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Willowbrooke Court Skilled Center at Manor House

1001 Middleford Road, Seaford, DE 19973 · Sussex County · (302) 629-4593

15 certified beds, about 11 residents a day · Non profit - Corporation · Medicare and Medicaid since 1967

Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
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 085009 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 5, 2026, inspectors cited 1 health deficiency (the Delaware average is 10.9, the national average 9.2).

None of its 6 health citations since June 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 4.05 hours per resident per day, against 4.35 across Delaware and 3.86 nationally. Registered nurses accounted for 1.25 of those hours.

23.1% of nursing staff left within the year CMS measured (Delaware average 41.3%).

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 6 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
0E
1F
Potential for minimal harm
0A
0B
0C
June 5, 2026Standard inspection · 1 citation
  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) July 3, 2026
    Inspectors wroteBased on observation and interview it was determined that the facility failed to ensure food was stored, prepared, and served in a manner that prevents food borne illness to the residents. 6/3/26 10:22 AM - During a tour of the kitchen, a heavy build up of dust clumps was present on the wall adjacent to a food prep table and the ice machine. The air filters of the ice machine were covered in a thick layer of dust.
May 6, 2025Standard inspection, Complaint inspection · 3 citations
  1. D
    Assure that each resident’s assessment is updated at least once every 3 months.
    F638 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · deficient, provider has June 13, 2025
    Inspectors wroteBased on record review and interview, it was determined that for one (R8) out of six reviewed for Resident Assessments, the facility failed to assess R8 no less than once every three months.
  2. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · deficient, provider has June 17, 2025
    Inspectors wroteBased on interview and record review, it was determined that for one (R8) out of five residents sampled for medication review, the facility failed to develop a comprehensive care plan for insomnia.
  3. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · deficient, provider has June 17, 2025
    Inspectors wroteBased on record review and interview, it was determined that for three (R5, R7, and R8) out of six sampled residents, the facility failed to have input from all required interdisciplinary team (IDT) members at the residents' care plan meetings.
June 3, 2024Standard inspection · 2 citations
  1. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 13, 2024
    Inspectors wroteBased on record review and interview, it was determined that for three (R1, R7, and R114) out of twelve residents reviewed for care plans, the facility failed to meet professional standards of the Delaware Board of Nursing Scope of Practice by having LPNs complete admission assessments and admission or progress notes.
  2. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 13, 2024
    Inspectors wroteBased on record review and interview it was determined that for three (R1, R4, and R7) out of five residents reviewed for medication review, the facility failed to ensure adequate monitoring of adverse effects.

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)4.054.353.86
Registered nurses1.250.970.69
All nursing staff on weekends3.573.893.42
Nurse aides2.00
Licensed practical nurses0.80
Nursing staff turnover (share who left in a year)23.1%41.3%45.8%
Registered nurse turnovernot reported41.2%42.9%
Administrators who left0

CMS expects 3.03 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 4.24 on weekdays and 3.57 on weekends, 16% 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 4.33 in April to June 2025 to 4.05 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.051.254.243.57 0.0%0 of 9011
Oct to Dec 20254.271.404.473.75 0.0%0 of 929
Jul to Sep 20254.311.434.483.87 0.0%0 of 9210
Apr to Jun 20254.331.444.563.78 0.0%0 of 917
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.

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
0.023.423.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
44.811.612.0

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.

NameRoleTypeShareSince
Acts Acquisition and Development Company LLCIndirect ownership interestOrganization07/01/2014
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 Retirement Services, IncIndirect ownership interestOrganization07/01/2014
Acts Retirement-Life Communities Management, LLCIndirect ownership interestOrganization12/31/2022
Acts Signature Community Services IncIndirect ownership interestOrganization12/31/2022
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 officerIndividual06/01/2005
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 controlIndividual07/01/2014
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
Janney, BrianAdp of the SNFIndividual08/01/2022
Kupa, JosephAdp of the SNFIndividual01/06/2023

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. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on May 6, 2025: "Assure that each resident’s assessment is updated at least once every 3 months."
  2. 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 June 5, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on June 3, 2024: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
  4. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.57 hours per resident per day, below the Delaware average of 3.89.

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Common questions

What is Willowbrooke Court Skilled Center at Manor House's Medicare star rating?
CMS rates Willowbrooke Court Skilled Center at Manor 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 Skilled Center at Manor House get at its last inspection?
1 health deficiency at the standard inspection on June 5, 2026. The Delaware average is 10.9.
Has Willowbrooke Court Skilled Center at Manor House been fined?
CMS lists no fines in the last three years.
Does Willowbrooke Court Skilled Center at Manor House accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Willowbrooke Court Skilled Center at Manor House?
CMS lists 54 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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