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Willowbrooke Court at Country House

4830 Kennett Pike, Wilmington, DE 19807 · New Castle County · (302) 654-5101

14 certified beds, about 5 residents a day · Non profit - Corporation · Medicare since 1967

Overall
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 085003 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 23, 2026, inspectors cited 0 health deficiencies (the Delaware average is 10.9, the national average 9.2).

None of its 5 health citations since February 2024 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 3.92 hours per resident per day, against 4.35 across Delaware and 3.86 nationally. Registered nurses accounted for 1.32 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.

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 5 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
3D
1E
1F
Potential for minimal harm
0A
0B
0C
March 23, 2026Standard inspection · 0 citations
February 26, 2025Standard inspection, Complaint inspection · 2 citations
  1. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 24, 2025
    Inspectors wroteBased on clinical record review and interview, it was determined that for one (R3) out of one resident reviewed for hospitalization, the facility failed to send a copy of a hospital transfer notice to the Office of the State Long-Term Care Ombudsman.
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 24, 2025
    Inspectors wroteBased on interview and record review, it was determined that for one (R1) out of five residents reviewed for unnecessary medications, the facility failed to ensure that R1's physician order for weekly blood pressure (BP) monitoring on Mondays was completed.
February 9, 2024Standard inspection · 3 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 18, 2024
    Inspectors wroteBased on observation and interview during the initial kitchen tour, it was determined that the facility failed to ensure food was stored in accordance with professional standards for food service safety.
  2. E
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 18, 2024
    Inspectors wroteBased on record review and interview it was determined that for one (R4) out of five residents reviewed for clinical records, the facility failed to ensure that R4's medical records were complete and readily accessible as evidenced by the failure to upload the attending physician notes in the EMR (electronic medical record).
  3. D
    Ensure that the resident and his/her doctor meet face-to-face at all required visits.
    F712 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 18, 2024
    Inspectors wroteBased on record review and interview, it was determined that for one (R8) out of five residents reviewed for physician services, the facility failed to ensure the resident was seen for the required physician visits.

Fire safety inspections

1 fire safety citation on file: 1 on February 9, 2024.

Every fire safety citation1 citation
  1. E
    Establish staff and initial training requirements.
    E 37 · February 9, 2024 · Corrected (the home has a date of correction)

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.

MeasureThis homeDelawareUnited States
All nursing staff (RN, LPN and aides)3.924.353.86
Registered nurses1.320.970.69
All nursing staff on weekends3.733.893.42
Nurse aides2.15
Licensed practical nurses0.46
Nursing staff turnover (share who left in a year)not reported41.3%45.8%
Registered nurse turnovernot reported41.2%42.9%
Administrators who leftnot 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 3.99 on weekdays and 3.73 on weekends, 7% 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 4.12 in April to June 2025 to 3.92 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.921.323.993.73 0.0%0 of 905
Oct to Dec 20254.721.604.834.44 0.0%0 of 926
Jul to Sep 20253.881.324.013.54 0.0%0 of 926
Apr to Jun 20254.121.404.373.51 0.0%0 of 914
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Delaware, Jan to Mar 20264.050.794.213.675.7%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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Delaware

JobMedianMiddle halfEmployed
Delaware, all employers
CNAs (nursing assistants)$20.21$18.51 to $21.745,530
LPNs and LVNs$33.03$30.97 to $36.072,240
Registered nurses$47.85$41.30 to $53.7114,290
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Willowbrooke Court at Country House. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeDelawareUS
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.01.6
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
39.123.423.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
9.211.612.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Willowbrooke Court at Country House's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (69.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

69.8% this home

Better than the national rate

US median of homes 51.5% · Delaware: 17 better, 1 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 62 eligible stays.

Potentially preventable readmissions

10.8% this home

No different from the national rate

US median of homes 10.7% · Delaware: 1 better, 0 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 71 eligible stays.

Infections that led to a hospital stay

6.4% this home

No different from the national rate

US median of homes 7.1% · Delaware: 0 better, 0 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 44 eligible stays.

Self-care and mobility at discharge

88.9% this home

Median of homes: Delaware59.6% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 27 residents counted.

Falls with major injury

0.0% this home

Median of homes: Delaware0.8% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 40 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Delaware2.4% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 40 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Delaware98.7% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 18 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

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.

