Willowbrooke Ct Skilled Care Ctr at Bayleigh Chase

501 Dutchman's Lane · Easton, MD · 21601 · 4108228888

99 certified beds Non profit - Corporation Chain: Acts Retirement-Life Communities Part of a CCRC

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

Red flags

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Score breakdown

Inspection record 30% of score 36
Serious harm & abuse 20% 34
Staffing 20% 79
Federal penalties 15% 100
Trend 10% 44
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.633.48 min · 4.1 strong
RN hours / resident-day0.870.55–0.75
Weekend hours / resident-day3.36≈ weekday level
Nursing turnover / year15%median 45%
Fines (3-yr window)none

Inspection citations (38 in the current record)

  • Immediate jeopardy · J January 17, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected February 27, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G January 17, 2025 · found via complaint

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

    Corrected February 27, 2025 · Quality of Life and Care

  • Potential for harm · D January 17, 2025

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected February 27, 2025 · Resident Assessment and Care Planning

  • Potential for harm · F January 17, 2025

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

    Corrected February 27, 2025 · Nutrition and Dietary

  • Potential for harm · F January 17, 2025

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected February 27, 2025 · Administration

  • Potential for harm · D January 17, 2025 · found via complaint

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

    Corrected February 27, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 17, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected February 27, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 17, 2025 · found via complaint

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

    Corrected February 27, 2025 · Quality of Life and Care

  • Potential for harm · F January 17, 2025 · found via complaint

    Observe each nurse aide's job performance and give regular training.

    Corrected February 27, 2025 · Nursing and Physician Services

  • Potential for harm · E January 17, 2025 · found via complaint

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Corrected February 27, 2025 · Administration

  • Potential for harm · D January 17, 2025 · found via complaint

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

    Corrected February 27, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E January 17, 2025 · found via complaint

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Corrected February 27, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 12, 2019

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

    Corrected August 31, 2019 · Resident Rights

  • Potential for harm · D July 12, 2019

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Corrected August 31, 2019 · Resident Assessment and Care Planning

  • Potential for harm · D July 12, 2019

    Ensure each resident receives an accurate assessment.

    Corrected August 31, 2019 · Resident Assessment and Care Planning

  • Potential for harm · E July 12, 2019

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected August 31, 2019 · Resident Assessment and Care Planning

  • Potential for harm · D July 12, 2019

    Provide activities to meet all resident's needs.

    Corrected August 31, 2019 · Quality of Life and Care

  • Potential for harm · D July 12, 2019

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

    Corrected August 31, 2019 · Quality of Life and Care

  • Potential for harm · E July 12, 2019

    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.

    Corrected August 31, 2019 · Nursing and Physician Services

  • Potential for harm · D July 12, 2019

    Ensure medication error rates are not 5 percent or greater.

    Corrected August 31, 2019 · Pharmacy Service

  • Potential for harm · D July 12, 2019

    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.

    Corrected August 31, 2019 · Pharmacy Service

  • Potential for harm · D July 12, 2019

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

    Corrected August 31, 2019 · Resident Assessment and Care Planning

  • Potential for harm · D July 12, 2019

    Have enough outside ventilation via a window or mechanical ventilation, or both.

    Corrected August 31, 2019 · Environmental

  • Potential for harm · E February 21, 2018

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected April 30, 2018 · Resident Rights

  • Potential for harm · E February 21, 2018

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected April 30, 2018 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 215137 · certified since January 26, 1982. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.