WILLOWBROOKE CT SKILLED CARE CTR AT BAYLEIGH CHASE
501 DUTCHMAN'S LANE, EASTON, MD 21601 · CCN 215137
Abuse icon
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 99
- Avg residents/day
- 60.4
- Phone
- 4108228888
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 | 2025-01-17 | 7 | 18.9 | 9.5 | -11.9 better |
| 2 | 2019-07-12 | 16 | 17.1 | 9.8 | -1.1 better |
| 3 | 2018-02-21 | 15 | 14.5 | 9.3 | +0.5 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 3 |
| Quality of life and care | 1 |
| Resident assessment and care planning | 1 |
| Nutrition and dietary | 1 |
| Administration | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.64 | 21.3% |
| RN staffing (reported) | 0.96 | 11.8% |
| Total nurse staffing (adjusted) | 3.89 | — |
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 (38)1 immediate jeopardy1 actual harm
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-01-17 · Health · corrected 2025-02-27
Immediate jeopardy
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-01-17 · Health · corrected 2025-02-27
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2025-01-17 · Health · corrected 2025-02-27
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-01-17 · Health · corrected 2025-02-27
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-17 · Health · corrected 2025-02-27
Actual harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-01-17 · Health · corrected 2025-02-27
Potential for more than minimal harm
- FF0730Observe each nurse aide's job performance and give regular training.2025-01-17 · Health · corrected 2025-02-27
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.2025-01-17 · Health · corrected 2025-02-27
Potential for more than minimal harm
- EF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2025-01-17 · Health · corrected 2025-02-27
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-01-17 · Health · corrected 2025-02-27
Potential for more than minimal harm
- FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2025-01-17 · Health · corrected 2025-02-27
Potential for more than minimal harm
- EF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2025-01-17 · Health · corrected 2025-02-27
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.2019-07-12 · Health · corrected 2019-08-31
Potential for more than minimal harm
- DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2019-07-12 · Health · corrected 2019-08-31
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2019-07-12 · Health · corrected 2019-08-31
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.2019-07-12 · Health · corrected 2019-08-31
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2019-07-12 · Health · corrected 2019-08-31
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2019-07-12 · Health · corrected 2019-08-31
Potential for more than minimal harm
- EF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2019-07-12 · Health · corrected 2019-08-31
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2019-07-12 · Health · corrected 2019-08-31
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.2019-07-12 · Health · corrected 2019-08-31
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2019-07-12 · Health · corrected 2019-08-31
Potential for more than minimal harm
- DF0923Have enough outside ventilation via a window or mechanical ventilation, or both.2019-07-12 · Health · corrected 2019-08-31
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2018-02-21 · Health · corrected 2018-04-30
Potential for more than minimal harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2018-02-21 · Health · corrected 2018-04-30
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2018-02-21 · Health · corrected 2018-04-30
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.2018-02-21 · Health · corrected 2018-04-30
Potential for more than minimal harm
- 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.2018-02-21 · Health · corrected 2018-04-30
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2018-02-21 · Health · corrected 2018-04-30
Potential for more than minimal harm
- EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2018-02-21 · Health · corrected 2018-04-30
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.2018-02-21 · Health · corrected 2018-04-30
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.2018-02-21 · Health · corrected 2018-04-30
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2018-02-21 · Health · corrected 2018-04-30
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2018-02-21 · Health · corrected 2018-04-30
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2018-02-21 · Health · corrected 2018-04-30
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2018-02-21 · Health · corrected 2018-04-30
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2018-02-21 · Health · corrected 2018-04-30
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2018-02-21 · Health · corrected 2018-04-30
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| ACTS COMMUNITIES OF MARYLAND, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 |
| ACTS MANAGEMENT SERVICES, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-31 |
| ACTS RETIREMENT-LIFE COMMUNITIES MANAGEMENT, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-31 |
| CHRISTIANSEN, KAREN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-31 |
| CLEMES, GEORGE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-06 |
| FOX, GLENN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-31 |
| GRANT, GERALD | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-31 |
| GRANT, JONATHAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-31 |
| VALDIVIA, PEGGY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 |
| CHRISTIANSEN, KAREN | Individual | CORPORATE DIRECTOR | — | 2020-03-31 |
| DETWEILER, HAROLD | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| FORREST, ANNE | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| GRANT, GERALD | Individual | CORPORATE DIRECTOR | — | 2020-03-31 |
| 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 | — | 2021-07-15 |
| CHRISTIANSEN, KAREN | Individual | CORPORATE OFFICER | — | 2025-01-01 |
| FOX, GLENN | Individual | CORPORATE OFFICER | — | 2020-03-31 |
| GRANT, GERALD | Individual | CORPORATE OFFICER | — | 2025-01-01 |
| GRANT, JONATHAN | Individual | CORPORATE OFFICER | — | 2020-03-31 |
| 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 EASTON
| Name | Overall | Beds |
|---|---|---|
| PINES NURSING AND REHAB | ★☆☆☆☆ | 195 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.