Federal inspection record · CMS data as of October 1, 2026
Willowbrooke Ct Skilled Care Buckingham's Choice
3200 Baker Circle, Adamstown, MD · (301) 644-1636
- CMS high-performer trophy
- Certified beds
- 42
- Residents per day
- 27
- Ownership
- Non-Profit
- Chain
- Acts Retirement-Life Communities
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 18, 2000
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.
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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.
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Quality measures
★★★★★no change (already 5)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Maryland homes
Willowbrooke Ct Skilled Care Buckingham's Choice carries 28 inspection points. That is fewer than 93% 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
23 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning12E
- E
Ensure each resident receives an accurate assessment.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Ensure each resident receives an accurate assessment.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Assure that each resident’s assessment is updated at least once every 3 months.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Nutrition and Dietary3F
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights3D
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Quality of Life and Care2D
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nursing and Physician Services1E
- E
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Pharmacy Service1D
- 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.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2026-02-17
4 health deficiencies · 7 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2024-11-22
6 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2019-08-19
13 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (7 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 5 min of nursing staff time a day, 1 h 26 min of it from a registered nurse.
This home
4 h 5 min
Maryland average
3 h 56 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 8% of nursing staff and 0% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts better | 0.6 | 1.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better | 0.8 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.9 pts better | 100.0% | 93.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.9 pts better | 100.0% | 96.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.5 pts better | 0.0% | 2.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms23.8 pts better | 0.0% | 23.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.4 pts better | 2.0% | 5.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication12.2 pts better | 4.6% | 16.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.7 pts better | 5.4% | 14.1% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased13.3 pts better | 6.3% | 19.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts worse | 1.3% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.1 pts better | 1.3% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence20.8 pts better | 3.4% | 24.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.1 pts worse | 6.8% | 5.7% | 4.5% |
| 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 had an outpatient emergency department visit3.7 pts worse | 13.1% | 9.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better | 0.0% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine18.7 pts better | 100.0% | 81.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.3 pts better | 16.9% | 20.2% | 23.4% |
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Who owns and runs it
48 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. | Direct Ownership Interest · Organization | 0% | 25 facilities |
| Acts Communities Of Maryland, Inc. | 5% Or Greater Mortgage 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 Inc | Indirect Ownership Interest · Organization | 0% | 22 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 | 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 |
| Grimmel, Eric | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Grimmel, Eric | Adp Of The SNF · Individual | 0% | 1 facilities |
| Kelly, Michael | Corporate Director · Individual | 0% | 30 facilities |
| Lakhani, Tasneem | Adp Of The SNF · Individual | 0% | 2 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 |
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Fire safety
14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Construct fire resistant interior walls.
- E
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- E
Install corridor and hallway doors that block smoke.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install an approved automatic sprinkler system.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Egress3E
- E
Meet other general requirements.
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- B
Have properly located and lighted "Exit" signs.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have proper medical gas storage and administration areas.
Miscellaneous2F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D
Have simulated fire drills held at unexpected times.
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Other homes nearby
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Frederick Crossing Of Journey
Frederick, MD
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 10 min
- Fines
- $13,538
-
Autumn Lake Healthcare At Braddock Heights
Frederick, MD · Autumn Lake Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 24 min
- Fines
- $0
-
Northampton Manor Nursing And Rehabilitation Cente
Frederick, MD · Fundamental Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 28 min
- Fines
- $16,562