WILLOWBROOKE COURT SKILLED CENTER AT MANOR HOUSE

1001 MIDDLEFORD ROAD
SEAFORD, DE, 19973
3026294593
CCN: 085009
5
Overall
5
Health
5
Staffing
5
Quality
ChainACTS RETIREMENT-LIFE COMMUNITIES
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
ACTS RETIREMENT-LIFE COMMUNITIES INC5% OR GREATER DIRECT OWNERSHIP INTEREST100%
GLYNN, JAMESCORPORATE DIRECTORNOT APPLICABLE
BROD, KATHRYNCORPORATE DIRECTORNOT APPLICABLE
CALLAWAY, WARRENCORPORATE DIRECTORNOT APPLICABLE
CHAMBERLAIN, LINDACORPORATE DIRECTORNOT APPLICABLE
CHRISTIANSEN, KARENCORPORATE DIRECTORNOT APPLICABLE
DETWEILER, HAROLDCORPORATE DIRECTORNOT APPLICABLE
ESTERHAI, JOHNCORPORATE DIRECTORNOT APPLICABLE
GERNER, ELRICCORPORATE DIRECTORNOT APPLICABLE
GRANT, GERALDCORPORATE DIRECTORNOT APPLICABLE
GREER, JASONCORPORATE DIRECTORNOT APPLICABLE
KELLY, MICHAELCORPORATE DIRECTORNOT APPLICABLE
LAMMERS, JOHNCORPORATE DIRECTORNOT APPLICABLE
LAWSON, DANIELCORPORATE DIRECTORNOT APPLICABLE
MASHNER, MARVINCORPORATE DIRECTORNOT APPLICABLE
MIDDLEBROOKS, DANIELCORPORATE DIRECTORNOT APPLICABLE
REICHARD, DAWNCORPORATE DIRECTORNOT APPLICABLE
ALLMOND, SUSANCORPORATE DIRECTORNOT APPLICABLE
CHRISTIANSEN, KARENCORPORATE OFFICERNOT APPLICABLE
FOX, GLENNCORPORATE OFFICERNOT APPLICABLE
GERNER, ELRICCORPORATE OFFICERNOT APPLICABLE
GRANT, GERALDCORPORATE OFFICERNOT APPLICABLE
LAWSON, DANIELCORPORATE OFFICERNOT APPLICABLE
MASHNER, MARVINCORPORATE OFFICERNOT APPLICABLE
AHERN, SUSANCORPORATE OFFICERNOT APPLICABLE
ALLMOND, SUSANCORPORATE OFFICERNOT APPLICABLE
ACTS MANAGEMENT SERVICES, INC.OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ACTS RETIREMENT-LIFE COMMUNITIES MANAGEMENT, LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
AHERN, SUSANOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CHRISTIANSEN, KARENOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
FOX, GLENNOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GRANT, GERALDOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ACTS RETIREMENT-LIFE COMMUNITIES INCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (18)
2025-05-06 · Health
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2024-06-03 · Health
D
F757 · Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
2023-06-21 · Health
D
F758 · Pharmacy Service Deficiencies
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.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2021-11-05 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F758 · Pharmacy Service Deficiencies
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.
D
F756 · Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
G
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F688 · Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
F636 · Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
F585 · Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
4.31
3.68
RN Hrs/Resident/Day
1.43
0.54
LPN Hrs/Resident/Day
0.65
0.81
CNA Hrs/Resident/Day
2.23
2.33
PT Hrs/Resident/Day
0.54
0.12
Data as of 2026-03-01