nursing home in Hagerstown, MD
Complete Care at Hagerstown
14014 Marsh Pike, Hagerstown, MD 21742 · (301) 733-8700
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★2
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Complete Care at Hagerstown at a glance
Complete Care at Hagerstown is a 60-bed for-profit nursing home in Hagerstown, Maryland (Washington County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Maryland average of 3.2.
Residents receive about 3.9 hours of nursing care per day (1 of them from registered nurses), close to the state average of 3.9 hours.
Its most recent standard health inspection (July 14, 2026) found 44 health citations. The Maryland average is 17.
Federal regulators fined it 2 times in the past three years, totaling $43,352.
Nursing staff turnover is 56% per year (state average 40.2%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 60
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Complete Care
- Medicare-certified since
- August 14, 2018
- Resident/family council
- Resident
- County
- Washington County
- CMS Certification Number
- 215365
Ratings
| Measure | This facility | Maryland avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3.2 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.9 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 3.2 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.9 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 3.7 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.9 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Maryland avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.92 hrs | 3.87 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.99 hrs | 0.84 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 1.83 hrs | 2.12 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.75 hrs | 3.47 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 56% | 40.2% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 58.8% | 38.7% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 0 | 1 | Worse |
Inspections
| Measure | This facility | Maryland avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 44 | 17 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 29 | 5 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 271.3 | 115.1 | 80.6 | Worse |
Penalties
| Measure | This facility | Maryland avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $43,352 | $21,934 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | Maryland avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 60 | 124 | 107 | |
| Average residents per day | 86 | 106 | 86 | |
| Occupancy | 100% | 84.7% | 80.9% |
Long-stay residents
| Measure | This facility | Maryland avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.5% | 2.4% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 8.7% | 5.9% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 7.5% | 13.8% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 2.6% | 1.5% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.9% | 0.5% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 13.6% | 20.4% | 13.9% | Average |
| Long-stay residents whose walking worsened (lower is better) | 16.9% | 22.2% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 8% | 5.4% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 71.3% | 22.8% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 38.1% | 16.7% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 28.1% | 25% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 96.6% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.6% | 92.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Maryland avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.6% | 1.1% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 73.5% | 80.6% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 67.1% | 79.1% | 82% | Worse |
Inspection citations
State inspectors cited this home for 102 health deficiencies and 29 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 14, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Deficient, Provider has no plan of correction |
| July 14, 2026 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Deficient, Provider has no plan of correction |
| July 14, 2026 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Deficient, Provider has no plan of correction |
| July 14, 2026 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Deficient, Provider has no plan of correction |
| July 14, 2026 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Deficient, Provider has no plan of correction |
| July 14, 2026 Fire safety | Construct fire resistant interior walls. Smoke Deficiencies · Tag K0331 | E Potential harm, pattern | Deficient, Provider has no plan of correction |
| July 14, 2026 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Deficient, Provider has no plan of correction |
| July 14, 2026 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | E Potential harm, pattern | Deficient, Provider has no plan of correction |
| July 14, 2026 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | E Potential harm, pattern | Deficient, Provider has no plan of correction |
| July 14, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Deficient, Provider has no plan of correction |
| July 14, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected August 28, 2026 |
| July 14, 2026 Standard | Keep complete, dated laboratory records in the resident's record. Administration Deficiencies · Tag F0775 | D Potential harm, isolated | Corrected August 28, 2026 |
| July 14, 2026 Standard | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Tag F0791 | D Potential harm, isolated | Corrected August 28, 2026 |
| July 14, 2026 Standard | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Tag F0801 | D Potential harm, isolated | Corrected August 28, 2026 |
| July 14, 2026 Standard | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Tag F0803 | D Potential harm, isolated | Corrected August 28, 2026 |
| July 14, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected August 28, 2026 |