NameRoleTypeShareSince
Acts Acquisition and Development Company LLCIndirect ownership interestOrganization05/01/2010
Acts Alliance Management LLCIndirect ownership interestOrganization12/31/2022
Acts Communities of Maryland, Inc.Indirect ownership interestOrganization04/01/2019
Acts Legacy Foundation, Inc.Indirect ownership interestOrganization12/31/2022
Acts Management Services, Inc.Indirect ownership interestOrganization01/01/2012
Acts Retirement Services, IncIndirect ownership interestOrganization05/01/2010
Acts Retirement-Life Communities Management, LLCIndirect ownership interestOrganization12/31/2022
Acts Signature Community Services IncIndirect ownership interestOrganization03/24/2009
Bonita Springs Retirement Village IncIndirect ownership interestOrganization11/01/2024
Mease Life IncIndirect ownership interestOrganization10/01/2023
Allmond, SusanCorporate directorIndividual01/01/2015
Brod, KathrynCorporate directorIndividual02/15/2024
Callaway, WarrenCorporate directorIndividual03/30/2022
Chamberlain, LindaCorporate directorIndividual01/01/2025
Christiansen, KarenCorporate directorIndividual01/01/2020
Detweiler, HaroldCorporate directorIndividual11/01/2009
Esterhai, JohnCorporate directorIndividual05/01/1996
Gerner, ElricCorporate directorIndividual04/01/2009
Glynn, JamesCorporate directorIndividual01/01/2023
Grant, GeraldCorporate directorIndividual05/04/2017
Greer, JasonCorporate directorIndividual03/30/2022
Kelly, MichaelCorporate directorIndividual02/11/2020
Lammers, JohnCorporate directorIndividual12/15/2020
Lawson, DanielCorporate directorIndividual06/11/2019
Mashner, MarvinCorporate directorIndividual01/01/1991
Middlebrooks, DanielCorporate directorIndividual01/01/2023
Reichard, DawnCorporate directorIndividual06/01/2025
Ahern, SusanCorporate officerIndividual01/01/2020
Allmond, SusanCorporate officerIndividual01/01/2025
Christiansen, KarenCorporate officerIndividual05/25/2010
Fox, GlennCorporate officerIndividual01/01/2017
Gerner, ElricCorporate officerIndividual01/01/2010
Grant, GeraldCorporate officerIndividual05/04/2017
Lawson, DanielCorporate officerIndividual01/01/2025
Mashner, MarvinCorporate officerIndividual01/01/2025
Acts Management Services, Inc.Operational/managerial controlOrganization07/01/2014
Acts Retirement-Life Communities IncOperational/managerial controlOrganization07/01/2014
Acts Retirement-Life Communities Management, LLCOperational/managerial controlOrganization12/31/2022
Ahern, SusanOperational/managerial controlIndividual01/01/2020
Christiansen, KarenOperational/managerial controlIndividual05/25/2010
Fox, GlennOperational/managerial controlIndividual01/01/2017
Grant, GeraldOperational/managerial controlIndividual05/04/2017
U.s. BankTrustee of the SNFOrganization07/09/2025
Acts Management Services, Inc.Adp of the SNFOrganization07/18/2025
Acts Retirement-Life Communities IncAdp of the SNFOrganization07/01/2014
Acts Retirement-Life Communities Management, LLCAdp of the SNFOrganization07/18/2025
Baker Tilly Advisory Group LPAdp of the SNFOrganization02/03/2025
Baker Tilly Us LLPAdp of the SNFOrganization11/05/2024
U.s. BankAdp of the SNFOrganization07/12/2025
Ahern, SusanAdp of the SNFIndividual01/01/2020
Christiansen, KarenAdp of the SNFIndividual05/25/2010
Fox, GlennAdp of the SNFIndividual01/01/2017
Grant, GeraldAdp of the SNFIndividual05/04/2017
Greenwalt, JenniferAdp of the SNFIndividual01/01/2025
Janney, BrianAdp of the SNFIndividual08/01/2022

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.

  1. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on February 26, 2025: "Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on February 26, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on February 9, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on February 9, 2024: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.73 hours per resident per day, below the Delaware average of 3.89.

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Common questions

What is Willowbrooke Court at Country House's Medicare star rating?
CMS rates Willowbrooke Court at Country House 5 out of 5 stars overall, with 5 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 Country House get at its last inspection?
0 health deficiencies at the standard inspection on March 23, 2026. The Delaware average is 10.9.
Has Willowbrooke Court at Country House been fined?
CMS lists no fines in the last three years.
Does Willowbrooke Court at Country House accept Medicaid?
CMS lists it as "Medicare", so it is not certified for Medicaid.
Who owns Willowbrooke Court at Country House?
CMS lists 55 owners and managers, and links the home to Acts Retirement-Life Communities. Legal business name: ACTS RETIREMENT-LIFE COMMUNITIES INC.

Sources

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