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Public Record

Willow Brooke Ct Skilled Care Ctr at Heron Point

Nursing HomeChestertown, MDCMS 215235
32 citations on record

Operated by Acts Retirement-life Communities

From CMS

Facility profile

CMS overall rating
5 / 5

*CMS Five-Star

Certified beds
38

*CMS

Avg. residents per day
2

*CMS

Inspection record

On record from CMS

Health citations
32

*CMS

Fire safety findings
16

*CMS

Inspections on file
8

*CMS

Last inspection
2025-12-11

*CMS

Citations

32 citations on record

Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0812Generalpotential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • 0609Generalpotential for harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • 0610Generalpotential for harm

    Respond appropriately to all alleged violations.

  • 0625Generalpotential for harm

    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.

  • 0656Generalpotential for harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • 0689Seriousimmediate jeopardy

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • 0726Generalpotential for harm

    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.

  • 0740Generalpotential for harm

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

  • 0758Generalpotential for harm

    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.

  • 0759Generalpotential for harm

    Ensure medication error rates are not 5 percent or greater.

  • 0761Generalpotential for harm

    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.

  • 0697Generalpotential for harm

    Provide safe, appropriate pain management for a resident who requires such services.

  • 0645Generalpotential for harm

    PASARR screening for Mental disorders or Intellectual Disabilities

  • 0684Generalpotential for harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • 0689Generalpotential for harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • 0745Generalpotential for harm

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

  • 0756Generalpotential for harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  • 0758Generalpotential for harm

    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.

  • 0790Generalpotential for harm

    Provide routine and 24-hour emergency dental care for each resident.

  • 0842Generalpotential for harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  • 0551Generalpotential for harm

    Give the resident's representative the ability to exercise the resident's rights.

  • 0561Generalpotential for harm

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

  • 0580Generalpotential for harm

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • 0623Generalpotential for harm

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  • 0636Generalpotential for harm

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

  • 0638Generalpotential for harm

    Assure that each resident’s assessment is updated at least once every 3 months.

  • 0441Generalno actual harm

    Have a program that investigates, controls and keeps infection from spreading.

  • 0456Generalno actual harm

    Keep all essential equipment working safely.

  • 0514Generalpotential for harm

    Keep accurate, complete and organized clinical records on each resident that meet professional standards.

  • 0431Generalpotential for harm

    Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

  • 0309Generalpotential for harm

    Provide necessary care and services to maintain or improve the highest well being of each resident .

  • 0329Generalpotential for harm

    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.

Inspection history

Every health inspection on record

Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.

Ownership

Acts Retirement-life Communities

27nursing homes nationwide, in CMS records

See the full ownership footprint

FAQ

Questions and answers

What is Willow Brooke Ct Skilled Care Ctr at Heron Point?
Willow Brooke Ct Skilled Care Ctr at Heron Point is a Medicare- and Medicaid-certified nursing home in Chestertown, MD, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 215235.
What is the CMS rating for Willow Brooke Ct Skilled Care Ctr at Heron Point?
Willow Brooke Ct Skilled Care Ctr at Heron Point has a CMS overall rating of 5 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
How many beds does Willow Brooke Ct Skilled Care Ctr at Heron Point have?
Willow Brooke Ct Skilled Care Ctr at Heron Point is certified for 38 beds. It serves an average of 2 residents per day.
How many citations does Willow Brooke Ct Skilled Care Ctr at Heron Point have?
Willow Brooke Ct Skilled Care Ctr at Heron Point has 32 citations on record from CMS health inspections, each tied to a federal deficiency tag.
When was Willow Brooke Ct Skilled Care Ctr at Heron Point last inspected?
Willow Brooke Ct Skilled Care Ctr at Heron Point was last inspected on December 11, 2025. CMS surveys nursing homes about once a year and after complaints.
What can I do if I have concerns about care at this facility?
Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.

*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.

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