WILLOWBROOKE COURT SKILLED CARE CENTER FAIRHAVEN

7200 THIRD AVENUE
SYKESVILLE, MD, 21784
4107958800
CCN: 215130
4
Overall
3
Health
5
Staffing
4
Quality
ChainACTS RETIREMENT-LIFE COMMUNITIES
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
ACTS COMMUNITIES OF MARYLAND, INC.5% OR GREATER DIRECT OWNERSHIP INTEREST100%
ACTS RETIREMENT SERVICES, INC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%
ACTS COMMUNITIES OF MARYLAND, INC.5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
LAWSON, DANIELCORPORATE DIRECTORNOT APPLICABLE
NEARY, ANNECORPORATE DIRECTORNOT APPLICABLE
PAQUETTE, ELLENCORPORATE DIRECTORNOT APPLICABLE
CHRISTIANSEN, KARENCORPORATE DIRECTORNOT APPLICABLE
DETWEILER, HAROLDCORPORATE DIRECTORNOT APPLICABLE
FORREST, ANNECORPORATE DIRECTORNOT APPLICABLE
GRANT, GERALDCORPORATE DIRECTORNOT APPLICABLE
KELLY, MICHAELCORPORATE DIRECTORNOT APPLICABLE
VALDIVIA, PEGGYCORPORATE OFFICERNOT APPLICABLE
AHERN, SUSANCORPORATE OFFICERNOT APPLICABLE
CHRISTIANSEN, KARENCORPORATE OFFICERNOT APPLICABLE
FOX, GLENNCORPORATE OFFICERNOT APPLICABLE
GRANT, GERALDCORPORATE OFFICERNOT APPLICABLE
GRANT, JONATHANCORPORATE OFFICERNOT APPLICABLE
ACTS COMMUNITIES OF MARYLAND, INC.OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ACTS RETIREMENT-LIFE COMMUNITIES MANAGEMENT, LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
AHERN, SUSANOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ATHEN, MICHAELOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CHRISTIANSEN, KARENOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
FOX, GLENNOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GRANT, GERALDOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GRANT, JONATHANOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
VALDIVIA, PEGGYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ACTS MANAGEMENT SERVICES, INC.OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (32)
2025-07-18 · Health
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
F804 · Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
F756 · Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
E
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F628 · Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
F600 · 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.
2022-06-02 · Health
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
G
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
E
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2018-11-15 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F835 · Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
D
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F761 · Pharmacy Service Deficiencies
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.
D
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
D
F730 · Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
E
F726 · Nursing and Physician Services Deficiencies
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.
D
F725 · Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
D
F697 · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F623 · 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.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
4.22
3.68
RN Hrs/Resident/Day
1.39
0.54
LPN Hrs/Resident/Day
0.64
0.81
CNA Hrs/Resident/Day
2.19
2.33
PT Hrs/Resident/Day
0.27
0.12
Data as of 2026-03-01