CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 3954902026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Willowbrooke Court-Southampton

238 Street Road · Southampton, PA 18966 · Bucks County

CMS OVERALL RATING★★★★★5/5CMS field—not our score or recommendation
Certified beds29CMS provider file
Recent citation rows11current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12025-12-0502025-12-052
Cycle 22025-01-0802025-01-083
Cycle 32024-02-0802024-02-086
02 / CITATION DETAIL

11 rows in the current release

0 rows carry G–L scope/severity codes; 0 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2025-12-05 · FIREK0911Severity E · pattern; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

Correction field: Deficient, Provider has date of correction · 2026-01-09
2025-12-05 · FIREK0914Severity E · pattern; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Correction field: Deficient, Provider has date of correction · 2026-01-09
2025-01-08 · FIREK0131Severity E · pattern; potential for more than minimal harm

Construction Deficiencies

Meet requirements for sections of health care facilities separated by fire resistive construction.

Correction field: Deficient, Provider has date of correction · 2025-02-14
2025-01-08 · FIREK0211Severity E · pattern; potential for more than minimal harm

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Correction field: Deficient, Provider has date of correction · 2025-02-14
2025-01-08 · FIREK0372Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Correction field: Deficient, Provider has date of correction · 2025-02-14
2024-02-08 · FIREK0131Severity F · widespread; potential for more than minimal harm

Construction Deficiencies

Meet requirements for sections of health care facilities separated by fire resistive construction.

Correction field: Deficient, Provider has date of correction · 2024-03-18
2024-02-08 · FIREK0345Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Correction field: Deficient, Provider has date of correction · 2024-03-18
2024-02-08 · FIREK0353Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2024-03-18
2024-02-08 · FIREK0363Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Correction field: Deficient, Provider has date of correction · 2024-03-18
2024-02-08 · FIREK0911Severity E · pattern; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

Correction field: Deficient, Provider has date of correction · 2024-03-18
2024-02-08 · FIREK0912Severity E · pattern; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

Correction field: Deficient, Provider has date of correction · 2024-03-18
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • ACTS ACQUISITION AND DEVELOPMENT COMPANY LLCOrganization · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 01/01/2003
  • ACTS ALLIANCE MANAGEMENT LLCOrganization · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 12/31/2022
  • ACTS COMMUNITIES OF MARYLAND, INC.Organization · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 04/01/2019
  • ACTS LEGACY FOUNDATION, INC.Organization · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 12/31/2022
  • ACTS RETIREMENT SERVICES, INCOrganization · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 03/24/2009
  • ACTS RETIREMENT-LIFE COMMUNITIES MANAGEMENT, LLCOrganization · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 12/31/2022
  • ACTS SIGNATURE COMMUNITY SERVICES INCOrganization · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 12/31/2022
  • BONITA SPRINGS RETIREMENT VILLAGE INCOrganization · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 11/01/2024
  • MEASE LIFE INCOrganization · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 10/01/2023
  • ACTS RETIREMENT-LIFE COMMUNITIES INCOrganization · 5% OR GREATER MORTGAGE INTEREST
    NOT APPLICABLE · since 05/01/1997
  • ALLMOND, SUSANIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2015
  • BROD, KATHRYNIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 02/15/2024
  • CALLAWAY, WARRENIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 03/30/2022
  • CHAMBERLAIN, LINDAIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2025
  • CHRISTIANSEN, KARENIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2020
  • DETWEILER, HAROLDIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/26/2009
  • ESTERHAI, JOHNIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/26/2009
  • GERNER, ELRICIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 04/01/2009

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours4.00per resident day
RN hours1.45per resident day
Weekend nurse hours3.69per resident day
Staff turnover15.4%CMS reported field
06 / LOCAL RECORDS

Other published facilities nearby

Open the Pennsylvania ledger →

No second facility in the same city met the directory rule.

BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.