7200 Third Avenue, Sykesville, MD 21784 · Carroll County · (410) 795-8800
79 certified beds, about 41 residents a day · Non profit - Corporation · Medicare and Medicaid since 1981
CMS Care Compare ratings, data as of September 1, 2026 · CCN 215130 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on July 18, 2025, inspectors cited 10 health deficiencies (the Maryland average is 17, the national average 9.2).
Of 32 health citations since November 2018, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.51 hours per resident per day, against 3.87 across Maryland and 3.86 nationally. Registered nurses accounted for 1.37 of those hours.
51.1% of nursing staff left within the year CMS measured (Maryland average 40.2%).
CMS links it to Acts Retirement-Life Communities, an affiliated group of 27 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 32 health citations on file.
Inspectors wroteNumber of residents sampled: Number of residents cited: Based on observation and interview, it was determined the facility failed to provide food at an appetizing temperature. This was evident for 1 out of 1 observation of a meal and test tray.
Inspectors wroteNumber of residents sampled: Number of residents cited: Based on observations and staff interviews, it was determined that the kitchen failed to ensure food items were stored to maintain the integrity of the specific items. This was evident for the initial observation of the kitchen upon facility entry. This failure has the potential to affect all residents.
Inspectors wroteBased on resident and representative interviews, record reviews, and staff interview, it was determined the facility failed 1. to include the resident or their representative in the care planning process, 2. update and revise the care plan to accurately reflect the resident's current interventions and treatments. This was evident in 4 (Resident #3, #31 #35, and #44) out of 12 residents reviewed for care planning. The findings Include: 1a. On 7/15/2025 at 8:56 AM, An interview was conducted with Resident #35. The resident stated that they cannot remember if they have been to a care plan meeting. On 7/15/2025 at 10:24 AM, Record review of Resident #35's electronic health record was conducted. No documentation found regarding care plan meetings in the year of 2025. Latest care plan meeting signature sheet found in the resident's record was from October 2024. [...]
Inspectors wroteBased on observation and interview, it was determined that the facility failed to ensure that a resident was free from abuse. This was evident for 1 of several observations made on the first floor pine view unit during an annual survey.
Inspectors wroteNumber of residents sampled: Number of residents cited: Based on record review and interview, it was determined that the facility failed to ensure that written notification of transfer was provided to the resident and or resident representative upon transfer and failed to ensure the comprehensive care plan goals were sent with the resident upon transfer. This was evident for 1 (Resident #46) of 1 resident reviewed for hospitalizations during an annual survey.
Inspectors wroteBased on record review and interviews, it was determined that the facility failed to code the resident's status accurately on the Minimum Data Set (MDS). This was evident for 1 (Resident #5) of 11 residents reviewed for accuracy of assessment.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to maintain professional standards of practice related to 1. documentation of treatment administration and 2. documentation of a resident's current diagnosis. This was evident for 3 (Resident #8, #3, #50) out of 12 residents reviewed during the annual recertification survey.
Inspectors wroteBased on observation, review of the medical record and interview with staff it was determined the facility staff failed to provide appropriate care for a resident with an indwelling urinary catheter. This was evident for 1 (Resident #5) of 2 residents reviewed for urinary catheter.
Inspectors wroteBased on observations, record reviews and interviews, it was determined that the facility failed to change the humidification bottle for a resident who is on continuous oxygen therapy. This was evident for 1 (Resident #11) of 2 residents reviewed for respiratory care.
Inspectors wroteNumber of residents sampled: Number of residents cited: Based on record review and interview, it was determined that the facility failed to ensure that all Medication Regimen Review (MRR) recommendations were addressed by the physician and that medications were adjusted when a recommendation was accepted. This was evident for 1 (Resident #7) of 5 residents reviewed for unnecessary medications during an annual survey.
Inspectors wroteNumber of residents sampled: Number of residents cited: Based on record review and interview, it was determined that the facility failed to report an allegation of abuse in a timely manner. This was evident for 1 (Incident #358045) of 9 Facility Reported Incidents (FRIs) reviewed during an annual survey.
Inspectors wroteBased on a facility reported incident, reviews of a medical record, and staff interview, it was determined that the facility staff failed to: 1) follow Resident #15's plan of care and prevent injury to a resident during incontinence care. This resulted in harm to Resident #15; 2) provide adequate supervision of Resident #17 to prevent unsafe wandering/elopement. Although this noncompliance resulted in no actual harm Resident #17, it has a potential for more than minimal harm if the practice is not corrected. This occurred for 2 of 8 residents reviewed during a Long-Term Care Survey Process annual recertification survey.
Inspectors wroteBased on surveyor observation, interviews, and reviews of the facility medication administration policy, it was determined that the facility staff failed to follow (1) the infection prevention and control program by failing to dispense medications without touching with bare hands. This was evident for 2 (Resident #31, #39) of 4 residents observed during the Long -Term Care Survey Process (LTCSP) medication pass task during an annual recertification survey. Additionally, (2) it was determined that the facility failed to have an effective system in place to help prevent the development and transmission of disease by failing to follow infection control guidelines during the laundry process. This was evident for random observations made during the tour of the facility. This deficient practice has potential to affect all residents. [...]
Inspectors wroteBased on facility-reported incidents, observations, resident interview, and reviews of the facility call bell policy, it was determined the facility staff failed to ensure access to the nurse call bell and telephone for a resident. This was evident for 1 (Resident #31) of 6 residents reviewed during the initial tour and observations of the facility during the initial stages of the Long Term Care Survey Process (LTCSP) recertification survey.
Inspectors wroteBased on the review of the medical record, interviews with staff, and review of the facility policy, it was determined that the facility staff failed to develop a comprehensive care plan that included approaches for a resident that uses oxygen. This was evident for 1 (Resident #36) of 2 residents reviewed for respiratory care during the Long Term Care Survey Process (LTCSP) recertification survey.
Inspectors wroteBased on observation and reviews of the facility policy, it was determined that the facility failed to ensure each resident was treated in a dignified manner regarding urinary catheter care. The facility failed to ensure the urine collection bags had privacy covers in place. This was evident for 1 (Resident #37) of 4 residents reviewed for urinary catheters during the Long Term Care Survey Process (LTCSP) recertification survey.
Inspectors wroteBased on interview and review of facility reported incident (FRI) investigation documentation, it was determined the facility staff failed to thoroughly investigate an incident of alleged employee to resident abuse. This was evident for 1 of 12 residents (Resident # 6) reviewed for abuse during this survey.
Inspectors wroteBased on review of resident medical record, review of a facility reported incident, staff interviews, and review of the facility ambulation and transfer policy, it was determined that 2 GNA staff members failed to follow the Resident #35's care plan and transfer the resident with a mechanical lift. This was evident for 1 (Resident #35) of 26 facility-reported incidents reviewed during the Long Term Care Survey Process of an annual recertification survey.
Inspectors wroteBased on staff interview and documentation review it was determined that facility staff failed to provide evidence that the facility's Certified Medicine Aide's (CMA) have been deemed competent to administer medications independently. This is true for 7 CMA's (Staff #3, #4; #10; #11; #12; #13; #14) employed by this facility.
Inspectors wroteBased on reviews of administrative documents and staff interview, it was determined that a facility staff member failed to report an allegation of physical abuse immediately to the facility administrator and initiate an investigation into the allegation of abuse. This was evident for 1 of 5 residents (Resident #405) reviewed for abuse during an annual re-certification survey.
Inspectors wroteBased on medical record review and interview, it was determined that the facility failed to notify a resident in writing of the reason for a hospital transfer in language that was clear and understandable. This was evident for 1 of 2 residents (Resident #41) investigated for hospitalizations.
Inspectors wroteBased on medical record review and staff interview it was determined the facility staff failed to document accurate assessments for a resident on the Minimum Data Set (MDS). This was evident for 1 of 37 residents (Resident #53) selected for review during the survey process.
Inspectors wroteBased on reviews of a closed medical record, it was determined that the facility staff failed to follow a resident's care plan and document a pain assessment. This was evident for 1 of 3 residents (Resident #256) reviewed for pain management during an annual re-certification survey.
Inspectors wroteBased on record review, observation and interview, it was determined the facility failed ensure a resident received proper and timely care (Resident #4) and failed to follow physicians' orders for 3 residents (Resident #56, #46, #41). This was evident for 4 of 37 residents reviewed during the survey process.
Inspectors wroteBased on reviews of a closed medical record, it was determined that the facility staff failed to take steps to address a resident's complaint of pain. This was evident for 1 of 3 residents (Resident #256) reviewed for pain management during an annual re-certification survey.
Inspectors wroteBased on resident interviews, staff interviews, and a review of the resident council meeting notes it was determined that the facility staff failed to provide sufficient staff to respond to call lights and address resident concerns.
