COMPLETE CARE AT HAGERSTOWN

HAGERSTOWN, MD · 60 beds · For profit - Limited Liability company

18 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • 2 citation(s) where residents suffered actual harm

Green Flags

No positive signals identified yet.

Quick Facts

★★☆☆☆
CMS Overall
★★☆☆☆
Health Inspection
31
1.6x state avg
Deficiencies
$29,270
Fines (3-yr)
★★★☆☆
Staffing

Violation Timeline

October 20, 2025

3 deficiencyies
F0610 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Respond appropriately to all alleged violations.

F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide care and assistance to perform activities of daily living for any resident who is unable.

F0842 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

May 13, 2025

17 deficiencyies
F0577 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

F0578 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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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.

F0584 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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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.

F0585 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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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.

F0605 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

F0628 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

F0641 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure each resident receives an accurate assessment.

F0645 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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PASARR screening for Mental disorders or Intellectual Disabilities

F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0679 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide activities to meet all resident's needs.

F0685 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Assist a resident in gaining access to vision and hearing services.

F0686 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0730 Potential Harm Scope/Severity: D

Nursing and Physician Services Deficiencies

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Observe each nurse aide's job performance and give regular training.

F0755 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

F0756 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

F0757 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure each resident’s drug regimen must be free from unnecessary drugs.

See full violation history →

Staffing

0.72
RN hrs/res/day
1.03
LPN hrs/res/day
1.43
CNA hrs/res/day
2.86
Weekend hrs/res/day
38%
Total nurse turnover
35%
RN turnover

A nurse checks on each resident roughly every 7.5 hours on average.

Fines & Penalties

  • Fine Jan 8, 2025
    $29,270
Total $29,270

Ownership

For profit - Limited Liability company Chain: COMPLETE CARE
  • PC MD5 OPCO HOLDCO LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 02/01/2023

    100% Organization
  • PC MD5 TOPCO LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/01/2023

    NO PERCENTAGE PROVIDED Organization
  • PEACE CAPITAL HOLDINGS LLC (DE)

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/01/2023

    NO PERCENTAGE PROVIDED Organization
  • SMS 2021 TRUST

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/01/2023

    NO PERCENTAGE PROVIDED Organization
  • COX, VICKIE

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 02/01/2023

    Individual
  • MANSFIELD, MELISSA

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 02/01/2023

    Individual
  • SILVERBERG, NISANEL

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 02/01/2023

    Individual
  • SIMMERS, ROBERT

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 06/03/2024

    Individual
  • SWEENEY, BARBARA

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 02/01/2023

    Individual
  • WASEEM, MUHAMMAD

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 02/01/2023

    Individual
  • STEIN, SHALOM

    CORPORATE OFFICER

    Since since 02/01/2023

    Individual

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