Willowbrooke Court Skilled Center At Manor House ratings, inspections, staffing, and fines

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.

Health inspections

starting point

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

no change (already 5)

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

no change (already 5)

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

5 of 5

Matches the rating CMS publishes on Care Compare.

2

Where it sits among Delaware homes

Willowbrooke Court Skilled Center At Manor House carries 15 inspection points. That is fewer than 91% of Delaware's 43 rated homes.

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

6 health citations on record since 2024. 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 5 4 pts

E 0 8 pts

F 1 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

Resident Assessment and Care Planning4D

D
Assure that each resident’s assessment is updated at least once every 3 months.
May 6, 2025 · Standard · F638 · Corrected June 13, 2025
D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
May 6, 2025 · Complaint · F656 · Corrected June 17, 2025
D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
May 6, 2025 · Standard · F657 · Corrected June 17, 2025
D
Ensure services provided by the nursing facility meet professional standards of quality.
June 3, 2024 · Standard · F658 · Corrected June 13, 2024

Nutrition and Dietary1F

F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
June 5, 2026 · Standard · F812 · Corrected July 3, 2026

Pharmacy Service1D

D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
June 3, 2024 · Standard · F757 · Corrected June 13, 2024

Inspection history

2026-06-05
1 health deficiencies · 0 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2025-05-06
3 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2024-06-03
2 health deficiencies · 0 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 4 h 18 min of nursing staff time a day, 1 h 15 min of it from a registered nurse.

This home

4 h 18 min

Delaware average

4 h 29 min

U.S. average

3 h 54 min

Registered nurse
Licensed practical nurse
Nurse aide

Turnover: 15% of nursing staff and 0% of registered nurses left in the past year.

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.

Measure	This home	State	U.S.
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10.8 pts better	95.3%	84.5%	82.3%
Percentage of short-stay residents who had an outpatient emergency department visit26.2 pts worse	37.0%	10.8%	11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts better	0.0%	0.9%	1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine8.3 pts better	96.7%	88.4%	80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission22.7 pts better	0.0%	22.7%	23.4%

·

Who owns and runs it

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

Show ownership list

Name	Role	Share	Homes
Acts Acquisition And Development Company LLC	Indirect Ownership Interest · Organization	0%	25 facilities
Acts Alliance Management LLC	Indirect Ownership Interest · Organization	0%	25 facilities
Acts Communities Of Maryland, Inc.	Indirect Ownership Interest · Organization	0%	25 facilities
Acts Legacy Foundation, Inc.	Indirect Ownership Interest · Organization	0%	25 facilities
Acts Management Services, Inc.	Operational/Managerial Control · Organization	0%	27 facilities
Acts Management Services, Inc.	Adp Of The SNF · Organization	0%	27 facilities
Acts Retirement Services, Inc	Indirect Ownership Interest · Organization	0%	26 facilities
Acts Retirement-Life Communities Inc	Operational/Managerial Control · Organization	0%	22 facilities
Acts Retirement-Life Communities Inc	Adp Of The SNF · Organization	0%	22 facilities
Acts Retirement-Life Communities Management, LLC	Indirect Ownership Interest · Organization	0%	27 facilities
Acts Retirement-Life Communities Management, LLC	Operational/Managerial Control · Organization	0%	27 facilities
Acts Retirement-Life Communities Management, LLC	Adp Of The SNF · Organization	0%	27 facilities
Acts Signature Community Services Inc	Indirect Ownership Interest · Organization	0%	25 facilities
Ahern, Susan	Corporate Officer · Individual	0%	27 facilities
Ahern, Susan	Operational/Managerial Control · Individual	0%	27 facilities
Ahern, Susan	Adp Of The SNF · Individual	0%	27 facilities
Allmond, Susan	Corporate Director · Individual	0%	23 facilities
Allmond, Susan	Corporate Officer · Individual	0%	23 facilities
Baker Tilly Advisory Group LP	Adp Of The SNF · Organization	0%	83 facilities
Baker Tilly Us Llp	Adp Of The SNF · Organization	0%	75 facilities
Bonita Springs Retirement Village Inc	Indirect Ownership Interest · Organization	0%	25 facilities
Brod, Kathryn	Corporate Director · Individual	0%	24 facilities
Callaway, Warren	Corporate Director · Individual	0%	21 facilities
Chamberlain, Linda	Corporate Director · Individual	0%	22 facilities
Christiansen, Karen	Corporate Director · Individual	0%	27 facilities
Christiansen, Karen	Corporate Officer · Individual	0%	27 facilities
Christiansen, Karen	Operational/Managerial Control · Individual	0%	27 facilities
Christiansen, Karen	Adp Of The SNF · Individual	0%	27 facilities
Detweiler, Harold	Corporate Director · Individual	0%	25 facilities
Esterhai, John	Corporate Director · Individual	0%	21 facilities
Fox, Glenn	Corporate Officer · Individual	0%	27 facilities
Fox, Glenn	Operational/Managerial Control · Individual	0%	27 facilities
Fox, Glenn	Adp Of The SNF · Individual	0%	27 facilities
Gerner, Elric	Corporate Director · Individual	0%	24 facilities
Gerner, Elric	Corporate Officer · Individual	0%	24 facilities
Glynn, James	Corporate Director · Individual	0%	23 facilities
Grant, Gerald	Corporate Director · Individual	0%	29 facilities
Grant, Gerald	Corporate Officer · Individual	0%	29 facilities
Grant, Gerald	Operational/Managerial Control · Individual	0%	29 facilities
Grant, Gerald	Adp Of The SNF · Individual	0%	29 facilities
Greer, Jason	Corporate Director · Individual	0%	21 facilities
Janney, Brian	Adp Of The SNF · Individual	0%	3 facilities
Kelly, Michael	Corporate Director · Individual	0%	30 facilities
Kupa, Joseph	Adp Of The SNF · Individual	0%	1 facilities
Lammers, John	Corporate Director · Individual	0%	21 facilities
Lawson, Daniel	Corporate Director · Individual	0%	25 facilities
Lawson, Daniel	Corporate Officer · Individual	0%	25 facilities
Mashner, Marvin	Corporate Director · Individual	0%	23 facilities
Mashner, Marvin	Corporate Officer · Individual	0%	23 facilities
Mease Life Inc	Indirect Ownership Interest · Organization	0%	25 facilities
Middlebrooks, Daniel	Corporate Director · Individual	0%	21 facilities
Reichard, Dawn	Corporate Director · Individual	0%	21 facilities
U.s. Bank	Trustee Of The SNF · Organization	0%	42 facilities
U.s. Bank	Adp Of The SNF · Organization	0%	42 facilities

·

Other homes nearby

Lofland Park Center
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Worst citation, 3 yrs
E

Nursing / resident / day
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Fines
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Worst citation, 3 yrs
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Nursing / resident / day
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Fines
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Worst citation, 3 yrs
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Nursing / resident / day
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Fines
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