Nursing homeActive
Willowbrooke Court Skilled Care Center Fairhaven
7200 Third Avenue, Sykesville, MD 21784410795880079 certified beds · 41 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2018
Deficiencies
32
● 0● 31● 1
Penalties · 3 yrs
—
none on file
Last survey
2025-07-18
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 3
Staffing 5
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Maryland Office of Health Care Quality · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-07-18 | Standard | 0110 | CMS-2567 (Care Compare) | — |
| 2022-06-02 | Standard | 061 | CMS-2567 (Care Compare) | — |
| 2018-11-15 | Standard | 0140 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Maryland Office of Health Care Quality publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-25Record 215130-20250718-F600
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-25Record 215130-20250718-F609
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-25Record 215130-20250718-F628
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-25Record 215130-20250718-F641
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-25Record 215130-20250718-F657
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-25Record 215130-20250718-F658
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-25Record 215130-20250718-F690
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-25Record 215130-20250718-F695
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-25Record 215130-20250718-F756
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-09-25Record 215130-20250718-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-09-25Record 215130-20250718-F812
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2022-07-01Record 215130-20220602-F689
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-07-01Record 215130-20220602-F550
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-07-27Record 215130-20220602-F558
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-07-01Record 215130-20220602-F610
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-07-27Record 215130-20220602-F656
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-07-01Record 215130-20220602-F684
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-07-01Record 215130-20220602-F880
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-12-21Record 215130-20181115-F609
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-12-21Record 215130-20181115-F623
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-12-21Record 215130-20181115-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-12-21Record 215130-20181115-F656
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-12-21Record 215130-20181115-F684
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-12-21Record 215130-20181115-F697
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-12-21Record 215130-20181115-F725
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2018-12-21Record 215130-20181115-F726
F730Observe each nurse aide's job performance and give regular training.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-12-21Record 215130-20181115-F730
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-12-21Record 215130-20181115-F759
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-12-21Record 215130-20181115-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-12-21Record 215130-20181115-F812
F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-12-21Record 215130-20181115-F835
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-12-21Record 215130-20181115-F880
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.37
Facility
Maryland
National
Maryland 0.84 · National 0.69
Total nurse hours per resident day4.51
Facility
Maryland
National
Maryland 3.87 · National 3.86
Weekend total nurse hours3.95
Facility
Maryland
National
Maryland 3.47 · National 3.42
Total nursing staff turnover51%
Facility
Maryland
National
Maryland 40% · National 46%
Registered nurse turnover55%
Facility
Maryland
National
Maryland 39% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Maryland | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.7% | 5.9% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 4.6% | 2.4% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 3.8% | 13.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.6% | 1.5% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 18.2% | 20.4% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 13.4% | 5.4% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 17.2% | 16.7% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| 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 | — | — |
| Ahern, Susan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Athen, Michael Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Christiansen, Karen 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 | — | — |
| Acts Acquisition And Development Company LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Acts Alliance Management LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Acts Communities Of Maryland, Inc. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Acts Communities Of Maryland, Inc. Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Acts Legacy Foundation, Inc. Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Acts Management Services, Inc. Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Acts Management Services, Inc. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Acts Retirement Services, Inc Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Acts Retirement-Life Communities Management, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Acts Retirement-Life Communities Management, LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Acts Signature Community Services Inc Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Ahern, Susan Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Ahern, Susan Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Ahern, Susan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Athen, Michael Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Baker Tilly Advisory Group LP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Baker Tilly Us LLP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bonita Springs Retirement Village Inc Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Christiansen, Karen Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Christiansen, Karen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Christiansen, Karen Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Christiansen, Karen Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Detweiler, Harold Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Forrest, Anne Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Fox, Glenn Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Fox, Glenn Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fox, Glenn Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Grant, Gerald Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Grant, Gerald Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Grant, Gerald Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Grant, Gerald Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Grant, Jonathan Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Grant, Jonathan Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Grant, Jonathan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kelly, Michael Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Lakhani, Tasneem Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lawson, Daniel Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Mease Life Inc Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Neary, Anne Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Paquette, Ellen Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| U.S. Bank Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| U.S. Bank Organization | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Valdivia, Peggy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Valdivia, Peggy Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Valdivia, Peggy Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
Part of a chain
Acts Retirement-Life Communities — 27 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Maryland.
No county cost figures on file for Carroll.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Autumn Lake Healthcare At Birch Manor Sykesville | 0.1 mi | 2025-11-20 | 0250 |
| Copper Ridge Nursing And Assisted Living Center Sykesville | 0.3 mi | 2026-06-22 | 0222 |
| Encore At Turf Valley Ellicott City | 6.5 mi | 2025-05-14 | 0100 |
| Chapel Hill Nursing Center Randallstown | 6.1 mi | 2026-03-30 | 0381 |
| Westminster Rehabilitation and Wellness Center Westminster | 11.5 mi | 2026-05-04 | 1721 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |