COMPLETE CARE AT WHEATON
4011 RANDOLPH ROAD, WHEATON, MD 20902 · CCN 215025
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 116
- Avg residents/day
- 112.8
- Phone
- 3019332500
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 | 2025-04-10 | 20 | 18.9 | 9.5 | +1.1 worse |
| 2 | 2021-03-12 | 11 | 17.1 | 9.8 | -6.1 better |
| 3 | 2019-05-31 | 11 | 14.5 | 9.3 | -3.5 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 3 |
| Resident assessment and care planning | 4 |
| Nursing and physician services | 1 |
| Resident rights | 4 |
| Nutrition and dietary | 2 |
| Pharmacy service | 2 |
| Environmental | 1 |
| Administration | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.35 | 32.2% |
| RN staffing (reported) | 0.63 | 52.6% |
| Total nurse staffing (adjusted) | 3.14 | — |
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 (42)1 immediate jeopardy
- DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2025-04-10 · Health · corrected 2025-05-23
Potential for more than minimal harm
- 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.2025-04-10 · Health · corrected 2025-05-23
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-04-10 · Health · corrected 2025-05-23
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.2025-04-10 · Health · corrected 2025-05-23
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.2025-04-10 · Health · corrected 2025-05-23
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-04-10 · Health · corrected 2025-05-23
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.2025-04-10 · Health · corrected 2025-05-23
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.2025-04-10 · Health · corrected 2025-05-23
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-10 · Health · corrected 2025-05-23
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-04-10 · Health · corrected 2025-05-23
Potential for more than minimal harm
- DF0730Observe each nurse aide's job performance and give regular training.2025-04-10 · Health · corrected 2025-05-23
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2025-04-10 · Health · corrected 2025-05-23
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.2025-04-10 · Health · corrected 2025-05-23
Potential for more than minimal harm
- DF0791Provide or obtain dental services for each resident.2025-04-10 · Health · corrected 2025-05-23
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-04-10 · Health · corrected 2025-05-23
Potential for more than minimal harm
- DF0814Dispose of garbage and refuse properly.2025-04-10 · Health · corrected 2025-05-23
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.2025-04-10 · Health · corrected 2025-05-23
Potential for more than minimal harm
- DF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2025-04-10 · Health · corrected 2025-05-23
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-04-10 · Health · corrected 2025-05-23
Potential for more than minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-04-10 · Health · corrected 2025-05-23
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2021-03-12 · Health · corrected 2021-04-24
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.2021-03-12 · Health · corrected 2021-04-24
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.2021-03-12 · Health · corrected 2021-04-24
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2021-03-12 · Health · corrected 2021-04-24
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-03-12 · Health · corrected 2021-04-24
Potential for more than minimal harm
- DF0685Assist a resident in gaining access to vision and hearing services.2021-03-12 · Health · corrected 2021-04-24
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2021-03-12 · Health · corrected 2021-04-24
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.2021-03-12 · Health · corrected 2021-04-24
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2021-03-12 · Health · corrected 2021-04-24
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.2021-03-12 · Health · corrected 2021-04-24
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2021-03-12 · Health · corrected 2021-04-24
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.2019-05-31 · Health · corrected 2019-08-12
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2019-05-31 · Health · corrected 2019-08-12
Potential for more than minimal harm
- BF0641Ensure each resident receives an accurate assessment.2019-05-31 · Health · corrected 2019-08-12
Potential for minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2019-05-31 · Health · corrected 2019-08-12
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.2019-05-31 · Health · corrected 2019-08-12
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2019-05-31 · Health · corrected 2019-08-12
Potential for more than minimal harm
- KF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2019-05-31 · Health · corrected 2019-08-12
Immediate jeopardy
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2019-05-31 · Health · corrected 2019-08-12
Potential for more than minimal harm
- FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2019-05-31 · Health · corrected 2019-08-12
Potential for more than minimal harm
- CF0843Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.2019-05-31 · Health · corrected 2019-08-12
Potential for minimal harm
- DF0880Provide and implement an infection prevention and control program.2019-05-31 · Health · corrected 2019-08-12
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 |
| BATES, KIMBERLY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-31 |
| 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 |
| NABI, ABDOULATIF | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-12-18 |
| 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 WHEATON
| Name | Overall | Beds |
|---|---|---|
| MONTCARE AT WHEATON | ★★★☆☆ | 94 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.