CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Complete Care at Hagerstown
View the most recent health deficiencies and inspection results for Complete Care at Hagerstown. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Complete Care at Hagerstown. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-04-02 | 2026-04-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-04-02 | 2026-04-28 | Y |
| Honor 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. | Health | 2026-04-02 | 2026-04-28 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2026-01-29 | 2026-03-30 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-01-29 | 2026-03-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-01-29 | 2026-03-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-01-29 | 2026-03-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2026-01-29 | 2026-03-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-01-29 | 2026-03-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-01-29 | 2026-03-30 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2026-01-29 | 2026-03-30 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2026-01-29 | 2026-03-30 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2026-01-29 | 2026-03-30 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2026-01-29 | 2026-03-30 | Y |
| Establish 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. | Health | 2026-01-29 | 2026-03-30 | Y |
| Conduct 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. | Health | 2026-01-29 | 2026-03-30 | Y |
| Employ 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. | Health | 2026-01-29 | 2026-03-30 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2026-01-29 | 2026-03-30 | Y |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2026-01-29 | 2026-03-30 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2026-01-29 | 2026-03-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-10-21 | 2025-12-03 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-10-21 | 2025-12-03 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-10-21 | 2025-12-03 | Y |
| Honor 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. | Health | 2025-05-14 | 2025-06-27 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-05-14 | 2025-06-27 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-05-14 | 2025-06-27 | N |
| Install proper backup exit lighting. | Fire Safety | 2025-05-14 | 2025-06-27 | N |
| Ensure 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. | Health | 2025-05-14 | 2025-06-27 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2025-05-14 | 2025-06-27 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-05-14 | 2025-06-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-05-14 | 2025-06-27 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-05-14 | 2025-06-27 | Y |
| Keep all essential equipment working safely. | Health | 2025-05-14 | 2025-06-27 | N |
| Educate 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. | Health | 2025-05-14 | 2025-06-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-14 | 2025-06-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-05-14 | 2025-06-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-14 | 2025-06-27 | N |
| Provide or obtain dental services for each resident. | Health | 2025-05-14 | 2025-06-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-05-14 | 2025-06-27 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-05-14 | 2025-06-27 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-05-14 | 2025-06-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-05-14 | 2025-06-27 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-05-14 | 2025-06-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-14 | 2025-06-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-05-14 | 2025-06-27 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2025-05-14 | 2025-06-27 | N |
| Provide activities to meet all resident's needs. | Health | 2025-05-14 | 2025-06-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-05-14 | 2025-06-27 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-05-14 | 2025-06-27 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2025-05-14 | 2025-06-27 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-05-14 | 2025-06-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-05-14 | 2025-06-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-05-14 | 2025-06-27 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-05-14 | 2025-06-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-05-14 | 2025-06-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-05-14 | 2025-06-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-05-14 | 2025-06-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-14 | 2025-06-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-05-14 | 2025-06-27 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2025-05-14 | 2025-06-27 | N |
| Honor 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. | Health | 2025-05-14 | 2025-06-27 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2025-05-14 | 2025-06-27 | N |
| Honor 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. | Health | 2025-05-14 | 2025-06-27 | N |
| Respond appropriately to all alleged violations. | Health | 2025-01-09 | 2025-02-25 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-01-09 | 2025-02-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-01-09 | 2025-02-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-01-09 | 2025-02-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-01-09 | 2025-02-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-09 | 2025-02-25 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-01-09 | 2025-02-25 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-07-02 | 2021-08-09 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-07-02 | 2021-08-09 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2021-07-02 | 2021-08-09 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2021-07-02 | 2021-08-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-02 | 2021-08-09 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-07-02 | 2021-08-09 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-07-02 | 2021-08-09 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-07-02 | 2021-08-03 | N |
| Have enough backup water supply for essential areas of the nursing home. | Health | 2021-07-02 | 2021-08-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-02 | 2021-08-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-02 | 2021-08-03 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2021-07-02 | 2021-08-03 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-07-02 | 2021-08-03 | N |
| Implement 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. | Health | 2021-07-02 | 2021-08-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-07-02 | 2021-08-03 | N |
| Ensure 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. | Health | 2021-07-02 | 2021-08-03 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2021-07-02 | 2021-08-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-02 | 2021-08-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-02 | 2021-08-03 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-07-02 | 2021-08-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-07-02 | 2021-08-03 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-07-02 | 2021-08-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-02 | 2021-08-03 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-07-02 | 2021-08-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-07-02 | 2021-08-03 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2021-07-02 | 2021-08-03 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-07-02 | 2021-08-03 | N |
| Respond appropriately to all alleged violations. | Health | 2021-07-02 | 2021-08-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-02 | 2021-08-03 | N |
| Honor 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. | Health | 2021-07-02 | 2021-08-03 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-08-14 | 2018-05-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-14 | 2018-05-25 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-08-14 | 2018-05-25 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-08-14 | 2018-05-25 | N |