Starfile / Maryland

WILLOW BROOKE CT SKILLED CARE CTR AT HERON POINT

501 CAMPUS AVENUE, CHESTERTOWN, MD 21620 · CCN 215235

Inspection history vs Maryland & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$15,440

Number of fines

1

Number of penalties

1

Payment denials

0

Chain

Chain

ACTS RETIREMENT-LIFE COMMUNITIES

Facilities in chain

26

Chain avg overall

4.80 / 5

Inspection citations (31)1 immediate jeopardy

1. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-02-23 · Health · corrected 2024-04-08

   Potential for more than minimal harm

2. EF0610Respond appropriately to all alleged violations.2024-02-23 · Health · corrected 2024-04-08

   Potential for more than minimal harm

3. DF0625Notify 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.2024-02-23 · Health · corrected 2024-04-08

   Potential for more than minimal harm

4. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-23 · Health · corrected 2024-04-08

   Potential for more than minimal harm

5. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-23 · Health · corrected 2023-07-13

   Immediate jeopardy

6. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-02-23 · Health · corrected 2024-04-08

   Potential for more than minimal harm

7. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2024-02-23 · Health · corrected 2024-04-08

   Potential for more than minimal harm

8. DF0758Implement 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.2024-02-23 · Health · corrected 2024-04-08

   Potential for more than minimal harm

9. DF0759Ensure medication error rates are not 5 percent or greater.2024-02-23 · Health · corrected 2024-04-08

   Potential for more than minimal harm

10. DF0761Ensure 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.2024-02-23 · Health · corrected 2024-04-08

    Potential for more than minimal harm

11. DF0551Give the resident's representative the ability to exercise the resident's rights.2019-04-09 · Health · corrected 2019-05-24

    Potential for more than minimal harm

12. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2019-04-09 · Health · corrected 2019-05-24

    Potential for more than minimal harm

13. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2019-04-09 · Health · corrected 2019-05-24

    Potential for more than minimal harm

14. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2019-04-09 · Health · corrected 2019-05-24

    Potential for more than minimal harm

15. EF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2019-04-09 · Health · corrected 2019-05-24

    Potential for more than minimal harm

16. EF0638Assure that each resident’s assessment is updated at least once every 3 months.2019-04-09 · Health · corrected 2019-05-24

    Potential for more than minimal harm

17. EF0645PASARR screening for Mental disorders or Intellectual Disabilities2019-04-09 · Health · corrected 2019-05-24

    Potential for more than minimal harm

18. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2019-04-09 · Health · corrected 2019-05-24

    Potential for more than minimal harm

19. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2019-04-09 · Health · corrected 2019-05-24

    Potential for more than minimal harm

20. DF0697Provide safe, appropriate pain management for a resident who requires such services.2019-04-09 · Health · corrected 2019-05-24

    Potential for more than minimal harm

21. EF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2019-04-09 · Health · corrected 2019-05-24

    Potential for more than minimal harm

22. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2019-04-09 · Health · corrected 2019-05-24

    Potential for more than minimal harm

23. EF0758Implement 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.2019-04-09 · Health · corrected 2019-05-24

    Potential for more than minimal harm

24. DF0790Provide routine and 24-hour emergency dental care for each resident.2019-04-09 · Health · corrected 2019-05-24

    Potential for more than minimal harm

25. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2019-04-09 · Health · corrected 2019-05-24

    Potential for more than minimal harm

26. DF0309Provide necessary care and services to maintain or improve the highest well being of each resident .2017-11-06 · Health · corrected 2018-01-31

    Potential for more than minimal harm

27. DF0329Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.2017-11-06 · Health · corrected 2018-01-31

    Potential for more than minimal harm

28. DF0431Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.2017-11-06 · Health · corrected 2018-01-31

    Potential for more than minimal harm

29. CF0441Have a program that investigates, controls and keeps infection from spreading.2017-11-06 · Health · corrected 2018-01-31

    Potential for minimal harm

30. CF0456Keep all essential equipment working safely.2017-11-06 · Health · corrected 2018-01-31

    Potential for minimal harm

31. DF0514Keep accurate, complete and organized clinical records on each resident that meet professional standards.2017-11-06 · Health · corrected 2018-01-31

    Potential for more than minimal harm

Ownership

Other facilities in CHESTERTOWN

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.