Complete Care at Heritage LLC
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 date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-02-25 | F0641 | Ensure each resident receives an accurate assessment. | E |
| 2026-02-25 | F0600, F0677, F0684, F0695 | Protect 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 |
| 2025-09-16 | F0584, F0695, F0726, F0880, F0925 | 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. / 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 |
| 2025-09-16 | F0578, F0609, F0641, F0657, F0658, F0676, F0677, F0684, F0689, F0692, F0697, F0761, F0842, F0883, F0887, F0947 | Honor 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 |
| 2025-09-16 | F0732 | Post nurse staffing information every day. | C |
| 2025-02-26 | F0760 | Ensure that residents are free from significant medication errors. | J |
| 2023-08-22 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2023-08-22 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| 2023-08-22 | F0584, F0657, F0684, F0756, F0759, F0842, F0947 | 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. / 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 |
| 2023-08-22 | F0550, F0557, F0580, F0604, F0609, F0610, F0658, F0700, F0728, F0732, F0758, F0760, F0812, F0880, F0925, F0940, F0949 | Honor 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 |
| 2019-01-22 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2019-01-22 | F0550, F0561, F0584, F0625, F0656, F0676, F0684, F0686, F0692, F0711, F0730, F0756, F0757, F0759, F0761, F0842, F0880 | Honor 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?
| Date | Type | Amount |
|---|---|---|
| 2025-02-26 | Fine | $60,132 |
| 2023-08-22 | Fine | $69,787 |
How is Complete Care at Heritage LLC staffed relative to the MD average?
| Measure | This facility | MD average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.44469 | 3.87381 |
| Total nursing staff turnover (%) | 59.0 | 40.2 |
| Average number of residents per day | 145.3 | 105.7 |
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.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | PC MD OPCOS LLC | since 05/01/2021 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | PC WTA OPCO HOLDCO LLC, SMS 2021 TRUST | since 05/01/2021 |
| W-2 MANAGING EMPLOYEE | SILVERBERG, NISANEL | since 05/01/2021 |
| CORPORATE OFFICER | SILVERBERG, NISANEL | since 05/01/2021 |
| GENERAL PARTNERSHIP INTEREST | STEIN, SHALOM | since 05/01/2021 |
Were you or a family member harmed at Complete Care at Heritage LLC?