Willowbrooke CT Skilled Care CTR at Bayleigh Chase

Nursing Home · Easton, MD

CMS overall rating 2/5 Abuse citation Non profit - Corporation

CMS certification number215137
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

501 Dutchman's Lane
Easton, MD 21601
Talbot County
Phone
(410) 822-8888
ZIP code
21601 – all care providers

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Facility details

Certified beds
99
Residents per day
61.0 (62% occupied)
Ownership
Non profit - Corporation
Legal name
Acts Communities of Maryland, INC.
Chain
Acts Retirement-Life Communities (27 facilities, avg 4.7★)
Medicare certified since
January 26, 1982
Participates in
Medicare and Medicaid
Continuing care
Part of a continuing care retirement community
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 3.1
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 4/5
State avg 3.2
Quality measures★★★★★ 4/5
State avg 3.9
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 5/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.59 (state 3.87 · U.S. 3.86)
Registered nurses (RN)
1.04 (state 0.84 · U.S. 0.69)
Licensed practical nurses
0.62 (state 0.91 · U.S. 0.86)
Nurse aides
1.93 (state 2.12 · U.S. 2.32)
Weekend total
3.25 (state 3.47 · U.S. 3.42)
Nursing staff turnover
24.5 (state 40.2 · U.S. 45.8)%
RN turnover
33.3 (state 38.7 · U.S. 42.9)%
Administrators who left
2 in the last year

Inspections

Last standard inspection
January 17, 2025
Health deficiencies (last cycle)
7.0 (state 17.5 · U.S. 9.3)
From complaints
4
Citations on record (3 years)
38 health · 32 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2025-01-17 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2025-02-27
2025-01-17 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-02-27
2025-01-17 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-02-27
2025-01-17 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-02-27
2025-01-17 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-27
2025-01-17 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-27
2025-01-17 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-27
2025-01-17 Observe each nurse aide's job performance and give regular training.
F0730 · Nursing and Physician Services Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2025-02-27
2025-01-17 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F0835 · Administration Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-02-27
2025-01-17 Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
F0943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-02-27
2025-01-17 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-27
2025-01-17 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-27
2019-07-12 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2019-08-31
2019-07-12 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.
F0727 · Nursing and Physician Services Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2019-08-31
2019-07-12 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2019-08-31
2019-07-12 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
F0640 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2019-08-31
2019-07-12 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2019-08-31
2019-07-12 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2019-08-31
2019-07-12 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2019-08-31
2019-07-12 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2019-08-31
2019-07-12 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.
F0761 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2019-08-31
2019-07-12 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2019-08-31
2019-07-12 Have enough outside ventilation via a window or mechanical ventilation, or both.
F0923 · Environmental Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2019-08-31
2018-02-21 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2018-04-30
2018-02-21 Honor the resident's right to organize and participate in resident/family groups in the facility.
F0565 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2018-04-30
2018-02-21 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2018-04-30
2018-02-21 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2018-04-30
2018-02-21 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2018-04-30
2018-02-21 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2018-04-30
2018-02-21 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2018-04-30
2018-02-21 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2018-04-30
2018-02-21 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2018-04-30
2018-02-21 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2018-04-30
2018-02-21 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2018-04-30
2018-02-21 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.
F0625 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2018-04-30
2018-02-21 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2018-04-30
2018-02-21 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2018-04-30
2018-02-21 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2018-04-30

