Nursing Care Index

Willowbrooke Ct Skilled Care Buckingham's Choice

Adamstown, Frederick County, Maryland · CCN 215329 · Non-profit (Corporation) · part of Acts Retirement-Life Communities (27 facilities, chain average 4.7 stars)

CMS rates Willowbrooke Ct Skilled Care Buckingham's Choice 5 of 5 overall as of August 2026. 42 certified beds, 25 residents a day on average. 23 citations on record from the current inspection cycles; 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★★★★★ 5 of 5
Health inspections★★★★★ 5 of 5
Staffing★★★★★ 5 of 5
Quality measures★★★★★ 5 of 5
Quality: long-stay / short-stay5 / 4 of 5

Staffing

Total nurse staffing4.32181 hours per resident per day
Registered nurses1.53535 hours per resident per day
Weekend total3.84211 hours per resident per day
Nursing staff turnover11.5% (registered nurses 0%)
Administrators who left0

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
2026-02-17 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-02-26
2026-02-17 Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Nursing and Physician Services Deficiencies · tag F0712
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-02-26
2026-02-17 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
2026-02-26
2026-02-17 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
2026-02-26
2024-11-22 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-12-13
2024-11-22 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
2024-12-13
2024-11-22 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
2024-12-13
2024-11-22 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
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-12-13
2024-11-22 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
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-12-13
2024-11-22
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
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-12-13
2019-08-19 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
2019-10-17
2019-08-19 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · tag F0578
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2019-10-17
2019-08-19 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
2019-10-17
2019-08-19 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · tag F0584
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2019-10-17
2019-08-19 Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies · tag F0638
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2019-10-17
2019-08-19 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
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2019-10-17
2019-08-19 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
2019-10-17
2019-08-19 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
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2019-10-17
2019-08-19 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
2019-10-17
2019-08-19 Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident Assessment and Care Planning Deficiencies · tag F0661
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2019-10-17
2019-08-19 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
2019-10-17
2019-08-19 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
2019-10-17
2019-08-19 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
2019-10-17

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.

NameRoleShareSince
Acts Communities Of Maryland, Inc.
Organization
5% or greater mortgage interest2022-12-31
Acts Communities Of Maryland, Inc.
Organization
adp of the snf2022-12-31
Acts Management Services, Inc.
Organization
adp of the snf2025-02-03
Acts Retirement-Life Communities Management, LLC
Organization
adp of the snf2025-02-03
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 Communities Of Maryland, Inc.
Organization
direct ownership interest2022-12-31
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 Retirement-Life Communities 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
Grimmel, Eric
Individual
adp of the snf2025-01-01
Lakhani, Tasneem
Individual
adp of the snf2025-01-01
Valdivia, Peggy
Individual
adp of the snf2025-01-01
Christiansen, Karen
Individual
corporate director2020-03-31
Detweiler, Harold
Individual
corporate director2025-01-01
Forrest, Anne
Individual
corporate director2025-01-01
Grant, Gerald
Individual
corporate director2020-03-31
Kelly, Michael
Individual
corporate director2025-01-01
Lawson, Daniel
Individual
corporate director2025-01-01
Neary, Anne
Individual
corporate director2025-01-01
Paquette, Ellen
Individual
corporate director2025-01-01
Ahern, Susan
Individual
corporate officer2021-07-15
Christiansen, Karen
Individual
corporate officer2025-01-01
Fox, Glenn
Individual
corporate officer2020-03-31
Grant, Gerald
Individual
corporate officer2025-01-01
Grant, Jonathan
Individual
corporate officer2020-03-31
Valdivia, Peggy
Individual
corporate officer2025-01-01
Ahern, Susan
Individual
operational/managerial control2025-01-01
Fox, Glenn
Individual
operational/managerial control2025-01-01
Grant, Gerald
Individual
operational/managerial control2022-12-31
Grant, Jonathan
Individual
operational/managerial control2025-01-01
Grimmel, Eric
Individual
operational/managerial control2025-01-01
Valdivia, Peggy
Individual
operational/managerial control2025-01-01

What changed

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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 Frederick County.