barrier Precautions (EBP). R109 was admitted with PICC (percutaneously inserted central catheter) line and was diagnosed as colonized with enterococcus faecium VRE; both of which are criteria for EBP. Also the facility line listing did not specify the name of the pathogen.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on record review and interview, it was determined that for one (R1) out of two residents reviewed for medications, the facility failed to ensure that the admission pharmacy review of medications identified the correct route of medication administration.
October 3, 2023Standard inspection · 4 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview, it was determined that the facility failed to ensure that food was stored and prepared in a sanitary manner.
- D Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Inspectors wroteBased on record review, observation, and interviews, it was determined that for one (R4) out of one resident reviewed for dialysis, the facility failed to ensure that R4's admission physician's orders dated 8/8/23 included hemodialysis treatments for Tuesday, Thursday and Saturday.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on record review and interview, it was determined that for one (R307) out of three (3) residents sampled for the use of Unnecessary Medications, the facility failed to ensure that R307 received adequate monitoring for the use of a psychoactive medication.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and interview, it was determined that for one (R4) out of three residents reviewed for Unnecessary Medications, the facility failed to ensure that R4's medical record met with accepted professional standards and practices with regards to the anticoagulation order.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Delaware | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.96 | 4.35 | 3.86 |
| Registered nurses | 1.34 | 0.97 | 0.69 |
| All nursing staff on weekends | 3.56 | 3.89 | 3.42 |
| Nurse aides | 2.13 | ||
| Licensed practical nurses | 0.48 | ||
| Nursing staff turnover (share who left in a year) | not reported | 41.3% | 45.8% |
| Registered nurse turnover | not reported | 41.2% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.43 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.15 on weekdays and 3.56 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.50 in April to June 2025 to 3.96 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.96 | 1.34 | 4.15 | 3.56 | 0.0% | 0 of 90 | 2 |
| Oct to Dec 2025 | 4.24 | 1.25 | 4.39 | 3.89 | 1.0% | 0 of 90 | 3 |
| Jul to Sep 2025 | 3.69 | 1.24 | 3.78 | 3.46 | 0.0% | 0 of 92 | 5 |
| Apr to Jun 2025 | 4.50 | 1.59 | 4.68 | 4.04 | 0.0% | 0 of 91 | 3 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Delaware, Jan to Mar 2026 | 4.05 | 0.79 | 4.21 | 3.67 | 5.7% | 0% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Delaware | US |
|---|---|---|---|
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.0 | 1.6 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 23.6 | 23.4 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.2 | 11.6 | 12.0 |
Owners and operators
Legal business name: ACTS RETIREMENT-LIFE COMMUNITIES INC. CMS links this home to Acts Retirement-Life Communities, a group of 27 nursing homes averaging 4.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Acts Acquisition and Development Company LLC | Indirect ownership interest | Organization | 05/01/2010 | |
| Acts Alliance Management LLC | Indirect ownership interest | Organization | 12/31/2022 | |
| Acts Communities of Maryland, Inc. | Indirect ownership interest | Organization | 04/01/2019 | |
| Acts Legacy Foundation, Inc. | Indirect ownership interest | Organization | 12/31/2022 | |
| Acts Retirement Services, Inc | Indirect ownership interest | Organization | 03/24/2009 | |
| Acts Retirement-Life Communities Management, LLC | Indirect ownership interest | Organization | 12/31/2022 | |
| Acts Signature Community Services Inc | Indirect ownership interest | Organization | 12/31/2022 | |
| Bonita Springs Retirement Village Inc | Indirect ownership interest | Organization | 11/01/2024 | |
| Mease Life Inc | Indirect ownership interest | Organization | 10/01/2023 | |
| Allmond, Susan | Corporate director | Individual | 01/01/2015 | |
| Brod, Kathryn | Corporate director | Individual | 02/15/2024 | |
| Callaway, Warren | Corporate director | Individual | 03/30/2022 | |
| Chamberlain, Linda | Corporate director | Individual | 01/01/2025 | |
| Detweiler, Harold | Corporate director | Individual | 11/01/2009 | |
| Esterhai, John | Corporate director | Individual | 05/01/1996 | |
| Gerner, Elric | Corporate director | Individual | 04/01/2009 | |
| Glynn, James | Corporate director | Individual | 01/01/2023 | |
| Grant, Gerald | Corporate director | Individual | 05/04/2017 | |
| Greer, Jason | Corporate director | Individual | 03/30/2022 | |
| Kelly, Michael | Corporate director | Individual | 02/11/2020 | |
| Lammers, John | Corporate director | Individual | 12/15/2020 | |
| Lawson, Daniel | Corporate director | Individual | 06/11/2019 | |
| Mashner, Marvin | Corporate director | Individual | 01/01/1991 | |
| Middlebrooks, Daniel | Corporate director | Individual | 01/01/2023 | |
| Reichard, Dawn | Corporate director | Individual | 06/01/2025 | |
| Ahern, Susan | Corporate officer | Individual | 01/01/2020 | |
| Allmond, Susan | Corporate officer | Individual | 01/01/2025 | |
| Christiansen, Karen | Corporate officer | Individual | 05/25/2010 | |
| Fox, Glenn | Corporate officer | Individual | 01/01/2018 | |
| Gerner, Elric | Corporate officer | Individual | 01/01/2010 | |
| Grant, Gerald | Corporate officer | Individual | 06/01/2005 | |
| Lawson, Daniel | Corporate officer | Individual | 01/01/2025 | |
| Mashner, Marvin | Corporate officer | Individual | 01/01/2025 | |
| Acts Management Services, Inc. | Operational/managerial control | Organization | 01/01/2012 | |
| Acts Retirement-Life Communities Inc | Operational/managerial control | Organization | 01/01/2012 | |
| Acts Retirement-Life Communities Management, LLC | Operational/managerial control | Organization | 12/31/2022 | |
| Ahern, Susan | Operational/managerial control | Individual | 01/01/2020 | |
| Christiansen, Karen | Operational/managerial control | Individual | 07/01/2014 | |
| Fox, Glenn | Operational/managerial control | Individual | 01/01/2018 | |
| Grant, Gerald | Operational/managerial control | Individual | 07/01/2014 | |
| U.s. Bank | Trustee of the SNF | Organization | 07/09/2025 | |
| Acts Management Services, Inc. | Adp of the SNF | Organization | 07/18/2025 | |
| Acts Retirement-Life Communities Inc | Adp of the SNF | Organization | 01/01/2012 | |
| Acts Retirement-Life Communities Management, LLC | Adp of the SNF | Organization | 07/18/2025 | |
| Baker Tilly Advisory Group LP | Adp of the SNF | Organization | 02/03/2025 | |
| Baker Tilly Us LLP | Adp of the SNF | Organization | 11/05/2024 | |
| U.s. Bank | Adp of the SNF | Organization | 07/12/2025 | |
| Ahern, Susan | Adp of the SNF | Individual | 01/01/2020 | |
| Binz-Perrone, Kristen | Adp of the SNF | Individual | 06/06/2023 | |
| Christiansen, Karen | Adp of the SNF | Individual | 05/25/2010 | |
| Fox, Glenn | Adp of the SNF | Individual | 01/01/2018 | |
| Grant, Gerald | Adp of the SNF | Individual | 08/01/2014 | |
| Janney, Brian | Adp of the SNF | Individual | 08/01/2022 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 4 problems in this area, most recently on July 29, 2025: "Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on September 3, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on September 3, 2024: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on October 3, 2023: "Provide doctor's orders for the resident's immediate care at the time the resident was admitted."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.56 hours per resident per day, below the Delaware average of 3.89.
Other nursing homes nearby
- Regal Heights Healthcare & Rehab Center Hockessin, 0.8 mi · 2 of 5 stars · 65 citations
- Complete Care at Brackenville LLC Hockessin, 2.2 mi · 4 of 5 stars · 30 citations
- Pike Creek Nursing & Rehabilitation Center Wilmington, 2.7 mi · 2 of 5 stars · 97 citations
- Coral Springs Rehab & Healthcare Wilmington, 2.9 mi · 2 of 5 stars · 63 citations
- Cadia Rehabilitation Pike Creek Wilmington, 3 mi · 4 of 5 stars · 35 citations
- Willowbrooke Court at Country House Wilmington, 3.3 mi · 5 of 5 stars · 5 citations
- Stonegates Greenville, 3.4 mi · 4 of 5 stars · 20 citations
- Excelcare at Wilmington LLC Wilmington, 4.7 mi · 3 of 5 stars · 22 citations
Delaware contacts for a concern about a nursing home
These are the official offices in Delaware. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Delaware Division of Health Care Quality, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Delaware Long-Term Care Ombudsman Program, 1-855-773-1002. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Delaware Licensed Nursing Homes, survey reports, where Delaware publishes its own records on licensed homes.
Common questions
- What is Willowbrooke Court at Cokesbury Village's Medicare star rating?
- CMS rates Willowbrooke Court at Cokesbury Village 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Willowbrooke Court at Cokesbury Village get at its last inspection?
- 4 health deficiencies at the standard inspection on July 29, 2025. The Delaware average is 10.9.
- Has Willowbrooke Court at Cokesbury Village been fined?
- CMS lists no fines in the last three years.
- Does Willowbrooke Court at Cokesbury Village accept Medicaid?
- CMS lists it as "Medicare", so it is not certified for Medicaid.
- Who owns Willowbrooke Court at Cokesbury Village?
- CMS lists 53 owners and managers, and links the home to Acts Retirement-Life Communities. Legal business name: ACTS RETIREMENT-LIFE COMMUNITIES INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.