At a glance
Official CMS profileCMS overall rating
5 / 5
Certified beds
29
Residents / day
24
Ownership
Non profit - Corporation
Facility information
- Certification
- Medicare
- Ownership
- Non profit - Corporation
- County
- Bucks
- Certified beds
- 29
- Average residents per day
- 24
- First certified
- December 19, 1980
CMS quality ratings
- Overall
- 5 / 5
- Health inspections
- 5 / 5
- Staffing
- 5 / 5
- Quality measures
- 5 / 5
These are CMS quality ratings, not customer reviews.
How this home compares locally
Other homes in Bucks, Pennsylvania. Missing values are excluded; this home is excluded from peer averages.
| Measure | This home | County peers | State peers |
|---|---|---|---|
| CMS overall rating / 5 | 5.00 | 3.93 (n=28) | 3.02 |
| Nurse hours / resident / day | 3.88 | 4.10 (n=27) | 3.90 (n=639) |
| Weekend nurse hours / resident / day | 3.59 | 3.77 (n=27) | 3.52 (n=639) |
| Nursing staff turnover (%) | 12.50 | 41.29 (n=26) | 44.64 (n=611) |
CMS overall rating / 5
- This home
- 5.00
- County peers
- 3.93
- n=28
- State peers
- 3.02
Nurse hours / resident / day
- This home
- 3.88
- County peers
- 4.10
- n=27
- State peers
- 3.90
- n=639
Weekend nurse hours / resident / day
- This home
- 3.59
- County peers
- 3.77
- n=27
- State peers
- 3.52
- n=639
Nursing staff turnover (%)
- This home
- 12.50
- County peers
- 41.29
- n=26
- State peers
- 44.64
- n=611
Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology
Questions for your visit
- Reported weekend staffing is 7.6% below the all-days average. How is weekend coverage maintained?
- What has changed since your latest health inspection?
- CMS reports 12.5% total nursing staff turnover. How do you retain staff and maintain continuity of care?
- Which services are included, what costs extra, and can you provide a written care and payment plan?
Published record coverage
- Hospital measures
- 4
- Fire safety citations
- 11
- Health citations
- 0
- Resident measures
- 17
- Ownership records
- 56
- Penalties
- 0
- SNF rehabilitation measures
- 57
- Inspection summaries
- 3
- Medicare performance records
- 1
Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.
Full CMS profile
Staffing & operations
Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.
- Reported Total Nurse Staffing Hours per Resident per Day
- 3.88193
- Reported RN Staffing Hours per Resident per Day
- 1.49107
- Reported LPN Staffing Hours per Resident per Day
- 0.37836
- Reported Nurse Aide Staffing Hours per Resident per Day
- 2.01251
- Total number of nurse staff hours per resident per day on the weekend
- 3.58851
- Registered Nurse hours per resident per day on the weekend
- 1.26440
- Reported Physical Therapist Staffing Hours per Resident Per Day
- 0.38177
- Total nursing staff turnover
- 12.5
- Registered Nurse turnover
- 8.3
- Number of administrators who have left the nursing home
- 0
- Chain Name
- ACTS RETIREMENT-LIFE COMMUNITIES
- Number of Facilities in Chain
- 27
- Chain Average Overall 5-star Rating
- 4.9
- Special Focus Status
- Not reported
- Provider Changed Ownership in Last 12 Months
- N
- With a Resident and Family Council
- Resident
- Automatic Sprinkler Systems in All Required Areas
- Yes
All provider source fields
- State
- PA
- Urban
- Y
- Chain ID
- 9
- Latitude
- 40.1791
- Location
- 238 STREET ROAD,SOUTHAMPTON,PA,18966
- ZIP Code
- 18966
- City/Town
- SOUTHAMPTON
- Longitude
- -75.052
- QM Rating
- 5
- Abuse Icon
- N
- Chain Name
- ACTS RETIREMENT-LIFE COMMUNITIES
- County/Parish
- Bucks
- Provider Name
- WILLOWBROOKE COURT-SOUTHAMPTON
- Provider Type
- Medicare
- Overall Rating
- 5
- Ownership Type
- Non profit - Corporation
- Number of Fines
- 0
- Processing Date
- 2026-10-01
- Staffing Rating
- 5
- Provider Address
- 238 STREET ROAD
- Telephone Number
- 2153642550
- Geocoding Footnote
- Not reported
- QM Rating Footnote
- Not reported
- Legal Business Name
- ACTS RETIREMENT-LIFE COMMUNITIES INC
- Long-Stay QM Rating
- 5
- High Performing Icon
- Y
- Short-Stay QM Rating
- 5
- Special Focus Status
- Not reported
- Nursing Case-Mix Index
- 1.12929
- Chain Average QM Rating
- 4.5
- Overall Rating Footnote
- Not reported
