COMPLETE CARE AT HAGERSTOWN
COMPLETE CARE AT HAGERSTOWN is a 60-bed nursing home in HAGERSTOWN, Maryland. CMS has certified it for Medicare and Medicaid since 2018-08-14. It averages 86.3 residents a day.
What harm was found in the violations cited at COMPLETE CARE AT HAGERSTOWN?
CMS lists 81 health-inspection deficiencies for COMPLETE CARE AT HAGERSTOWN since 2021-07-02, 58 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 2026-04-02.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-04-02 | F0584, F0684, F0686 | 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 appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| 2026-01-29 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2026-01-29 | F0730, F0840, F0940, F0947 | Observe each nurse aide's job performance and give regular training. / Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. / Develop, implement, and/or maintain an effective training program for all new and existing staff members. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F |
| 2026-01-29 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E |
| 2026-01-29 | F0550, F0600, F0610, F0658, F0711, F0726, F0757, F0835, F0837, F0838, F0868 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Respond appropriately to all alleged violations. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. / 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. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. / Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D |
| 2025-10-21 | F0610, F0677, F0842 | Respond appropriately to all alleged violations. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-05-14 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2025-05-14 | F0577, F0578, F0580, F0584, F0585, F0605, F0628, F0641, F0645, F0656, F0677, F0679, F0685, F0686, F0689, F0697, F0699, F0730, F0755, F0756, F0757, F0761, F0791, F0842, F0880, F0887, F0908 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. / 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. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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. / Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Ensure each resident receives an accurate assessment. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Assist a resident in gaining access to vision and hearing services. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate pain management for a resident who requires such services. / Provide care or services that was trauma informed and/or culturally competent. / Observe each nurse aide's job performance and give regular training. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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 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. / Provide or obtain dental services for each resident. / 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. / 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. / Keep all essential equipment working safely. | D |
| 2025-01-09 | F0686, F0689 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2025-01-09 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E |
| 2025-01-09 | F0550, F0610, F0656, F0697 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Respond appropriately to all alleged violations. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe, appropriate pain management for a resident who requires such services. | D |
| 2021-07-02 | F0624, F0655, F0656, F0658, F0757, F0758, F0759, F0880 | Prepare residents for a safe transfer or discharge from the nursing home. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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 medication error rates are not 5 percent or greater. / Provide and implement an infection prevention and control program. | E |
| 2021-07-02 | F0584, F0609, F0610, F0622, F0641, F0657, F0661, F0684, F0686, F0710, F0761, F0790, F0842, F0919 | 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / 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 necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. / 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. / Provide routine and 24-hour emergency dental care for each resident. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| 2021-07-02 | F0922 | Have enough backup water supply for essential areas of the nursing home. | C |
Why was COMPLETE CARE AT HAGERSTOWN fined 2 times?
| Date | Type | Amount |
|---|---|---|
| 2026-01-29 | Fine | $14,082 |
| 2025-01-09 | Fine | $29,270 |
How is COMPLETE CARE AT HAGERSTOWN staffed?
| Measure | This facility | MD average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.92119 | 3.87381 |
| Total nursing staff turnover (%) | 56.0 | 40.2 |
| Average number of residents per day | 86.3 | 105.7 |
Who owns COMPLETE CARE AT HAGERSTOWN, and what chain is it in?
COMPLETE CARE AT HAGERSTOWN is registered with CMS as For profit - Limited Liability company, operates under the legal business name COMPLETE CARE AT HAGERSTOWN LLC and belongs to the COMPLETE CARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | PC MD5 OPCO HOLDCO LLC | since 02/01/2023 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | PC MD5 TOPCO LLC, SMS 2021 TRUST | since 02/01/2023 |
| INDIRECT OWNERSHIP INTEREST | DES CAPITAL LLC, JRK INVESTMENTS LLC, KLUGMAN, JACOB, STEIN, SHALOM, STERNBUCH, DANIEL | since 02/01/2023 |
| MANAGING CONTROL - GOVERNING BODY | STEIN, SHALOM | since 02/01/2023 |
| CORPORATE OFFICER | STEIN, SHALOM | since 02/01/2023 |
| OPERATIONAL/MANAGERIAL CONTROL | COX, VICKIE, MANSFIELD, MELISSA, SILVERBERG, NISANEL, SIMMERS, ROBERT, SWEENEY, BARBARA, WASEEM, MUHAMMAD | since 02/01/2023 |
| TRUSTEE OF THE SNF | SCHONFELD, AKIVA, STEIN, SHALOM | since 02/01/2023 |
| ADP OF THE SNF | ADESSE HOLDINGS LLC, ADESSE MD PEACE MD5 PROPCO HOLDCO LLC, ADESSE MD5 PROPCO HOLDCO LLC, HAGERSTOWN MD PROPCO HOLDCO LLC, HAGERSTOWN MD PROPCO LLC, HC FAMILY TRUST, PC MD5 TOPCO LLC, PEACE CAPITAL HOLDINGS LLC, SMS 2021 TRUST, COX, VICKIE, MANSFIELD, MELISSA, SCHONFELD, AKIVA, SILVERBERG, NISANEL, SIMMERS, ROBERT, SWEENEY, BARBARA, WASEEM, MUHAMMAD | since 02/01/2023 |
Were you or a family member harmed at COMPLETE CARE AT HAGERSTOWN?