WILLOW BROOKE CT SKILLED CARE CTR AT HERON POINT
CHESTERTOWN, MD · 38 beds · Non profit - Corporation
Red Flags
- ⚠ 1 citation(s) at the highest severity level — immediate risk to residents
Green Flags
- ✓ 4-star health inspection rating
- ✓ 5-star staffing rating
- ✓ Below-average deficiency count (5 vs 19 state avg)
- ✓ Above-average RN staffing (1.61 hrs vs 0.81 state avg)
- ✓ Low staff turnover (21%)
Quick Facts
Violation Timeline
February 22, 2024
20 deficiencyiesResident Rights Deficiencies
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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.
Nursing and Physician Services Deficiencies
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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.
Pharmacy Service Deficiencies
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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.
Pharmacy Service Deficiencies
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Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
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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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
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Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
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Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Resident Rights Deficiencies
Show details
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.
Nursing and Physician Services Deficiencies
Show details
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.
Pharmacy Service Deficiencies
Show details
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.
Pharmacy Service Deficiencies
Show details
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Show details
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Show details
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Show details
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
Show details
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Show details
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Show details
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Staffing
A nurse checks on each resident roughly every 4.9 hours on average.
Fines & Penalties
- Fine Feb 22, 2024$15,440
Ownership
-
ACTS COMMUNITIES OF MARYLAND, INC.
OPERATIONAL/MANAGERIAL CONTROL
Since since 12/31/2022
Organization -
ACTS MANAGEMENT SERVICES, INC.
OPERATIONAL/MANAGERIAL CONTROL
Since since 12/31/2022
Organization -
ACTS RETIREMENT-LIFE COMMUNITIES MANAGEMENT, LLC
OPERATIONAL/MANAGERIAL CONTROL
Since since 12/31/2022
Organization -
AHERN, SUSAN
OPERATIONAL/MANAGERIAL CONTROL
Since since 12/31/2022
Individual -
CHRISTIANSEN, KAREN
OPERATIONAL/MANAGERIAL CONTROL
Since since 12/31/2022
Individual -
FOX, GLENN
OPERATIONAL/MANAGERIAL CONTROL
Since since 12/31/2022
Individual -
GRANT, GERALD
OPERATIONAL/MANAGERIAL CONTROL
Since since 12/31/2022
Individual -
GRANT, JONATHAN
OPERATIONAL/MANAGERIAL CONTROL
Since since 12/31/2022
Individual -
KURZ, STELLAH
OPERATIONAL/MANAGERIAL CONTROL
Since since 01/01/2025
Individual -
VALDIVIA, PEGGY
OPERATIONAL/MANAGERIAL CONTROL
Since since 12/31/2022
Individual -
CHRISTIANSEN, KAREN
CORPORATE DIRECTOR
Since since 12/31/2022
Individual -
DETWEILER, HAROLD
CORPORATE DIRECTOR
Since since 12/31/2022
Individual -
FORREST, ANNE
CORPORATE DIRECTOR
Since since 12/31/2022
Individual -
GRANT, GERALD
CORPORATE DIRECTOR
Since since 12/31/2022
Individual -
KELLY, MICHAEL
CORPORATE DIRECTOR
Since since 12/31/2022
Individual -
LAWSON, DANIEL
CORPORATE DIRECTOR
Since since 12/31/2022
Individual -
NEARY, ANNE
CORPORATE DIRECTOR
Since since 01/01/2025
Individual -
PAQUETTE, ELLEN
CORPORATE DIRECTOR
Since since 01/01/2025
Individual -
AHERN, SUSAN
CORPORATE OFFICER
Since since 12/31/2022
Individual -
CHRISTIANSEN, KAREN
CORPORATE OFFICER
Since since 01/01/2025
Individual -
FOX, GLENN
CORPORATE OFFICER
Since since 12/31/2022
Individual -
GRANT, GERALD
CORPORATE OFFICER
Since since 01/01/2025
Individual -
GRANT, JONATHAN
CORPORATE OFFICER
Since since 12/31/2022
Individual -
VALDIVIA, PEGGY
CORPORATE OFFICER
Since since 12/31/2022
Individual
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