Easton, MD

Willowbrooke Ct Skilled Care Ctr At Bayleigh Chase

2-star overall rating with 2-star inspections with abuse icon flag with 7 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle

501 Dutchman's Lane, Easton, MD

(410) 822-8888

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

99

Certified beds

Average residents

60

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Acts Retirement-Life Communities

Operator or chain grouping

Approved since

1982-01-26

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

26 facilities

Chain averages 5 overall / 4 health / 5 staffing / 5 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.96

Registered nurse staffing · state 0.81 · national 0.68

LPN hours / resident day

0.66

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.02

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

3.64

All reported nurse hours · state 3.87 · national 3.89

Licensed hours

1.63

RN + LPN hours · state 1.72 · national 1.54

Weekend hours

3.32

Weekend nurse staffing · state 3.46 · national 3.43

Weekend RN hours

0.74

Weekend registered nurse coverage · state 0.61 · national 0.47

Physical therapist

0.10

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

1.03

CMS adjusted RN staffing hours

Adjusted total hours

3.89

CMS adjusted total nurse staffing hours

Case-mix index

1.28

Higher values indicate more complex resident acuity

RN turnover

12%

Annual RN turnover · state 40% · national 45%

Total nurse turnover

21%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,883

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

53.29

Composite VBP score used to determine payment impact.

Payment multiplier

1.0080

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.83

Baseline 17.76% · Performance 18.73% · Measure score 5.83 · Achievement 5.83 · Improvement 0

Healthcare-associated infections

1.88

Baseline 6.16% · Performance 7.27% · Measure score 1.88 · Achievement 1.88 · Improvement 0

Total nurse turnover

10

Baseline 26.09% · Performance 20.00% · Measure score 10 · Achievement 10 · Improvement 9

Adjusted total nurse staffing

3.61

Baseline 4.08 hours · Performance 4.11 hours · Measure score 3.61 · Achievement 3.61 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.78%
10.72%
1.1 pts worse
No Different than the National Rate · Eligible stays 175 · Observed rate 12% · Lower 95% interval 8.69%
Discharge to community 79.43%
50.57%
28.9 pts better
Better than the National Rate · Eligible stays 150 · Observed rate 72.67% · Lower 95% interval 72.63%
Medicare spending per beneficiary 0.98
1.02
About the same
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 115 · Denominator 115
Falls with major injury 0.87%
0.77%
0.1 pts worse
Numerator 1 · Denominator 115
Discharge self-care score 58.62%
53.69%
4.9 pts better
Numerator 51 · Denominator 87
Discharge mobility score 49.43%
50.94%
1.5 pts worse
Numerator 43 · Denominator 87
Pressure ulcers or injuries, new or worsened 8.7%
2.29%
6.4 pts worse
Numerator 10 · Denominator 115 · Adjusted rate 9%
Healthcare-associated infections requiring hospitalization 7.27%
7.12%
0.1 pts worse
No Different than the National Rate · Eligible stays 108 · Observed rate 6.48% · Lower 95% interval 4.74%
Staff COVID-19 vaccination coverage 0.76%
8.2%
7.4 pts worse
Numerator 1 · Denominator 132
Staff flu vaccination coverage 98.63%
42%
56.6 pts better
Numerator 144 · Denominator 146
Discharge function score 64.37%
56.45%
7.9 pts better
Numerator 56 · Denominator 87
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 26 · Denominator 26
Transfer of health information to patient 100%
96.28%
3.7 pts better
Numerator 60 · Denominator 60
Resident COVID-19 vaccinations up to date 22.95%
25.2%
2.2 pts worse
Numerator 14 · Denominator 61

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.9
1.3
0.4 pts better
1.9
1 pts better
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.9 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.7
1.2
0.5 pts worse
1.8
0.1 pts better
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.5 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.0%
91.9%
5.1 pts better
93.4%
3.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.0% · Q3 96.0% · Q4 94.2% · 4Q avg 97.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
96.6%
3.4 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 5.0%
2.3%
2.7 pts worse
3.3%
1.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 6.0% · Q3 4.0% · Q4 5.8% · 4Q avg 5.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.0%
21.4%
21.4 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight 7.7%
5.7%
2 pts worse
5.4%
2.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 9.1% · Q3 2.1% · Q4 4.4% · 4Q avg 7.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 26.1%
16.1%
10 pts worse
19.6%
6.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 21.7% · Q2 25.5% · Q3 31.9% · Q4 25.0% · 4Q avg 26.1%
Percentage of long-stay residents who received an antipsychotic medication 23.4%
15.3%
8.1 pts worse
16.7%
6.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 23.5% · Q2 23.1% · Q3 22.0% · Q4 25.0% · 4Q avg 23.4% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 13.0%
26.6%
13.6 pts better
16.3%
3.3 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 13.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 22.4%
22.9%
0.5 pts better
14.9%
7.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 26.2% · Q2 27.3% · Q3 11.4% · Q4 25.0% · 4Q avg 22.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.5%
0.7%
0.8 pts worse
1.0%
0.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.4% · Q3 1.9% · Q4 1.3% · 4Q avg 1.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 1.0%
1.5%
0.5 pts better
1.7%
0.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.1% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 20.5%
25.4%
4.9 pts better
19.8%
0.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 18.0% · Q2 23.9% · Q3 21.6% · Q4 18.6% · 4Q avg 20.5%
Percentage of long-stay residents with pressure ulcers 11.0%
6.3%
4.7 pts worse
5.1%
5.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 17.5% · Q3 10.9% · Q4 5.4% · 4Q avg 11.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 89.0%
78.4%
10.6 pts better
81.7%
7.3 pts better
Short Stay · 2024Q4-2025Q3 · Q1 85.3% · Q2 89.4% · Q3 91.7% · Q4 90.0% · 4Q avg 89.0%
Percentage of short-stay residents who had an outpatient emergency department visit 16.2%
9.9%
6.3 pts worse
12.0%
4.2 pts worse
Short Stay · 20240701-20250630 · Adjusted 16.2% · Observed 14.4% · Expected 9.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.3%
1.3 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 89.4%
80.6%
8.8 pts better
79.7%
9.7 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 20.2%
21.2%
1 pts better
23.9%
3.7 pts better
Short Stay · 20240701-20250630 · Adjusted 20.2% · Observed 16.5% · Expected 19.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-17 · Fire 2025-01-17

