Complete Care at Hagerstown

Nursing Home · Hagerstown, MD

CMS overall rating 1/5 For profit - Limited Liability company

CMS certification number215365

Contact & location

14014 Marsh Pike
Hagerstown, MD 21742
Washington County
Phone
(301) 733-8700
ZIP code
21742 – all care providers

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Facility details

Certified beds
60
Residents per day
86.3 (144% occupied)
Ownership
For profit - Limited Liability company
Legal name
Complete Care at Hagerstown LLC
Chain
Complete Care (85 facilities, avg 3.1★)
Medicare certified since
August 14, 2018
Participates in
Medicare and Medicaid

CMS star ratings

Overall★★★★★ 1/5
State avg 3.1
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 2/5
State avg 3.2
Quality measures★★★★★ 4/5
State avg 3.9
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 5/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.92 (state 3.87 · U.S. 3.86)
Registered nurses (RN)
0.99 (state 0.84 · U.S. 0.69)
Licensed practical nurses
1.09 (state 0.91 · U.S. 0.86)
Nurse aides
1.83 (state 2.12 · U.S. 2.32)
Weekend total
3.75 (state 3.47 · U.S. 3.42)
Nursing staff turnover
56.0 (state 40.2 · U.S. 45.8)%
RN turnover
58.8 (state 38.7 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
May 14, 2025
Health deficiencies (last cycle)
51.0 (state 17.5 · U.S. 9.3)
From complaints
27
Citations on record (3 years)
68 health · 12 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-04-02 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.
F0584 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-28
2026-04-02 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-28
2026-04-02 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-28
2026-01-29 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2026-03-30
2026-01-29 Observe each nurse aide's job performance and give regular training.
F0730 · Nursing and Physician Services Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2026-03-30
2026-01-29 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.
F0840 · Administration Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2026-03-30
2026-01-29 Develop, implement, and/or maintain an effective training program for all new and existing staff members.
F0940 · Administration Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2026-03-30
2026-01-29 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F0947 · Nursing and Physician Services Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2026-03-30
2026-01-29 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-03-30
2026-01-29 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-30
2026-01-29 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-30
2026-01-29 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-30
2026-01-29 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-30
2026-01-29 Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
F0711 · Nursing and Physician Services Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-30
2026-01-29 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.
F0726 · Nursing and Physician Services Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-30
2026-01-29 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-30
2026-01-29 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F0835 · Administration Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-30
2026-01-29 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.
F0837 · Administration Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-30
2026-01-29 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.
F0838 · Administration Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-30
2026-01-29 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F0868 · Administration Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-30
2025-10-21 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-03
2025-10-21 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-03
2025-10-21 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-03
2025-05-14 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-06-27
2025-05-14 Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
F0577 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-27
2025-05-14 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.
F0578 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-27
2025-05-14 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-27
2025-05-14 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.
F0584 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-27
2025-05-14 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.
F0585 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-27
2025-05-14 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-27
2025-05-14 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-27
2025-05-14 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-27
2025-05-14 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-27
2025-05-14 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-27
2025-05-14 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-27
2025-05-14 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-27
2025-05-14 Assist a resident in gaining access to vision and hearing services.
F0685 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-27
2025-05-14 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-27
2025-05-14 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-27
2025-05-14 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-27
2025-05-14 Provide care or services that was trauma informed and/or culturally competent.
F0699 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-27
2025-05-14 Observe each nurse aide's job performance and give regular training.
F0730 · Nursing and Physician Services Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-27
2025-05-14 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-27
2025-05-14 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-27
2025-05-14 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-27
2025-05-14 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-27
2025-05-14 Provide or obtain dental services for each resident.
F0791 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-27
2025-05-14 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-27
2025-05-14 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-27
2025-05-14 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.
F0887 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-27

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $43,352 in fines.

DateTypeAmount
2026-01-29Fine$14,082
2025-01-09Fine$29,270

Ownership & management

NameRoleSince
PC MD5 Opco Holdco LLC (organization)5%+ Direct Ownership Interest · 100%
PC MD5 Topco LLC (organization)5%+ Indirect Ownership Interest
SMS 2021 Trust (organization)5%+ Indirect Ownership Interest
Adesse Holdings LLC (organization)Administrator · NOT APPLICABLE
Adesse MD Peace MD5 Propco Holdco LLC (organization)Administrator · NOT APPLICABLE
Adesse MD5 Propco Holdco LLC (organization)Administrator · NOT APPLICABLE
Cox, Vickie (individual)Administrator · NOT APPLICABLE
Hagerstown MD Propco Holdco LLC (organization)Administrator · NOT APPLICABLE
Hagerstown MD Propco LLC (organization)Administrator · NOT APPLICABLE
HC Family Trust (organization)Administrator · NOT APPLICABLE
Mansfield, Melissa (individual)Administrator · NOT APPLICABLE
PC MD5 Topco LLC (organization)Administrator · NOT APPLICABLE
Peace Capital Holdings LLC (organization)Administrator · NOT APPLICABLE
Schonfeld, Akiva (individual)Administrator · NOT APPLICABLE
Silverberg, Nisanel (individual)Administrator · NOT APPLICABLE
Simmers, Robert (individual)Administrator · NOT APPLICABLE
SMS 2021 Trust (organization)Administrator · NOT APPLICABLE
Sweeney, Barbara (individual)Administrator · NOT APPLICABLE
Waseem, Muhammad (individual)Administrator · NOT APPLICABLE
Stein, Shalom (individual)Corporate Officer · NOT APPLICABLE
Des Capital LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
JRK Investments LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Klugman, Jacob (individual)Indirect Ownership Interest · NOT APPLICABLE
Stein, Shalom (individual)Indirect Ownership Interest · NOT APPLICABLE
Sternbuch, Daniel (individual)Indirect Ownership Interest · NOT APPLICABLE
Stein, Shalom (individual)Managing Control - Governing Body · NOT APPLICABLE
Cox, Vickie (individual)Operational/managerial Control · NOT APPLICABLE
Mansfield, Melissa (individual)Operational/managerial Control · NOT APPLICABLE
Silverberg, Nisanel (individual)Operational/managerial Control · NOT APPLICABLE
Simmers, Robert (individual)Operational/managerial Control · NOT APPLICABLE
Sweeney, Barbara (individual)Operational/managerial Control · NOT APPLICABLE
Waseem, Muhammad (individual)Operational/managerial Control · NOT APPLICABLE
Schonfeld, Akiva (individual)Trustee Of The Snf · NOT APPLICABLE
Stein, Shalom (individual)Trustee Of The Snf · NOT APPLICABLE

Frequently asked questions

What is the rating of Complete Care at Hagerstown?

Complete Care at Hagerstown has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Maryland.

How many beds does Complete Care at Hagerstown have?

It has 60 certified beds and cares for about 86 residents per day.

Has Complete Care at Hagerstown been fined?

Yes. CMS lists 2 penalties totaling $43,352 in the last three years.

Who owns Complete Care at Hagerstown?

It is part of Complete Care and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Complete Care at Hagerstown?

(301) 733-8700. The facility is located at 14014 Marsh Pike, Hagerstown, MD 21742.

Other nursing homes in Hagerstown

Compare all nursing homes in Hagerstown, MD →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.