WILLOWBROOKE COURT AT COKESBURY VILLAGE

HOCKESSIN, DE · 10 beds · Non profit - Corporation

100 Trust Score
Grade: A+ LOW Risk → Stable

Red Flags

No red flags identified.

Green Flags

  • ✓ 4-star health inspection rating
  • ✓ 4-star staffing rating
  • ✓ Below-average deficiency count (4 vs 14 state avg)
  • ✓ No fines or penalties on record
  • ✓ Above-average RN staffing (1.39 hrs vs 1.04 state avg)

Quick Facts

★★★★★
CMS Overall
★★★★☆
Health Inspection
4
0.3x state avg
Deficiencies
$0
Fines (3-yr)
★★★★☆
Staffing

Violation Timeline

July 28, 2025

4 deficiencyies
F0882 Potential Harm Scope/Severity: F

Infection Control Deficiencies

Show details

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

F0883 Potential Harm Scope/Severity: D

Infection Control Deficiencies

Show details

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

F0887 Potential Harm Scope/Severity: D

Infection Control Deficiencies

Show details

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.

F0943 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Show details

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

September 2, 2024

3 deficiencyies
F0756 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

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

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

Show details

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

F0880 Potential Harm Scope/Severity: E

Infection Control Deficiencies

Show details

Provide and implement an infection prevention and control program.

October 2, 2023

4 deficiencyies
F0635 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

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

F0758 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

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.

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

Show details

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

F0842 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

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

See full violation history →

Staffing

1.39
RN hrs/res/day
0.56
LPN hrs/res/day
2.17
CNA hrs/res/day
3.87
Weekend hrs/res/day
N/A
Total nurse turnover
N/A
RN turnover

A nurse checks on each resident roughly every 5.8 hours on average.

Fines & Penalties

No fines or penalties on record.

Ownership

Non profit - Corporation Chain: ACTS RETIREMENT-LIFE COMMUNITIES

  • KELLY, MICHAEL

    CORPORATE DIRECTOR

    Since since 02/11/2020

    Individual

  • LAMMERS, JOHN

    CORPORATE DIRECTOR

    Since since 12/15/2020

    Individual

  • LAWSON, DANIEL

    CORPORATE DIRECTOR

    Since since 06/11/2019

    Individual

  • ACTS RETIREMENT-LIFE COMMUNITIES INC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 01/01/2012

    NO PERCENTAGE PROVIDED Organization

  • ACTS MANAGEMENT SERVICES, INC.

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/2012

    Organization

  • ACTS RETIREMENT-LIFE COMMUNITIES INC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/2012

    Organization

  • ACTS RETIREMENT-LIFE COMMUNITIES MANAGEMENT, LLC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 12/31/2022

    Organization

  • AHERN, SUSAN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/2020

    Individual

  • CHRISTIANSEN, KAREN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 07/01/2014

    Individual

  • FOX, GLENN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/2018

    Individual

  • GRANT, GERALD

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 07/01/2014

    Individual

  • ALLMOND, SUSAN

    CORPORATE DIRECTOR

    Since since 01/01/2015

    Individual

  • BROD, KATHRYN

    CORPORATE DIRECTOR

    Since since 02/15/2024

    Individual

  • CALLAWAY, WARREN

    CORPORATE DIRECTOR

    Since since 03/30/2022

    Individual

  • CHAMBERLAIN, LINDA

    CORPORATE DIRECTOR

    Since since 01/01/2025

    Individual

  • DETWEILER, HAROLD

    CORPORATE DIRECTOR

    Since since 11/01/2009

    Individual

  • ESTERHAI, JOHN

    CORPORATE DIRECTOR

    Since since 05/01/1996

    Individual

  • GERNER, ELRIC

    CORPORATE DIRECTOR

    Since since 04/01/2009

    Individual

  • GLYNN, JAMES

    CORPORATE DIRECTOR

    Since since 01/01/2023

    Individual

  • GRANT, GERALD

    CORPORATE DIRECTOR

    Since since 05/04/2017

    Individual

  • GREER, JASON

    CORPORATE DIRECTOR

    Since since 03/30/2022

    Individual

  • MASHNER, MARVIN

    CORPORATE DIRECTOR

    Since since 01/01/1991

    Individual

  • MIDDLEBROOKS, DANIEL

    CORPORATE DIRECTOR

    Since since 01/01/2023

    Individual

  • REICHARD, DAWN

    CORPORATE DIRECTOR

    Since since 06/01/2025

    Individual

  • AHERN, SUSAN

    CORPORATE OFFICER

    Since since 01/01/2020

    Individual

  • ALLMOND, SUSAN

    CORPORATE OFFICER

    Since since 01/01/2025

    Individual

  • CHRISTIANSEN, KAREN

    CORPORATE OFFICER

    Since since 05/25/2010

    Individual

  • FOX, GLENN

    CORPORATE OFFICER

    Since since 01/01/2018

    Individual

  • GERNER, ELRIC

    CORPORATE OFFICER

    Since since 01/01/2010

    Individual

  • GRANT, GERALD

    CORPORATE OFFICER

    Since since 06/01/2005

    Individual

  • LAWSON, DANIEL

    CORPORATE OFFICER

    Since since 01/01/2025

    Individual

  • MASHNER, MARVIN

    CORPORATE OFFICER

    Since since 01/01/2025

    Individual

Questions about a facility? Explore your options.

Free resources for families navigating nursing home concerns.

Legal Help Home Care Alternatives

NurseCheck is not a law firm. This is a free informational resource.

Nearby Facilities in HOCKESSIN, DE

COMPLETE CARE AT BRACKENVILLE LLC

HOCKESSIN, DE

60 C
★★★★★ 8 deficiencies $16,801 fines

REGAL HEIGHTS HEALTHCARE & REHAB CENTER

HOCKESSIN, DE

0 F
★★☆☆☆ 26 deficiencies $140,261 fines