Nursing HomeInspections

Willow Brooke CT Skilled Care Ctr at Heron Point

Nursing home in Chestertown, MD

Medicare & Medicaid certified5★ overall (CMS)

Call (410) 778-7300Send a messageMap ↗

Public-record details

Address
501 Campus Avenue, Chestertown, MD 21620
Phone
(410) 778-7300
Listed under
Nonprofit, 4–5 star overall rating, Part of a retirement community
Medicare CCN
215235
Overall star rating
5 of 5 ★★★★★
Health inspection rating
5 of 5
Staffing rating
5 of 5
Certified beds
38
Average residents per day
2
Ownership
Nonprofit, corporation
Legal business name
Acts Communities of Maryland, INC.
Chain
Acts Retirement-Life Communities (27 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Nov 7, 1991
Changed ownership in last 12 months
No
Continuing care retirement community
Yes
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 215235. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Dec 11, 2025. CMS lists 26 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 9, 2019 to Dec 11, 2025): 5 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Dec 11, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Feb 23, 2024Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights		D
Potential for more than minimal harm, isolated
Feb 23, 2024Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Feb 23, 2024Ensure medication error rates are not 5 percent or greater.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Feb 23, 2024Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Feb 23, 2024Develop 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 · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 23, 2024Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 23, 2024Ensure 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		E
Potential for more than minimal harm, pattern
Feb 23, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		E
Potential for more than minimal harm, pattern
Feb 23, 2024Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		E
Potential for more than minimal harm, pattern
Feb 23, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated
Apr 9, 2019Give the resident's representative the ability to exercise the resident's rights.
Resident Rights		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 26. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $15,440 in the last three years.

Feb 23, 2024Fine: $15,440

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.75 hours
Registered nurse (RN) time per resident per day
1.76 hours
Nurse aide time per resident per day
2.22 hours
Total nurse staffing on weekends
4.12 hours

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Chestertown

Resorts at Chester River Manor Corp200 Morgnec Road · Chestertown, MD 21620 · (410) 778-4550 · For-profit36 health citations in 3 inspection cycles · last standard inspection Dec 16, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified3★ overall (CMS)Chestertown Nursing and Rehab415 Morgnec Road · Chestertown, MD 21620 · (410) 778-1900 · For-profit79 health citations in 3 inspection cycles · last standard inspection Aug 13, 2025 · $3,418 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

All 3 in Chestertown →