7 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

11 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 2 Health 2019-07-12 · Fire 2019-07-12

16 health deficiencies

Top issue: Resident Assessment and Care Planning (5 deficiencies)

13 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 3 Health 2018-02-21 · Fire 2018-02-21

15 health deficiencies

Top issue: Resident Assessment and Care Planning (5 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-01-17

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-03-20

F · Potential for more than minimal harm 2025-01-17

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-20

F · Potential for more than minimal harm 2025-01-17

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-03-20

F · Potential for more than minimal harm 2025-01-17

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-03-20

F · Potential for more than minimal harm 2025-01-17

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-03-20

E · Potential for more than minimal harm 2025-01-17

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2025-03-20

E · Potential for more than minimal harm 2025-01-17

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2025-03-20

E · Potential for more than minimal harm 2025-01-17

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-03-20

D · Potential for more than minimal harm 2025-01-17

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-03-20

D · Potential for more than minimal harm 2025-01-17

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2025-03-20

D · Potential for more than minimal harm 2025-01-17

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-03-20

F · Potential for more than minimal harm 2019-07-12

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2019-10-15

F · Potential for more than minimal harm 2019-07-12

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2019-10-15

F · Potential for more than minimal harm 2019-07-12

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2019-10-15

F · Potential for more than minimal harm 2019-07-12

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2019-10-15

F · Potential for more than minimal harm 2019-07-12

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2019-10-15

E · Potential for more than minimal harm 2019-07-12

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-10-15

E · Potential for more than minimal harm 2019-07-12

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2019-10-15

E · Potential for more than minimal harm 2019-07-12

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2019-10-15

D · Potential for more than minimal harm 2019-07-12

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2019-10-15

D · Potential for more than minimal harm 2019-07-12

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2019-10-15

D · Potential for more than minimal harm 2019-07-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-10-15

D · Potential for more than minimal harm 2019-07-12

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2019-10-15

D · Potential for more than minimal harm 2019-07-12

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2019-10-15

F · Potential for more than minimal harm 2018-02-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2018-03-27

F · Potential for more than minimal harm 2018-02-21

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2018-03-27

D · Potential for more than minimal harm 2018-02-21

K163 · Construction Deficiencies

Fire Safety

Install noncombustible or limited-combustible interior walls.

