Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Willowbrooke Court Skilled Center At Manor House during CMS and state inspections, most recent first.
A resident with a diagnosis of insomnia was prescribed melatonin and received multiple doses, but the facility failed to develop a comprehensive care plan with measurable goals and interventions to address the insomnia. Staff confirmed that no care plan for insomnia was in place during the period reviewed.
A resident’s required quarterly MDS assessment was not completed within the mandated three-month interval. After an admission MDS and a subsequent significant change MDS were completed, the next quarterly MDS was started but remained incomplete and overdue by more than a month. The DON confirmed that the assessment was not finished and reported that there was a period when no qualified staff were available to complete the MDS.
The facility failed to ensure that required IDT members, specifically CNAs and physicians, provided documented input into the care plans of three residents. For each of these residents, multiple care plan meetings held after admission, significant change, and quarterly MDS assessments lacked evidence of CNA and physician participation or input. The SW reported that CNAs are always invited and that she attempts to include their input if they cannot attend, but could not show documentation of such input. The NHA stated that physician visits should align with care plan meetings and that care plan notes should reflect concerns from physician progress notes; however, physician visits did not occur before the meetings, and the care plan notes did not correlate with or show physician input.
The facility failed to adhere to the Delaware Board of Nursing Scope of Practice by allowing an LPN to complete admission assessments and progress notes for three residents. These tasks, which should be performed by an RN, were improperly delegated, as confirmed by the LPN involved. The issue was discussed with facility leadership during the exit conference.
The facility failed to monitor adverse effects for three residents on anticoagulant therapy. Despite care plans requiring monitoring, no evidence of such monitoring was found in the medical records. This deficiency was confirmed through interviews with facility staff.
Failure to Develop Care Plan for Insomnia
Penalty
Summary
A deficiency was identified when a resident admitted with a diagnosis of insomnia did not have a comprehensive care plan developed to address this condition. The clinical record showed that the resident was prescribed melatonin as needed for insomnia and received several doses, as documented in the Medication Administration Record. During an interview, a registered nurse confirmed that she would attempt non-pharmacological interventions according to the care plan, but acknowledged that no care plan addressing insomnia was in place for the resident during the relevant timeframe. There was no evidence that the facility developed a care plan with measurable goals and interventions for the resident's insomnia.
Failure to Complete Required Quarterly MDS Assessment
Penalty
Summary
The facility failed to ensure that a resident’s assessment was updated at least once every three months as required. The resident was admitted on 10/1/24, with an admission MDS completed on 10/7/24 and a significant change MDS completed on 12/27/24. A quarterly MDS was initiated on 3/26/25 but, as of 5/5/25, remained in progress and was overdue by 38 days. During an interview on 5/5/25 at 10:10 AM, the DON confirmed that the quarterly MDS had not been completed and explained that from 3/26/25 to 4/21/25 there was no qualified staff available to complete the MDS. These findings were discussed with facility leadership at the exit conference on 5/6/25 at 2:00 PM.
Lack of Required IDT (CNA and Physician) Input in Resident Care Plan Meetings
Penalty
Summary
The deficiency involves the facility’s failure to ensure that required interdisciplinary team (IDT) members, specifically CNAs and physicians, provided input into residents’ care plan meetings. For three residents, multiple care plan meeting notes lacked evidence of CNA and physician participation or input, despite completed MDS assessments and scheduled care plan meetings. One resident was admitted in May 2023 and had quarterly MDS assessments completed in September and December 2024 and March 2025, followed by care plan meetings on corresponding dates. Each of these care plan meeting notes lacked documentation of CNA and physician input. The SW stated that CNAs are always invited and that she attempts to include CNA input if they cannot attend, but she was unable to provide evidence of such input for the identified meetings. The NHA stated that physician visits should correlate with care plan meetings and that meeting notes should reflect concerns from physician progress notes. A second resident, admitted in August 2024, had significant change MDS assessments completed in September and November 2024 and a quarterly MDS in February 2025, with care plan meetings held shortly after each assessment. Each of these care plan meeting notes also lacked evidence of CNA and physician input. A third resident, admitted in October 2024, had an admission MDS, a significant change MDS, and a quarterly MDS in progress, with care plan meetings held after each assessment. Again, the care plan meeting notes lacked evidence of CNA and physician input. Review of physician progress notes and care plan meeting notes for all three residents showed that physician visits did not occur prior to the care plan meetings and that the care plan notes did not correlate with or reflect physician input. During interviews, the NHA confirmed that physician progress notes did not correlate with the care plan meeting notes and that the expected physician input was not documented.
Improper Delegation of Admission Assessments
Penalty
Summary
The facility failed to meet professional standards of the Delaware Board of Nursing Scope of Practice by allowing Licensed Practical Nurses (LPNs) to complete admission assessments and progress notes for residents, which is a responsibility designated for Registered Nurses (RNs). This deficiency was identified for three residents, R1, R7, and R114, during a review of their clinical records. For R1, who was admitted on May 1, 2024, the admission assessments, including bowel and bladder assessment, functional abilities assessment, wandering risk, and skilled evaluation assessment, were completed by an LPN, E4, on May 2, 2024. E4 confirmed in an interview that she was responsible for completing these assessments. Similarly, for R7, admitted on May 10, 2024, the long-term care evaluation, functional abilities assessment, side rail assessment, and COVID-19 admission screening were also completed by E4, the LPN, on the same day of admission. For R114, admitted on May 23, 2024, the admission progress note, wandering risk assessment, long-term care evaluation, and functional abilities assessment were completed by E4 on May 24, 2024. These findings were discussed with the Nursing Home Administrator (E1), Executive Director (E2), and Corporate representative (E3) during the exit conference on June 3, 2024.
Failure to Monitor Anticoagulant Therapy Side Effects
Penalty
Summary
The facility failed to ensure adequate monitoring of adverse effects for three residents who were on anticoagulant therapy. Resident 1 was admitted to the facility and prescribed apixaban for atrial fibrillation, with a care plan that included monitoring for side effects every shift. However, a review of the medical record revealed no evidence of such monitoring. This was confirmed in an interview with the Nursing Home Administrator (NHA). Similarly, Resident 4, who was also on anticoagulant therapy for atrial fibrillation, had a care plan that required monitoring and documentation of any adverse reactions. Despite this, there was no evidence of monitoring in the medical record. Resident 7, admitted for clot prevention, was prescribed Lovenox, with a care plan that included monitoring for adverse reactions. Again, no monitoring was documented. These findings were confirmed during interviews with the NHA and reviewed during an exit conference with facility leadership.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Seaford
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lofland Park Center | 0.2 mi | — | 0 | 0 |
| Seaford Center | 0.5 mi | — | 10 | 0 |
| Delaware Bay Rehabilitation And Healthcare Center | 11.7 mi | — | 2 | 0 |
| Delmar Nursing & Rehabilitation Center | 13 mi | — | 4 | 0 |
| Ocean Grove Post Acute | 17.1 mi | — | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.