Velarion Records

The 340B register and hospital finances — joined, watched daily, delivered.

Skilled nursing facility · CMS certification number 215365

COMPLETE CARE AT HAGERSTOWN

HAGERSTOWN, Maryland · Medicare and Medicaid

Certified beds, as filed in Care Compare: 60

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 12 March 2026.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$15,901,597CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,009,340CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$14,892,257CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$15,118,367CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$226,110CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,896CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$223,214CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$223,214 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components172CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components62,952CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days6,527CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days20,065CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days4,028CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components30,620CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges204CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges134CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges118CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components456CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days149.74CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days67.15CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1448481, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 February 2023 to 31 December 2023 — a reporting period of 333 days, on form CMS-2540-10, settled, processed by CMS on 26 November 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$12,983,276CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$975,596CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,007,680CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,980,647CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$972,967CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$103,422CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$869,545CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$869,545 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components172CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components26,643CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components338CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days42.5CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days195.6CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days78.83CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1443021, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 13 November 2023.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$12,569,994CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,545,607CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,024,387CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$15,772,873CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$5,748,486CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$185CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$5,748,301CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$5,748,301 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components98CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,969CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components246CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days47.26CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days241.5CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days93.37CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1367916, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 23 January 2023.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$10,262,032CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,487,560CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,774,472CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,799,963CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$6,025,491CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$9,296CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$6,016,195CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$6,016,195 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components75CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,879CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components142CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days45.87CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days225.48CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days132.95CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1340710, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 November 2021.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$8,636,130CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,053,428CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,582,702CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,970,572CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$3,387,870CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$72,777CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$3,460,647CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$3,460,647 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components75CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components16,883CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components212CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days40.85CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days196.29CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days79.64CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1305550, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

Cost report for 1 June 2018 to 31 December 2018 — a reporting period of 213 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 19 August 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$1,917,751CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$213,185CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$1,704,566CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,224,549CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,519,983CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$392,910CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,127,073CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,127,073 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components75CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components3,592CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components67CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days39.75CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days276.6CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days53.61CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1241228, read from the public cost report file SNF10FY2018.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
PC MD5 OPCO HOLDCO LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 02/01/2023
PC MD5 TOPCO LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 02/01/2023
SMS 2021 TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 02/01/2023
ADESSE HOLDINGS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 02/01/2023
ADESSE MD PEACE MD5 PROPCO HOLDCO LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 02/01/2023
ADESSE MD5 PROPCO HOLDCO LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 02/01/2023
COX, VICKIEADP OF THE SNFIndividualNOT APPLICABLEsince 02/01/2023
HAGERSTOWN MD PROPCO HOLDCO LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 02/01/2023
HAGERSTOWN MD PROPCO LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 02/01/2023
HC FAMILY TRUSTADP OF THE SNFOrganizationNOT APPLICABLEsince 02/01/2023
MANSFIELD, MELISSAADP OF THE SNFIndividualNOT APPLICABLEsince 02/01/2023
PC MD5 TOPCO LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 02/01/2023
PEACE CAPITAL HOLDINGS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 02/01/2023
SCHONFELD, AKIVAADP OF THE SNFIndividualNOT APPLICABLEsince 02/01/2023
SILVERBERG, NISANELADP OF THE SNFIndividualNOT APPLICABLEsince 02/01/2023
SIMMERS, ROBERTADP OF THE SNFIndividualNOT APPLICABLEsince 06/03/2024
SMS 2021 TRUSTADP OF THE SNFOrganizationNOT APPLICABLEsince 02/01/2023
SWEENEY, BARBARAADP OF THE SNFIndividualNOT APPLICABLEsince 02/01/2023
WASEEM, MUHAMMADADP OF THE SNFIndividualNOT APPLICABLEsince 02/01/2023
STEIN, SHALOMCORPORATE OFFICERIndividualNOT APPLICABLEsince 02/01/2023
DES CAPITAL LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 02/01/2023
JRK INVESTMENTS LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 02/01/2023
KLUGMAN, JACOBINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 02/01/2023
STEIN, SHALOMINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 02/01/2023
STERNBUCH, DANIELINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 02/01/2023
STEIN, SHALOMMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 02/01/2023
COX, VICKIEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 02/01/2023
MANSFIELD, MELISSAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 02/01/2023
SILVERBERG, NISANELOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 02/01/2023
SIMMERS, ROBERTOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/03/2024
SWEENEY, BARBARAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 02/01/2023
WASEEM, MUHAMMADOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 02/01/2023
SCHONFELD, AKIVATRUSTEE OF THE SNFIndividualNOT APPLICABLEsince 02/01/2023
STEIN, SHALOMTRUSTEE OF THE SNFIndividualNOT APPLICABLEsince 02/01/2023

