WILLOW BROOKE CT SKILLED CARE CTR AT HERON POINT
WILLOW BROOKE CT SKILLED CARE CTR AT HERON POINT is a 38-bed nursing home in CHESTERTOWN, Maryland. CMS has certified it for Medicare and Medicaid since 1991-11-07. It averages 1.9 residents a day.
What harm was found in the violations cited at WILLOW BROOKE CT SKILLED CARE CTR AT HERON POINT?
CMS lists 26 health-inspection deficiencies for WILLOW BROOKE CT SKILLED CARE CTR AT HERON POINT since 2019-04-09, 11 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2025-12-11.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-12-11 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-02-23 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2024-02-23 | F0726, F0609, F0610 | 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. | E |
| 2024-02-23 | F0625, F0758, F0759, F0761, F0656, F0740 | 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. / 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. / 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D |
| 2019-04-09 | F0636, F0638, F0645, F0689, F0745, F0758 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Assure that each resident’s assessment is updated at least once every 3 months. / PASARR screening for Mental disorders or Intellectual Disabilities / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / 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. | E |
| 2019-04-09 | F0551, F0561, F0580, F0623, F0684, F0697, F0756, F0790, F0842 | Give the resident's representative the ability to exercise the resident's rights. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Provide routine and 24-hour emergency dental care for each resident. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
Why was WILLOW BROOKE CT SKILLED CARE CTR AT HERON POINT fined?
| Date | Type | Amount |
|---|---|---|
| 2024-02-23 | Fine | $15,440 |
How is WILLOW BROOKE CT SKILLED CARE CTR AT HERON POINT staffed?
| Measure | This facility | MD average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.74709 | 3.87381 |
| Average number of residents per day | 1.9 | 105.7 |
Who owns WILLOW BROOKE CT SKILLED CARE CTR AT HERON POINT, and what chain is it in?
WILLOW BROOKE CT SKILLED CARE CTR AT HERON POINT 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 RETIREMENT SERVICES, INC, ACTS SIGNATURE COMMUNITY SERVICES INC, BONITA SPRINGS RETIREMENT VILLAGE INC, MEASE LIFE INC | since 10/01/2023 |
| 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, CHRISTIANSEN, KAREN, FOX, GLENN, GRANT, GERALD, GRANT, JONATHAN, KURZ, STELLAH, 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, CHRISTIANSEN, KAREN, FOX, GLENN, GRANT, GERALD, GRANT, JONATHAN, KNAISH, KINAN, KURZ, STELLAH, VALDIVIA, PEGGY | since 01/01/2025 |
Were you or a family member harmed at WILLOW BROOKE CT SKILLED CARE CTR AT HERON POINT?