• CMS rates this facility 2/5 stars (below average)
• Has 60 certified beds with an average of 85 residents per day (142% occupancy)
• Last health inspection found 31 deficiencies (inspected May 14, 2025)
• Has been fined a total of $29,270 across 1 fine(s)
• Total nursing staff: 4.22 hours per resident per day
• Staff turnover rate: 38.3%
• Part of the Complete Care chain (85 facilities)
Complete Care at Hagerstown is a 2-star Medicare and Medicaid certified nursing home in Hagerstown, Maryland with 60 certified beds. It has been operating since 2018. The facility scored below average compared to Maryland facilities.
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.
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.
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 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.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide safe, appropriate pain management for a resident who requires such services.
+ 31 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| PC MD5 OPCO HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Feb 1, 2023 |
| PC MD5 TOPCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Feb 1, 2023 |
| PEACE CAPITAL HOLDINGS LLC (DE) | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Feb 1, 2023 |
| SMS 2021 TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Feb 1, 2023 |
| COX, VICKIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2023 |
| MANSFIELD, MELISSA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2023 |
| SILVERBERG, NISANEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2023 |
| SIMMERS, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 3, 2024 |
| SWEENEY, BARBARA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2023 |
| WASEEM, MUHAMMAD | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2023 |
| STEIN, SHALOM | CORPORATE OFFICER | Individual | N/A | Feb 1, 2023 |
This chain operates 85 facilities. View all →