• CMS rates this facility 5/5 stars (above average)
• Has 38 certified beds with an average of 2.8 residents per day (7% occupancy)
• Last health inspection found 5 deficiencies (inspected Feb 23, 2024)
• Has been fined a total of $15,440 across 1 fine(s)
• Total nursing staff: 5.48 hours per resident per day
• Staff turnover rate: 21.1%
• Part of the Acts Retirement-Life Communities chain (26 facilities)
Willow Brooke Ct Skilled Care Ctr at Heron Point is a 5-star Medicare and Medicaid certified nursing home in Chestertown, Maryland with 38 certified beds. It has been operating since 1991. The facility scored above average compared to Maryland facilities.
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.
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.
Implement 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.
Ensure medication error rates are not 5 percent or greater.
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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Respond appropriately to all alleged violations.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Give the resident's representative the ability to exercise the resident's rights.
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Assure that each resident’s assessment is updated at least once every 3 months.
PASARR screening for Mental disorders or Intellectual Disabilities
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide safe, appropriate pain management for a resident who requires such services.
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Implement 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.
Provide routine and 24-hour emergency dental care for each resident.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide necessary care and services to maintain or improve the highest well being of each resident .
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
Have a program that investigates, controls and keeps infection from spreading.
Keep all essential equipment working safely.
+ 1 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| ACTS COMMUNITIES OF MARYLAND, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Dec 31, 2022 |
| ACTS MANAGEMENT SERVICES, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Dec 31, 2022 |
| ACTS RETIREMENT-LIFE COMMUNITIES MANAGEMENT, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Dec 31, 2022 |
| AHERN, SUSAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 31, 2022 |
| CHRISTIANSEN, KAREN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 31, 2022 |
| FOX, GLENN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 31, 2022 |
| GRANT, GERALD | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 31, 2022 |
| GRANT, JONATHAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 31, 2022 |
| KURZ, STELLAH | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 1, 2025 |
| VALDIVIA, PEGGY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 31, 2022 |
| CHRISTIANSEN, KAREN | CORPORATE DIRECTOR | Individual | N/A | Dec 31, 2022 |
| DETWEILER, HAROLD | CORPORATE DIRECTOR | Individual | N/A | Dec 31, 2022 |
| FORREST, ANNE | CORPORATE DIRECTOR | Individual | N/A | Dec 31, 2022 |
| GRANT, GERALD | CORPORATE DIRECTOR | Individual | N/A | Dec 31, 2022 |
| KELLY, MICHAEL | CORPORATE DIRECTOR | Individual | N/A | Dec 31, 2022 |
| LAWSON, DANIEL | CORPORATE DIRECTOR | Individual | N/A | Dec 31, 2022 |
| NEARY, ANNE | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2025 |
| PAQUETTE, ELLEN | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2025 |
| AHERN, SUSAN | CORPORATE OFFICER | Individual | N/A | Dec 31, 2022 |
| CHRISTIANSEN, KAREN | CORPORATE OFFICER | Individual | N/A | Jan 1, 2025 |
| FOX, GLENN | CORPORATE OFFICER | Individual | N/A | Dec 31, 2022 |
| GRANT, GERALD | CORPORATE OFFICER | Individual | N/A | Jan 1, 2025 |
| GRANT, JONATHAN | CORPORATE OFFICER | Individual | N/A | Dec 31, 2022 |
| VALDIVIA, PEGGY | CORPORATE OFFICER | Individual | N/A | Dec 31, 2022 |
This chain operates 26 facilities. View all →