- Health Inspection Rating
- 5
- Number of Certified Beds
- 29
- Provider SSA County Code
- 140
- Staffing Rating Footnote
- Not reported
- Number of Payment Denials
- 0
- Registered Nurse turnover
- 8.3
- Total Number of Penalties
- 0
- Reported Staffing Footnote
- Not reported
- Long-Stay QM Rating Footnote
- Not reported
- Nursing Case-Mix Index Ratio
- 0.80077
- Provider Resides in Hospital
- N
- Total nursing staff turnover
- 12.5
- Chain Average Staffing Rating
- 4.9
- Number of Facilities in Chain
- 27
- Short-Stay QM Rating Footnote
- Not reported
- CMS Certification Number (CCN)
- 395490
- Administrator turnover footnote
- Not reported
- Total Amount of Fines in Dollars
- 0.00
- Health Inspection Rating Footnote
- Not reported
- Rating Cycle 1 Total Health Score
- 0
- Registered Nurse turnover footnote
- Not reported
- Total Weighted Health Survey Score
- 0.000
- With a Resident and Family Council
- Resident
- Average Number of Residents per Day
- 24.0
- Chain Average Overall 5-star Rating
- 4.9
- Rating Cycle 1 Health Revisit Score
- 0
- Rating Cycle 2/3 Total Health Score
- 0
- Continuing Care Retirement Community
- Y
- Physical Therapist Staffing Footnote
- Not reported
- Rating Cycle 2/3 Health Revisit Score
- 0
- Total nursing staff turnover footnote
- Not reported
- Chain Average Health Inspection Rating
- 4.6
- Rating Cycle 1 Health Deficiency Score
- 0
- Rating Cycle 1 Standard Survey Footnote
- Not reported
- Rating Cycle 2 Standard Survey Footnote
- Not reported
- Rating Cycle 1 Number of Health Revisits
- 0
- Rating Cycle 2/3 Health Deficiency Score
- 0
- Rating Cycle 1 Standard Survey Health Date
- 2025-12-05
- Rating Cycle 2 Standard Health Survey Date
- 2025-01-08
- Rating Cycle 2/3 Number of Health Revisits
- 0
- Average Number of Residents per Day Footnote
- Not reported
- Provider Changed Ownership in Last 12 Months
- N
- Adjusted RN Staffing Hours per Resident per Day
- 1.84742
- Case-Mix RN Staffing Hours per Resident per Day
- 0.55385
- Reported RN Staffing Hours per Resident per Day
- 1.49107
- Adjusted LPN Staffing Hours per Resident per Day
- 0.46878
- Case-Mix LPN Staffing Hours per Resident per Day
- 0.69016
- Reported LPN Staffing Hours per Resident per Day
- 0.37836
- Automatic Sprinkler Systems in All Required Areas
- Yes
- Rating Cycle 1 Total Number of Health Deficiencies
- 0
- Most Recent Health Inspection More Than 2 Years Ago
- N
- Rating Cycle 2/3 Total Number of Health Deficiencies
- 0
- Rating Cycle 1 Number of Standard Health Deficiencies
- 0
- Rating Cycle 2 Number of Standard Health Deficiencies
- 0
- Reported Licensed Staffing Hours per Resident per Day
- 1.86942
- Number of Citations from Infection Control Inspections
- Not reported
- Rating Cycle 1 Number of Complaint Health Deficiencies
- 0
- Adjusted Nurse Aide Staffing Hours per Resident per Day
- 2.49348
- Case-Mix Nurse Aide Staffing Hours per Resident per Day
- 1.87970
- Number of administrators who have left the nursing home
- 0
- Reported Nurse Aide Staffing Hours per Resident per Day
- 2.01251
- Adjusted Total Nurse Staffing Hours per Resident per Day
- 4.80968
- Case-Mix Total Nurse Staffing Hours per Resident per Day
- 3.12370
- Rating Cycle 2/3 Number of Complaint Health Deficiencies
- 0
- Reported Total Nurse Staffing Hours per Resident per Day
- 3.88193
- Registered Nurse hours per resident per day on the weekend
- 1.26440
- Date First Approved to Provide Medicare and Medicaid Services
- 1980-12-19
- Reported Physical Therapist Staffing Hours per Resident Per Day
- 0.38177
- Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
- 4.44614
- Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
- 2.74909
- Total number of nurse staff hours per resident per day on the weekend
- 3.58851
COMMUNITY EXPERIENCE
Reviews of WILLOWBROOKE COURT-SOUTHAMPTON
Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.
No published community reviews yet.
Community reviews & discussions
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Third-party opinions are not verified CMS findings. Reviews have not been imported or combined into the CMS rating.
Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026