nursing home in Southampton, PA
Willowbrooke Court-Southampton
238 Street Road, Southampton, PA 18966 · (215) 364-2550
CMS overall star rating
- Health inspections★★★★★5
- Staffing★★★★★5
- Quality measures★★★★★5
- CMS high performer
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Willowbrooke Court-Southampton at a glance
Willowbrooke Court-Southampton is a 29-bed non-profit nursing home in Southampton, Pennsylvania (Bucks County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Pennsylvania average of 3.
Residents receive about 4 hours of nursing care per day (1.5 of them from registered nurses), close to the state average of 3.9 hours.
Its most recent standard health inspection (December 5, 2025) found 0 health citations. The Pennsylvania average is 10.
It has not received a federal fine in the past three years.
Nursing staff turnover is 15.4% per year (state average 44.5%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 29
- Certified for
- Medicare
- Chain / affiliated entity
- Acts Retirement-Life Communities
- Medicare-certified since
- December 19, 1980
- Continuing care retirement community
- Yes
- Resident/family council
- Resident
- County
- Bucks County
- CMS Certification Number
- 395490
Ratings
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 3 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 5 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 3 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.6 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 3.8 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.00 hrs | 3.89 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 1.45 hrs | 0.79 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.10 hrs | 2.19 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.69 hrs | 3.53 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 15.4% | 44.5% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 9.1% | 39.9% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 0 | 10 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 0 | 82.4 | 80.6 | Better |
Penalties
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $25,774 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 29 | 127 | 107 | |
| Average residents per day | 20 | 105 | 86 | |
| Occupancy | 69% | 84% | 80.9% |
Long-stay residents
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.2% | 3.1% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 2.1% | 4.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 8.6% | 17.7% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 6.5% | 1.5% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.7% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 10.5% | 16.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 9.2% | 17% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 7.7% | 6.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 10.8% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 17.9% | 20% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 18.3% | 25.5% | 19% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 87.5% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.4% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 100% | 68.7% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 100% | 70% | 82% | Better |
Inspection citations
State inspectors cited this home for 0 health deficiencies and 11 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| December 5, 2025 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | E Potential harm, pattern | Corrected January 9, 2026 |
| December 5, 2025 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | E Potential harm, pattern | Corrected January 9, 2026 |
| January 8, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected February 14, 2025 |
| January 8, 2025 Fire safety | Meet requirements for sections of health care facilities separated by fire resistive construction. Construction Deficiencies · Tag K0131 | E Potential harm, pattern | Corrected February 14, 2025 |
| January 8, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected February 14, 2025 |
| February 8, 2024 Fire safety | Meet requirements for sections of health care facilities separated by fire resistive construction. Construction Deficiencies · Tag K0131 | F Potential harm, widespread | Corrected March 18, 2024 |
| February 8, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected March 18, 2024 |
| February 8, 2024 Fire safety | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0912 | E Potential harm, pattern | Corrected March 18, 2024 |
| February 8, 2024 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | E Potential harm, pattern | Corrected March 18, 2024 |
