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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D7 | E1 | F3 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jul 29, 2025 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Sep 3, 2024 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Sep 3, 2024 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Oct 3, 2023 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Oct 3, 2023 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Oct 21, 2021 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D7 | E1 | F3 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 29, 2025 | F-0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Sep 12, 2025 | |
| Jul 29, 2025 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 12, 2025 | |
| Jul 29, 2025 | F-0887 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates 22 facilities.
27 facilities in 9 states. CMS chain ID 9.
Chain average overall rating (CMS): 4.9
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| ACTS Acquisition and Development Company LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | May 1, 2010 |
| ACTS Alliance Management LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2022 |
| ACTS Communities of Maryland, Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2019 |
| ACTS Legacy Foundation, Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2022 |
| ACTS Retirement Services, Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 24, 2009 |
| ACTS Retirement-Life Communities Management, LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2022 |
| ACTS Signature Community Services Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2022 |
| Bonita Springs Retirement Village Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 1, 2024 |
| Mease Life Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2023 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| ACTS Acquisition and Development Company LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | May 1, 2010 |
| ACTS Alliance Management LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2022 |
| ACTS Communities of Maryland, Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2019 |
| ACTS Legacy Foundation, Inc | Organization | Indirect owner |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Willowbrooke Ct Skilled Care Ctr Westminster Vlg 500 Spanish Fort Blvd, Spanish Fort, AL 36527 CCN 015381 | 60 | Apr 8, 2021 | 18 | — | |
| Willowbrooke Ct Skilled Care Ctr at Magnolia Trace One Crown Circle, Huntsville, AL 35802 CCN 015450 | 59 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Willowbrooke Court at Country House 4830 Kennett Pike, Wilmington, DE 19807 CCN 085003 | 14 | Mar 23, 2026 | 6 | — | |
| Willowbrooke Court Skilled Center at Manor House 1001 Middleford Road, Seaford, DE 19973 CCN 085009 | 15 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Regal Heights Healthcare & Rehab Center 6525 Lancaster Pike, Hockessin, DE 19707 CCN 085006Abuse icon | 1.3 km | 172 | May 23, 2026 | 571 IJ3 harm | $94k | |
| Complete Care at Brackenville LLC 100 St. Claire Drive, Hockessin, DE 19707 CCN 085042 | 3.5 km | 104 | Mar 5, 2026 | 301 harm | $17k | |
| Pike Creek Nursing & Rehabilitation Center 5651 Limestone Road, Wilmington, DE 19808 CCN 085033SFF Candidate | 4.3 km | 177 | Aug 26, 2026 | 1043 IJ3 harm3 open | $221k | |
| Coral Springs Rehab & Healthcare 505 Greenbank Road, Wilmington, DE 19808 CCN 085004 | 4.7 km | 169 | Dec 8, 2025 | 731 IJ3 harm | $99k | |
| Cadia Rehabilitation Pike Creek 3540 Three Little Bakers Blvd, Wilmington, DE 19808 CCN 085054 | 4.8 km | 177 | Jul 1, 2026 | 354 IJ1 harm | $106k | |
| Willowbrooke Court at Country House 4830 Kennett Pike, Wilmington, DE 19807 CCN 085003 | 5.4 km | 14 | Mar 23, 2026 | 6 | — | |
| Stonegates 4031 Kennett Pike, Greenville, DE 19807 CCN 085026 | 5.4 km | 49 | Dec 12, 2025 | 201 IJ | $49k | |
| Excelcare at Wilmington LLC 2801 W. 6th Street, Wilmington, DE 19805 CCN 085002 | 7.5 km | 150 | May 7, 2026 | 141 IJ | $38k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 085017 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 085017 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| D · Potential harm Isolated |
| Corrected Sep 12, 2025 |
| Jul 29, 2025 | F-0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 12, 2025 |
| Sep 3, 2024 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Oct 23, 2024 |
| Sep 3, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Oct 23, 2024 |
| Sep 3, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Oct 23, 2024 |
| Oct 3, 2023 | F-0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 30, 2023 |
| Oct 3, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Nov 30, 2023 |
| Oct 3, 2023 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 30, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.99 (case-mix index 1.28).
