Federal inspection record · CMS data as of October 1, 2026
Willow Brooke Ct Skilled Care Ctr At Heron Point
501 Campus Avenue, Chestertown, MD · (410) 778-7300
- Certified beds
- 38
- Residents per day
- 2
- Ownership
- Non-Profit
- Chain
- Acts Retirement-Life Communities
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 7, 1991
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Maryland.
-
Staffing
★★★★★no change (already 5)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
Not ratednot rated
CMS did not rate quality measures here, so they do not move the star.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Maryland homes
Willow Brooke Ct Skilled Care Ctr At Heron Point carries 29 inspection points. That is fewer than 92% of Maryland's 219 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Maryland: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–32 pts
- 4★ 32–72 pts
- 3★ 72–104.75 pts
- 2★ 104.75–158.12 pts
- 1★ over 158.12 pts
Bars show every rated home in Maryland by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
26 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care6E
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide routine and 24-hour emergency dental care for each resident.
Resident Rights5D
- D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- D
Give the resident's representative the ability to exercise the resident's rights.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Assessment and Care Planning5E
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- E
Assure that each resident’s assessment is updated at least once every 3 months.
- E
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Pharmacy Service5E
- D
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.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- E
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.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Freedom from Abuse, Neglect, and Exploitation2E
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Respond appropriately to all alleged violations.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services1E
- E
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspection history
2025-12-11
1 health deficiencies · 4 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2024-02-23
5 health deficiencies · 6 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
2019-04-09
20 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 6 min of nursing staff time a day, 1 h 55 min of it from a registered nurse.
This home
5 h 6 min
Maryland average
3 h 56 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$15,440 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-02-23 | Fine | $15,440 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine20.3 pts better | 100.0% | 79.7% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better | 0.0% | 1.1% | 1.5% |
·
Who owns and runs it
46 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Acts Acquisition And Development Company LLC | Indirect Ownership Interest · Organization | 0% | 25 facilities |
| Acts Alliance Management LLC | Indirect Ownership Interest · Organization | 0% | 25 facilities |
| Acts Communities Of Maryland, Inc. | Operational/Managerial Control · Organization | 0% | 25 facilities |
| Acts Communities Of Maryland, Inc. | Adp Of The SNF · Organization | 0% | 25 facilities |
| Acts Legacy Foundation, Inc. | Indirect Ownership Interest · Organization | 0% | 25 facilities |
| Acts Management Services, Inc. | Operational/Managerial Control · Organization | 0% | 27 facilities |
| Acts Management Services, Inc. | Adp Of The SNF · Organization | 0% | 27 facilities |
| Acts Retirement Services, Inc | Indirect Ownership Interest · Organization | 0% | 26 facilities |
| Acts Retirement-Life Communities Management, LLC | Operational/Managerial Control · Organization | 0% | 27 facilities |
| Acts Retirement-Life Communities Management, LLC | Adp Of The SNF · Organization | 0% | 27 facilities |
| Acts Signature Community Services Inc | Indirect Ownership Interest · Organization | 0% | 25 facilities |
| Ahern, Susan | Corporate Officer · Individual | 0% | 27 facilities |
| Ahern, Susan | Operational/Managerial Control · Individual | 0% | 27 facilities |
| Ahern, Susan | Adp Of The SNF · Individual | 0% | 27 facilities |
| Baker Tilly Advisory Group LP | Adp Of The SNF · Organization | 0% | 83 facilities |
| Baker Tilly Us Llp | Adp Of The SNF · Organization | 0% | 75 facilities |
| Bonita Springs Retirement Village Inc | Indirect Ownership Interest · Organization | 0% | 25 facilities |
| Christiansen, Karen | Corporate Director · Individual | 0% | 27 facilities |
| Christiansen, Karen | Corporate Officer · Individual | 0% | 27 facilities |
| Christiansen, Karen | Operational/Managerial Control · Individual | 0% | 27 facilities |
| Christiansen, Karen | Adp Of The SNF · Individual | 0% | 27 facilities |
| Detweiler, Harold | Corporate Director · Individual | 0% | 25 facilities |
| Forrest, Anne | Corporate Director · Individual | 0% | 4 facilities |
| Fox, Glenn | Corporate Officer · Individual | 0% | 27 facilities |
| Fox, Glenn | Operational/Managerial Control · Individual | 0% | 27 facilities |
| Fox, Glenn | Adp Of The SNF · Individual | 0% | 27 facilities |
| Grant, Gerald | Corporate Director · Individual | 0% | 29 facilities |
| Grant, Gerald | Corporate Officer · Individual | 0% | 29 facilities |
| Grant, Gerald | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Grant, Gerald | Adp Of The SNF · Individual | 0% | 29 facilities |
| Grant, Jonathan | Corporate Officer · Individual | 0% | 6 facilities |
| Grant, Jonathan | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Grant, Jonathan | Adp Of The SNF · Individual | 0% | 6 facilities |
| Kelly, Michael | Corporate Director · Individual | 0% | 30 facilities |
| Knaish, Kinan | Adp Of The SNF · Individual | 0% | 3 facilities |
| Kurz, Stellah | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Kurz, Stellah | Adp Of The SNF · Individual | 0% | 1 facilities |
| Lawson, Daniel | Corporate Director · Individual | 0% | 25 facilities |
| Mease Life Inc | Indirect Ownership Interest · Organization | 0% | 25 facilities |
| Neary, Anne | Corporate Director · Individual | 0% | 4 facilities |
| Paquette, Ellen | Corporate Director · Individual | 0% | 4 facilities |
| U.s. Bank | Trustee Of The SNF · Organization | 0% | 42 facilities |
| U.s. Bank | Adp Of The SNF · Organization | 0% | 42 facilities |
| Valdivia, Peggy | Corporate Officer · Individual | 0% | 6 facilities |
| Valdivia, Peggy | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Valdivia, Peggy | Adp Of The SNF · Individual | 0% | 6 facilities |
·
Fire safety
14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems4F
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper medical gas storage and administration areas.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Miscellaneous3F
- D
Have simulated fire drills held at unexpected times.
- F
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Egress1D
- D
Have exits that are accessible at all times.
Services1F
- F
Meet other general requirements that are deficient.
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Other homes nearby
-
Chestertown Nursing And Rehab
Chestertown, MD · Key Health Management
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- —
- Fines
- $3,418
-
Resorts At Chester River Manor Corp
Chestertown, MD
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 37 min
- Fines
- $0
-
Complete Care at Corsica Hills LLC
Centreville, MD · Complete Care
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 33 min
- Fines
- $55,564