Willowbrooke Ct Skilled Care Buckingham's Choice
3200 Baker Circle, Adamstown, MD 21710 · Frederick County · 42 certified beds · avg 25 residents/day · certified since Mar 18, 2000
Part of chain: ACTS RETIREMENT-LIFE COMMUNITIES (27 facilities, chain avg rating 4.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
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.
All citations in the current public record (23)
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 |
|---|---|---|
| Feb 17, 2026 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Feb 17, 2026 | E · Potential for harm, repeated | The facility did not make sure residents actually saw their doctor face-to-face at all required visits. Doctors must examine nursing home residents in person on a regular schedule. |
| Feb 17, 2026 | 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. |
| Feb 17, 2026 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Nov 22, 2024 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Nov 22, 2024 | 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. |
| Nov 22, 2024 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Nov 22, 2024 | E · Potential for harm, repeated | 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 22, 2024 | D · Potential for harm, one-off | 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. |
| Nov 22, 2024 | D · Potential for 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. · from a complaint |
| Aug 19, 2019 | 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. |
| Aug 19, 2019 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Aug 19, 2019 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Aug 19, 2019 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Aug 19, 2019 | D · Potential for harm, one-off | The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. |
| Aug 19, 2019 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Aug 19, 2019 | 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. |
| Aug 19, 2019 | D · Potential for harm, one-off | 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. |
| Aug 19, 2019 | 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. |
| Aug 19, 2019 | D · Potential for harm, one-off | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. |
| Aug 19, 2019 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Aug 19, 2019 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Aug 19, 2019 | 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 stayed about the same across the last two inspection cycles (5 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 13 | 0 | F |
| 2024 | 6 | 0 | E |
| 2026 | 4 | 0 | E |
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) | 5.05 | 3.83 | 3.95 | top 10% in Maryland; top 12% in the U.S. |
| Registered Nurse hours | 1.79 | 0.83 | 0.69 | top 5% in Maryland; top 2% in the U.S. |
| Weekend total nurse staffing | 4.49 | 3.43 | 3.50 | top 9% in Maryland; top 12% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.27 | 0.63 | 0.48 | top 5% in Maryland; top 3% in the U.S. |
| Total nursing staff turnover (%) | 11.5 | 40.2 | 45.8 | top 1% in Maryland; top 1% in the U.S. |
| RN turnover (%) | 0.0 | 38.7 | 42.9 | top 1% in Maryland; top 1% 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 4.32, RN 1.54, weekend 3.84. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
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 Communities of Maryland, INC. | Organization | Direct Ownership Interest | NOT APPLICABLE | 12/31/2022 |
| Acts Legacy Foundation, 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 INC | 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 | 02/03/2025 |
| 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 | 02/03/2025 |
| Ahern, Susan | Individual | Corporate Officer | NOT APPLICABLE | 07/15/2021 |
| Ahern, Susan | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Ahern, Susan | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Baker Tilly Advisory Group LP | Organization | ADP of the SNF | NOT APPLICABLE | 02/03/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How often does the attending doctor physically see each resident, and how is that documented?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "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?"
- "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 |
|---|---|---|---|---|---|
| Frederick Crossing of Journey | 6.4 mi | Frederick, MD | ★★★★☆ | 3/5 | |
| Autumn Lake Healthcare at Braddock Heights | 7.0 mi | Frederick, MD | ★★★★☆ | 4/5 | |
| Citizens Care and Rehabilitation Center of Frederi | 7.9 mi | Frederick, MD | ★★★★★ | 4/5 | |
| Northampton Manor Nursing and Rehabilitation Cente | 7.9 mi | Frederick, MD | ★☆☆☆☆ | 1/5 | |
| Autumn Lake Healthcare at Ballenger Creek | 8.3 mi | Frederick, MD | ★★☆☆☆ | 1/5 | |
| Homewood Living Frederick | 10.4 mi | Frederick, MD | ★★★★★ | 5/5 | |
| Autumn Lake Healthcare at Glade Valley | 11.4 mi | Walkersville, MD | ★★☆☆☆ | 2/5 | |
| Lorien Health Systems Mt Airy | 15.0 mi | Mount Airy, MD | ★★★★★ | 4/5 | |
| Mount Airy Nursing and Rehab Center | 15.5 mi | Mount Airy, MD | ★★☆☆☆ | 2/5 | abuse |
| Montgomery Village Care Center | 15.6 mi | Gaithersburg, MD | ★★★★★ | 5/5 | |
| Loudoun Rehabilitation and Nursing Center | 15.8 mi | Leesburg, VA | ★★☆☆☆ | 1/5 | |
| Heritage Hall-Leesburg | 15.9 mi | Leesburg, VA | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 215329.