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.
| Cycle | Inspection date | This facility | Maryland avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-12-11 | 6 | 18.9 | 9.5 | -12.9 better |
| 2 | 2019-11-14 | 16 | 17.1 | 9.8 | -1.1 better |
| 3 | 2018-07-27 | 10 | 14.5 | 9.3 | -4.5 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 3 |
| Resident rights | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.93 | 40.3% |
| RN staffing (reported) | 0.74 | 46.7% |
| 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)
- 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
- 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
- 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
- DF0679Provide activities to meet all resident's needs.2024-12-11 · Health · corrected 2025-01-15
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- DF0610Respond appropriately to all alleged violations.2019-11-14 · Health · corrected 2020-01-10
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0791Provide or obtain dental services for each resident.2019-11-14 · Health · corrected 2020-01-10
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- DF0610Respond appropriately to all alleged violations.2018-07-27 · Health · corrected 2018-09-14
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2018-07-27 · Health · corrected 2018-09-14
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- DF0880Provide and implement an infection prevention and control program.2018-07-27 · Health · corrected 2018-09-14
Potential for more than minimal harm
- 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
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| PC MD5 OPCO HOLDCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-02-01 |
| PC MD5 TOPCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-02-01 |
| PEACE CAPITAL HOLDINGS LLC (DE) | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-02-01 |
| SMS 2021 TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-02-01 |
| BHARAJ, NARENDER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-02-01 |
| COX, VICKIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-02-01 |
| MANSFIELD, MELISSA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-02-01 |
| SILVERBERG, NISANEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-02-01 |
| WADE, KAHLIL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-02-12 |
| WILLIS, MICHAEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-04-01 |
| STEIN, SHALOM | Individual | CORPORATE OFFICER | — | 2023-02-01 |
Other facilities in ANNAPOLIS
| Name | Overall | Beds |
|---|---|---|
| GINGER COVE | ★★★★☆ | 55 |
| AUTUMN LAKE HEALTHCARE AT SPA CREEK | ★★☆☆☆ | 130 |
| FUTURE CARE ANNAPOLIS | — | 0 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.