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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D18 | E12 | F6 |
| Minimal | A· | B1 | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Feb 17, 2026 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Feb 17, 2026 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Nov 22, 2024 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Nov 22, 2024 | Health | Health Complaint, Health Standard | 6 | Potential harm | — | Open → |
| Aug 19, 2019 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Aug 19, 2019 | Health | Health Standard | 13 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D18 | E12 | F6 |
| Minimal | A· | B1 | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Feb 17, 2026 | K-0200 | Meet other general requirements. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 2, 2026 | |
| Feb 17, 2026 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 2, 2026 | |
| Feb 17, 2026 | K-0331 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates 4 facilities.
27 facilities in 9 states. CMS chain ID 9.
Chain average overall rating (CMS): 4.9
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| ACTS Communities of Maryland, Inc | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2022 |
| ACTS Acquisition and Development Company LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2022 |
| ACTS Alliance Management LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2022 |
| ACTS Legacy Foundation, Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2022 |
| ACTS Retirement Services, Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2022 |
| ACTS Retirement-Life Communities Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2022 |
| ACTS Signature Community Services Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2022 |
| Bonita Springs Retirement Village Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 1, 2024 |
| Mease Life Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2023 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| ACTS Communities of Maryland, Inc | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2022 |
| ACTS Acquisition and Development Company LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2022 |
| ACTS Alliance Management LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2022 |
| ACTS Legacy Foundation, Inc | Organization | Indirect owner |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Willowbrooke Court Skilled Care Center Fairhaven 7200 Third Avenue, Sykesville, MD 21784 CCN 215130 | 79 | Jul 23, 2026 | 361 harm3 open | — | |
| Willowbrooke Ct Skilled Care Ctr at Bayleigh Chase 501 Dutchman's Lane, Easton, MD 21601 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Willowbrooke Court Skilled Care Center Fairhaven 7200 Third Avenue, Sykesville, MD 21784 CCN 215130 | 79 | Jul 23, 2026 | 361 harm3 open | — | |
| Willowbrooke Ct Skilled Care Ctr at Bayleigh Chase 501 Dutchman's Lane, Easton, MD 21601 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Frederick Crossing of Journey 30 North Place, Frederick, MD 21701 CCN 215184 | 10.3 km | 120 | Jun 17, 2026 | 1241 harm | $14k | |
| Autumn Lake Healthcare at Braddock Heights 6012 Jefferson Boulevard, Frederick, MD 21703 CCN 215199 | 11.2 km | 65 | Jan 23, 2026 | 581 open | — | |
| Northampton Manor Nursing and Rehabilitation Cente 200 East 16th Street, Frederick, MD 21701 CCN 215217 | 12.7 km | 196 | Jan 30, 2026 | 851 IJ | $17k | |
| Citizens Care and Rehabilitation Center of Frederi 1920 Rosemont Avenue, Frederick, MD 21702 CCN 215105 | 12.7 km | 170 | Mar 20, 2026 | 511 harm | — | |
| Autumn Lake Healthcare at Ballenger Creek 347 Ballenger Drive, Frederick, MD 21701 CCN 215001 | 13.3 km | 130 | Jun 30, 2026 | 921 IJ1 harm | — | |
| Homewood Living Frederick 7407 Willow Road, Frederick, MD 21702 CCN 215245 | 16.8 km | 120 | Aug 13, 2026 | 432 open | — | |
| Autumn Lake Healthcare at Glade Valley 56 West Frederick Street, Walkersville, MD 21793 CCN 215313 | 18.4 km | 124 | Jun 1, 2026 | 1061 harm | $37k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 215329 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 215329 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
| Maryland OHCQ Long Term Care MD | 2410016 | state_license, licensed_beds, licensee Linked to the CMS record by exact normalized street address and ZIP (the state roster does not publish the CCN). | Inferred | Jul 22, 2025 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Construct fire resistant interior walls. Smoke Deficiencies · Environment & life safety |
| E · Potential harm Pattern |
| Corrected Apr 2, 2026 |
| Feb 17, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 2, 2026 |
| Feb 17, 2026 | K-0362 | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 2, 2026 |
| Feb 17, 2026 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 2, 2026 |
| Feb 17, 2026 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 2, 2026 |
| Feb 17, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 26, 2026 |
| Feb 17, 2026 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 26, 2026 |
| Feb 17, 2026 | F-0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Feb 26, 2026 |
| Feb 17, 2026 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 26, 2026 |
| Nov 22, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 7, 2025 |
| Nov 22, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 7, 2025 |
| Nov 22, 2024 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 7, 2025 |
| Nov 22, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 7, 2025 |
| Nov 22, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 13, 2024 |
| Nov 22, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 13, 2024 |