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Acts Communities of Maryland, INC. (organization)5%+ Mortgage Interest · NOT APPLICABLE
Acts Communities of Maryland, INC. (organization)Administrator · NOT APPLICABLE
Acts Management Services, INC. (organization)Administrator · NOT APPLICABLE
Acts Retirement-Life Communities Management, LLC (organization)Administrator · NOT APPLICABLE
Baker Tilly Advisory Group LP (organization)Administrator · NOT APPLICABLE
Baker Tilly US LLP (organization)Administrator · NOT APPLICABLE
Christiansen, Karen (individual)Administrator · NOT APPLICABLE
Clemes, George (individual)Administrator · NOT APPLICABLE
Fox, Glenn (individual)Administrator · NOT APPLICABLE
Grant, Gerald (individual)Administrator · NOT APPLICABLE
Grant, Jonathan (individual)Administrator · NOT APPLICABLE
Knaish, Kinan (individual)Administrator · NOT APPLICABLE
U.S. Bank (organization)Administrator · NOT APPLICABLE
Valdivia, Peggy (individual)Administrator · NOT APPLICABLE
Christiansen, Karen (individual)Corporate Director · NOT APPLICABLE
Detweiler, Harold (individual)Corporate Director · NOT APPLICABLE
Forrest, Anne (individual)Corporate Director · NOT APPLICABLE
Grant, Gerald (individual)Corporate Director · NOT APPLICABLE
Kelly, Michael (individual)Corporate Director · NOT APPLICABLE
Lawson, Daniel (individual)Corporate Director · NOT APPLICABLE
Neary, Anne (individual)Corporate Director · NOT APPLICABLE
Paquette, Ellen (individual)Corporate Director · NOT APPLICABLE
Ahern, Susan (individual)Corporate Officer · NOT APPLICABLE
Christiansen, Karen (individual)Corporate Officer · NOT APPLICABLE
Fox, Glenn (individual)Corporate Officer · NOT APPLICABLE
Grant, Gerald (individual)Corporate Officer · NOT APPLICABLE
Grant, Jonathan (individual)Corporate Officer · NOT APPLICABLE
Valdivia, Peggy (individual)Corporate Officer · NOT APPLICABLE
Acts Communities of Maryland, INC. (organization)Direct Ownership Interest · NOT APPLICABLE
Acts Acquisition and Development Company LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Acts Alliance Management LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Acts Legacy Foundation, INC. (organization)Indirect Ownership Interest · NOT APPLICABLE
Acts Retirement Services, INC (organization)Indirect Ownership Interest · NOT APPLICABLE
Acts Signature Community Services INC (organization)Indirect Ownership Interest · NOT APPLICABLE
Bonita Springs Retirement Village INC (organization)Indirect Ownership Interest · NOT APPLICABLE
Mease Life INC (organization)Indirect Ownership Interest · NOT APPLICABLE
Acts Communities of Maryland, INC. (organization)Operational/managerial Control · NOT APPLICABLE
Acts Management Services, INC. (organization)Operational/managerial Control · NOT APPLICABLE
Acts Retirement-Life Communities Management, LLC (organization)Operational/managerial Control · NOT APPLICABLE
Christiansen, Karen (individual)Operational/managerial Control · NOT APPLICABLE
Clemes, George (individual)Operational/managerial Control · NOT APPLICABLE
Fox, Glenn (individual)Operational/managerial Control · NOT APPLICABLE
Grant, Gerald (individual)Operational/managerial Control · NOT APPLICABLE
Grant, Jonathan (individual)Operational/managerial Control · NOT APPLICABLE
Valdivia, Peggy (individual)Operational/managerial Control · NOT APPLICABLE
U.S. Bank (organization)Trustee Of The Snf · NOT APPLICABLE

Frequently asked questions

What is the rating of Willowbrooke CT Skilled Care CTR at Bayleigh Chase?

Willowbrooke CT Skilled Care CTR at Bayleigh Chase has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Maryland.

How many beds does Willowbrooke CT Skilled Care CTR at Bayleigh Chase have?

It has 99 certified beds and cares for about 61 residents per day.

Has Willowbrooke CT Skilled Care CTR at Bayleigh Chase been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Willowbrooke CT Skilled Care CTR at Bayleigh Chase?

It is part of Acts Retirement-Life Communities and is classified as non profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Willowbrooke CT Skilled Care CTR at Bayleigh Chase?

(410) 822-8888. The facility is located at 501 Dutchman's Lane, Easton, MD 21601.

Other nursing homes in Easton

Compare all nursing homes in Easton, MD →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.