COMPLETE CARE AT SPRINGBROOK
12325 NEW HAMPSHIRE AVENUE, SILVER SPRING, MD 20904 · CCN 215052
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★★ 5
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 93
- Avg residents/day
- 86.9
- Phone
- 3016224600
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 | 2020-09-16 | 16 | 18.9 | 9.5 | -2.9 better |
| 2 | 2019-09-12 | 13 | 17.1 | 9.8 | -4.1 better |
| 3 | 2019-03-29 | 10 | 14.5 | 9.3 | -4.5 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 2 |
| Resident assessment and care planning | 3 |
| Resident rights | 2 |
| Nutrition and dietary | 1 |
| Pharmacy service | 5 |
| Environmental | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.33 | 39.2% |
| RN staffing (reported) | 0.60 | 50.0% |
| Total nurse staffing (adjusted) | 2.79 | — |
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 (39)1 immediate jeopardy
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-12-19 · Health · corrected 2026-01-19
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-12-19 · Health · corrected 2026-01-19
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2025-12-19 · Health · corrected 2026-01-19
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.2025-12-19 · Health · corrected 2026-01-19
Potential for more than minimal harm
- EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-12-19 · Health · corrected 2026-01-19
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.2025-12-19 · Health · corrected 2026-01-19
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.2025-03-14 · Health · corrected 2025-04-30
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.2025-03-14 · Health · corrected 2025-04-30
Potential for more than minimal harm
- DF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2025-03-14 · Health · corrected 2025-04-30
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-12-18 · Health · corrected 2025-01-27
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-12-18 · Health · corrected 2025-01-27
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-12-18 · Health · corrected 2025-01-27
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-18 · Health · corrected 2025-01-27
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.2024-12-18 · Health · corrected 2025-01-27
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2020-09-16 · Health · corrected 2020-10-16
Potential for more than minimal harm
- 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.2020-09-16 · Health · corrected 2020-10-16
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2020-09-16 · Health · corrected 2020-10-16
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2020-09-16 · Health · corrected 2020-10-16
Potential for more than minimal harm
- DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2020-09-16 · Health · corrected 2020-10-16
Potential for more than minimal harm
- EF0761Ensure 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.2020-09-16 · Health · corrected 2020-10-16
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2020-09-16 · Health · corrected 2020-10-16
Potential for more than minimal harm
- BF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2019-09-12 · Health · corrected 2019-10-28
Potential for minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2019-09-12 · Health · corrected 2019-10-28
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.2019-09-12 · Health · corrected 2019-10-28
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.2019-09-12 · Health · corrected 2019-10-28
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2019-09-12 · Health · corrected 2019-10-28
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2019-09-12 · Health · corrected 2019-10-28
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2019-09-12 · Health · corrected 2019-10-28
Potential for more than minimal harm
- BF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2019-09-12 · Health · corrected 2019-10-28
Potential for minimal harm
- DF0551Give the resident's representative the ability to exercise the resident's rights.2019-03-29 · Health · corrected 2019-05-17
Potential for more than minimal harm
- DF0572Give residents a notice of rights, rules, services and charges.2019-03-29 · Health · corrected 2019-05-17
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2019-03-29 · Health · corrected 2019-05-17
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.2019-03-29 · Health · corrected 2019-05-17
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2019-03-29 · Health · corrected 2019-05-17
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2019-03-29 · Health · corrected 2019-01-24
Immediate jeopardy
- DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2019-03-29 · Health · corrected 2019-05-17
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2019-03-29 · Health · corrected 2019-05-17
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.2019-03-29 · Health · corrected 2019-05-17
Potential for more than minimal harm
- EF0840Employ 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.2019-03-29 · Health · corrected 2019-05-17
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 |
| COX, VICKIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-02-01 |
| DAVE, MITUL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-02-01 |
| ELUDOYIN, OLUDAPO | 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 |
| STERNBUCH, DANIEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-02-01 |
| STEIN, SHALOM | Individual | CORPORATE OFFICER | — | 2023-02-01 |
Other facilities in SILVER SPRING
| Name | Overall | Beds |
|---|---|---|
| BEDFORD COURT HEALTHCARE CENT. | ★★★★★ | 60 |
| REGENCY CARE OF SILVER SPRING, LLC | ★★★★★ | 92 |
| RIDERWOOD VILLAGE | ★★★★★ | 44 |
| ALTHEA WOODLAND NURSING HOME | ★★★★☆ | 50 |
| AUTUMN LAKE HEALTHCARE AT SILVER SPRING | ★★★☆☆ | 148 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.