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of COMPLETE CARE AT HAGERSTOWN LLC (enrollment ID O20230315001360).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
PC MD5 OPCO HOLDCO LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1002/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: Yes
PC MD5 TOPCO LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST90.22/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: Yes
PEACE CAPITAL HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST90.22/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: Yes
SMS 2021 TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST85.782/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: Yes
ADESSE HOLDINGS LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: Yes
ADESSE MD PEACE MD5 PROPCO HOLDCO LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: Yes
ADESSE MD5 PROPCO HOLDCO LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: Yes
AKIVA SCHONFELDIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BARBARA SWEENEYIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
HAGERSTOWN MD PROPCO HOLDCO LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: Yes
HAGERSTOWN MD PROPCO LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: Yes
HC FAMILY TRUSTOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
MELISSA MANSFIELDIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MUHAMMAD K WASEEMIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NISANEL YAAKOV SILVERBERGIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
PC MD5 TOPCO LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: Yes
PEACE CAPITAL HOLDINGS LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: Yes
ROBERT SIMMERSIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/3/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SMS 2021 TRUSTOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: Yes
VICKIE L COXIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SHALOM STEINIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DANIEL STERNBUCHIndividualINDIRECT OWNERSHIP INTEREST4.92/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DES CAPITAL LLCOrganizationINDIRECT OWNERSHIP INTEREST4.92/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: Yes
JACOB KLUGMANIndividualINDIRECT OWNERSHIP INTEREST4.92/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JRK INVESTMENTS LLCOrganizationINDIRECT OWNERSHIP INTEREST4.92/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: Yes
SHALOM STEINIndividualINDIRECT OWNERSHIP INTEREST4.422/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SHALOM STEINIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BARBARA SWEENEYIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MELISSA MANSFIELDIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MUHAMMAD K WASEEMIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NISANEL YAAKOV SILVERBERGIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ROBERT SIMMERSIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/3/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
VICKIE L COXIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
AKIVA SCHONFELDIndividualTRUSTEE OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SHALOM STEINIndividualTRUSTEE OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
114 May 202514 May 20255112
22 July 20212 July 2021307
314 August 201814 August 201804