Corrected 2018-03-27

D · Potential for more than minimal harm 2018-02-21

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2018-03-27

D · Potential for more than minimal harm 2018-02-21

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2018-03-27

D · Potential for more than minimal harm 2018-02-21

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2018-03-27

D · Potential for more than minimal harm 2018-02-21

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2018-03-27

D · Potential for more than minimal harm 2018-02-21

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2018-03-27

Inspection history

Recent health citations

J · Immediate jeopardy 2025-01-17

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-02-27

G · Actual harm 2025-01-17

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-02-27

F · Potential for more than minimal harm 2025-01-17

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2025-02-27

F · Potential for more than minimal harm 2025-01-17

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-02-27

F · Potential for more than minimal harm 2025-01-17

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2025-02-27

E · Potential for more than minimal harm 2025-01-17

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2025-02-27

E · Potential for more than minimal harm 2025-01-17

F943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Corrected 2025-02-27

D · Potential for more than minimal harm 2025-01-17

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-02-27

D · Potential for more than minimal harm 2025-01-17

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-02-27

D · Potential for more than minimal harm 2025-01-17

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-02-27

D · Potential for more than minimal harm 2025-01-17

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-02-27

D · Potential for more than minimal harm 2025-01-17

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-02-27

E · Potential for more than minimal harm 2019-07-12

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2019-08-31

E · Potential for more than minimal harm 2019-07-12

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2019-08-31

D · Potential for more than minimal harm 2019-07-12

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2019-08-31

D · Potential for more than minimal harm 2019-07-12

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2019-08-31

D · Potential for more than minimal harm 2019-07-12

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2019-08-31

D · Potential for more than minimal harm 2019-07-12

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2019-08-31

D · Potential for more than minimal harm 2019-07-12

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2019-08-31

D · Potential for more than minimal harm 2019-07-12

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2019-08-31

D · Potential for more than minimal harm 2019-07-12

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2019-08-31

D · Potential for more than minimal harm 2019-07-12

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2019-08-31

D · Potential for more than minimal harm 2019-07-12

F923 · Environmental Deficiencies

Health

Have enough outside ventilation via a window or mechanical ventilation, or both.

Corrected 2019-08-31

E · Potential for more than minimal harm 2018-02-21

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2018-04-30

E · Potential for more than minimal harm 2018-02-21

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2018-04-30

E · Potential for more than minimal harm 2018-02-21

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2018-04-30

E · Potential for more than minimal harm 2018-02-21

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2018-04-30

E · Potential for more than minimal harm 2018-02-21

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2018-04-30

E · Potential for more than minimal harm 2018-02-21

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2018-04-30

E · Potential for more than minimal harm 2018-02-21

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2018-04-30

E · Potential for more than minimal harm 2018-02-21

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2018-04-30

E · Potential for more than minimal harm 2018-02-21

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2018-04-30

D · Potential for more than minimal harm 2018-02-21

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2018-04-30

D · Potential for more than minimal harm 2018-02-21

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2018-04-30

D · Potential for more than minimal harm 2018-02-21

F625 · Resident Rights Deficiencies

Health

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.

Corrected 2018-04-30

D · Potential for more than minimal harm 2018-02-21

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2018-04-30

D · Potential for more than minimal harm 2018-02-21

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2018-04-30

D · Potential for more than minimal harm 2018-02-21

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2018-04-30

Penalties and ownership

What sits behind the stars

Ownership

Acts Communities Of Maryland, Inc.

Operational/Managerial Control · Organization

0% 4 facilities 2025-01-01
Acts Communities Of Maryland, Inc.

5% Or Greater Mortgage Interest · Organization

0% 4 facilities 2022-12-31
Acts Management Services, Inc.

Operational/Managerial Control · Organization

0% 27 facilities 2022-12-31
Acts Retirement-Life Communities Management, LLC

Operational/Managerial Control · Organization

0% 25 facilities 2022-12-31
Ahern, Susan

Corporate Officer · Individual

0% 27 facilities 2021-07-15
Christiansen, Karen

Operational/Managerial Control · Individual

0% 27 facilities 2022-12-31
Christiansen, Karen

Corporate Director · Individual

0% 27 facilities 2020-03-31
Christiansen, Karen

Corporate Officer · Individual

0% 27 facilities 2025-01-01
Clemes, George

Operational/Managerial Control · Individual

0% 1 facilities 2025-02-06
Detweiler, Harold

Corporate Director · Individual

0% 25 facilities 2025-01-01
Forrest, Anne

Corporate Director · Individual

0% 4 facilities 2025-01-01
Fox, Glenn

Operational/Managerial Control · Individual

0% 27 facilities 2022-12-31
Fox, Glenn

Corporate Officer · Individual

0% 27 facilities 2020-03-31
Grant, Gerald

Operational/Managerial Control · Individual

0% 29 facilities 2022-12-31
Grant, Gerald

Corporate Director · Individual

0% 29 facilities 2020-03-31
Grant, Gerald

Corporate Officer · Individual

0% 29 facilities 2025-01-01
Grant, Jonathan

Operational/Managerial Control · Individual

0% 6 facilities 2022-12-31
Grant, Jonathan

Corporate Officer · Individual

0% 6 facilities 2020-03-31
Kelly, Michael

Corporate Director · Individual

0% 33 facilities 2025-01-01
Lawson, Daniel

Corporate Director · Individual

0% 25 facilities 2025-01-01
Neary, Anne

Corporate Director · Individual

0% 4 facilities 2025-01-01
Paquette, Ellen

Corporate Director · Individual

0% 4 facilities 2025-01-01
Valdivia, Peggy

Operational/Managerial Control · Individual

0% 6 facilities 2025-01-01
Valdivia, Peggy

Corporate Officer · Individual

0% 6 facilities 2025-01-01

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Pines Nursing And Rehab

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1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $24,088 in total fines with 75 recent health deficiencies with 20 fire-safety deficiencies in the latest cycle

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#2

Autumn Lake Healthcare At Chesapeake Woods

Cambridge, MD

4-star overall rating with 4-star inspections with $50,879 in total fines with 12 recent health deficiencies with 19 fire-safety deficiencies in the latest cycle

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4 / 5
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4 / 5
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#3

Mallard Bay Nursing And Rehab

Cambridge, MD

1-star overall rating with 1-star inspections with 48 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

Overall
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1 / 5
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