WILLOWBROOKE COURT SKILLED CARE CENTER FAIRHAVEN
7200 THIRD AVENUE, SYKESVILLE, MD 21784 · CCN 215130
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★★★ 5
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 79
- Avg residents/day
- 41.3
- Phone
- 4107958800
Inspection history vs Maryland & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Maryland avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-07-18 | 11 | 18.9 | 9.5 | -7.9 better |
| 2 | 2022-06-02 | 7 | 17.1 | 9.8 | -10.1 better |
| 3 | 2018-11-15 | 14 | 14.5 | 9.3 | -0.5 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 2 |
| Resident assessment and care planning | 3 |
| Resident rights | 1 |
| Nutrition and dietary | 2 |
| Pharmacy service | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.22 | 41.5% |
| RN staffing (reported) | 1.39 | 60.0% |
| Total nurse staffing (adjusted) | 4.73 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- ACTS RETIREMENT-LIFE COMMUNITIES
- Facilities in chain
- 26
- Chain avg overall
- 4.80 / 5
Inspection citations (32)1 actual harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-07-18 · Health · corrected 2025-09-25
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-07-18 · Health · corrected 2025-09-25
Potential for more than minimal harm
- DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-07-18 · Health · corrected 2025-09-25
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-07-18 · Health · corrected 2025-09-25
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-07-18 · Health · corrected 2025-09-25
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-07-18 · Health · corrected 2025-09-25
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-07-18 · Health · corrected 2025-09-25
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-07-18 · Health · corrected 2025-09-25
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-07-18 · Health · corrected 2025-09-25
Potential for more than minimal harm
- FF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-07-18 · Health · corrected 2025-09-25
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-07-18 · Health · corrected 2025-09-25
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-06-02 · Health · corrected 2022-07-01
Potential for more than minimal harm
- EF0558Reasonably accommodate the needs and preferences of each resident.2022-06-02 · Health · corrected 2022-07-27
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2022-06-02 · Health · corrected 2022-07-01
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-06-02 · Health · corrected 2022-07-27
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-06-02 · Health · corrected 2022-07-01
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-06-02 · Health · corrected 2022-07-01
Actual harm
- FF0880Provide and implement an infection prevention and control program.2022-06-02 · Health · corrected 2022-07-01
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2018-11-15 · Health · corrected 2018-12-21
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2018-11-15 · Health · corrected 2018-12-21
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2018-11-15 · Health · corrected 2018-12-21
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2018-11-15 · Health · corrected 2018-12-21
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2018-11-15 · Health · corrected 2018-12-21
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2018-11-15 · Health · corrected 2018-12-21
Potential for more than minimal harm
- DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2018-11-15 · Health · corrected 2018-12-21
Potential for more than minimal harm
- 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.2018-11-15 · Health · corrected 2018-12-21
Potential for more than minimal harm
- DF0730Observe each nurse aide's job performance and give regular training.2018-11-15 · Health · corrected 2018-12-21
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2018-11-15 · Health · corrected 2018-12-21
Potential for more than minimal harm
- 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.2018-11-15 · Health · corrected 2018-12-21
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2018-11-15 · Health · corrected 2018-12-21
Potential for more than minimal harm
- DF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2018-11-15 · Health · corrected 2018-12-21
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2018-11-15 · Health · corrected 2018-12-21
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| ACTS COMMUNITIES OF MARYLAND, INC. | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-12-31 |
| ACTS RETIREMENT SERVICES, INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2022-12-31 |
| ACTS COMMUNITIES OF MARYLAND, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-31 |
| ACTS MANAGEMENT SERVICES, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-31 |
| ACTS RETIREMENT-LIFE COMMUNITIES MANAGEMENT, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-31 |
| AHERN, SUSAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 |
| ATHEN, MICHAEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 |
| CHRISTIANSEN, KAREN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 |
| FOX, GLENN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 |
| GRANT, GERALD | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 |
| GRANT, JONATHAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 |
| VALDIVIA, PEGGY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 |
| CHRISTIANSEN, KAREN | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| DETWEILER, HAROLD | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| FORREST, ANNE | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| GRANT, GERALD | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| KELLY, MICHAEL | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| LAWSON, DANIEL | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| NEARY, ANNE | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| PAQUETTE, ELLEN | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| AHERN, SUSAN | Individual | CORPORATE OFFICER | — | 2025-01-01 |
| CHRISTIANSEN, KAREN | Individual | CORPORATE OFFICER | — | 2025-01-01 |
| FOX, GLENN | Individual | CORPORATE OFFICER | — | 2025-01-01 |
| GRANT, GERALD | Individual | CORPORATE OFFICER | — | 2025-01-01 |
| GRANT, JONATHAN | Individual | CORPORATE OFFICER | — | 2025-01-01 |
| VALDIVIA, PEGGY | Individual | CORPORATE OFFICER | — | 2025-01-01 |
| ACTS COMMUNITIES OF MARYLAND, INC. | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2022-12-31 |
Other facilities in SYKESVILLE
| Name | Overall | Beds |
|---|---|---|
| AUTUMN LAKE HEALTHCARE AT BIRCH MANOR | ★★★☆☆ | 118 |
| COPPER RIDGE NURSING AND ASSISTED LIVING CENTER | ★☆☆☆☆ | 66 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.