Inspectors wroteBased on review of employee files and staff interview, it was determined that the facility failed to perform annual performance reviews for some of the geriatric nursing assistants (GNA). This was identified for 3 of 5 GNA staff members (GNA #3, #4, #5) reviewed during an annual re-certification survey.
Inspectors wroteBased on observation during medication pass it was determined that facility staff failed to administer medications with less than a 5% medication error rate. This was true for 1 out of 25 medication administration observations.
Inspectors wroteBased on observation and staff interview it was determined the facility staff failed to dispose of expired medical supplies on 1 of 2 nursing units observed (Nursing Unit 1).
Inspectors wroteBased on observation it was determined the facility staff was not conducting themselves in a manner that would maintain sanitary conditions by not following accepted personal cleanliness techniques. The facility staff also failed to maintain food service equipment in a manner that ensures sanitary food distribution. This was evident during the initial tour of the kitchen and follow-up visits at satellite kitchens during the annual survey.
Inspectors wroteBased on record review and interview it was determined that facility staff failed to provide an accurate and complete Matrix, as requested by the survey team at the beginning of the annual re-certification survey.
Inspectors wroteBased on observation and staff interview it was determined that the facility staff failed to provide safe and sanitary conditions to prevent the development and transmission of disease and infection. This was evident during observation of 1 of 25 medication passes.
14 fire safety citations on file: 5 on July 18, 2025, 4 on June 2, 2022, 5 on November 15, 2018.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Maryland | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.51 | 3.87 | 3.86 |
| Registered nurses | 1.37 | 0.84 | 0.69 |
| All nursing staff on weekends | 3.95 | 3.47 | 3.42 |
| Nurse aides | 2.28 | ||
| Licensed practical nurses | 0.86 | ||
| Nursing staff turnover (share who left in a year) | 51.1% | 40.2% | 45.8% |
| Registered nurse turnover | 55.0% | 38.7% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.40 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.74 on weekdays and 3.95 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.24 in April to June 2025 to 4.51 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.51 | 1.37 | 4.74 | 3.95 | 0.0% | 0 of 90 | 41 |
| Oct to Dec 2025 | 4.60 | 1.51 | 4.82 | 4.04 | 0.0% | 0 of 92 | 40 |
| Jul to Sep 2025 | 4.22 | 1.39 | 4.35 | 3.87 | 0.0% | 0 of 92 | 41 |
| Apr to Jun 2025 | 4.24 | 1.43 | 4.38 | 3.90 | 0.0% | 0 of 91 | 38 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Maryland, Jan to Mar 2026 | 3.73 | 0.74 | 3.88 | 3.34 | 8.0% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Maryland, all employers | |||
| CNAs (nursing assistants) | $20.79 | $18.46 to $22.00 | 27,720 |
| LPNs and LVNs | $35.89 | $31.40 to $38.30 | 9,560 |
| Registered nurses | $47.98 | $40.26 to $51.61 | 52,910 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Maryland | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 18.2 | 20.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.9 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.6 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.6 | 2.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 21.1 | 22.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.6 | 5.9 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 3.8 | 13.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 23.2 | 21.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.5 | 9.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.1 | 1.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 1.2 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Willowbrooke Court Skilled Care Center Fairhaven's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (68.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
68.3% this home
Better than the national rate
US median of homes 51.5% · Maryland: 90 better, 29 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 79 eligible stays.
12.1% this home
No different from the national rate
US median of homes 10.7% · Maryland: 0 better, 41 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 100 eligible stays.
5.7% this home
No different from the national rate
US median of homes 7.1% · Maryland: 5 better, 6 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 54 eligible stays.
44.6% this home
Median of homes: Maryland61.2% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 56 residents counted.
0.0% this home
Median of homes: Maryland0.4% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 68 residents counted.
1.3% this home
Median of homes: Maryland2.4% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 68 residents counted.
