Willowbrooke Court Skilled Care Center Fairhaven

Name: Willowbrooke Court Skilled Care Center Fairhaven
Address: 7200 THIRD AVENUE, Sykesville, MD, 21784, US
Telephone: 4107958800

7200 Third Avenue, Sykesville, MD 21784 · Carroll County · 79 certified beds · avg 41 residents/day · certified since Jan 5, 1981

Part of chain: ACTS RETIREMENT-LIFE COMMUNITIES (27 facilities, chain avg rating 4.7★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.09

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Jun 2, 2022 · F-0689

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Jul 1, 2022 (Deficient, Provider has date of correction)

All citations in the current public record (32)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jul 18, 2025	F · Potential for harm, facility-wide	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint
Jul 18, 2025	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jul 18, 2025	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jul 18, 2025	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Jul 18, 2025	D · Potential for harm, one-off	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Jul 18, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jul 18, 2025	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Jul 18, 2025	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Jul 18, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Jul 18, 2025	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Jul 18, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Jun 2, 2022	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jun 2, 2022	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jun 2, 2022	E · Potential for harm, repeated	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Jun 2, 2022	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jun 2, 2022	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Jun 2, 2022	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Jun 2, 2022	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Nov 15, 2018	E · Potential for harm, repeated	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Nov 15, 2018	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Nov 15, 2018	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Nov 15, 2018	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Nov 15, 2018	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Nov 15, 2018	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Nov 15, 2018	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Nov 15, 2018	D · Potential for harm, one-off	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.
Nov 15, 2018	D · Potential for harm, one-off	The facility did not observe each nurse aide's job performance or provide regular training as required.
Nov 15, 2018	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Nov 15, 2018	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Nov 15, 2018	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Nov 15, 2018	D · Potential for harm, one-off	The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Nov 15, 2018	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (7 → 10).

Year	Citations	Serious (G–L)	Worst severity that year
2018	14	0	E
2022	7	1	G ▲
2025	11	0	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Maryland avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	5.09	3.83	3.95	top 10% in Maryland; top 12% in the U.S.
Registered Nurse hours	1.55	0.83	0.69	top 7% in Maryland; top 4% in the U.S.
Weekend total nurse staffing	4.45	3.43	3.50	top 10% in Maryland; top 13% in the U.S.
Weekend RN hours (not acuity-adjusted)	1.01	0.63	0.48	top 11% in Maryland; top 6% in the U.S.
Total nursing staff turnover (%)	51.1	40.2	45.8	bottom 21% in Maryland; bottom 34% in the U.S.
RN turnover (%)	55.0	38.7	42.9	bottom 17% in Maryland; bottom 28% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.51, RN 1.37, weekend 3.95. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 3/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Acts Acquisition and Development Company LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	12/31/2022
Acts Alliance Management LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	12/31/2022
Acts Legacy Foundation, INC.	Organization	Indirect Ownership Interest	NOT APPLICABLE	12/31/2022
Acts Management Services, INC.	Organization	Indirect Ownership Interest	NOT APPLICABLE	12/31/2022
Acts Retirement Services, INC	Organization	Indirect Ownership Interest	NOT APPLICABLE	12/31/2022
Acts Retirement-Life Communities Management, LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	12/31/2022
Acts Signature Community Services INC	Organization	Indirect Ownership Interest	NOT APPLICABLE	12/31/2022
Bonita Springs Retirement Village INC	Organization	Indirect Ownership Interest	NOT APPLICABLE	11/01/2024
Mease Life INC	Organization	Indirect Ownership Interest	NOT APPLICABLE	10/01/2023
Acts Communities of Maryland, INC.	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	12/31/2022
Acts Communities of Maryland, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	12/31/2022
Acts Communities of Maryland, INC.	Organization	ADP of the SNF	NOT APPLICABLE	12/31/2022
Acts Management Services, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	12/31/2022
Acts Management Services, INC.	Organization	ADP of the SNF	NOT APPLICABLE	01/31/2025
Acts Retirement-Life Communities Management, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/31/2022
Acts Retirement-Life Communities Management, LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/31/2025
Ahern, Susan	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2025
Ahern, Susan	Individual	Corporate Officer	NOT APPLICABLE	01/01/2025
Ahern, Susan	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
Ahern, Susan	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Could I join residents for a meal to see the food quality and temperature for myself?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Autumn Lake Healthcare at Birch Manor	0.1 mi	Sykesville, MD	★★★★☆	3/5
Copper Ridge Nursing and Assisted Living Center	0.3 mi	Sykesville, MD	★☆☆☆☆	1/5
Chapel Hill Nursing Center	6.1 mi	Randallstown, MD	★☆☆☆☆	2/5
Encore at Turf Valley	6.5 mi	Ellicott City, MD	★★★★☆	4/5
Mount Airy Nursing and Rehab Center	9.0 mi	Mount Airy, MD	★★☆☆☆	2/5	abuse
Patapsco Healthcare	9.0 mi	Randallstown, MD	★☆☆☆☆	1/5	abuse
Lorien Health Systems Mt Airy	9.6 mi	Mount Airy, MD	★★★★★	4/5
Future Care Cherrywood	9.7 mi	Reisterstown, MD	★★★★★	4/5
The Lutheran Village at Miller's Grant	10.1 mi	Ellicott City, MD	★★★★★	5/5
Ellicott City Healthcare Center	10.1 mi	Ellicott City, MD	★★☆☆☆	1/5	abuse

Compare this facility with the 3 closest →

All facilities in Sykesville →

Facility data as of CMS processing date 2026-08-01. CCN 215130.

The Care File

Visit checklist — Willowbrooke Court Skilled Care Center Fairhaven

7200 Third Avenue, Sykesville, MD 21784 · 4107958800

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $0

Most serious findings on record:

▲ Jun 2, 2022 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Could I join residents for a meal to see the food quality and temperature for myself?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 215130 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)