| July 14, 2026 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected August 28, 2026 |
| July 14, 2026 Standard | 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. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected August 28, 2026 |
| July 14, 2026 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected August 28, 2026 |
| July 14, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected August 28, 2026 |
| July 14, 2026 Standard | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Tag F0685 | D Potential harm, isolated | Corrected August 28, 2026 |
| July 14, 2026 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | D Potential harm, isolated | Corrected August 28, 2026 |
| July 14, 2026 Complaint | 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. Resident Rights Deficiencies · Tag F0585 | D Potential harm, isolated | Corrected August 28, 2026 |
| July 14, 2026 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected August 28, 2026 |
| July 14, 2026 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected August 28, 2026 |
| July 14, 2026 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected August 28, 2026 |
| July 14, 2026 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected August 28, 2026 |
| July 14, 2026 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected August 28, 2026 |
| July 14, 2026 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected August 28, 2026 |
| July 14, 2026 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected August 28, 2026 |
| July 14, 2026 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected August 28, 2026 |
| April 2, 2026 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected April 28, 2026 |
| April 2, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected April 28, 2026 |
| April 2, 2026 Complaint | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected April 28, 2026 |
| January 29, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected March 30, 2026 |
| January 29, 2026 Complaint | 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. Administration Deficiencies · Tag F0840 | F Potential harm, widespread | Corrected March 30, 2026 |
| January 29, 2026 Complaint | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Tag F0947 | F Potential harm, widespread | Corrected March 30, 2026 |
| January 29, 2026 Complaint | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · Tag F0940 | F Potential harm, widespread | Corrected March 30, 2026 |
| January 29, 2026 Complaint | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Tag F0730 | F Potential harm, widespread | Corrected March 30, 2026 |
| January 29, 2026 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | E Potential harm, pattern | Corrected March 30, 2026 |
| January 29, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected March 30, 2026 |
| January 29, 2026 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected March 30, 2026 |
| January 29, 2026 Complaint | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Tag F0868 | D Potential harm, isolated | Corrected March 30, 2026 |
| January 29, 2026 Complaint | 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. Administration Deficiencies · Tag F0838 | D Potential harm, isolated | Corrected March 30, 2026 |
| January 29, 2026 Complaint | 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. Administration Deficiencies · Tag F0837 | D Potential harm, isolated | Corrected March 30, 2026 |
| January 29, 2026 Complaint | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Tag F0835 | D Potential harm, isolated | Corrected March 30, 2026 |
| January 29, 2026 Complaint | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected March 30, 2026 |
| January 29, 2026 Complaint | 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. Nursing and Physician Services Deficiencies · Tag F0726 | D Potential harm, isolated | Corrected March 30, 2026 |
| January 29, 2026 Complaint | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · Tag F0711 | D Potential harm, isolated | Corrected March 30, 2026 |
| January 29, 2026 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected March 30, 2026 |
| January 29, 2026 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected March 30, 2026 |
| October 21, 2025 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected December 3, 2025 |
| October 21, 2025 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected December 3, 2025 |
| October 21, 2025 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected December 3, 2025 |
| May 14, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected June 27, 2025 |
| May 14, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected June 27, 2025 |
| May 14, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected June 27, 2025 |
| May 14, 2025 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected June 27, 2025 |
| May 14, 2025 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | E Potential harm, pattern | Corrected June 27, 2025 |
| May 14, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected June 27, 2025 |
| May 14, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | D Potential harm, isolated | Corrected June 27, 2025 |
| May 14, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected June 27, 2025 |
| May 14, 2025 Fire safety | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Tag K0362 | D Potential harm, isolated | Corrected June 27, 2025 |
| May 14, 2025 Fire safety | Install proper backup exit lighting. Egress Deficiencies · Tag K0281 | D Potential harm, isolated | Corrected June 27, 2025 |
| May 14, 2025 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected June 27, 2025 |
| May 14, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected June 27, 2025 |
| May 14, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected June 27, 2025 |
| May 14, 2025 Standard | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Tag F0791 | D Potential harm, isolated | Corrected June 27, 2025 |
| May 14, 2025 Standard | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Tag F0577 | D Potential harm, isolated | Corrected June 27, 2025 |
| May 14, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected June 27, 2025 |
| May 14, 2025 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected June 27, 2025 |
| May 14, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected June 27, 2025 |
| May 14, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0585 | D Potential harm, isolated | Corrected June 27, 2025 |
| May 14, 2025 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected June 27, 2025 |
| May 14, 2025 Standard | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | D Potential harm, isolated | Corrected June 27, 2025 |
| May 14, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected June 27, 2025 |
| May 14, 2025 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected June 27, 2025 |
| May 14, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected June 27, 2025 |
| May 14, 2025 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected June 27, 2025 |
| May 14, 2025 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | D Potential harm, isolated | Corrected June 27, 2025 |
| May 14, 2025 Standard | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Tag F0685 | D Potential harm, isolated | Corrected June 27, 2025 |
| May 14, 2025 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected June 27, 2025 |
| May 14, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected June 27, 2025 |
| May 14, 2025 Complaint | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected June 27, 2025 |
| May 14, 2025 Complaint | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Tag F0699 | D Potential harm, isolated | Corrected June 27, 2025 |
| May 14, 2025 Standard | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Tag F0730 | D Potential harm, isolated | Corrected June 27, 2025 |
| May 14, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected June 27, 2025 |
| May 14, 2025 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected June 27, 2025 |
| May 14, 2025 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected June 27, 2025 |
| May 14, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected June 27, 2025 |
| May 14, 2025 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected June 27, 2025 |
| May 14, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 27, 2025 |
| May 14, 2025 Standard | 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. Infection Control Deficiencies · Tag F0887 | D Potential harm, isolated | Corrected June 27, 2025 |
| May 14, 2025 Standard | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | D Potential harm, isolated | Corrected June 27, 2025 |
| January 9, 2025 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected February 25, 2025 |
| January 9, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected February 25, 2025 |
| January 9, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | E Potential harm, pattern | Corrected February 25, 2025 |
| January 9, 2025 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected February 25, 2025 |
| January 9, 2025 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected February 25, 2025 |
| January 9, 2025 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected February 25, 2025 |
| January 9, 2025 Complaint | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected February 25, 2025 |
| July 2, 2021 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | E Potential harm, pattern | Corrected August 9, 2021 |
| July 2, 2021 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | D Potential harm, isolated | Corrected August 9, 2021 |
| July 2, 2021 Fire safety | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Tag K0311 | D Potential harm, isolated | Corrected August 9, 2021 |
| July 2, 2021 Fire safety | Ensure medical gas and vacuum systems have documented maintenance programs. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0907 | D Potential harm, isolated | Corrected August 9, 2021 |
| July 2, 2021 Fire safety | Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0908 | D Potential harm, isolated | Corrected August 9, 2021 |
| July 2, 2021 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected August 9, 2021 |
| July 2, 2021 Fire safety | Install proper backup exit lighting. Egress Deficiencies · Tag K0281 | C No harm, widespread | Corrected August 9, 2021 |
| July 2, 2021 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | E Potential harm, pattern | Corrected August 3, 2021 |
| July 2, 2021 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | E Potential harm, pattern | Corrected August 3, 2021 |
| July 2, 2021 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected August 3, 2021 |
| July 2, 2021 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | E Potential harm, pattern | Corrected August 3, 2021 |
| July 2, 2021 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected August 3, 2021 |
| July 2, 2021 Standard | Prepare residents for a safe transfer or discharge from the nursing home. Resident Rights Deficiencies · Tag F0624 | E Potential harm, pattern | Corrected August 3, 2021 |
| July 2, 2021 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected August 3, 2021 |
| July 2, 2021 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | E Potential harm, pattern | Corrected August 3, 2021 |
| July 2, 2021 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected August 3, 2021 |
| July 2, 2021 Standard | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected August 3, 2021 |
| July 2, 2021 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected August 3, 2021 |
| July 2, 2021 Standard | Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · Tag F0790 | D Potential harm, isolated | Corrected August 3, 2021 |
| July 2, 2021 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected August 3, 2021 |
| July 2, 2021 Standard | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | D Potential harm, isolated | Corrected August 3, 2021 |
| July 2, 2021 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected August 3, 2021 |
| July 2, 2021 Standard | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Nursing and Physician Services Deficiencies · Tag F0710 | D Potential harm, isolated | Corrected August 3, 2021 |
| July 2, 2021 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected August 3, 2021 |
| July 2, 2021 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected August 3, 2021 |
| July 2, 2021 Standard | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · Tag F0661 | D Potential harm, isolated | Corrected August 3, 2021 |
| July 2, 2021 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected August 3, 2021 |
| July 2, 2021 Standard | 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. Resident Rights Deficiencies · Tag F0622 | D Potential harm, isolated | Corrected August 3, 2021 |
| July 2, 2021 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected August 3, 2021 |
| July 2, 2021 Standard | Have enough backup water supply for essential areas of the nursing home. Environmental Deficiencies · Tag F0922 | C No harm, widespread | Corrected August 3, 2021 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $43,352 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| January 29, 2026 | Fine | $14,082 |
| January 9, 2025 | Fine | $29,270 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| PC MD5 OPCO HOLDCO LLC Organization | 5% or greater direct ownership interest | 100% | 02/01/2023 |
| PC MD5 TOPCO LLC Organization | 5% or greater indirect ownership interest | — | 02/01/2023 |
| SMS 2021 TRUST Organization | 5% or greater indirect ownership interest | — | 02/01/2023 |
| ADESSE HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 02/01/2023 |
| ADESSE MD5 PROPCO HOLDCO LLC Organization | adp of the snf | NOT APPLICABLE | 02/01/2023 |
| ADESSE MD PEACE MD5 PROPCO HOLDCO LLC Organization | adp of the snf | NOT APPLICABLE | 02/01/2023 |
| COX, VICKIE Individual | adp of the snf | NOT APPLICABLE | 02/01/2023 |
| HAGERSTOWN MD PROPCO HOLDCO LLC Organization | adp of the snf | NOT APPLICABLE | 02/01/2023 |
| HAGERSTOWN MD PROPCO LLC Organization | adp of the snf | NOT APPLICABLE | 02/01/2023 |
| HC FAMILY TRUST Organization | adp of the snf | NOT APPLICABLE | 02/01/2023 |
| MANSFIELD, MELISSA Individual | adp of the snf | NOT APPLICABLE | 02/01/2023 |
| PC MD5 TOPCO LLC Organization | adp of the snf | NOT APPLICABLE | 02/01/2023 |
| PEACE CAPITAL HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 02/01/2023 |
| SCHONFELD, AKIVA Individual | adp of the snf | NOT APPLICABLE | 02/01/2023 |
| SILVERBERG, NISANEL Individual | adp of the snf | NOT APPLICABLE | 02/01/2023 |
| SIMMERS, ROBERT Individual | adp of the snf | NOT APPLICABLE | 06/03/2024 |
| SMS 2021 TRUST Organization | adp of the snf | NOT APPLICABLE | 02/01/2023 |
| SWEENEY, BARBARA Individual | adp of the snf | NOT APPLICABLE | 02/01/2023 |
| WASEEM, MUHAMMAD Individual | adp of the snf | NOT APPLICABLE | 02/01/2023 |
| STEIN, SHALOM Individual | corporate officer | NOT APPLICABLE | 02/01/2023 |
| DES CAPITAL LLC Organization | indirect ownership interest | NOT APPLICABLE | 02/01/2023 |
| JRK INVESTMENTS LLC Organization | indirect ownership interest | NOT APPLICABLE | 02/01/2023 |
| KLUGMAN, JACOB Individual | indirect ownership interest | NOT APPLICABLE | 02/01/2023 |
| STEIN, SHALOM Individual | indirect ownership interest | NOT APPLICABLE | 02/01/2023 |
| STERNBUCH, DANIEL Individual | indirect ownership interest | NOT APPLICABLE | 02/01/2023 |
| STEIN, SHALOM Individual | managing control - governing body | NOT APPLICABLE | 02/01/2023 |
| COX, VICKIE Individual | operational/managerial control | NOT APPLICABLE | 02/01/2023 |
| MANSFIELD, MELISSA Individual | operational/managerial control | NOT APPLICABLE | 02/01/2023 |
| SILVERBERG, NISANEL Individual | operational/managerial control | NOT APPLICABLE | 02/01/2023 |
| SIMMERS, ROBERT Individual | operational/managerial control | NOT APPLICABLE | 06/03/2024 |
| SWEENEY, BARBARA Individual | operational/managerial control | NOT APPLICABLE | 02/01/2023 |
| WASEEM, MUHAMMAD Individual | operational/managerial control | NOT APPLICABLE | 02/01/2023 |
| SCHONFELD, AKIVA Individual | trustee of the snf | NOT APPLICABLE | 02/01/2023 |
| STEIN, SHALOM Individual | trustee of the snf | NOT APPLICABLE | 02/01/2023 |
Other nursing homes near Complete Care at Hagerstown
Western Md Hospital Center
1500 Pennsylvania Avenue, Hagerstown, MD 21742 · 2.9 mi
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★★★★★5Much above average- ★★★★★3Average
Hagerstown Healthcare Center
750 Dual Highway, Hagerstown, MD 21740 · 4.6 mi
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★★★★★2Below averageJulia Manor Nursing and Rehabilitation Center
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★★★★★1Much below averageCreekside Center for Rehabilitation and Nursing
1183 Luther Drive, Hagerstown, MD 21740 · 6.1 mi
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★★★★★1Much below averageHomewood Living Williamsport
16505 Virginia Avenue, Williamsport, MD 21795 · 8.7 mi
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★★★★★3Average
Frequently asked questions
What is Complete Care at Hagerstown's rating?
Complete Care at Hagerstown has 1 out of 5 stars on the CMS overall star rating. The average for Maryland nursing homes is 3.2 stars.
How many inspection citations did Complete Care at Hagerstown receive?
Its most recent standard health inspection found 44 citations, compared with a Maryland average of 17. Every citation is listed on this page with its severity.
Does Complete Care at Hagerstown accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Complete Care at Hagerstown?
It is for profit - limited liability company and part of Complete Care. The ownership section on this page lists the owners and managers reported to CMS.
Where is Complete Care at Hagerstown and how do I contact it?
Complete Care at Hagerstown is at 14014 Marsh Pike, Hagerstown, MD 21742. Phone: (301) 733-8700.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.