100.0% this home
Median of homes: Maryland98.1% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 41 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: ACTS COMMUNITIES OF MARYLAND, INC.. CMS links this home to Acts Retirement-Life Communities, a group of 27 nursing homes averaging 4.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Acts Acquisition and Development Company LLC | Indirect ownership interest | Organization | 12/31/2022 | |
| Acts Alliance Management LLC | Indirect ownership interest | Organization | 12/31/2022 | |
| Acts Legacy Foundation, Inc. | Indirect ownership interest | Organization | 12/31/2022 | |
| Acts Management Services, Inc. | Indirect ownership interest | Organization | 12/31/2022 | |
| Acts Retirement Services, Inc | Indirect ownership interest | Organization | 12/31/2022 | |
| Acts Retirement-Life Communities Management, LLC | Indirect ownership interest | Organization | 12/31/2022 | |
| Acts Signature Community Services Inc | Indirect ownership interest | Organization | 12/31/2022 | |
| Bonita Springs Retirement Village Inc | Indirect ownership interest | Organization | 11/01/2024 | |
| Mease Life Inc | Indirect ownership interest | Organization | 10/01/2023 | |
| Acts Communities of Maryland, Inc. | 5% or greater mortgage interest | Organization | 12/31/2022 | |
| Ahern, Susan | Managing control - governing body | Individual | 01/01/2025 | |
| Christiansen, Karen | Managing control - governing body | Individual | 01/01/2025 | |
| Fox, Glenn | Managing control - governing body | Individual | 01/01/2025 | |
| Grant, Gerald | Managing control - governing body | Individual | 01/01/2025 | |
| Grant, Jonathan | Managing control - governing body | Individual | 01/01/2025 | |
| Valdivia, Peggy | Managing control - governing body | Individual | 01/01/2025 | |
| Christiansen, Karen | Corporate director | Individual | 01/01/2025 | |
| Detweiler, Harold | Corporate director | Individual | 01/01/2025 | |
| Forrest, Anne | Corporate director | Individual | 01/01/2025 | |
| Grant, Gerald | Corporate director | Individual | 01/01/2025 | |
| Kelly, Michael | Corporate director | Individual | 01/01/2025 | |
| Lawson, Daniel | Corporate director | Individual | 01/01/2025 | |
| Neary, Anne | Corporate director | Individual | 01/01/2025 | |
| Paquette, Ellen | Corporate director | Individual | 01/01/2025 | |
| Ahern, Susan | Corporate officer | Individual | 01/01/2025 | |
| Christiansen, Karen | Corporate officer | Individual | 01/01/2025 | |
| Fox, Glenn | Corporate officer | Individual | 01/01/2025 | |
| Grant, Gerald | Corporate officer | Individual | 01/01/2025 | |
| Grant, Jonathan | Corporate officer | Individual | 01/01/2025 | |
| Valdivia, Peggy | Corporate officer | Individual | 01/01/2025 | |
| Acts Communities of Maryland, Inc. | Operational/managerial control | Organization | 12/31/2022 | |
| Acts Management Services, Inc. | Operational/managerial control | Organization | 12/31/2022 | |
| Acts Retirement-Life Communities Management, LLC | Operational/managerial control | Organization | 12/31/2022 | |
| Ahern, Susan | Operational/managerial control | Individual | 01/01/2025 | |
| Athen, Michael | Operational/managerial control | Individual | 01/01/2025 | |
| Christiansen, Karen | Operational/managerial control | Individual | 01/01/2025 | |
| Fox, Glenn | Operational/managerial control | Individual | 01/01/2025 | |
| Grant, Gerald | Operational/managerial control | Individual | 01/01/2025 | |
| Grant, Jonathan | Operational/managerial control | Individual | 01/01/2025 | |
| Valdivia, Peggy | Operational/managerial control | Individual | 01/01/2025 | |
| U.s. Bank | Trustee of the SNF | Organization | 07/09/2025 | |
| Acts Communities of Maryland, Inc. | Adp of the SNF | Organization | 12/31/2022 | |
| Acts Management Services, Inc. | Adp of the SNF | Organization | 01/31/2025 | |
| Acts Retirement-Life Communities Management, LLC | Adp of the SNF | Organization | 01/31/2025 | |
| Baker Tilly Advisory Group LP | Adp of the SNF | Organization | 02/03/2025 | |
| Baker Tilly Us LLP | Adp of the SNF | Organization | 11/05/2024 | |
| U.s. Bank | Adp of the SNF | Organization | 07/10/2025 | |
| Ahern, Susan | Adp of the SNF | Individual | 01/01/2025 | |
| Athen, Michael | Adp of the SNF | Individual | 01/01/2025 | |
| Christiansen, Karen | Adp of the SNF | Individual | 01/01/2025 | |
| Fox, Glenn | Adp of the SNF | Individual | 01/01/2025 | |
| Grant, Gerald | Adp of the SNF | Individual | 01/01/2025 | |
| Grant, Jonathan | Adp of the SNF | Individual | 01/01/2025 | |
| Lakhani, Tasneem | Adp of the SNF | Individual | 01/01/2025 | |
| Valdivia, Peggy | Adp of the SNF | Individual | 01/01/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Maryland. NursingHomeClear cannot take or act on complaints.