Complete Care at Heritage LLC

CMS abuse icon · CCN 215135 · COMPLETE CARE AT HERITAGE LLC · For profit - Corporation · COMPLETE CARE chain · 177 certified beds · Baltimore · MD


Complete Care at Heritage LLC is a 177-bed nursing home in DUNDALK, Maryland. CMS has certified it for Medicare and Medicaid since 1981-11-09. It averages 145.3 residents a day.

What harm was found in the violations cited at Complete Care at Heritage LLC?

CMS lists 72 health-inspection deficiencies for Complete Care at Heritage LLC since 2019-01-22, 54 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-02-25.

Survey dateTagDeficiencySeverity
2026-02-25F0641Ensure each resident receives an accurate assessment.E
2026-02-25F0600, F0677, F0684, F0695Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe and appropriate respiratory care for a resident when needed.D
2025-09-16F0584, F0695, F0726, F0880, F0925Honor 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. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / Provide and implement an infection prevention and control program. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E
2025-09-16F0578, F0609, F0641, F0657, F0658, F0676, F0677, F0684, F0689, F0692, F0697, F0761, F0842, F0883, F0887, F0947Honor 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure each resident receives an accurate assessment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / Provide safe, appropriate pain management for a resident who requires such services. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.D
2025-09-16F0732Post nurse staffing information every day.C
2025-02-26F0760Ensure that residents are free from significant medication errors.J
2023-08-22F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2023-08-22F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2023-08-22F0584, F0657, F0684, F0756, F0759, F0842, F0947Honor 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure medication error rates are not 5 percent or greater. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.E
2023-08-22F0550, F0557, F0580, F0604, F0609, F0610, F0658, F0700, F0728, F0732, F0758, F0760, F0812, F0880, F0925, F0940, F0949Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Ensure services provided by the nursing facility meet professional standards of quality. / Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. / Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. / Post nurse staffing information every day. / Implement 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. / Ensure that residents are free from significant medication errors. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. / Develop, implement, and/or maintain an effective training program for all new and existing staff members. / Provide behavior health training consistent with the requirements and as determined by a facility assessment.D
2019-01-22F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2019-01-22F0550, F0561, F0584, F0625, F0656, F0676, F0684, F0686, F0692, F0711, F0730, F0756, F0757, F0759, F0761, F0842, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Honor 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. / Notify 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide enough food/fluids to maintain a resident's health. / Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. / Observe each nurse aide's job performance and give regular training. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure medication error rates are not 5 percent or greater. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program.D

Why was Complete Care at Heritage LLC fined 2 times?

DateTypeAmount
2025-02-26Fine$60,132
2023-08-22Fine$69,787

How is Complete Care at Heritage LLC staffed relative to the MD average?

MeasureThis facilityMD average
Total nurse staffing hours per resident per day3.444693.87381
Total nursing staff turnover (%)59.040.2
Average number of residents per day145.3105.7

Who owns Complete Care at Heritage LLC, and what chain is it in?

Complete Care at Heritage LLC is registered with CMS as For profit - Corporation, operates under the legal business name COMPLETE CARE AT HERITAGE LLC and belongs to the COMPLETE CARE chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTPC MD OPCOS LLCsince 05/01/2021
5% OR GREATER INDIRECT OWNERSHIP INTERESTPC WTA OPCO HOLDCO LLC, SMS 2021 TRUSTsince 05/01/2021
W-2 MANAGING EMPLOYEESILVERBERG, NISANELsince 05/01/2021
CORPORATE OFFICERSILVERBERG, NISANELsince 05/01/2021
GENERAL PARTNERSHIP INTERESTSTEIN, SHALOMsince 05/01/2021

Were you or a family member harmed at Complete Care at Heritage LLC?