Autumn Lake Healthcare at Birch Manor
Sykesville · 0.1 mi · 118 beds
Citations0Substantiated0
Willowbrooke Court Skilled Care Center Fairhaven
7200 THIRD AVENUE, Sykesville, MD, 21784
Nursing home79 licensed beds0 citations on record
2 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 11 deficiencies against Willowbrooke Court Skilled Care Center Fairhaven in Sykesville, Maryland at its most recent standard inspection on 2025-07-18, 3 of them arising from complaints. 1 finding has been recorded at the actual-harm level. Medicare rates it 4 out of 5 overall.
4 / 5Medicare overall rating
79certified beds
11deficiencies at the last inspection
0immediate-jeopardy findings on record
1actual-harm findings on record
0federal fines
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.1
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.31
Potential for minimal harmThe least serious band.0
Most recentFFEDDDDDDDDGFEEDDDED
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · F0804 · 2025-07-18 · from a complaint · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2025-07-18 · standard survey · No actual harm, potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · F0657 · 2025-07-18 · standard survey · No actual harm, potential for more than minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2025-07-18 · standard survey · No actual harm, potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2025-07-18 · from a complaint · No actual harm, potential for more than minimal harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · F0628 · 2025-07-18 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2025-07-18 · standard survey · No actual harm, potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · F0658 · 2025-07-18 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · F0690 · 2025-07-18 · standard survey · No actual harm, potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · F0695 · 2025-07-18 · standard survey · No actual harm, potential for more than minimal harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · F0756 · 2025-07-18 · standard survey · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2022-06-02 · standard survey · Actual harm to a resident
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2022-06-02 · standard survey · No actual harm, potential for more than minimal harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · F0558 · 2022-06-02 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2022-06-02 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2022-06-02 · standard survey · No actual harm, potential for more than minimal harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2022-06-02 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2022-06-02 · standard survey · No actual harm, potential for more than minimal 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.
Nursing and Physician Services Deficiencies · F0726 · 2018-11-15 · standard survey · No actual harm, potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2018-11-15 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below4 of 5
Health inspectionBased on the last three inspection cycles3 of 5
StaffingNurse hours per resident, adjusted for how sick residents are5 of 5
Quality measuresResident outcomes reported by the home3 of 5
Nurse hours per resident per dayReported by the home to CMS4.5114
Nursing staff turnoverShare of nursing staff who left in a year51.1%
Ownership
Who owns Willowbrooke Court Skilled Care Center Fairhaven
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| ACTS ACQUISITION AND DEVELOPMENT COMPANY LLC | Organization | NOT APPLICABLE | since 12/31/2022 |
| ACTS ALLIANCE MANAGEMENT LLC | Organization | NOT APPLICABLE | since 12/31/2022 |
| ACTS LEGACY FOUNDATION, INC. | Organization | NOT APPLICABLE | since 12/31/2022 |
| ACTS MANAGEMENT SERVICES, INC. | Organization | NOT APPLICABLE | since 12/31/2022 |
| ACTS RETIREMENT SERVICES, INC | Organization | NOT APPLICABLE | since 12/31/2022 |
| ACTS RETIREMENT-LIFE COMMUNITIES MANAGEMENT, LLC | Organization | NOT APPLICABLE | since 12/31/2022 |
| ACTS SIGNATURE COMMUNITY SERVICES INC | Organization | NOT APPLICABLE | since 12/31/2022 |
| BONITA SPRINGS RETIREMENT VILLAGE INC | Organization | NOT APPLICABLE | since 11/01/2024 |
| MEASE LIFE INC | Organization | NOT APPLICABLE | since 10/01/2023 |
| ACTS COMMUNITIES OF MARYLAND, INC. | Organization | NOT APPLICABLE | since 12/31/2022 |
| AHERN, SUSAN | Individual | NOT APPLICABLE | since 01/01/2025 |
| CHRISTIANSEN, KAREN | Individual | NOT APPLICABLE | since 01/01/2025 |
Part of the ACTS RETIREMENT-LIFE COMMUNITIES group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Copper Ridge Nursing and Assisted Living Center
Sykesville · 0.3 mi · 66 beds
Citations0Substantiated0
Contact
Ask Willowbrooke Court Skilled Care Center Fairhaven a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 215130.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction