WILLOWBROOKE COURT SKILLED CARE CENTER FAIRHAVEN
WILLOWBROOKE COURT SKILLED CARE CENTER FAIRHAVEN is a 79-bed nursing home in SYKESVILLE, Maryland. CMS has certified it for Medicare and Medicaid since 1981-01-05. It averages 40.6 residents a day.
What harm was found in the violations cited at WILLOWBROOKE COURT SKILLED CARE CENTER FAIRHAVEN?
CMS lists 32 health-inspection deficiencies for WILLOWBROOKE COURT SKILLED CARE CENTER FAIRHAVEN since 2018-11-15, 11 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2025-07-18.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-07-18 | F0804, F0812 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2025-07-18 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E |
| 2025-07-18 | F0600, F0628, F0641, F0658, F0690, F0695, F0756, F0609 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Ensure each resident receives an accurate assessment. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2022-06-02 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2022-06-02 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2022-06-02 | F0558, F0656 | Reasonably accommodate the needs and preferences of each resident. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E |
| 2022-06-02 | F0550, F0610, F0684 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Respond appropriately to all alleged violations. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2018-11-15 | F0726 | 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. | E |
| 2018-11-15 | F0609, F0623, F0641, F0656, F0684, F0697, F0725, F0730, F0759, F0761, F0812, F0835, F0880 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe, appropriate pain management for a resident who requires such services. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Observe each nurse aide's job performance and give regular training. / Ensure medication error rates are not 5 percent or greater. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Provide and implement an infection prevention and control program. | D |
How is WILLOWBROOKE COURT SKILLED CARE CENTER FAIRHAVEN staffed?
| Measure | This facility | MD average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.51140 | 3.87381 |
| Total nursing staff turnover (%) | 51.1 | 40.2 |
| Average number of residents per day | 40.6 | 105.7 |
Who owns WILLOWBROOKE COURT SKILLED CARE CENTER FAIRHAVEN, and what chain is it in?
WILLOWBROOKE COURT SKILLED CARE CENTER FAIRHAVEN is registered with CMS as Non profit - Corporation, operates under the legal business name ACTS COMMUNITIES OF MARYLAND, INC. and belongs to the ACTS RETIREMENT-LIFE COMMUNITIES chain.
| Role | Owner | Association date |
|---|---|---|
| INDIRECT OWNERSHIP INTEREST | ACTS ACQUISITION AND DEVELOPMENT COMPANY LLC, ACTS ALLIANCE MANAGEMENT LLC, ACTS LEGACY FOUNDATION, INC., ACTS MANAGEMENT SERVICES, INC., ACTS RETIREMENT SERVICES, INC, ACTS RETIREMENT-LIFE COMMUNITIES MANAGEMENT, LLC, ACTS SIGNATURE COMMUNITY SERVICES INC, BONITA SPRINGS RETIREMENT VILLAGE INC, MEASE LIFE INC | since 10/01/2023 |
| 5% OR GREATER MORTGAGE INTEREST | ACTS COMMUNITIES OF MARYLAND, INC. | since 12/31/2022 |
| MANAGING CONTROL - GOVERNING BODY | AHERN, SUSAN, CHRISTIANSEN, KAREN, FOX, GLENN, GRANT, GERALD, GRANT, JONATHAN, VALDIVIA, PEGGY | since 01/01/2025 |
| CORPORATE DIRECTOR | CHRISTIANSEN, KAREN, DETWEILER, HAROLD, FORREST, ANNE, GRANT, GERALD, KELLY, MICHAEL, LAWSON, DANIEL, NEARY, ANNE, PAQUETTE, ELLEN | since 01/01/2025 |
| CORPORATE OFFICER | AHERN, SUSAN, CHRISTIANSEN, KAREN, FOX, GLENN, GRANT, GERALD, GRANT, JONATHAN, VALDIVIA, PEGGY | since 01/01/2025 |
| OPERATIONAL/MANAGERIAL CONTROL | ACTS COMMUNITIES OF MARYLAND, INC., ACTS MANAGEMENT SERVICES, INC., ACTS RETIREMENT-LIFE COMMUNITIES MANAGEMENT, LLC, AHERN, SUSAN, ATHEN, MICHAEL, CHRISTIANSEN, KAREN, FOX, GLENN, GRANT, GERALD, GRANT, JONATHAN, VALDIVIA, PEGGY | since 01/01/2025 |
| TRUSTEE OF THE SNF | U.S. BANK | since 07/09/2025 |
| ADP OF THE SNF | ACTS COMMUNITIES OF MARYLAND, INC., ACTS MANAGEMENT SERVICES, INC., ACTS RETIREMENT-LIFE COMMUNITIES MANAGEMENT, LLC, BAKER TILLY ADVISORY GROUP LP, BAKER TILLY US LLP, U.S. BANK, AHERN, SUSAN, ATHEN, MICHAEL, CHRISTIANSEN, KAREN, FOX, GLENN, GRANT, GERALD, GRANT, JONATHAN, LAKHANI, TASNEEM, VALDIVIA, PEGGY | since 01/01/2025 |
Were you or a family member harmed at WILLOWBROOKE COURT SKILLED CARE CENTER FAIRHAVEN?