Unclaimed
Willowbrooke Court At Cokesbury Village
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Ratings Deep Dive
5 Deficiencies found in last inspections
0 Penalties in last 3 years
0 Fines issued
| Citation | Date | Description | Severity |
|---|---|---|---|
| — | Jul 29, 2025 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F |
| — | Jul 29, 2025 | 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. | D |
| — | Jul 29, 2025 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D |
| — | Jul 29, 2025 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| — | Sep 3, 2024 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D |
1.2 RN Hours / Resident / Day
3.7 Total Nurse Hours / Resident / Day
— RN Turnover Rate
— Long-Stay QM Rating
5.0 Short-Stay QM Rating
4.7 Avg Residents Per Day
| Measure | Score | Type |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | — | Long Stay |
| Percentage of long-stay residents who lose too much weight | — | Long Stay |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | — | Long Stay |
| Percentage of long-stay residents with a urinary tract infection | — | Long Stay |
| Percentage of long-stay residents who have depressive symptoms | — | Long Stay |
| Percentage of long-stay residents who were physically restrained | — | Long Stay |
| Percentage of long-stay residents experiencing one or more falls with major injury | — | Long Stay |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | — | Long Stay |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | — | Short Stay |
| Percentage of short-stay residents who newly received an antipsychotic medication | — | Short Stay |
Ownership & Compliance
Ownership Info
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Ownership Info CMS
5% OR GREATER DIRECT OWNERSHIP INTEREST ACTS RETIREMENT-LIFE COMMUNITIES INC
OPERATIONAL/MANAGERIAL CONTROL ACTS MANAGEMENT SERVICES, INC.
OPERATIONAL/MANAGERIAL CONTROL ACTS RETIREMENT-LIFE COMMUNITIES INC
OPERATIONAL/MANAGERIAL CONTROL ACTS RETIREMENT-LIFE COMMUNITIES MANAGEMENT, LLC
OPERATIONAL/MANAGERIAL CONTROL AHERN, SUSAN
OPERATIONAL/MANAGERIAL CONTROL CHRISTIANSEN, KAREN
OPERATIONAL/MANAGERIAL CONTROL FOX, GLENN
OPERATIONAL/MANAGERIAL CONTROL GRANT, GERALD
CORPORATE DIRECTOR ALLMOND, SUSAN
CORPORATE DIRECTOR BROD, KATHRYN
Recent Penalties
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