| February 8, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected March 18, 2024 |
| February 8, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected March 18, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ACTS RETIREMENT-LIFE COMMUNITIES INC Organization | 5% or greater mortgage interest | NOT APPLICABLE | 05/01/1997 |
| ACTS MANAGEMENT SERVICES, INC. Organization | adp of the snf | NOT APPLICABLE | 01/01/2012 |
| ACTS RETIREMENT-LIFE COMMUNITIES INC Organization | adp of the snf | NOT APPLICABLE | 07/20/2025 |
| ACTS RETIREMENT-LIFE COMMUNITIES MANAGEMENT, LLC Organization | adp of the snf | NOT APPLICABLE | 12/31/2022 |
| AHERN, SUSAN Individual | adp of the snf | NOT APPLICABLE | 01/01/2020 |
| BAKER TILLY ADVISORY GROUP LP Organization | adp of the snf | NOT APPLICABLE | 02/03/2025 |
| BAKER TILLY US LLP Organization | adp of the snf | NOT APPLICABLE | 11/05/2024 |
| CHALFIN, ROBERT Individual | adp of the snf | NOT APPLICABLE | 01/01/2022 |
| CHRISTIANSEN, KAREN Individual | adp of the snf | NOT APPLICABLE | 08/01/2014 |
| FOX, GLENN Individual | adp of the snf | NOT APPLICABLE | 01/01/2017 |
| GRANT, GERALD Individual | adp of the snf | NOT APPLICABLE | 08/01/2014 |
| REED, TAYLOR Individual | adp of the snf | NOT APPLICABLE | 04/05/2021 |
| U.S. BANK Organization | adp of the snf | NOT APPLICABLE | 07/09/2025 |
| ALLMOND, SUSAN Individual | corporate director | NOT APPLICABLE | 01/01/2015 |
| BROD, KATHRYN Individual | corporate director | NOT APPLICABLE | 02/15/2024 |
| CALLAWAY, WARREN Individual | corporate director | NOT APPLICABLE | 03/30/2022 |
| CHAMBERLAIN, LINDA Individual | corporate director | NOT APPLICABLE | 01/01/2025 |
| CHRISTIANSEN, KAREN Individual | corporate director | NOT APPLICABLE | 01/01/2020 |
| DETWEILER, HAROLD Individual | corporate director | NOT APPLICABLE | 01/26/2009 |
| ESTERHAI, JOHN Individual | corporate director | NOT APPLICABLE | 01/26/2009 |
| GERNER, ELRIC Individual | corporate director | NOT APPLICABLE | 04/01/2009 |
| GLYNN, JAMES Individual | corporate director | NOT APPLICABLE | 01/01/2023 |
| GRANT, GERALD Individual | corporate director | NOT APPLICABLE | 05/04/2017 |
| GREER, JASON Individual | corporate director | NOT APPLICABLE | 03/30/2022 |
| KELLY, MICHAEL Individual | corporate director | NOT APPLICABLE | 02/11/2020 |
| LAMMERS, JOHN Individual | corporate director | NOT APPLICABLE | 12/15/2020 |
| LAWSON, DANIEL Individual | corporate director | NOT APPLICABLE | 06/11/2019 |
| MASHNER, MARVIN Individual | corporate director | NOT APPLICABLE | 01/26/2009 |
| MIDDLEBROOKS, DANIEL Individual | corporate director | NOT APPLICABLE | 01/01/2023 |
| REICHARD, DAWN Individual | corporate director | NOT APPLICABLE | 06/01/2025 |
| AHERN, SUSAN Individual | corporate officer | NOT APPLICABLE | 01/01/2020 |
| ALLMOND, SUSAN Individual | corporate officer | NOT APPLICABLE | 01/01/2025 |
| CHRISTIANSEN, KAREN Individual | corporate officer | NOT APPLICABLE | 08/01/2014 |
| FOX, GLENN Individual | corporate officer | NOT APPLICABLE | 01/01/2017 |
| GERNER, ELRIC Individual | corporate officer | NOT APPLICABLE | 01/01/2010 |
| GRANT, GERALD Individual | corporate officer | NOT APPLICABLE | 08/01/2014 |
| LAWSON, DANIEL Individual | corporate officer | NOT APPLICABLE | 01/01/2025 |
| MASHNER, MARVIN Individual | corporate officer | NOT APPLICABLE | 01/01/2025 |
| ACTS ACQUISITION AND DEVELOPMENT COMPANY LLC Organization | indirect ownership interest | NOT APPLICABLE | 01/01/2003 |
| ACTS ALLIANCE MANAGEMENT LLC Organization | indirect ownership interest | NOT APPLICABLE | 12/31/2022 |
Showing 40 of 56 records.
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Frequently asked questions
What is Willowbrooke Court-Southampton's rating?
Willowbrooke Court-Southampton has 5 out of 5 stars on the CMS overall star rating. The average for Pennsylvania nursing homes is 3 stars.
How many inspection citations did Willowbrooke Court-Southampton receive?
Its most recent standard health inspection found 0 citations, compared with a Pennsylvania average of 10. Every citation is listed on this page with its severity.
Does Willowbrooke Court-Southampton accept Medicare and Medicaid?
CMS lists it as certified for: Medicare. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Willowbrooke Court-Southampton?
It is non profit - corporation and part of Acts Retirement-Life Communities. The ownership section on this page lists the owners and managers reported to CMS.
Where is Willowbrooke Court-Southampton and how do I contact it?
Willowbrooke Court-Southampton is at 238 Street Road, Southampton, PA 18966. Phone: (215) 364-2550.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.