| Nov 22, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 13, 2024 |
| Nov 22, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 13, 2024 | Complaint |
| Nov 22, 2024 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Dec 13, 2024 |
| Nov 22, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Dec 13, 2024 |
| Aug 19, 2019 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 30, 2019 |
| Aug 19, 2019 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 30, 2019 |
| Aug 19, 2019 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 17, 2019 |
| Aug 19, 2019 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 17, 2019 |
| Aug 19, 2019 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 17, 2019 |
| Aug 19, 2019 | F-0638 | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 17, 2019 |
| Aug 19, 2019 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 17, 2019 |
| Aug 19, 2019 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 17, 2019 |
| Aug 19, 2019 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 17, 2019 |
| Aug 19, 2019 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 17, 2019 |
| Aug 19, 2019 | F-0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 17, 2019 |
| Aug 19, 2019 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Oct 17, 2019 |
| Aug 19, 2019 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 17, 2019 |
| Aug 19, 2019 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Oct 17, 2019 |
| Aug 19, 2019 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | B · Minimal Pattern | Corrected Sep 30, 2019 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.80 (case-mix index 1.19).
| INDIRECT OWNERSHIP INTEREST |
| not provided |
| Dec 31, 2022 |
| ACTS Retirement Services, Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2022 |
| ACTS Retirement-Life Communities Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2022 |
| ACTS Signature Community Services Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2022 |
| Bonita Springs Retirement Village Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 1, 2024 |
| Mease Life Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2023 |
| ACTS Communities of Maryland, Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 31, 2022 |
| ACTS Management Services, Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 31, 2022 |
| ACTS Retirement-Life Communities Management, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 31, 2022 |
| Susan Ahern | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2025 |
| Glenn Fox | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2025 |
| Gerald Grant | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 31, 2022 |
| Jonathan Grant | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2025 |
| Eric Grimmel | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2025 |
| Peggy Valdivia | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2025 |
| Karen Christiansen | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Mar 31, 2020 |
| Harold Detweiler | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2025 |
| Anne Forrest | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2025 |
| Gerald Grant | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Mar 31, 2020 |
| Michael Kelly | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2025 |
| Daniel Lawson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2025 |
| Anne Neary | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2025 |
| Ellen Paquette | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2025 |
| Susan Ahern | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 15, 2021 |
| Karen Christiansen | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2025 |
| Glenn Fox | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 31, 2020 |
| Gerald Grant | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2025 |
| Jonathan Grant | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 31, 2020 |
| Peggy Valdivia | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2025 |
| U.s. Bank | Organization | Trustee | TRUSTEE OF THE SNF | not provided | Jul 9, 2025 |
| ACTS Communities of Maryland, Inc | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Dec 31, 2022 |
| ACTS Communities of Maryland, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 31, 2022 |
| ACTS Management Services, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 3, 2025 |
| ACTS Retirement-Life Communities Management, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 3, 2025 |
| Baker Tilly Advisory Group LP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 3, 2025 |
| Baker Tilly US LLP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Nov 5, 2024 |
| U.s. Bank | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 10, 2025 |
| Susan Ahern | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Karen Christiansen | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Glenn Fox | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Gerald Grant | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Jonathan Grant | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Eric Grimmel | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Tasneem Lakhani | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Peggy Valdivia | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| 99 |
| Mar 25, 2026 |
691 IJ1 harm |
| — |
| Willow Brooke Ct Skilled Care Ctr at Heron Point 501 Campus Avenue, Chestertown, MD 21620 CCN 215235 | 38 | Dec 11, 2025 | 401 IJ | $15k |
| 99 |
| Mar 25, 2026 |
691 IJ1 harm |
| — |
| Willow Brooke Ct Skilled Care Ctr at Heron Point 501 Campus Avenue, Chestertown, MD 21620 CCN 215235 | 38 | Dec 11, 2025 | 401 IJ | $15k |