Elder Care Record

Maryland › Frederick County › Adamstown

Willowbrooke Ct Skilled Care Buckingham'S Choice

3200 Baker Circle, Adamstown, MD 21710

CCN 215329 · Non-profit, corporation · 42 certified beds · chain Acts Retirement-Life Communities

Continuing care retirement community
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 42 beds, Willowbrooke Ct Skilled Care Buckingham'S Choice serves Adamstown in Frederick County, Maryland and has taken Medicare and Medicaid residents since 2000.

CMS gives it 5 of 5 stars overall, above the Maryland median of 3; the health inspection rating is 5, staffing 5 and quality measures 5.

Inspectors recorded 23 health deficiencies across the three most recent survey cycles (4, 6, 13 by cycle, most recent first), none at the actual-harm level. That is 54.8 per 100 beds, more than the state median of 43.7.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 4.3 hours per resident per day (1.5 RN), close to the Maryland median of 3.6; nursing staff turnover is 11.5%.

23health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
4.3nurse hours per resident per daystate median 3.6
59%occupancy (residents ÷ beds)25 residents a day

Compared with county, state and nation

MeasureThis facilityFrederick Co. medianMaryland medianUS average
Overall star rating5433.0
Health citations, 3 cycles23654528.7
Citations per 100 beds54.854.843.726.8
Total nurse hours per resident day4.33.83.63.9
RN hours per resident day1.50.80.70.7
Nursing staff turnover11.5%29.3%41.5%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (8 in the county, 221 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)4
Cycle 26
Cycle 313

Dark bar: this facility. Grey bar: Maryland average per facility for the same cycle, as published by CMS. Standard health survey dates: 17 Feb 2026, 22 Nov 2024.

Severity mix: D ×16 E ×6 F ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
17 Feb 2026F0641Ensure each resident receives an accurate assessment.EStandard survey26 Feb 2026
17 Feb 2026F0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.EStandard survey26 Feb 2026
17 Feb 2026F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey26 Feb 2026
17 Feb 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey26 Feb 2026
22 Nov 2024F0641Ensure each resident receives an accurate assessment.EStandard survey13 Dec 2024
22 Nov 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey13 Dec 2024
22 Nov 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey13 Dec 2024
22 Nov 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey13 Dec 2024
22 Nov 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey13 Dec 2024
22 Nov 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation13 Dec 2024
19 Aug 2019F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey17 Oct 2019
19 Aug 2019F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard survey17 Oct 2019
19 Aug 2019F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey17 Oct 2019
19 Aug 2019F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DStandard survey17 Oct 2019
19 Aug 2019F0638Assure that each resident’s assessment is updated at least once every 3 months.DStandard survey17 Oct 2019
19 Aug 2019F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey17 Oct 2019
19 Aug 2019F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey17 Oct 2019
19 Aug 2019F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey17 Oct 2019
19 Aug 2019F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey17 Oct 2019
19 Aug 2019F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard survey17 Oct 2019
19 Aug 2019F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard survey17 Oct 2019
19 Aug 2019F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey17 Oct 2019
19 Aug 2019F0880Provide and implement an infection prevention and control program.DStandard survey17 Oct 2019

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing4.32 h
Nurse aides2.2 h
LPN0.58 h
RN1.54 h
Weekend total3.84 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Maryland average. Turnover: nursing staff 11.5%, RNs 0.0%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityMaryland medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay8.2%20.0%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.2%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.3%0.9%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.3%2.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.8%1.0%
Percentage of long-stay residents with pressure ulcersLong Stay15.2%5.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay2.9%11.9%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: non-profit, corporation. Legal business name: Acts Communities Of Maryland, Inc.. Chain: Acts Retirement-Life Communities (27 facilities).

OrganisationRole in the CMS recordInterestSince
Acts Communities of Maryland, Inc.Direct ownership interestNOT APPLICABLE12/31/2022
Acts Acquisition and Development Company LLCIndirect ownership interestNOT APPLICABLE12/31/2022
Acts Alliance Management LLCIndirect ownership interestNOT APPLICABLE12/31/2022
Acts Legacy Foundation, Inc.Indirect ownership interestNOT APPLICABLE12/31/2022
Acts Retirement Services, IncIndirect ownership interestNOT APPLICABLE12/31/2022
Acts Retirement-Life Communities IncIndirect ownership interestNOT APPLICABLE12/31/2022
Acts Signature Community Services IncIndirect ownership interestNOT APPLICABLE12/31/2022
Bonita Springs Retirement Village IncIndirect ownership interestNOT APPLICABLE11/01/2024
Mease Life IncIndirect ownership interestNOT APPLICABLE10/01/2023
Acts Communities of Maryland, Inc.5% or greater mortgage interestNOT APPLICABLE12/31/2022
Acts Communities of Maryland, Inc.Operational/managerial controlNOT APPLICABLE12/31/2022
Acts Management Services, Inc.Operational/managerial controlNOT APPLICABLE12/31/2022
Acts Retirement-Life Communities Management, LLCOperational/managerial controlNOT APPLICABLE12/31/2022
U.S. BankTrustee of the snfNOT APPLICABLE07/09/2025
Acts Communities of Maryland, Inc.Adp of the snfNOT APPLICABLE12/31/2022
Acts Management Services, Inc.Adp of the snfNOT APPLICABLE02/03/2025
Acts Retirement-Life Communities Management, LLCAdp of the snfNOT APPLICABLE02/03/2025
Baker Tilly Advisory Group LPAdp of the snfNOT APPLICABLE02/03/2025
Baker Tilly Us LLPAdp of the snfNOT APPLICABLE11/05/2024
U.S. BankAdp of the snfNOT APPLICABLE07/10/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Frederick County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Citizens Care and Rehabilitation Center of FrederiFrederick1705443319.4—20 Mar 2026
Homewood Living FrederickFrederick1205551915.8—22 Jul 2025
Autumn Lake Healthcare At Braddock HeightsFrederick654434061.5—23 Jan 2026
Frederick Crossing of JourneyFrederick1204338369.2$14K17 Jun 2026
Autumn Lake Healthcare At Ballenger CreekFrederick1302136550.0—4 Jun 2026
Autumn Lake Healthcare At Glade ValleyWalkersville1242228770.2$37K1 Jun 2026
Northampton Manor Nursing and Rehabilitation CenteFrederick1961146734.2$17K30 Jan 2026

All 8 facilities in Frederick County

Questions and answers

How many deficiencies has Willowbrooke Ct Skilled Care Buckingham'S Choice been cited for?

23 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Maryland median is 45 per facility.

Has Willowbrooke Ct Skilled Care Buckingham'S Choice been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Willowbrooke Ct Skilled Care Buckingham'S Choice compare?

Reported total nurse staffing is 4.3 hours per resident per day against a Maryland median of 3.6 and a national average of 3.9.

Who operates Willowbrooke Ct Skilled Care Buckingham'S Choice?

It is part of the Acts Retirement-Life Communities chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Acts Communities of Maryland, Inc., Acts Acquisition and Development Company LLC and Acts Alliance Management LLC. Individual owners and managers are not listed on this site.

When was Willowbrooke Ct Skilled Care Buckingham'S Choice last inspected?

The most recent survey or investigation in the CMS record is dated 17 Feb 2026; the most recent standard health survey was 17 Feb 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.