Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

WILLOWBROOKE COURT AT COUNTRY HOUSE

WILMINGTON, DE · 14 certified beds · Last Life Safety survey March 23, 2026

CMS Certification Number 085003 · first certified January 1967

Ownership

Operated by ACTS RETIREMENT-LIFE COMMUNITIES · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

1
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
0
Inspection & testing records
Of the citations on file

Position within DE

1 citations — more than 28% of the 44 certified nursing homes in DE. Compared within DE rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

When is the next survey likely?

The window opens March 2027 — about 5 months from now. This facility’s last Life Safety survey was March 2026. Facilities in DE are typically surveyed 12–13 months after the last one (median 12), measured over 54 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Emergency preparedness

1 of the 1 citations on file is Emergency Preparedness E-tags — every citation here is about the program, not the building. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

How that compares

Citations on file over three years

Compared with the median facility in DE, and nationally. Surveyors differ markedly between states, so the DE figure is the meaningful one.

This facility1DE median2National median11
Citations on file over three years, compared
MeasureCitations
This facility1
Median facility in DE2
Median facility nationally11

Survey history

Citations at each Life Safety survey
12024-0202025-0202026-03
Citations at each Life Safety survey
Survey dateCitations
February 9, 20241
February 26, 20250
March 23, 20260

Most-cited tags

Most-cited tags at this facility
E-00371
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
E-0037Establish staff and initial training requirements.12024-02-09

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 1
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

February 9, 2024 — 1 citation

Citations issued on February 9, 2024
TagWhat the surveyor checksStatus
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (March 18, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.