Nursing homeActive
Willowbrooke Ct Skilled Care Buckingham's Choice
3200 Baker Circle, Adamstown, MD 21710301644163642 certified beds · 25 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2019
Deficiencies
23
● 0● 23● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-02-17
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 5
Staffing 5
Quality 5
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 |
|---|---|---|---|---|
| 2026-02-17 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2024-11-22 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2019-08-19 | Standard | 0130 | 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.
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-26Record 215329-20260217-F641
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 2026-02-26Record 215329-20260217-F695
F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-26Record 215329-20260217-F712
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-26Record 215329-20260217-F842
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 215329-20241122-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 EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 215329-20241122-F656
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 DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 215329-20241122-F657
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 215329-20241122-F689
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 215329-20241122-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 215329-20241122-F812
F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-10-17Record 215329-20190819-F578
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-10-17Record 215329-20190819-F580
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-10-17Record 215329-20190819-F584
F638Assure that each resident’s assessment is updated at least once every 3 months.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-10-17Record 215329-20190819-F638
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-10-17Record 215329-20190819-F655
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 2019-10-17Record 215329-20190819-F656
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 DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-10-17Record 215329-20190819-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 2019-10-17Record 215329-20190819-F658
F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-10-17Record 215329-20190819-F661
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-10-17Record 215329-20190819-F758
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 2019-10-17Record 215329-20190819-F812
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-10-17Record 215329-20190819-F842
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 2019-10-17Record 215329-20190819-F880
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.54
Facility
Maryland
National
Maryland 0.84 · National 0.69
Total nurse hours per resident day4.32
Facility
Maryland
National
Maryland 3.87 · National 3.86
Weekend total nurse hours3.84
Facility
Maryland
National
Maryland 3.47 · National 3.42
Total nursing staff turnover12%
Facility
Maryland
National
Maryland 40% · National 46%
Registered nurse turnover0%
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 | 15.2% | 5.9% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.3% | 2.4% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 2.9% | 13.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.3% | 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 | 8.2% | 20.4% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.6% | 5.4% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 6.3% | 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 | — | — |
| Fox, Glenn Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Grant, Gerald Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Grant, Jonathan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Grimmel, Eric 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 | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Acts Communities Of Maryland, Inc. Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Acts Communities Of Maryland, Inc. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Acts Legacy Foundation, 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 Inc Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Acts Retirement-Life Communities Management, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Acts Signature Community Services Inc Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Ahern, Susan Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Ahern, Susan 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 | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Christiansen, Karen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Detweiler, Harold Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Forrest, Anne Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Fox, Glenn Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fox, Glenn Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Grant, Gerald Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Grant, Gerald Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Grant, Gerald Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Grant, Jonathan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Grant, Jonathan Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Grimmel, Eric 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 | — | — |
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 Frederick.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Frederick Crossing Of Journey Frederick | 6.4 mi | 2026-06-17 | 0441 |
| Autumn Lake Healthcare At Braddock Heights Frederick | 7.0 mi | 2026-01-23 | 0240 |
| Citizens Care And Rehabilitation Center Of Frederi Frederick | 7.9 mi | 2026-03-20 | 0180 |
| Northampton Manor Nursing And Rehabilitation Cente Frederick | 7.9 mi | 2026-01-30 | 0481 |
| Autumn Lake Healthcare At Ballenger Creek Frederick | 8.3 mi | 2026-06-04 | 0310 |
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 |