Willowbrooke Court Skilled Care Center Fairhaven
Sykesville, Carroll County, Maryland · CCN 215130 · Non-profit (Corporation) · part of Acts Retirement-Life Communities (27 facilities, chain average 4.7 stars)
CMS rates Willowbrooke Court Skilled Care Center Fairhaven 4 of 5 overall as of August 2026. 79 certified beds, 41 residents a day on average. 32 citations on record from the current inspection cycles, 1 involving actual harm; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★☆ 4 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★★★★★ 5 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 3 / 3 of 5 |
Staffing
| Total nurse staffing | 4.5114 hours per resident per day |
|---|---|
| Registered nurses | 1.37486 hours per resident per day |
| Weekend total | 3.94858 hours per resident per day |
| Nursing staff turnover | 51.1% (registered nurses 55%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-07-18 complaint survey |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-09-25 |
| 2025-07-18 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-09-25 |
| 2025-07-18 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-09-25 |
| 2025-07-18 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-25 |
| 2025-07-18 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-25 |
| 2025-07-18 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · tag F0628 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-25 |
| 2025-07-18 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-25 |
| 2025-07-18 complaint survey |
Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-25 |
| 2025-07-18 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-25 |
| 2025-07-18 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-25 |
| 2025-07-18 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · tag F0756 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-25 |
| 2022-06-02 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2022-07-01 |
| 2022-06-02 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2022-07-01 |
| 2022-06-02 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-07-27 |
| 2022-06-02 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-07-27 |
| 2022-06-02 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-07-01 |
| 2022-06-02 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-07-01 |
| 2022-06-02 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-07-01 |
| 2018-11-15 | 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. Nursing and Physician Services Deficiencies · tag F0726 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2018-12-21 |
| 2018-11-15 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2018-12-21 |
| 2018-11-15 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · tag F0623 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2018-12-21 |
| 2018-11-15 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2018-12-21 |
| 2018-11-15 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2018-12-21 |
| 2018-11-15 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2018-12-21 |
| 2018-11-15 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2018-12-21 |
| 2018-11-15 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · tag F0725 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2018-12-21 |
| 2018-11-15 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · tag F0730 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2018-12-21 |
| 2018-11-15 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2018-12-21 |
| 2018-11-15 | 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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2018-12-21 |
| 2018-11-15 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2018-12-21 |
| 2018-11-15 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · tag F0835 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2018-12-21 |
| 2018-11-15 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2018-12-21 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Acts Communities Of Maryland, Inc. Organization | 5% or greater mortgage interest | — | 2022-12-31 |
| Acts Communities Of Maryland, Inc. Organization | adp of the snf | — | 2022-12-31 |
| Acts Management Services, Inc. Organization | adp of the snf | — | 2025-01-31 |
| Acts Retirement-Life Communities Management, LLC Organization | adp of the snf | — | 2025-01-31 |
| Baker Tilly Advisory Group Lp Organization | adp of the snf | — | 2025-02-03 |
| Baker Tilly US LLP Organization | adp of the snf | — | 2024-11-05 |
| U.S. Bank Organization | adp of the snf | — | 2025-07-10 |
| Acts Acquisition And Development Company LLC Organization | indirect ownership interest | — | 2022-12-31 |
| Acts Alliance Management LLC Organization | indirect ownership interest | — | 2022-12-31 |
| Acts Legacy Foundation, Inc. Organization | indirect ownership interest | — | 2022-12-31 |
| Acts Management Services, Inc. Organization | indirect ownership interest | — | 2022-12-31 |
| Acts Retirement Services, Inc. Organization | indirect ownership interest | — | 2022-12-31 |
| Acts Retirement-Life Communities Management, LLC Organization | indirect ownership interest | — | 2022-12-31 |
| Acts Signature Community Services Inc. Organization | indirect ownership interest | — | 2022-12-31 |
| Bonita Springs Retirement Village Inc. Organization | indirect ownership interest | — | 2024-11-01 |
| Mease Life Inc. Organization | indirect ownership interest | — | 2023-10-01 |
| Acts Communities Of Maryland, Inc. Organization | operational/managerial control | — | 2022-12-31 |
| Acts Management Services, Inc. Organization | operational/managerial control | — | 2022-12-31 |
| Acts Retirement-Life Communities Management, LLC Organization | operational/managerial control | — | 2022-12-31 |
| U.S. Bank Organization | trustee of the snf | — | 2025-07-09 |
| Ahern, Susan Individual | adp of the snf | — | 2025-01-01 |
| Athen, Michael Individual | adp of the snf | — | 2025-01-01 |
| Christiansen, Karen Individual | adp of the snf | — | 2025-01-01 |
| Fox, Glenn Individual | adp of the snf | — | 2025-01-01 |
| Grant, Gerald Individual | adp of the snf | — | 2025-01-01 |
| Grant, Jonathan Individual | adp of the snf | — | 2025-01-01 |
| Lakhani, Tasneem Individual | adp of the snf | — | 2025-01-01 |
| Valdivia, Peggy Individual | adp of the snf | — | 2025-01-01 |
| Christiansen, Karen Individual | corporate director | — | 2025-01-01 |
| Detweiler, Harold Individual | corporate director | — | 2025-01-01 |
| Forrest, Anne Individual | corporate director | — | 2025-01-01 |
| Grant, Gerald Individual | corporate director | — | 2025-01-01 |
| Kelly, Michael Individual | corporate director | — | 2025-01-01 |
| Lawson, Daniel Individual | corporate director | — | 2025-01-01 |
| Neary, Anne Individual | corporate director | — | 2025-01-01 |
| Paquette, Ellen Individual | corporate director | — | 2025-01-01 |
| Ahern, Susan Individual | corporate officer | — | 2025-01-01 |
| Christiansen, Karen Individual | corporate officer | — | 2025-01-01 |
| Fox, Glenn Individual | corporate officer | — | 2025-01-01 |
| Grant, Gerald Individual | corporate officer | — | 2025-01-01 |
| Grant, Jonathan Individual | corporate officer | — | 2025-01-01 |
| Valdivia, Peggy Individual | corporate officer | — | 2025-01-01 |
| Ahern, Susan Individual | managing control - governing body | — | 2025-01-01 |
| Christiansen, Karen Individual | managing control - governing body | — | 2025-01-01 |
| Fox, Glenn Individual | managing control - governing body | — | 2025-01-01 |
| Grant, Gerald Individual | managing control - governing body | — | 2025-01-01 |
| Grant, Jonathan Individual | managing control - governing body | — | 2025-01-01 |
| Valdivia, Peggy Individual | managing control - governing body | — | 2025-01-01 |
| Ahern, Susan Individual | operational/managerial control | — | 2025-01-01 |
| Athen, Michael Individual | operational/managerial control | — | 2025-01-01 |
| Christiansen, Karen Individual | operational/managerial control | — | 2025-01-01 |
| Fox, Glenn Individual | operational/managerial control | — | 2025-01-01 |
| Grant, Gerald Individual | operational/managerial control | — | 2025-01-01 |
| Grant, Jonathan Individual | operational/managerial control | — | 2025-01-01 |
| Valdivia, Peggy Individual | operational/managerial control | — | 2025-01-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Willowbrooke Court Skilled Care Center Fairhaven.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Carroll County.