Provider Name: WILLOWBROOKE COURT AT COKESBURY VILLAGE
Address: 726 LOVEVILLE ROAD, HOCKESSIN, DE 19707
Phone: (302) 234-4444
County: New Castle (010)
Ownership Type: Non profit - Corporation
Certified Beds: 45
Average Residents Per Day: 5.1 ()
Provider Type: Medicare, Resides in Hospital: No
Legal Business Name: ACTS RETIREMENT-LIFE COMMUNITIES INC
First Approved Date: October 16, 1978
Affiliated Entity: ACTS RETIREMENT-LIFE COMMUNITIES (9)
Retirement Community: Y, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 5 ()
Long Stay QM Rating: 5 ()
Short Stay QM Rating: 5 ()
Staffing Rating: 5 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.19278, LPN Staff Hours Per Day: 0.5965, RN Staff Hours Per Day: 1.4224, Licensed Staff Hours Per Day: 2.0190
Total Nurse Staff Hours Per Day, per resident: 4.21182
Weekend Nurse Staff Hours: 4.05492, Weekend RN Staff Hours: 1.3472
PT Staff Hours Per Day, per resident: 1.0180
Nurse Staff Turnover: 39.0, Nurse Turnover Note:
RN Turnover: 23.1, RN Turnover Note:
Admin Left Number: 1, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 1.9797, Case Mix LPN Hours Per Day: 0.6506, Case Mix RN Hours Per Day: 0.2866
Adjusted Nurse Aide Hours Per Day, per resident: 2.25643, Adjusted LPN Hours Per Day: 0.6767, Adjusted RN Hours Per Day: 1.8702
Total Adjusted Nurse Hours Per Day, per resident: 4.55122
Adjusted Weekend Nurse Hours Per Day, per resident: 4.38168
Health Survey Dates and Scores: Cycle 1: 2023-10-03 (Score: 28), Cycle 2: 2021-10-21 (Score: 0), Cycle 3: 2019-06-03 (Score: 24)
Total Weighted Health Score: 18.000
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 650.00, Payment Denials Number: 0, Total Penalties Number: 1
Location and GPS: 726 LOVEVILLE ROAD,HOCKESSIN,DE,19707 (39.7732, -75.664)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-11-30
Type: Health, Deficiency: Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-11-30
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-11-30
Type: Health, Deficiency: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-11-30
Type: Health, Deficiency: Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-07-17
Type: Health, Deficiency: Ensure each resident receives an accurate assessment.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-07-17
Type: Health, Deficiency: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-07-17
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-07-17
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications: