Nursing Home Medicare 5-star

Willowbrooke Court-Southampton

Strong Medicare quality ratings; public reviewers often praise well-maintained and clean facilities. Still worth an in-person visit.

238 Street Road, Southampton · Southampton, PA 18966|29 beds|Licensed & active

5/5

Medicare

Inspection

Quality

Staffing

Google rating

4.3/5

based on 75 Google reviews

(215) 364-2550 Directions Website

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What this means for your family

Willowbrooke Court-Southampton has a strong overall Medicare rating. RN hours meet the EveryPlace reference benchmark, which is one useful staffing signal to discuss during a visit. Public reviewers frequently mention: well-maintained and clean facilities and high-quality dining and restaurant services. Review the component ratings and current source records before deciding.

Google Reviews

80 public Google reviews available

Willowbrooke Court-Southampton generally receives high praise for its well-maintained grounds, friendly staff, and quality dining options. However, some families have reported significant concerns regarding communication, responsiveness of staff, and occasional administrative issues, particularly during high-stress periods like the pandemic or when dealing with specific resident needs.

Quality Themes

Tap a score for details

Strengths

Well-maintained and clean facilities
High-quality dining and restaurant services
Friendly and attentive nursing staff
Strong post-surgical rehabilitation coordination

Concerns

Poor communication and staff responsiveness (mentioned by 3 reviewers)
Rude or unprofessional administrative/reception staff (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 80 analyzed

How They Respond to Reviews

97%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

1With such a high CMS rating for staffing, how do you ensure that the nursing team stays consistently attentive to each resident's individual needs?
2Since the dining services are a highlight here, could you tell us more about how menus are planned and how much variety residents can expect?
3How does the administration ensure that families are kept updated and informed about any changes in a resident's care or daily routine?
4What is the process for coordinating care and communication between the facility and outside doctors, especially following a surgery or hospital discharge?
5In the event of a medical emergency during the night, what is the immediate protocol for the on-site nursing staff?
6What kind of daily activities or social events are organized to help the 29 residents stay engaged and connected with one another?

Personalized based on this facility's data

Key Review Excerpts

“The coordination between Nursing, PT, and Speech therapy was outstanding. Most importantly, the staff treated my grandparents like family, demonstrating a level of care that is truly rare.”

Rehab patient's family · 2026★★★★★

“The nurses were wonderful. They were true angles of mercy and I thank them from the bottom of my heart.”

Long-term resident's family · 2020★★★★☆

“Incompentant staff. Their staff has now missed two appointments (that they made) for our family to video call our COVID positive grandmother. An absolute slum of an operation.”

Long-term resident's family · 2020★☆☆☆☆

Source: 80 Google reviews in the current analysis set

Staffing

Staffing Hours

per resident/day · Medicare public data

RN Hours

1.45hrs

Registered nurses for medical care

Total Nursing

4.00hrs

98%

All nurses + aides combined

Staff Turnover

15%

Lower is better (< 30% = good)

RN Turnover

Lower is better (< 30% = good)

Total nursing hours are below the EveryPlace reference benchmark, though RN coverage meets its reference level. Ask how aides are staffed for daily tasks such as bathing and mobility.

Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating

5/ 5

Better Than Avg

measures

Worse Than Avg

measures

Long-Stay Residents

Residents with depression symptoms

↓ Lower is better

This Facility0.0%

Better than Avg

Here

0.0%

12.8%

10.8%

Bucks

15.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

Residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

93.5%

87.5%

Bucks

85.6%

Residents on antipsychotic medication

↓ Lower is better

This Facility8.6%

Better than Avg

Here

8.6%

15.4%

17.7%

Bucks

16.0%

Residents whose walking got worse

↓ Lower is better

This Facility9.2%

Better than Avg

Here

9.2%

14.1%

17.0%

Bucks

16.9%

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility18.3%

Better than Avg

Here

18.3%

19.0%

25.5%

Bucks

24.6%

Residents needing more daily help over time

↓ Lower is better

This Facility10.5%

Better than Avg

Here

10.5%

13.9%

16.8%

Bucks

15.9%

Short-Stay Residents (Rehab / Post-Acute)

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

79.8%

68.7%

Bucks

69.3%

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

82.0%

70.0%

Bucks

70.7%

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.0%

Better than Avg

Here

0.0%

1.6%

1.4%

Bucks

0.7%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

Detailed Medicare record · up to 3-year lookback

11findings in history

Latest survey: 0 · well below PA avg (10.1)

This facility has a concerning pattern of recurring building safety deficiencies across multiple surveys, with issues in fire safety systems, electrical systems, and emergency exits appearing repeatedly from 2024 through 2025. While all violations have been corrected according to provider reports, the persistence of similar safety infrastructure problems suggests ongoing maintenance challenges that families should discuss during visits to ensure resident safety systems are properly functioning.

Dec 5, 2025Routine2 findings

0911Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

0914Potential for harm · PatternCorrected

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.

Jan 8, 2025Routine3 findings

0131Potential for harm · PatternCorrected

Construction Deficiencies

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

0211Potential for harm · PatternCorrected

Egress Deficiencies

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

0372Potential for harm · PatternCorrected

Smoke Deficiencies

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

Feb 8, 2024Routine6 findings

0131Potential for harm · WidespreadCorrected

Construction Deficiencies

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

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0911Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

0912Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Willowbrooke Court-Southampton

Organization Type

nonprofit

Chain Affiliation

Chain Name

Acts Retirement-Life Communities

Chain Size

27 facilities nationwide

Chain avg rating: 4.8/5 · Rank 1 of 26 (Highest rating)