Nursing Care Index

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 measuresNot enough data available to calculate a rating (CMS footnote 2)

Staffing

Total nurse staffing4.74709 hours per resident per day
Registered nurses1.75684 hours per resident per day
Weekend total4.12206 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.

SurveyFindingSeverityStatus
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

DatePenaltyAmount
2024-02-23Fine$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.

NameRoleShareSince
Acts Communities Of Maryland, Inc.
Organization
adp of the snf2022-12-31
Acts Management Services, Inc.
Organization
adp of the snf2025-02-06
Acts Retirement-Life Communities Management, LLC
Organization
adp of the snf2025-02-06
Baker Tilly Advisory Group Lp
Organization
adp of the snf2025-02-03
Baker Tilly US LLP
Organization
adp of the snf2024-11-05
U.S. Bank
Organization
adp of the snf2025-07-10
Acts Acquisition And Development Company LLC
Organization
indirect ownership interest2022-12-31
Acts Alliance Management LLC
Organization
indirect ownership interest2022-12-31
Acts Legacy Foundation, Inc.
Organization
indirect ownership interest2022-12-31
Acts Retirement Services, Inc.
Organization
indirect ownership interest2022-12-31
Acts Signature Community Services Inc.
Organization
indirect ownership interest2022-12-31
Bonita Springs Retirement Village Inc.
Organization
indirect ownership interest2024-11-01
Mease Life Inc.
Organization
indirect ownership interest2023-10-01
Acts Communities Of Maryland, Inc.
Organization
operational/managerial control2022-12-31
Acts Management Services, Inc.
Organization
operational/managerial control2022-12-31
Acts Retirement-Life Communities Management, LLC
Organization
operational/managerial control2022-12-31
U.S. Bank
Organization
trustee of the snf2025-07-09
Ahern, Susan
Individual
adp of the snf2025-01-01
Christiansen, Karen
Individual
adp of the snf2025-01-01
Fox, Glenn
Individual
adp of the snf2025-01-01
Grant, Gerald
Individual
adp of the snf2025-01-01
Grant, Jonathan
Individual
adp of the snf2025-01-01
Knaish, Kinan
Individual
adp of the snf2025-01-01
Kurz, Stellah
Individual
adp of the snf2025-01-01
Valdivia, Peggy
Individual
adp of the snf2025-01-01
Christiansen, Karen
Individual
corporate director2022-12-31
Detweiler, Harold
Individual
corporate director2022-12-31
Forrest, Anne
Individual
corporate director2022-12-31
Grant, Gerald
Individual
corporate director2022-12-31
Kelly, Michael
Individual
corporate director2022-12-31
Lawson, Daniel
Individual
corporate director2022-12-31
Neary, Anne
Individual
corporate director2025-01-01
Paquette, Ellen
Individual
corporate director2025-01-01
Ahern, Susan
Individual
corporate officer2022-12-31
Christiansen, Karen
Individual
corporate officer2025-01-01
Fox, Glenn
Individual
corporate officer2022-12-31
Grant, Gerald
Individual
corporate officer2025-01-01
Grant, Jonathan
Individual
corporate officer2022-12-31
Valdivia, Peggy
Individual
corporate officer2022-12-31
Ahern, Susan
Individual
operational/managerial control2022-12-31
Christiansen, Karen
Individual
operational/managerial control2022-12-31
Fox, Glenn
Individual
operational/managerial control2022-12-31
Grant, Gerald
Individual
operational/managerial control2022-12-31
Grant, Jonathan
Individual
operational/managerial control2022-12-31
Kurz, Stellah
Individual
operational/managerial control2025-01-01
Valdivia, Peggy
Individual
operational/managerial control2022-12-31

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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.