WILLOWBROOKE COURT SKILLED CARE CENTER FAIRHAVEN
Grade B — 86/100 composite score
CMS Star Ratings
Certified Beds
79
Ownership
Non profit - Corporation
Total Fines
None
Last Survey
N/A
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Staffing Hours & Turnover
Hours per Resident per Day (PBJ)
Turnover Rates
Ownership
NEARY, ANNE
ACTS COMMUNITIES OF MARYLAND, INC.
100%
ACTS RETIREMENT SERVICES, INC
100%
ACTS COMMUNITIES OF MARYLAND, INC.
ACTS MANAGEMENT SERVICES, INC.
ACTS RETIREMENT-LIFE COMMUNITIES MANAGEMENT, LLC
AHERN, SUSAN
ATHEN, MICHAEL
CHRISTIANSEN, KAREN
FOX, GLENN
GRANT, GERALD
GRANT, JONATHAN
VALDIVIA, PEGGY
CHRISTIANSEN, KAREN
DESMARAIS, NORMAND
DETWEILER, HAROLD
FORREST, ANNE
GRANT, GERALD
KELLY, MICHAEL
LAWSON, DANIEL
PAQUETTE, ELLEN
AHERN, SUSAN
CHRISTIANSEN, KAREN
FOX, GLENN
GRANT, GERALD
GRANT, JONATHAN
VALDIVIA, PEGGY
ACTS COMMUNITIES OF MARYLAND, INC.
Penalties & Fines
No penalties or fines on record.
Health Inspection Deficiencies (32)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
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
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies
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
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning 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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
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
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care 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.
Nursing and Physician Services Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
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
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
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
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies
Ensure medication error rates are not 5 percent or greater.
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.
Pharmacy Service Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
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Frequently Asked Questions
What is the CareGrader rating for WILLOWBROOKE COURT SKILLED CARE CENTER FAIRHAVEN?
WILLOWBROOKE COURT SKILLED CARE CENTER FAIRHAVEN in SYKESVILLE, Maryland has a CareGrader grade of B (Good), with a composite score of 86.3 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 COURT SKILLED CARE CENTER FAIRHAVEN?
WILLOWBROOKE COURT SKILLED CARE CENTER FAIRHAVEN has an overall CMS star rating of 4 out of 5, a health inspection rating of 3/5, and a staffing rating of 5/5. CareGrader combines this with additional data to calculate an A-F grade.
How many health deficiencies does WILLOWBROOKE COURT SKILLED CARE CENTER FAIRHAVEN have?
WILLOWBROOKE COURT SKILLED CARE CENTER FAIRHAVEN has 32 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.
How many beds does WILLOWBROOKE COURT SKILLED CARE CENTER FAIRHAVEN have?
WILLOWBROOKE COURT SKILLED CARE CENTER FAIRHAVEN has 79 certified beds with approximately 41 current residents (52% occupancy). The facility is located at 7200 THIRD AVENUE, SYKESVILLE, Maryland 21784. 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.