WILLOWBROOKE CT SKILLED CARE CTR AT BAYLEIGH CHASE

501 DUTCHMAN'S LANE
EASTON, MD, 21601
4108228888
CCN: 215137
2
Overall
2
Health
4
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 MORTGAGE INTERESTNOT APPLICABLE
FORREST, ANNECORPORATE DIRECTORNOT APPLICABLE
CHRISTIANSEN, KARENCORPORATE DIRECTORNOT APPLICABLE
DETWEILER, HAROLDCORPORATE DIRECTORNOT APPLICABLE
GRANT, GERALDCORPORATE DIRECTORNOT APPLICABLE
KELLY, MICHAELCORPORATE DIRECTORNOT APPLICABLE
LAWSON, DANIELCORPORATE DIRECTORNOT APPLICABLE
NEARY, ANNECORPORATE DIRECTORNOT APPLICABLE
PAQUETTE, ELLENCORPORATE DIRECTORNOT APPLICABLE
FOX, GLENNCORPORATE OFFICERNOT APPLICABLE
CHRISTIANSEN, KARENCORPORATE OFFICERNOT APPLICABLE
GRANT, GERALDCORPORATE OFFICERNOT APPLICABLE
GRANT, JONATHANCORPORATE OFFICERNOT APPLICABLE
VALDIVIA, PEGGYCORPORATE OFFICERNOT APPLICABLE
AHERN, SUSANCORPORATE OFFICERNOT APPLICABLE
FOX, GLENNOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GRANT, GERALDOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
VALDIVIA, PEGGYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GRANT, JONATHANOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ACTS COMMUNITIES OF MARYLAND, INC.OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ACTS MANAGEMENT SERVICES, INC.OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ACTS RETIREMENT-LIFE COMMUNITIES MANAGEMENT, LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CHRISTIANSEN, KARENOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CLEMES, GEORGEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (38)
2025-01-17 · Health
E
F943 · 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.
F
F867 · Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
F842 · 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.
E
F835 · Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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
F730 · Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
D
F697 · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
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
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
D
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
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.
J
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.
2019-07-12 · Health
D
F923 · Environmental Deficiencies
Have enough outside ventilation via a window or mechanical ventilation, or both.
D
F842 · 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.
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.
E
F727 · Nursing and Physician Services Deficiencies
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.
D
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
F679 · Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
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
F640 · Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of 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.
2018-02-21 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F804 · Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
E
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
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.
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.
E
F655 · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F625 · Resident Rights Deficiencies
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.
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
F582 · Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
E
F565 · Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
E
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.64
3.68
RN Hrs/Resident/Day
0.96
0.54
LPN Hrs/Resident/Day
0.66
0.81
CNA Hrs/Resident/Day
2.02
2.33
PT Hrs/Resident/Day
0.10
0.12
Data as of 2026-03-01