Starfile

Starfile / Maryland

COMPLETE CARE AT ANNAPOLIS

900 VAN BUREN STREET, ANNAPOLIS, MD 21403 · CCN 215005

Ratings

Overall
★★★★★ 5
Health inspection
★★★★★ 5
Quality measures
★★★★★ 5
Staffing
★★★☆☆ 3

Facility

Ownership type
For profit - Limited Liability company
Certified beds
97
Avg residents/day
79.3
Phone
4102678653

Inspection history vs Maryland & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityMaryland avgNational avgvs state
12024-12-11618.99.5-12.9 better
22019-11-141617.19.8-1.1 better
32018-07-271014.59.3-4.5 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation1
Quality of life and care3
Resident rights2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.9340.3%
RN staffing (reported)0.7446.7%
Total nurse staffing (adjusted)3.51

Fines & penalties

Total fines
$0
Number of fines
0
Number of penalties
0
Payment denials
0

Chain

Chain
COMPLETE CARE
Facilities in chain
85
Chain avg overall
3.20 / 5

Inspection citations (32)

  1. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-12-11 · Health · corrected 2025-01-15

    Potential for more than minimal harm

  2. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-12-11 · Health · corrected 2025-01-15

    Potential for more than minimal harm

  3. DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2024-12-11 · Health · corrected 2025-01-15

    Potential for more than minimal harm

  4. DF0679Provide activities to meet all resident's needs.2024-12-11 · Health · corrected 2025-01-15

    Potential for more than minimal harm

  5. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-11 · Health · corrected 2025-01-15

    Potential for more than minimal harm

  6. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-11 · Health · corrected 2025-01-15

    Potential for more than minimal harm

  7. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-12-11 · Health · corrected 2025-01-15

    Potential for more than minimal harm

  8. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-12-11 · Health · corrected 2025-01-15

    Potential for more than minimal harm

  9. DF0610Respond appropriately to all alleged violations.2019-11-14 · Health · corrected 2020-01-10

    Potential for more than minimal harm

  10. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2019-11-14 · Health · corrected 2020-01-10

    Potential for more than minimal harm

  11. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2019-11-14 · Health · corrected 2020-01-10

    Potential for more than minimal harm

  12. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2019-11-14 · Health · corrected 2020-01-10

    Potential for more than minimal harm

  13. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2019-11-14 · Health · corrected 2020-01-10

    Potential for more than minimal harm

  14. DF0685Assist a resident in gaining access to vision and hearing services.2019-11-14 · Health · corrected 2020-01-10

    Potential for more than minimal harm

  15. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2019-11-14 · Health · corrected 2020-01-10

    Potential for more than minimal harm

  16. DF0758Implement 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.2019-11-14 · Health · corrected 2020-01-10

    Potential for more than minimal harm

  17. DF0761Ensure 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.2019-11-14 · Health · corrected 2020-01-10

    Potential for more than minimal harm

  18. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2019-11-14 · Health · corrected 2020-01-10

    Potential for more than minimal harm

  19. DF0791Provide or obtain dental services for each resident.2019-11-14 · Health · corrected 2020-01-10

    Potential for more than minimal harm

  20. DF0836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.2019-11-14 · Health · corrected 2020-01-10

    Potential for more than minimal harm

  21. DF0838Conduct 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.2019-11-14 · Health · corrected 2020-01-10

    Potential for more than minimal harm

  22. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2019-11-14 · Health · corrected 2020-01-10

    Potential for more than minimal harm

  23. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2018-07-27 · Health · corrected 2018-09-14

    Potential for more than minimal harm

  24. BF0584Honor 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.2018-07-27 · Health · corrected 2018-09-14

    Potential for minimal harm

  25. DF0610Respond appropriately to all alleged violations.2018-07-27 · Health · corrected 2018-09-14

    Potential for more than minimal harm

  26. DF0641Ensure each resident receives an accurate assessment.2018-07-27 · Health · corrected 2018-09-14

    Potential for more than minimal harm

  27. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2018-07-27 · Health · corrected 2018-09-14

    Potential for more than minimal harm

  28. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2018-07-27 · Health · corrected 2018-09-14

    Potential for more than minimal harm

  29. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2018-07-27 · Health · corrected 2018-09-14

    Potential for more than minimal harm

  30. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2018-07-27 · Health · corrected 2018-09-14

    Potential for more than minimal harm

  31. DF0880Provide and implement an infection prevention and control program.2018-07-27 · Health · corrected 2018-09-14

    Potential for more than minimal harm

  32. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2018-07-27 · Health · corrected 2018-09-14

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
PC MD5 OPCO HOLDCO LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2023-02-01
PC MD5 TOPCO LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-02-01
PEACE CAPITAL HOLDINGS LLC (DE)Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-02-01
SMS 2021 TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-02-01
BHARAJ, NARENDERIndividualOPERATIONAL/MANAGERIAL CONTROL2023-02-01
COX, VICKIEIndividualOPERATIONAL/MANAGERIAL CONTROL2023-02-01
MANSFIELD, MELISSAIndividualOPERATIONAL/MANAGERIAL CONTROL2023-02-01
SILVERBERG, NISANELIndividualOPERATIONAL/MANAGERIAL CONTROL2023-02-01
WADE, KAHLILIndividualOPERATIONAL/MANAGERIAL CONTROL2023-02-12
WILLIS, MICHAELIndividualOPERATIONAL/MANAGERIAL CONTROL2023-04-01
STEIN, SHALOMIndividualCORPORATE OFFICER2023-02-01

Other facilities in ANNAPOLIS

NameOverallBeds
GINGER COVE★★★★☆55
AUTUMN LAKE HEALTHCARE AT SPA CREEK★★☆☆☆130
FUTURE CARE ANNAPOLIS0

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.