Starfile / Maryland

COMPLETE CARE AT HAGERSTOWN

14014 MARSH PIKE, HAGERSTOWN, MD 21742 · CCN 215365

Inspection history vs Maryland & national averages

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

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$50,935

Number of fines

2

Number of penalties

2

Payment denials

0

Chain

Chain

COMPLETE CARE

Facilities in chain

85

Chain avg overall

3.20 / 5

Inspection citations (78)1 immediate jeopardy2 actual harm

1. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2026-01-29 · Health

   Potential for more than minimal harm

2. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2026-01-29 · Health

   Potential for more than minimal harm

3. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2026-01-29 · Health

   Potential for more than minimal harm

4. DF0610Respond appropriately to all alleged violations.2026-01-29 · Health

   Potential for more than minimal harm

5. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2026-01-29 · Health

   Potential for more than minimal harm

6. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2026-01-29 · Health

   Immediate jeopardy

7. DF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2026-01-29 · Health

   Potential for more than minimal harm

8. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2026-01-29 · Health

   Potential for more than minimal harm

9. FF0730Observe each nurse aide's job performance and give regular training.2026-01-29 · Health

   Potential for more than minimal harm

10. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2026-01-29 · Health

    Potential for more than minimal harm

11. DF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2026-01-29 · Health

    Potential for more than minimal harm

12. DF0837Establish 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.2026-01-29 · Health

    Potential for more than minimal harm

13. 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.2026-01-29 · Health

    Potential for more than minimal harm

14. FF0840Employ 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.2026-01-29 · Health

    Potential for more than minimal harm

15. DF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2026-01-29 · Health

    Potential for more than minimal harm

16. FF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2026-01-29 · Health

    Potential for more than minimal harm

17. FF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2026-01-29 · Health

    Potential for more than minimal harm

18. DF0610Respond appropriately to all alleged violations.2025-10-21 · Health · corrected 2025-12-03

    Potential for more than minimal harm

19. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-10-21 · Health · corrected 2025-12-03

    Potential for more than minimal harm

20. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-10-21 · Health · corrected 2025-12-03

    Potential for more than minimal harm

21. DF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2025-05-14 · Health · corrected 2025-06-27

    Potential for more than minimal harm

22. DF0578Honor 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.2025-05-14 · Health · corrected 2025-06-27

    Potential for more than minimal harm

23. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-05-14 · Health · corrected 2025-06-27

    Potential for more than minimal harm

24. DF0584Honor 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.2025-05-14 · Health · corrected 2025-06-27

    Potential for more than minimal harm

25. DF0585Honor 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.2025-05-14 · Health · corrected 2025-06-27

    Potential for more than minimal harm

26. DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-05-14 · Health · corrected 2025-06-27

    Potential for more than minimal harm

27. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-05-14 · Health · corrected 2025-06-27

    Potential for more than minimal harm

28. DF0641Ensure each resident receives an accurate assessment.2025-05-14 · Health · corrected 2025-06-27

    Potential for more than minimal harm

29. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-05-14 · Health · corrected 2025-06-27

    Potential for more than minimal harm

30. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-05-14 · Health · corrected 2025-06-27

    Potential for more than minimal harm

31. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-05-14 · Health · corrected 2025-06-27

    Potential for more than minimal harm

32. DF0679Provide activities to meet all resident's needs.2025-05-14 · Health · corrected 2025-06-27

    Potential for more than minimal harm

33. DF0685Assist a resident in gaining access to vision and hearing services.2025-05-14 · Health · corrected 2025-06-27

    Potential for more than minimal harm

34. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-05-14 · Health · corrected 2025-06-27

    Potential for more than minimal harm

35. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-14 · Health · corrected 2025-06-27

    Potential for more than minimal harm

36. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-05-14 · Health · corrected 2025-06-27

    Potential for more than minimal harm

37. DF0699Provide care or services that was trauma informed and/or culturally competent.2025-05-14 · Health · corrected 2025-06-27

    Potential for more than minimal harm

38. DF0730Observe each nurse aide's job performance and give regular training.2025-05-14 · Health · corrected 2025-06-27

    Potential for more than minimal harm

39. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-05-14 · Health · corrected 2025-06-27

    Potential for more than minimal harm

40. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-05-14 · Health · corrected 2025-06-27

