Willowbrooke Ct Skilled Care Buckingham’s Choice
A nursing home in Adamstown, Maryland 21710
3200 Baker Circle, Adamstown, Maryland 21710. (301) 644-1636.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 5of 5 CMS’s overall rating
- 4 health citations at the latest inspection cycle Maryland average: 17.0
- 4.08 nurse hours per resident per day Maryland average: 3.93
- 0 fines in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
4 health citations at the latest inspection cycle
The Maryland average is 17.0.
Last standard inspection Feb 17, 2026.
Most serious in three years: E: no actual harm, potential for more than minimal harm.
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
10 citations in 2 months of the last 36. Last cited Feb 2026. Most serious: no actual harm, potential for more than minimal harm (E). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 10 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 1 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Feb 17, 2026: standard inspection4 citations
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Ensure each resident receives an accurate assessment.
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Provide safe and appropriate respiratory care for a resident when needed.
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Ensure that the resident and his/her doctor meet face-to-face at all required visits.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Nov 22, 2024: standard inspection5 citations
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Ensure each resident receives an accurate assessment.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nov 22, 2024: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Mar 18, 2000.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as non profit, corporation.
- 42 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- No fines in the last three years.
- No Medicare payment denials in the last three years.
- 1 citation in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Who does the caring?
4.08 nurse hours per resident per day
The Maryland average is 3.93.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Maryland average |
|---|---|---|
| Nurse hours per resident per day | 4.08 | 3.93 |
| Of which registered nurses | 1.44 | 0.88 |
| At weekends | 3.54 | 3.49 |
| Nursing staff turnover | 8.3% | 40.2% |
| Registered nurse turnover | 0% | 37.8% |
| Administrators who left | 0 | Not given |
Who owns it?
- Acts Communities of Maryland, Inc. owns 100% directly since Dec 31, 2022.
- Acts Communities of Maryland, Inc. and Acts Management Services, Inc. and Acts Retirement-Life Communities Management, LLC run it.
- 28 owners or officers are people: Susan Ahern (corporate officer, 0%); Susan Ahern (runs it (operational or managerial control)); Susan Ahern (additional disclosable party (controls, leases property to, or provides services to the home)); Peggy Valdivia (corporate officer, 0%); Peggy Valdivia (runs it (operational or managerial control)); Peggy Valdivia (additional disclosable party (controls, leases property to, or provides services to the home)); Karen I Christiansen (corporate officer); Karen I Christiansen (corporate director); Karen I Christiansen (additional disclosable party (controls, leases property to, or provides services to the home)); Tasneem Lakhani (additional disclosable party (controls, leases property to, or provides services to the home)); Jonathan D Grant (corporate officer); Jonathan D Grant (runs it (operational or managerial control)); Jonathan D Grant (additional disclosable party (controls, leases property to, or provides services to the home)); Anne Forrest (corporate director, 0%); Daniel Lawson (corporate director, 0%); Harold B Detweiler (corporate director, 0%); Gerald T Grant (corporate officer, 0%); Gerald T Grant (corporate director, 0%); Gerald T Grant (runs it (operational or managerial control)); Gerald T Grant (additional disclosable party (controls, leases property to, or provides services to the home)); Glenn D Fox (corporate officer, 0%); Glenn D Fox (runs it (operational or managerial control)); Glenn D Fox (additional disclosable party (controls, leases property to, or provides services to the home)); Ellen Paquette (corporate director, 0%); Michael Kelly (corporate director, 0%); Anne Neary (corporate director, 0%); Eric Grimmel (runs it (operational or managerial control)); Eric Grimmel (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Acts Retirement-Life Communities (27 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Acts Communities of Maryland, Inc. | Holds 5% or more of the mortgage | 100% | Dec 31, 2022 |
| Acts Communities of Maryland, Inc. | Owns a share directly | 100% | Dec 31, 2022 |
| Acts Retirement-Life Communities Inc. | Owns a share through other companies | 100% | Dec 31, 2022 |
| Acts Acquisition and Development Company LLC | Owns a share through other companies | 100% | Dec 31, 2022 |
| Acts Retirement Services, Inc. | Owns a share through other companies | 100% | Dec 31, 2022 |
| Acts Communities of Maryland, Inc. | Runs it (operational or managerial control) | Dec 31, 2022 | |
| Acts Communities of Maryland, Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 31, 2022 | |
| Acts Management Services, Inc. | Runs it (operational or managerial control) | Dec 31, 2022 | |
| Acts Management Services, Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 3, 2025 | |
| Acts Legacy Foundation, Inc. | Owns a share through other companies | 0% | Dec 31, 2022 |
| Acts Retirement-Life Communities Management, LLC | Runs it (operational or managerial control) | Dec 31, 2022 | |
| Acts Retirement-Life Communities Management, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 3, 2025 | |
| Baker Tilly Us LLP | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 5, 2024 | |
| Acts Signature Community Services Inc. | Owns a share through other companies | 0% | Dec 31, 2022 |
| Bonita Springs Retirement Village Inc. | Owns a share through other companies | 0% | Nov 1, 2024 |
| Baker Tilly Advisory Group LP | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 3, 2025 | |
| U.s. Bank | Trustee | Jul 9, 2025 | |
| U.s. Bank | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 10, 2025 | |
| Acts Alliance Management LLC | Owns a share through other companies | 0% | Dec 31, 2022 |
| Mease Life Inc. | Owns a share through other companies | 0% | Oct 1, 2023 |
How do residents fare?
- CMS rates its quality measures 5 of 5 (Maryland average 4.1).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 5 of 5 |
| Health inspections | 5 of 5 |
| Staffing | 5 of 5 |
| Quality measures | 5 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 15.8 miles, this one had the 11th most health citations at the latest inspection cycle (4; the middle value was 15).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Willowbrooke Ct Skilled Care Buckingham’s Choice This nursing home | 4 | |
| Frederick Crossing of Journey | 6.4 | 25 |
| Autumn Lake Healthcare at Braddock Heights | 7.0 | 17 |
| Northampton Manor Nursing and Rehabilitation Cente | 7.9 | 15 |
| Citizens Care and Rehabilitation Center of Frederi | 7.9 | 10 |
| Autumn Lake Healthcare at Ballenger Creek | 8.3 | 22 |
| Homewood Living Frederick | 10.5 | 4 |
| Autumn Lake Healthcare at Glade Valley | 11.5 | 24 |
| Lorien Health Systems Mt Airy | 15.0 | 10 |
| Mount Airy Nursing and Rehab Center | 15.5 | 15 |
| Montgomery Village Care Center | 15.6 | 9 |
| Loudoun Rehabilitation and Nursing Center | 15.8 | 26 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
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