About Complete Care at Hagerstown
Complete Care At Hagerstown, located in HAGERSTOWN, MD, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Complete Care at Hagerstown
- More Nursing Time: Staff spends 4.17 hours per resident daily (National Avg: 3.87).
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours 4.17 hrs
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the COMPLETE CARE network. This chain operates 85 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Above Average Staffing
Complete Care at Hagerstown provides more care hours than the state average and more than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 1 |
|
| Health Inspection | 1 |
|
| Quality Measures | 4 |
|
| Staffing | 3 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 327 | May 14, 2025 |
| Weighted Average | 291 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 23.3% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 12.9% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 2.8% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 1.5% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 18.0% |
| Percentage of long-stay residents who lose too much weight (QM404) | 7.9% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 2.2% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 3.8% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 88.3% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 1.7% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 99.6% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 68.8% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 0.4% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 13.4% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 37.8% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 100.0% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 73.5% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 9.3% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 29.5% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 4.6% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2025: 14 complaints
- 2026: 17 complaints
- Total: 31 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Mar 30, 2026 | 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. |
| Mar 30, 2026 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| Mar 30, 2026 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Mar 30, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Mar 30, 2026 | Respond appropriately to all alleged violations. |
| Mar 30, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. |
| Mar 30, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Mar 30, 2026 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. |
| Mar 30, 2026 | 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. |
| Mar 30, 2026 | Observe each nurse aide's job performance and give regular training. |
| Mar 30, 2026 | Ensure each resident?s drug regimen must be free from unnecessary drugs. |
| Mar 30, 2026 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. |
| Mar 30, 2026 | 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. |
| Mar 30, 2026 | 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. |
| Mar 30, 2026 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly |
| Mar 30, 2026 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. |
| Mar 30, 2026 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. |
| Dec 03, 2025 | Respond appropriately to all alleged violations. |
| Dec 03, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Dec 03, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Jun 27, 2025 | Provide care or services that was trauma informed and/or culturally competent. |
| Jun 27, 2025 | Provide safe, appropriate pain management for a resident who requires such services. |
| Jun 27, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Jun 27, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| Feb 25, 2025 | Respond appropriately to all alleged violations. |
| Feb 25, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| Feb 25, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Feb 25, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Feb 25, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| Feb 25, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Feb 25, 2025 | Provide safe, appropriate pain management for a resident who requires such services. |
Nearby Hospitals
MERITUS MEDICAL CENTER
HAGERSTOWN, MD
FREDERICK HEALTH HOSPITAL
FREDERICK, MD
FULTON COUNTY MEDICAL CENTER
MCCONNELLSBURG, PA
BERKELEY MEDICAL CENTER
MARTINSBURG, WV
GETTYSBURG HOSPITAL
GETTYSBURG, PA
WELLSPAN WAYNESBORO HOSPITAL
WAYNESBORO, PA
WELLSPAN CHAMBERSBURG HOSPITAL
CHAMBERSBURG, PA
MARTINSBURG VA MEDICAL CENTER
MARTINSBURG, WV
BROOK LANE HEALTH SERVICES
HAGERSTOWN, MD
ROXBURY TREATMENT CENTER
SHIPPENSBURG, PA
Owner & Operator Information
Business Entity
COMPLETE CARE AT HAGERSTOWN LLC
Ownership Structure
- PC MD5 OPCO HOLDCO LLC Direct: 100%
- PC MD5 TOPCO LLC Indirect
- SMS 2021 TRUST Indirect
Management & Direction
- ADESSE HOLDINGS LLC ADP OF THE SNF
- ADESSE MD PEACE MD5 PROPCO HOLDCO LLC ADP OF THE SNF
- ADESSE MD5 PROPCO HOLDCO LLC ADP OF THE SNF
- VICKIE COX ADP OF THE SNF
- VICKIE COX OPERATIONAL/MANAGERIAL CONTROL
- HAGERSTOWN MD PROPCO HOLDCO LLC ADP OF THE SNF
- HAGERSTOWN MD PROPCO LLC ADP OF THE SNF
- HC FAMILY TRUST ADP OF THE SNF
- MELISSA MANSFIELD ADP OF THE SNF
- MELISSA MANSFIELD OPERATIONAL/MANAGERIAL CONTROL
- PC MD5 TOPCO LLC ADP OF THE SNF
- PEACE CAPITAL HOLDINGS LLC (DE) ADP OF THE SNF
- AKIVA SCHONFELD TRUSTEE OF THE SNF
- AKIVA SCHONFELD ADP OF THE SNF
- NISANEL SILVERBERG OPERATIONAL/MANAGERIAL CONTROL
- NISANEL SILVERBERG ADP OF THE SNF
- ROBERT SIMMERS OPERATIONAL/MANAGERIAL CONTROL
- ROBERT SIMMERS ADP OF THE SNF
- SMS 2021 TRUST ADP OF THE SNF
- SHALOM STEIN TRUSTEE OF THE SNF
- SHALOM STEIN CORPORATE OFFICER
- SHALOM STEIN MANAGING CONTROL - GOVERNING BODY
- BARBARA SWEENEY OPERATIONAL/MANAGERIAL CONTROL
- BARBARA SWEENEY ADP OF THE SNF
- MUHAMMAD WASEEM OPERATIONAL/MANAGERIAL CONTROL
- MUHAMMAD WASEEM ADP OF THE SNF
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| South Mountain Restoration Cen | N/A | 5 |
| The Gardens at Gettysburg | N/A | 3 |
| Chambersburg Skilled Nursing and Rehabilitation Ce | N/A | 3 |
| Shippensburg Rehabilitation and Health Care Center | N/A | 4 |
| Menno Haven Rehabilitation Center | N/A | 5 |
| Homewood Living Frederick | N/A | 5 |
| Quincy Retirement Community | N/A | 4 |
| Brookview Health Care Center | N/A | 4 |
| Transitions Healthcare Gettysburg | N/A | 3 |
| Care Haven Center | N/A | 5 |
Related Analysis
Best Nursing Homes in HAGERSTOWN, MD
Compare Complete Care at Hagerstown to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Complete Care at Hagerstown directly at 3017338700. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.