Willow Brooke Ct Skilled Care Ctr At Heron Point
Chestertown, Kent County, Maryland · CCN 215235 · Non-profit (Corporation) · part of Acts Retirement-Life Communities (27 facilities, chain average 4.7 stars)
CMS rates Willow Brooke Ct Skilled Care Ctr At Heron Point 5 of 5 overall as of August 2026. 38 certified beds, 2 residents a day on average. 26 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $15,440.
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 | ★★★★★ 5 of 5 |
|---|---|
| Health inspections | ★★★★★ 5 of 5 |
| Staffing | ★★★★★ 5 of 5 |
| Quality measures | Not enough data available to calculate a rating (CMS footnote 2) |
Staffing
| Total nurse staffing | 4.74709 hours per resident per day |
|---|---|
| Registered nurses | 1.75684 hours per resident per day |
| Weekend total | 4.12206 hours per resident per day |
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 |
|---|---|---|---|
| 2025-12-11 | 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 2026-01-31 |
| 2024-02-23 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 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance 2023-07-13 |
| 2024-02-23 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 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-04-08 |
| 2024-02-23 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-04-08 |
| 2024-02-23 | 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 2024-04-08 |
| 2024-02-23 | 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 2024-04-08 |
| 2024-02-23 complaint survey |
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 2024-04-08 |
| 2024-02-23 complaint survey |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · tag F0740 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-08 |
| 2024-02-23 | 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. Pharmacy Service Deficiencies · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-08 |
| 2024-02-23 | 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 2024-04-08 |
| 2024-02-23 | 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 2024-04-08 |
| 2019-04-09 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · tag F0636 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2019-05-24 |
| 2019-04-09 | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · tag F0638 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2019-05-24 |
| 2019-04-09 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · tag F0645 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2019-05-24 |
| 2019-04-09 | 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 2019-05-24 |
| 2019-04-09 | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · tag F0745 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2019-05-24 |
| 2019-04-09 | 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. Pharmacy Service Deficiencies · tag F0758 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2019-05-24 |
| 2019-04-09 | Give the resident's representative the ability to exercise the resident's rights. Resident Rights Deficiencies · tag F0551 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-05-24 |
| 2019-04-09 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · tag F0561 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-05-24 |
| 2019-04-09 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-05-24 |
| 2019-04-09 | 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 2019-05-24 |
| 2019-04-09 | 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 2019-05-24 |
| 2019-04-09 | 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 2019-05-24 |
| 2019-04-09 | 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 2019-05-24 |
| 2019-04-09 | Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · tag F0790 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-05-24 |
| 2019-04-09 | 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 2019-05-24 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-02-23 | Fine | $15,440 |
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 | 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 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 | — | 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 |
| 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 |
| Knaish, Kinan Individual | adp of the snf | — | 2025-01-01 |
| Kurz, Stellah Individual | adp of the snf | — | 2025-01-01 |
| Valdivia, Peggy Individual | adp of the snf | — | 2025-01-01 |
| Christiansen, Karen Individual | corporate director | — | 2022-12-31 |
| Detweiler, Harold Individual | corporate director | — | 2022-12-31 |
| Forrest, Anne Individual | corporate director | — | 2022-12-31 |
| Grant, Gerald Individual | corporate director | — | 2022-12-31 |
| Kelly, Michael Individual | corporate director | — | 2022-12-31 |
| Lawson, Daniel Individual | corporate director | — | 2022-12-31 |
| Neary, Anne Individual | corporate director | — | 2025-01-01 |
| Paquette, Ellen Individual | corporate director | — | 2025-01-01 |
| Ahern, Susan Individual | corporate officer | — | 2022-12-31 |
| Christiansen, Karen Individual | corporate officer | — | 2025-01-01 |
| Fox, Glenn Individual | corporate officer | — | 2022-12-31 |
| Grant, Gerald Individual | corporate officer | — | 2025-01-01 |
| Grant, Jonathan Individual | corporate officer | — | 2022-12-31 |
| Valdivia, Peggy Individual | corporate officer | — | 2022-12-31 |
| Ahern, Susan Individual | operational/managerial control | — | 2022-12-31 |
| Christiansen, Karen Individual | operational/managerial control | — | 2022-12-31 |
| 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 |
| Kurz, Stellah Individual | operational/managerial control | — | 2025-01-01 |
| Valdivia, Peggy Individual | operational/managerial control | — | 2022-12-31 |
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 Willow Brooke Ct Skilled Care Ctr At Heron Point.
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 Kent County.