WILLOWBROOKE CT SKILLED CARE CTR AT BAYLEIGH CHASE
CCN: 215137 · EASTON, MD 21601 · Talbot County
Overview
- Address
- 501 DUTCHMAN'S LANE, EASTON, MD 21601
- Phone
- 4108228888
- Certified beds
- 99
- Avg daily residents
- 60 (61% of beds filled)
- Ownership
- Non-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1982-01-26
- Setting
- Rural
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.64 | 3.62 | 3.89 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.96 | 0.63 | 1.03 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.66 | 0.80 | 0.71 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.02 | 2.18 | 2.15 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.63 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.10 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Resident acuity
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-01-17 | 7 | 7 | 4 | 139 | 1 | 139 |
| Cycle 2/3 (prior) | 2019-07-12 | 16 | 11 | 5 | 92 | 1 | 92 |
Deficiencies (38)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-01-17 | 2025-02-27 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-01-17 | 2025-02-27 |
| 0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2025-01-17 | 2025-02-27 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2025-01-17 | 2025-02-27 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-01-17 | 2025-02-27 |
| 0610 | Respond appropriately to all alleged violations. | D | 2025-01-17 | 2025-02-27 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-01-17 | 2025-02-27 |
| 0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-01-17 | 2025-02-27 |
| 0730 | Observe each nurse aide's job performance and give regular training. | F | 2025-01-17 | 2025-02-27 |
| 0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | 2025-01-17 | 2025-02-27 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-01-17 | 2025-02-27 |
| 0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | 2025-01-17 | 2025-02-27 |
| 0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2019-07-12 | 2019-08-31 |
| 0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | 2019-07-12 | 2019-08-31 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2019-07-12 | 2019-08-31 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | 2019-07-12 | 2019-08-31 |
| 0679 | Provide activities to meet all resident's needs. | D | 2019-07-12 | 2019-08-31 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2019-07-12 | 2019-08-31 |
| 0727 | 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. | E | 2019-07-12 | 2019-08-31 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | D | 2019-07-12 | 2019-08-31 |
| 0761 | 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. | D | 2019-07-12 | 2019-08-31 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2019-07-12 | 2019-08-31 |
| 0923 | Have enough outside ventilation via a window or mechanical ventilation, or both. | D | 2019-07-12 | 2019-08-31 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2018-02-21 | 2018-04-30 |
| 0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2018-02-21 | 2018-04-30 |
| 0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2018-02-21 | 2018-04-30 |
| 0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2018-02-21 | 2018-04-30 |
| 0625 | 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. | D | 2018-02-21 | 2018-04-30 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2018-02-21 | 2018-04-30 |
| 0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | 2018-02-21 | 2018-04-30 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2018-02-21 | 2018-04-30 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | 2018-02-21 | 2018-04-30 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2018-02-21 | 2018-04-30 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2018-02-21 | 2018-04-30 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2018-02-21 | 2018-04-30 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | E | 2018-02-21 | 2018-04-30 |
| 0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2018-02-21 | 2018-04-30 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2018-02-21 | 2018-04-30 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Operating performance
Revenue & costs
Balance sheet
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: ACTS RETIREMENT-LIFE COMMUNITIES
- Chain ID
9- Facilities in chain
- 26
- Legal business name
- ACTS COMMUNITIES OF MARYLAND, INC.
Owner / manager organizations (4)
| Organization | Role | Association |
|---|---|---|
| ACTS COMMUNITIES OF MARYLAND, INC. | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2025 |
| ACTS MANAGEMENT SERVICES, INC. | OPERATIONAL/MANAGERIAL CONTROL | since 12/31/2022 |
| ACTS RETIREMENT-LIFE COMMUNITIES MANAGEMENT, LLC | OPERATIONAL/MANAGERIAL CONTROL | since 12/31/2022 |
| ACTS COMMUNITIES OF MARYLAND, INC. | 5% OR GREATER MORTGAGE INTEREST | since 12/31/2022 |
Owner / manager individuals (20)
| Name | Role | Association |
|---|---|---|
| CHRISTIANSEN, KAREN | OPERATIONAL/MANAGERIAL CONTROL | since 12/31/2022 |
| CLEMES, GEORGE | OPERATIONAL/MANAGERIAL CONTROL | since 02/06/2025 |
| FOX, GLENN | OPERATIONAL/MANAGERIAL CONTROL | since 12/31/2022 |
| GRANT, GERALD | OPERATIONAL/MANAGERIAL CONTROL | since 12/31/2022 |
| GRANT, JONATHAN | OPERATIONAL/MANAGERIAL CONTROL | since 12/31/2022 |
| VALDIVIA, PEGGY | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2025 |
| CHRISTIANSEN, KAREN | CORPORATE DIRECTOR | since 03/31/2020 |
| DETWEILER, HAROLD | CORPORATE DIRECTOR | since 01/01/2025 |
| FORREST, ANNE | CORPORATE DIRECTOR | since 01/01/2025 |
| GRANT, GERALD | CORPORATE DIRECTOR | since 03/31/2020 |
| KELLY, MICHAEL | CORPORATE DIRECTOR | since 01/01/2025 |
| LAWSON, DANIEL | CORPORATE DIRECTOR | since 01/01/2025 |
| NEARY, ANNE | CORPORATE DIRECTOR | since 01/01/2025 |
| PAQUETTE, ELLEN | CORPORATE DIRECTOR | since 01/01/2025 |
| AHERN, SUSAN | CORPORATE OFFICER | since 07/15/2021 |
| CHRISTIANSEN, KAREN | CORPORATE OFFICER | since 01/01/2025 |
| FOX, GLENN | CORPORATE OFFICER | since 03/31/2020 |
| GRANT, GERALD | CORPORATE OFFICER | since 01/01/2025 |
| GRANT, JONATHAN | CORPORATE OFFICER | since 03/31/2020 |
| VALDIVIA, PEGGY | CORPORATE OFFICER | since 01/01/2025 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- Yes
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- Yes — last 2 cycles
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $74 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.02 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 55.6% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 14.3% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $419,959 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $19,504,712 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 60.6% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -1.6% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $79,220,612 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,627,463 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $4,213,324 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $75,007,288 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 2.1% | metrics.total_margin |
| Provider Information | Abuse Icon | Y | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.70965 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.15353 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 1.02726 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.89043 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.54981 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 60.4 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.80253 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.18111 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.63257 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.61622 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.18731 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 4.3 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 4.8 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 4.6 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 4.7 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 9 | Chain ID |
| Provider Information | Chain Name | ACTS RETIREMENT-LIFE COMMUNITIES | Chain Name |
| Provider Information | City/Town | EASTON | City/Town |
| Provider Information | CMS Certification Number (CCN) | 215137 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | Y | Continuing Care Retirement Community |
| Provider Information | County/Parish | Talbot | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1982-01-26 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 2 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 38.7603 | Latitude |
| Provider Information | Legal Business Name | ACTS COMMUNITIES OF MARYLAND, INC. | Legal Business Name |
| Provider Information | Location | 501 DUTCHMAN'S LANE,EASTON,MD,21601 | Location |
| Provider Information | Long-Stay QM Rating | 3 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -76.068 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 1 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 99 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 26 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.28106 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.92989 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 2 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | Non profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 501 DUTCHMAN'S LANE | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | WILLOWBROOKE CT SKILLED CARE CTR AT BAYLEIGH CHASE | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 200 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 4 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 139 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 4 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 7 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-01-17 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 139 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 7 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 11 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2019-07-12 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 92 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 5 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 92 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 16 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.73515 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 11.8 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.62682 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.66467 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.01703 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.10334 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.96215 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.64385 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 4 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 4 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | MD | State |
| Provider Information | Telephone Number | 4108228888 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.32482 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 21.3 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 127.250 | Total Weighted Health Survey Score |
| Provider Information | Urban | N | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 21601 | ZIP Code |