Willowbrooke Court-Southampton
238 Street Road, Southampton, PA 18966
Willowbrooke Court-Southampton is a nursing home in Southampton, Pennsylvania. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 5 of 5CMS overall star rating
- 5 of 5CMS health inspection star rating
- 5 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (215) 364-2550
- Last standard health inspection
- December 5, 2025 (11 months ago)
- Certified beds
- 29
- Residents per day, on average
- 24
- Ownership type
- Non profit - Corporation
- Legal business name
- Acts Retirement-Life Communities INC
- Chain
- Acts Retirement-Life Communities
- Takes part in
- Medicare
Fewer health citations than the Pennsylvania average (0 vs 31).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
2 citations
Fire safety inspection on December 5, 2025
CMS lists this as a standard inspection.
Citation K0911. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Meet requirements for the installation and maintenance of electrical systems.
CMS lists it as corrected on January 9, 2026.
CMS has cited this home for K0911 2 times since 2024.
Citation K0914. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
CMS lists it as corrected on January 9, 2026.
3 citations
Fire safety inspection on January 8, 2025
CMS lists this as a standard inspection.
Citation K0131. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Meet requirements for sections of health care facilities separated by fire resistive construction.
CMS lists it as corrected on February 14, 2025.
CMS has cited this home for K0131 2 times since 2024.
Citation K0211. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on February 14, 2025.
Citation K0372. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on February 14, 2025.
CMS update of April 25, 2024
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5.
6 citations
Fire safety inspection on February 8, 2024
CMS lists this as a standard inspection.
Citation K0131. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Meet requirements for sections of health care facilities separated by fire resistive construction.
CMS lists it as corrected on March 18, 2024.
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on March 18, 2024.
Citation K0353. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on March 18, 2024.
Citation K0363. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on March 18, 2024.
Citation K0911. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Meet requirements for the installation and maintenance of electrical systems.
CMS lists it as corrected on March 18, 2024.
Citation K0912. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have power receptacles that are properly grounded.
CMS lists it as corrected on March 18, 2024.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- ACTS ACQUISITION AND DEVELOPMENT COMPANY LLCIndirect ownership interest · not applicable · since 01/01/2003
- ACTS ALLIANCE MANAGEMENT LLCIndirect ownership interest · not applicable · since 12/31/2022
- ACTS COMMUNITIES OF MARYLAND, INC.Indirect ownership interest · not applicable · since 04/01/2019
- ACTS LEGACY FOUNDATION, INC.Indirect ownership interest · not applicable · since 12/31/2022
- ACTS RETIREMENT SERVICES, INCIndirect ownership interest · not applicable · since 03/24/2009
- ACTS RETIREMENT-LIFE COMMUNITIES MANAGEMENT, LLCIndirect ownership interest · not applicable · since 12/31/2022
- ACTS SIGNATURE COMMUNITY SERVICES INCIndirect ownership interest · not applicable · since 12/31/2022
- BONITA SPRINGS RETIREMENT VILLAGE INCIndirect ownership interest · not applicable · since 11/01/2024
- MEASE LIFE INCIndirect ownership interest · not applicable · since 10/01/2023
- ACTS MANAGEMENT SERVICES, INC.Operational/managerial control · not applicable · since 01/01/2012
- ACTS RETIREMENT-LIFE COMMUNITIES INCOperational/managerial control · not applicable · since 01/01/2012
- ACTS RETIREMENT-LIFE COMMUNITIES MANAGEMENT, LLCOperational/managerial control · not applicable · since 12/31/2022
- AHERN, SUSANOperational/managerial control · not applicable · since 01/01/2020
- CHRISTIANSEN, KARENOperational/managerial control · not applicable · since 01/26/2009
- FOX, GLENNOperational/managerial control · not applicable · since 01/01/2017
- GRANT, GERALDOperational/managerial control · not applicable · since 01/26/2009
Questions
When was Willowbrooke Court-Southampton last inspected?
CMS lists December 5, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Willowbrooke Court-Southampton have?
CMS lists 0 health citations. CMS also calls these deficiencies.
Has Willowbrooke Court-Southampton been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Willowbrooke Court-Southampton?
Its CMS overall star rating is 5 of 5.
Is Willowbrooke Court-Southampton a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.