01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-01-17 | 7 | 2025-01-17 | 11 |
| Cycle 2 | 2019-07-12 | 16 | 2019-07-12 | 13 |
| Cycle 3 | 2018-02-21 | 15 | 2018-02-21 | 8 |
CMS CCN 2151372026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Willowbrooke Ct Skilled Care Ctr At Bayleigh Chase
501 Dutchman'S Lane · Easton, MD 21601 · Talbot County
Certified beds99CMS provider file
Recent citation rows70current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
70 rows in the current release
2 rows carry G–L scope/severity codes; 1 carry J–L. 16 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-01-17 · HEALTHF0600Severity J · isolated immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2025-02-27 · complaint2025-01-17 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-02-27 · complaint2025-01-17 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2025-02-27 · complaint2025-01-17 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-02-272025-01-17 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-02-27 · complaint2025-01-17 · HEALTHF0697Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2025-02-27 · complaint2025-01-17 · HEALTHF0730Severity F · widespread; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Correction field: Deficient, Provider has date of correction · 2025-02-27 · complaint2025-01-17 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-02-272025-01-17 · HEALTHF0835Severity E · pattern; potential for more than minimal harm
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Correction field: Deficient, Provider has date of correction · 2025-02-27 · complaint2025-01-17 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2025-02-27 · complaint2025-01-17 · HEALTHF0867Severity F · widespread; potential for more than minimal harm
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Correction field: Deficient, Provider has date of correction · 2025-02-272025-01-17 · HEALTHF0943Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Correction field: Deficient, Provider has date of correction · 2025-02-27 · complaint2025-01-17 · FIREK0211Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2025-03-202025-01-17 · FIREK0223Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Correction field: Deficient, Provider has date of correction · 2025-03-202025-01-17 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2025-03-202025-01-17 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2025-03-202025-01-17 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-03-202025-01-17 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2025-03-202025-01-17 · FIREK0761Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2025-03-202025-01-17 · FIREK0781Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Correction field: Deficient, Provider has date of correction · 2025-03-202025-01-17 · FIREK0914Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Correction field: Deficient, Provider has date of correction · 2025-03-202025-01-17 · FIREK0918Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2025-03-202025-01-17 · FIREK0923Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2025-03-202019-07-12 · HEALTHF0623Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Correction field: Deficient, Provider has date of correction · 2019-08-3103 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- ACTS COMMUNITIES OF MARYLAND, INC.Organization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 12/31/2022
- ACTS ACQUISITION AND DEVELOPMENT COMPANY LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 12/31/2022
- ACTS ALLIANCE MANAGEMENT LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 12/31/2022
- ACTS LEGACY FOUNDATION, INC.Organization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 12/31/2022
- ACTS RETIREMENT SERVICES, INCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 12/31/2022
- ACTS SIGNATURE COMMUNITY SERVICES INCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 12/31/2022
- BONITA SPRINGS RETIREMENT VILLAGE INCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 11/01/2024
- MEASE LIFE INCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2023
- ACTS COMMUNITIES OF MARYLAND, INC.Organization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 12/31/2022
- CHRISTIANSEN, KARENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/31/2020
- DETWEILER, HAROLDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- FORREST, ANNEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- GRANT, GERALDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/31/2020
- KELLY, MICHAELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- LAWSON, DANIELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- NEARY, ANNEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- PAQUETTE, ELLENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- AHERN, SUSANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/15/2021
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.59per resident day
RN hours1.04per resident day
Weekend nurse hours3.25per resident day
Staff turnover24.5%CMS reported field
06 / LOCAL RECORDS
Open the Easton ledger →