Federal inspection record · CMS data as of October 1, 2026

Willowbrooke Court At Cokesbury Village

726 Loveville Road, Hockessin, DE · (302) 234-4444

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
10
Residents per day
4
Ownership
Non-Profit
Chain
Acts Retirement-Life Communities
Medicare / Medicaid
Medicare
Certified since
October 16, 1978

1

How this home got 5 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Delaware.

  2. Staffing

    +1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Delaware homes

Willowbrooke Court At Cokesbury Village carries 28 inspection points. That is fewer than 86% of Delaware's 43 rated homes.

5★4★3★2★1★05102550100200inspection points → fewer is better on the leftThis home · 28 pts · 4★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Delaware: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–20 pts
  • 4★ 20–57 pts
  • 3★ 57–80 pts
  • 2★ 80–139.25 pts
  • 1★ over 139.25 pts

Bars show every rated home in Delaware by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

11 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 7 4 pts
E 1 8 pts
F 3 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Infection Control4F
  1. F

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    July 29, 2025 · Standard · F882 · Corrected September 12, 2025

  2. D

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    July 29, 2025 · Standard · F883 · Corrected September 12, 2025

  3. 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.

    July 29, 2025 · Standard · F887 · Corrected September 12, 2025

  4. E

    Provide and implement an infection prevention and control program.

    September 3, 2024 · Standard · F880 · Corrected October 23, 2024

Nutrition and Dietary2F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    September 3, 2024 · Standard · F812 · Corrected October 23, 2024

  2. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    October 3, 2023 · Standard · F812 · Corrected November 30, 2023

Pharmacy Service2D
  1. D

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    September 3, 2024 · Standard · F756 · Corrected October 23, 2024

  2. 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.

    October 3, 2023 · Standard · F758 · Corrected November 30, 2023

Resident Assessment and Care Planning2D
  1. D

    Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

    October 3, 2023 · Standard · F635 · Corrected November 30, 2023

  2. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    October 3, 2023 · Standard · F842 · Corrected November 30, 2023

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    July 29, 2025 · Standard · F943 · Corrected September 12, 2025

Inspection history

  1. 2025-07-29

    4 health deficiencies · 0 fire-safety deficiencies

    Top issue: Infection Control (3 deficiencies)

  2. 2024-09-03

    3 health deficiencies · 0 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

  3. 2023-10-03

    4 health deficiencies · 0 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 35 min of nursing staff time a day, 1 h 55 min of it from a registered nurse.

This home

4 h 35 min

Delaware average

4 h 29 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.9 pts worse81.6%84.5%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit1.4 pts better9.4%10.8%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts better0.0%0.9%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.1 pts better90.5%88.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission4.6 pts worse27.3%22.7%23.4%

·

Who owns and runs it

53 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Acts Acquisition And Development Company LLCIndirect Ownership Interest · Organization0%25 facilities
Acts Alliance Management LLCIndirect Ownership Interest · Organization0%25 facilities
Acts Communities Of Maryland, Inc.Indirect Ownership Interest · Organization0%25 facilities
Acts Legacy Foundation, Inc.Indirect Ownership Interest · Organization0%25 facilities
Acts Management Services, Inc.Operational/Managerial Control · Organization0%27 facilities
Acts Management Services, Inc.Adp Of The SNF · Organization0%27 facilities
Acts Retirement Services, IncIndirect Ownership Interest · Organization0%26 facilities
Acts Retirement-Life Communities IncOperational/Managerial Control · Organization0%22 facilities
Acts Retirement-Life Communities IncAdp Of The SNF · Organization0%22 facilities
Acts Retirement-Life Communities Management, LLCIndirect Ownership Interest · Organization0%27 facilities
Acts Retirement-Life Communities Management, LLCOperational/Managerial Control · Organization0%27 facilities
Acts Retirement-Life Communities Management, LLCAdp Of The SNF · Organization0%27 facilities
Acts Signature Community Services IncIndirect Ownership Interest · Organization0%25 facilities
Ahern, SusanCorporate Officer · Individual0%27 facilities
Ahern, SusanOperational/Managerial Control · Individual0%27 facilities
Ahern, SusanAdp Of The SNF · Individual0%27 facilities
Allmond, SusanCorporate Director · Individual0%23 facilities
Allmond, SusanCorporate Officer · Individual0%23 facilities
Baker Tilly Advisory Group LPAdp Of The SNF · Organization0%83 facilities
Baker Tilly Us LlpAdp Of The SNF · Organization0%75 facilities
Binz-Perrone, KristenAdp Of The SNF · Individual0%1 facilities
Bonita Springs Retirement Village IncIndirect Ownership Interest · Organization0%25 facilities
Brod, KathrynCorporate Director · Individual0%24 facilities
Callaway, WarrenCorporate Director · Individual0%21 facilities
Chamberlain, LindaCorporate Director · Individual0%22 facilities
Christiansen, KarenCorporate Officer · Individual0%27 facilities
Christiansen, KarenOperational/Managerial Control · Individual0%27 facilities
Christiansen, KarenAdp Of The SNF · Individual0%27 facilities
Detweiler, HaroldCorporate Director · Individual0%25 facilities
Esterhai, JohnCorporate Director · Individual0%21 facilities
Fox, GlennCorporate Officer · Individual0%27 facilities
Fox, GlennOperational/Managerial Control · Individual0%27 facilities
Fox, GlennAdp Of The SNF · Individual0%27 facilities
Gerner, ElricCorporate Director · Individual0%24 facilities
Gerner, ElricCorporate Officer · Individual0%24 facilities
Glynn, JamesCorporate Director · Individual0%23 facilities
Grant, GeraldCorporate Director · Individual0%29 facilities
Grant, GeraldCorporate Officer · Individual0%29 facilities
Grant, GeraldOperational/Managerial Control · Individual0%29 facilities
Grant, GeraldAdp Of The SNF · Individual0%29 facilities
Greer, JasonCorporate Director · Individual0%21 facilities
Janney, BrianAdp Of The SNF · Individual0%3 facilities
Kelly, MichaelCorporate Director · Individual0%30 facilities
Lammers, JohnCorporate Director · Individual0%21 facilities
Lawson, DanielCorporate Director · Individual0%25 facilities
Lawson, DanielCorporate Officer · Individual0%25 facilities
Mashner, MarvinCorporate Director · Individual0%23 facilities
Mashner, MarvinCorporate Officer · Individual0%23 facilities
Mease Life IncIndirect Ownership Interest · Organization0%25 facilities
Middlebrooks, DanielCorporate Director · Individual0%21 facilities
Reichard, DawnCorporate Director · Individual0%21 facilities
U.s. BankTrustee Of The SNF · Organization0%42 facilities
U.s. BankAdp Of The SNF · Organization0%42 facilities

·

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