Willowbrooke Ct Skilled Care Ctr At Bayleigh Chase
Easton, Talbot County, Maryland · CCN 215137 · Non-profit (Corporation) · part of Acts Retirement-Life Communities (27 facilities, chain average 4.7 stars)
CMS rates Willowbrooke Ct Skilled Care Ctr At Bayleigh Chase 2 of 5 overall as of August 2026. 99 certified beds, 61 residents a day on average. 38 citations on record from the current inspection cycles, 1 at immediate jeopardy; no fines on record.
On record
- Abuse icon. CMS marks this facility for a citation of abuse that led to harm, or a repeated potential for it, within the recent inspection cycles.
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 | ★★☆☆☆ 2 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★★★★☆ 4 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 4 / 5 of 5 |
Staffing
| Total nurse staffing | 3.59415 hours per resident per day |
|---|---|
| Registered nurses | 1.04292 hours per resident per day |
| Weekend total | 3.25374 hours per resident per day |
| Nursing staff turnover | 24.5% (registered nurses 33.3%) |
| Administrators who left | 2 |
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 |
|---|---|---|---|
| 2025-01-17 complaint survey |
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 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2025-02-27 |
| 2025-01-17 complaint survey |
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 2025-02-27 |
| 2025-01-17 complaint survey |
Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · tag F0730 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-02-27 |
| 2025-01-17 | 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 2025-02-27 |
| 2025-01-17 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · tag F0867 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-02-27 |
| 2025-01-17 complaint survey |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · tag F0835 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-02-27 |
| 2025-01-17 complaint survey |
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0943 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-02-27 |
| 2025-01-17 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 2025-02-27 |
| 2025-01-17 complaint survey |
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 2025-02-27 |
| 2025-01-17 | 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 2025-02-27 |
| 2025-01-17 complaint survey |
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 2025-02-27 |
| 2025-01-17 complaint survey |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-27 |
| 2019-07-12 | 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 2019-08-31 |
| 2019-07-12 | 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. Nursing and Physician Services Deficiencies · tag F0727 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2019-08-31 |
| 2019-07-12 | 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 2019-08-31 |
| 2019-07-12 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · tag F0640 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-08-31 |
| 2019-07-12 | 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 2019-08-31 |
| 2019-07-12 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · tag F0679 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-08-31 |
| 2019-07-12 | 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 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-08-31 |
| 2019-07-12 | 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 2019-08-31 |
| 2019-07-12 | 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 2019-08-31 |
| 2019-07-12 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-08-31 |
| 2019-07-12 | Have enough outside ventilation via a window or mechanical ventilation, or both. Environmental Deficiencies · tag F0923 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-08-31 |
| 2018-02-21 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2018-04-30 |
| 2018-02-21 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · tag F0565 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2018-04-30 |
| 2018-02-21 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · tag F0655 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2018-04-30 |
| 2018-02-21 | 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 2018-04-30 |
| 2018-02-21 | 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 2018-04-30 |
| 2018-02-21 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2018-04-30 |
| 2018-02-21 | 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 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2018-04-30 |
| 2018-02-21 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2018-04-30 |
| 2018-02-21 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2018-04-30 |
| 2018-02-21 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · tag F0582 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2018-04-30 |
| 2018-02-21 | 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 2018-04-30 |
| 2018-02-21 | 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. Resident Rights Deficiencies · tag F0625 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2018-04-30 |
| 2018-02-21 | 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 2018-04-30 |
| 2018-02-21 | 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 2018-04-30 |
| 2018-02-21 | 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 2018-04-30 |
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 | — | 2025-02-06 |
| Acts Retirement-Life Communities Management, LLC Organization | adp of the snf | — | 2025-02-06 |
| 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 Communities Of Maryland, Inc. Organization | direct ownership interest | — | 2022-12-31 |
| 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 Retirement Services, Inc. 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 | — | 2025-01-01 |
| 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 |
| Christiansen, Karen Individual | adp of the snf | — | 2025-01-01 |
| Clemes, George Individual | adp of the snf | — | 2025-02-06 |
| 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 |
| Knaish, Kinan Individual | adp of the snf | — | 2025-05-01 |
| Valdivia, Peggy Individual | adp of the snf | — | 2025-01-01 |
| Christiansen, Karen Individual | corporate director | — | 2020-03-31 |
| Detweiler, Harold Individual | corporate director | — | 2025-01-01 |
| Forrest, Anne Individual | corporate director | — | 2025-01-01 |
| Grant, Gerald Individual | corporate director | — | 2020-03-31 |
| 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 | — | 2021-07-15 |
| Christiansen, Karen Individual | corporate officer | — | 2025-01-01 |
| Fox, Glenn Individual | corporate officer | — | 2020-03-31 |
| Grant, Gerald Individual | corporate officer | — | 2025-01-01 |
| Grant, Jonathan Individual | corporate officer | — | 2020-03-31 |
| Valdivia, Peggy Individual | corporate officer | — | 2025-01-01 |
| Christiansen, Karen Individual | operational/managerial control | — | 2022-12-31 |
| Clemes, George Individual | operational/managerial control | — | 2025-02-06 |
| Fox, Glenn Individual | operational/managerial control | — | 2022-12-31 |
| Grant, Gerald Individual | operational/managerial control | — | 2022-12-31 |
| Grant, Jonathan Individual | operational/managerial control | — | 2022-12-31 |
| 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 Ct Skilled Care Ctr At Bayleigh Chase.
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 Talbot County.