    Potential for more than minimal harm

41. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-05-14 · Health · corrected 2025-06-27

    Potential for more than minimal harm

42. 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.2025-05-14 · Health · corrected 2025-06-27

    Potential for more than minimal harm

43. DF0791Provide or obtain dental services for each resident.2025-05-14 · Health · corrected 2025-06-27

    Potential for more than minimal harm

44. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-05-14 · Health · corrected 2025-06-27

    Potential for more than minimal harm

45. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-05-14 · Health · corrected 2025-06-27

    Potential for more than minimal harm

46. DF0880Provide and implement an infection prevention and control program.2025-05-14 · Health · corrected 2025-06-27

    Potential for more than minimal harm

47. DF0887Educate 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.2025-05-14 · Health · corrected 2025-06-27

    Potential for more than minimal harm

48. DF0908Keep all essential equipment working safely.2025-05-14 · Health · corrected 2025-06-27

    Potential for more than minimal harm

49. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-01-09 · Health · corrected 2025-02-25

    Potential for more than minimal harm

50. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-01-09 · Health · corrected 2025-02-25

    Potential for more than minimal harm

51. DF0610Respond appropriately to all alleged violations.2025-01-09 · Health · corrected 2025-02-25

    Potential for more than minimal harm

52. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-01-09 · Health · corrected 2025-02-25

    Potential for more than minimal harm

53. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-01-09 · Health · corrected 2025-02-25

    Actual harm

54. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-09 · Health · corrected 2025-02-25

    Actual harm

55. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-01-09 · Health · corrected 2025-02-25

    Potential for more than minimal harm

56. DF0584Honor 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.2021-07-02 · Health · corrected 2021-08-03

    Potential for more than minimal harm

57. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2021-07-02 · Health · corrected 2021-08-03

    Potential for more than minimal harm

58. DF0610Respond appropriately to all alleged violations.2021-07-02 · Health · corrected 2021-08-03

    Potential for more than minimal harm

59. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2021-07-02 · Health · corrected 2021-08-03

    Potential for more than minimal harm

60. EF0624Prepare residents for a safe transfer or discharge from the nursing home.2021-07-02 · Health · corrected 2021-08-03

    Potential for more than minimal harm

61. DF0641Ensure each resident receives an accurate assessment.2021-07-02 · Health · corrected 2021-08-03

    Potential for more than minimal harm

62. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2021-07-02 · Health · corrected 2021-08-03

    Potential for more than minimal harm

63. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-07-02 · Health · corrected 2021-08-03

    Potential for more than minimal harm

64. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2021-07-02 · Health · corrected 2021-08-03

    Potential for more than minimal harm

65. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2021-07-02 · Health · corrected 2021-08-03

    Potential for more than minimal harm

66. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2021-07-02 · Health · corrected 2021-08-03

    Potential for more than minimal harm

67. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-07-02 · Health · corrected 2021-08-03

    Potential for more than minimal harm

68. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2021-07-02 · Health · corrected 2021-08-03

    Potential for more than minimal harm

69. DF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.2021-07-02 · Health · corrected 2021-08-03

    Potential for more than minimal harm

70. EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2021-07-02 · Health · corrected 2021-08-03

    Potential for more than minimal harm

71. EF0758Implement 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.2021-07-02 · Health · corrected 2021-08-03

    Potential for more than minimal harm

72. EF0759Ensure medication error rates are not 5 percent or greater.2021-07-02 · Health · corrected 2021-08-03

    Potential for more than minimal harm

73. 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.2021-07-02 · Health · corrected 2021-08-03

    Potential for more than minimal harm

74. DF0790Provide routine and 24-hour emergency dental care for each resident.2021-07-02 · Health · corrected 2021-08-03

    Potential for more than minimal harm

75. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2021-07-02 · Health · corrected 2021-08-03

    Potential for more than minimal harm

76. EF0880Provide and implement an infection prevention and control program.2021-07-02 · Health · corrected 2021-08-03

    Potential for more than minimal harm

77. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2021-07-02 · Health · corrected 2021-08-03

    Potential for more than minimal harm

78. CF0922Have enough backup water supply for essential areas of the nursing home.2021-07-02 · Health · corrected 2021-08-03

    Potential for minimal harm

Ownership

Other facilities in HAGERSTOWN

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