| INDIRECT OWNERSHIP INTEREST |
| not provided |
| Dec 31, 2022 |
| ACTS Retirement Services, Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 24, 2009 |
| ACTS Retirement-Life Communities Management, LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2022 |
| ACTS Signature Community Services Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2022 |
| Bonita Springs Retirement Village Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 1, 2024 |
| Mease Life Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2023 |
| ACTS Management Services, Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2012 |
| ACTS Retirement-Life Communities Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2012 |
| ACTS Retirement-Life Communities Management, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 31, 2022 |
| Susan Ahern | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2020 |
| Karen Christiansen | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2014 |
| Glenn Fox | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2018 |
| Gerald Grant | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2014 |
| Susan Allmond | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2015 |
| Kathryn Brod | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 15, 2024 |
| Warren Callaway | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Mar 30, 2022 |
| Linda Chamberlain | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2025 |
| Harold Detweiler | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Nov 1, 2009 |
| John Esterhai | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 1, 1996 |
| Elric Gerner | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Apr 1, 2009 |
| James Glynn | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2023 |
| Gerald Grant | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 4, 2017 |
| Jason Greer | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Mar 30, 2022 |
| Michael Kelly | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 11, 2020 |
| John Lammers | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 15, 2020 |
| Daniel Lawson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 11, 2019 |
| Marvin Mashner | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 1991 |
| Daniel Middlebrooks | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2023 |
| Dawn Reichard | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 1, 2025 |
| Susan Ahern | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2020 |
| Susan Allmond | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2025 |
| Karen Christiansen | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 25, 2010 |
| Glenn Fox | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2018 |
| Elric Gerner | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2010 |
| Gerald Grant | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 1, 2005 |
| Daniel Lawson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2025 |
| Marvin Mashner | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2025 |
| U.s. Bank | Organization | Trustee | TRUSTEE OF THE SNF | not provided | Jul 9, 2025 |
| ACTS Management Services, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 18, 2025 |
| ACTS Retirement-Life Communities Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2012 |
| ACTS Retirement-Life Communities Management, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 18, 2025 |
| Baker Tilly Advisory Group LP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 3, 2025 |
| Baker Tilly US LLP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Nov 5, 2024 |
| U.s. Bank | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 12, 2025 |
| Susan Ahern | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2020 |
| Kristen Binz-Perrone | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 6, 2023 |
| Karen Christiansen | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 25, 2010 |
| Glenn Fox | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2018 |
| Gerald Grant | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2014 |
| Brian Janney | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2022 |
| May 17, 2022 |
13 |
| — |
| Willowbrooke Court at Country House 4830 Kennett Pike, Wilmington, DE 19807 CCN 085003 | 14 | Mar 23, 2026 | 6 | — |
| Willowbrooke Court Skilled Center at Manor House 1001 Middleford Road, Seaford, DE 19973 CCN 085009 | 15 | Jun 5, 2026 | 63 open | — |
| Willowbrooke Court at St Andrews Estates 6152 N Verde Trail, Boca Raton, FL 33433 CCN 105355 | 89 | May 1, 2025 | 23 | — |
| Willowbrooke Court at Azalea Trace 10100 Hillview Dr, Pensacola, FL 32514 CCN 105444 | 24 | Aug 7, 2025 | 3 | — |
| Willowbrooke Court Skilled Care Center - Edgewater 23305 Blue Water Circle, Boca Raton, FL 33433 CCN 105489 | 60 | Mar 27, 2025 | 9 | — |
| Willowbrooke Court at Indian River Estates 2440 Citrus Blossom Cir, Vero Beach, FL 32966 CCN 105593 | 40 | Apr 24, 2026 | 6 | — |
| Jun 5, 2026 |
63 open |
| — |