WILLOWBROOKE CT SKILLED CARE CTR AT BAYLEIGH CHASE
EASTON, MD · 99 beds · Non profit - Corporation
Red Flags
- ⚠ This facility has a substantiated finding of abuse
- ⚠ 1 citation(s) at the highest severity level — immediate risk to residents
- ⚠ 1 citation(s) where residents suffered actual harm
Green Flags
- ✓ 4-star staffing rating
- ✓ Below-average deficiency count (7 vs 19 state avg)
- ✓ No fines or penalties on record
- ✓ Low staff turnover (21%)
Quick Facts
Violation Timeline
January 16, 2025
12 deficiencyiesResident Assessment and Care Planning Deficiencies
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Ensure services provided by the nursing facility meet professional standards of quality.
Nutrition and Dietary Deficiencies
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration Deficiencies
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Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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.
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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Provide safe, appropriate pain management for a resident who requires such services.
Nursing and Physician Services Deficiencies
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Observe each nurse aide's job performance and give regular training.
Administration Deficiencies
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Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Resident Assessment and Care Planning Deficiencies
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
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Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
July 11, 2019
8 deficiencyiesResident Rights Deficiencies
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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Assessment and Care Planning Deficiencies
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Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies
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Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
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Provide activities to meet all resident's needs.
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.
Nursing and Physician Services Deficiencies
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Have 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.
Pharmacy Service Deficiencies
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Ensure medication error rates are not 5 percent or greater.
Staffing
A nurse checks on each resident roughly every 6.2 hours on average.
Fines & Penalties
No fines or penalties on record.
Ownership
-
ACTS COMMUNITIES OF MARYLAND, INC.
OPERATIONAL/MANAGERIAL CONTROL
Since since 01/01/2025
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 -
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 -
SHOCKLEY, NICHOLAS
OPERATIONAL/MANAGERIAL CONTROL
Since since 01/01/2025
Individual -
VALDIVIA, PEGGY
OPERATIONAL/MANAGERIAL CONTROL
Since since 01/01/2025
Individual -
CHRISTIANSEN, KAREN
CORPORATE DIRECTOR
Since since 03/31/2020
Individual -
DESMARAIS, NORMAND
CORPORATE DIRECTOR
Since since 01/01/2025
Individual -
DETWEILER, HAROLD
CORPORATE DIRECTOR
Since since 01/01/2025
Individual -
FORREST, ANNE
CORPORATE DIRECTOR
Since since 01/01/2025
Individual -
GRANT, GERALD
CORPORATE DIRECTOR
Since since 03/31/2020
Individual -
KELLY, MICHAEL
CORPORATE DIRECTOR
Since since 01/01/2025
Individual -
LAWSON, DANIEL
CORPORATE DIRECTOR
Since since 01/01/2025
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 07/15/2021
Individual -
CHRISTIANSEN, KAREN
CORPORATE OFFICER
Since since 01/01/2025
Individual -
FOX, GLENN
CORPORATE OFFICER
Since since 03/31/2020
Individual -
GRANT, GERALD
CORPORATE OFFICER
Since since 01/01/2025
Individual -
GRANT, JONATHAN
CORPORATE OFFICER
Since since 03/31/2020
Individual -
VALDIVIA, PEGGY
CORPORATE OFFICER
Since since 01/01/2025
Individual -
ACTS COMMUNITIES OF MARYLAND, INC.
5% OR GREATER MORTGAGE INTEREST
Since since 12/31/2022
Organization