C72

WILLOWBROOKE CT SKILLED CARE CTR AT BAYLEIGH CHASE

Grade C 72/100 composite score

Non profit - CorporationAbuse Citation

CMS Star Ratings

Overall
2/5
Health Insp.
2/5
Quality
4/5
Staffing
4/5
RN Staffing
Not rated

Certified Beds

99

Ownership

Non profit - Corporation

Total Fines

None

Last Survey

N/A

501 DUTCHMAN'S LANE, EASTON, MD 21601
4108228888

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
1.03h
LPN
0.71h
CNA
2.15h
Total
3.89h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

ACTS COMMUNITIES OF MARYLAND, INC.

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jan 2025

ACTS MANAGEMENT SERVICES, INC.

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Dec 2022

ACTS RETIREMENT-LIFE COMMUNITIES MANAGEMENT, LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Dec 2022

CHRISTIANSEN, KAREN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Dec 2022

FOX, GLENN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Dec 2022

GRANT, GERALD

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Dec 2022

GRANT, JONATHAN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Dec 2022

SHOCKLEY, NICHOLAS

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2025

VALDIVIA, PEGGY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2025

CHRISTIANSEN, KAREN

IndividualCORPORATE DIRECTORSince Mar 2020

DESMARAIS, NORMAND

IndividualCORPORATE DIRECTORSince Jan 2025

DETWEILER, HAROLD

IndividualCORPORATE DIRECTORSince Jan 2025

FORREST, ANNE

IndividualCORPORATE DIRECTORSince Jan 2025

GRANT, GERALD

IndividualCORPORATE DIRECTORSince Mar 2020

KELLY, MICHAEL

IndividualCORPORATE DIRECTORSince Jan 2025

LAWSON, DANIEL

IndividualCORPORATE DIRECTORSince Jan 2025

NEARY, ANNE

IndividualCORPORATE DIRECTORSince Jan 2025

PAQUETTE, ELLEN

IndividualCORPORATE DIRECTORSince Jan 2025

AHERN, SUSAN

IndividualCORPORATE OFFICERSince Jul 2021

CHRISTIANSEN, KAREN

IndividualCORPORATE OFFICERSince Jan 2025

FOX, GLENN

IndividualCORPORATE OFFICERSince Mar 2020

GRANT, GERALD

IndividualCORPORATE OFFICERSince Jan 2025

GRANT, JONATHAN

IndividualCORPORATE OFFICERSince Mar 2020

VALDIVIA, PEGGY

IndividualCORPORATE OFFICERSince Jan 2025

ACTS COMMUNITIES OF MARYLAND, INC.

Organization5% OR GREATER MORTGAGE INTERESTSince Dec 2022

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (38)

January 17, 2025Health12 deficiencies2 severe
0697DMinimal harm, Isolated

Provide safe, appropriate pain management for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Feb 27, 2025
0835EMinimal harm, Pattern

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Administration Deficiencies

Corrected Feb 27, 2025
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Feb 27, 2025
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Feb 27, 2025
0689GActual harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Feb 27, 2025
0600JImmediate jeopardy, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Feb 27, 2025
0658DMinimal harm, Isolated

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Feb 27, 2025
0730FMinimal harm, Widespread

Observe each nurse aide's job performance and give regular training.

Nursing and Physician Services Deficiencies

Corrected Feb 27, 2025
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Feb 27, 2025
0842DMinimal harm, Isolated

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Feb 27, 2025
0867FMinimal harm, Widespread

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Administration Deficiencies

Corrected Feb 27, 2025
0943EMinimal harm, Pattern

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Feb 27, 2025
July 12, 2019Health11 deficiencies
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Aug 31, 2019
0657EMinimal harm, Pattern

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Aug 31, 2019
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Aug 31, 2019
0727EMinimal harm, Pattern

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.

Nursing and Physician Services Deficiencies

Corrected Aug 31, 2019
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Aug 31, 2019
0623DMinimal harm, Isolated

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Resident Rights Deficiencies

Corrected Aug 31, 2019
0640DMinimal harm, Isolated

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Aug 31, 2019
0679DMinimal harm, Isolated

Provide activities to meet all resident's needs.

Quality of Life and Care Deficiencies

Corrected Aug 31, 2019
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Aug 31, 2019
0842DMinimal harm, Isolated

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Aug 31, 2019
0923DMinimal harm, Isolated

Have enough outside ventilation via a window or mechanical ventilation, or both.

Environmental Deficiencies

Corrected Aug 31, 2019
February 21, 2018Health15 deficiencies
0550EMinimal harm, Pattern

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Apr 30, 2018
0565EMinimal harm, Pattern

Honor the resident's right to organize and participate in resident/family groups in the facility.

Resident Rights Deficiencies

Corrected Apr 30, 2018
0656EMinimal harm, Pattern

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 30, 2018
0657EMinimal harm, Pattern

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 30, 2018
0689EMinimal harm, Pattern

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Apr 30, 2018
0759EMinimal harm, Pattern

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Apr 30, 2018
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Apr 30, 2018
0582DMinimal harm, Isolated

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Resident Rights Deficiencies

Corrected Apr 30, 2018
0623DMinimal harm, Isolated

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Resident Rights Deficiencies

Corrected Apr 30, 2018
0625DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Apr 30, 2018
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 30, 2018
0655EMinimal harm, Pattern

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Resident Assessment and Care Planning Deficiencies

Corrected Apr 30, 2018
0658EMinimal harm, Pattern

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 30, 2018
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Apr 30, 2018
0804EMinimal harm, Pattern

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nutrition and Dietary Deficiencies

Corrected Apr 30, 2018

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Frequently Asked Questions

What is the CareGrader rating for WILLOWBROOKE CT SKILLED CARE CTR AT BAYLEIGH CHASE?

WILLOWBROOKE CT SKILLED CARE CTR AT BAYLEIGH CHASE in EASTON, Maryland has a CareGrader grade of C (Average), with a composite score of 71.5 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for WILLOWBROOKE CT SKILLED CARE CTR AT BAYLEIGH CHASE?

WILLOWBROOKE CT SKILLED CARE CTR AT BAYLEIGH CHASE has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does WILLOWBROOKE CT SKILLED CARE CTR AT BAYLEIGH CHASE have?

WILLOWBROOKE CT SKILLED CARE CTR AT BAYLEIGH CHASE has 38 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). This facility has abuse citations on record. View the full inspection timeline above for details on each deficiency.

How many beds does WILLOWBROOKE CT SKILLED CARE CTR AT BAYLEIGH CHASE have?

WILLOWBROOKE CT SKILLED CARE CTR AT BAYLEIGH CHASE has 99 certified beds with approximately 60 current residents (61% occupancy). The facility is located at 501 DUTCHMAN'S LANE, EASTON, Maryland 21601. It is a non profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.