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

81 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
2 April 2026HealthF 0584Resident Rights DeficienciesHonor 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.DYesDeficient, Provider has date of correction28 April 2026
2 April 2026HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correction28 April 2026
2 April 2026HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DYesDeficient, Provider has date of correction28 April 2026
29 January 2026HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DYesDeficient, Provider has date of correction30 March 2026
29 January 2026HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DYesDeficient, Provider has date of correction30 March 2026
29 January 2026HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EYesDeficient, Provider has date of correction30 March 2026
29 January 2026HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DYesDeficient, Provider has date of correction30 March 2026
29 January 2026HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DYesDeficient, Provider has date of correction30 March 2026
29 January 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JYesDeficient, Provider has date of correction30 March 2026
29 January 2026HealthF 0711Nursing and Physician Services DeficienciesEnsure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DYesDeficient, Provider has date of correction30 March 2026
29 January 2026HealthF 0726Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DYesDeficient, Provider has date of correction30 March 2026
29 January 2026HealthF 0730Nursing and Physician Services DeficienciesObserve each nurse aide's job performance and give regular training.FYesDeficient, Provider has date of correction30 March 2026
29 January 2026HealthF 0757Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.DYesDeficient, Provider has date of correction30 March 2026
29 January 2026HealthF 0835Administration DeficienciesAdminister the facility in a manner that enables it to use its resources effectively and efficiently.DYesDeficient, Provider has date of correction30 March 2026
29 January 2026HealthF 0837Administration DeficienciesEstablish 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.DYesDeficient, Provider has date of correction30 March 2026
29 January 2026HealthF 0838Administration DeficienciesConduct 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.DYesDeficient, Provider has date of correction30 March 2026
29 January 2026HealthF 0840Administration DeficienciesEmploy 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.FYesDeficient, Provider has date of correction30 March 2026
29 January 2026HealthF 0868Administration DeficienciesHave the Quality Assessment and Assurance group have the required members and meet at least quarterlyDYesDeficient, Provider has date of correction30 March 2026
29 January 2026HealthF 0940Administration DeficienciesDevelop, implement, and/or maintain an effective training program for all new and existing staff members.FYesDeficient, Provider has date of correction30 March 2026
29 January 2026HealthF 0947Nursing and Physician Services DeficienciesEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.FYesDeficient, Provider has date of correction30 March 2026
21 October 2025HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DYesDeficient, Provider has date of correction3 December 2025
21 October 2025HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DYesDeficient, Provider has date of correction3 December 2025
21 October 2025HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DYesDeficient, Provider has date of correction3 December 2025
14 May 2025HealthF 0577Resident Rights DeficienciesAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.DNoDeficient, Provider has date of correction27 June 2025
14 May 2025HealthF 0578Resident Rights DeficienciesHonor 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.DNoDeficient, Provider has date of correction27 June 2025
14 May 2025HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DYesDeficient, Provider has date of correction27 June 2025
14 May 2025HealthF 0584Resident Rights DeficienciesHonor 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.DNoDeficient, Provider has date of correction27 June 2025
14 May 2025HealthF 0585Resident Rights DeficienciesHonor 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.DNoDeficient, Provider has date of correction27 June 2025
14 May 2025HealthF 0605Freedom from Abuse, Neglect, and Exploitation DeficienciesPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DNoDeficient, Provider has date of correction27 June 2025
14 May 2025HealthF 0628Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DNoDeficient, Provider has date of correction27 June 2025
14 May 2025HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correction27 June 2025
14 May 2025HealthF 0645Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesDNoDeficient, Provider has date of correction27 June 2025
14 May 2025HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correction27 June 2025
14 May 2025HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DYesDeficient, Provider has date of correction27 June 2025
14 May 2025HealthF 0679Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.DNoDeficient, Provider has date of correction27 June 2025
14 May 2025HealthF 0685Quality of Life and Care DeficienciesAssist a resident in gaining access to vision and hearing services.DNoDeficient, Provider has date of correction27 June 2025
14 May 2025HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correction27 June 2025
14 May 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correction27 June 2025
14 May 2025HealthF 0697Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.DYesDeficient, Provider has date of correction27 June 2025
14 May 2025HealthF 0699Quality of Life and Care DeficienciesProvide care or services that was trauma informed and/or culturally competent.DYesDeficient, Provider has date of correction27 June 2025
14 May 2025HealthF 0730Nursing and Physician Services DeficienciesObserve each nurse aide's job performance and give regular training.DNoDeficient, Provider has date of correction27 June 2025
14 May 2025HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DNoDeficient, Provider has date of correction27 June 2025
14 May 2025HealthF 0756Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DNoDeficient, Provider has date of correction27 June 2025
14 May 2025HealthF 0757Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.DNoDeficient, Provider has date of correction27 June 2025
14 May 2025HealthF 0761Pharmacy Service DeficienciesEnsure 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.DNoDeficient, Provider has date of correction27 June 2025
14 May 2025HealthF 0791Quality of Life and Care DeficienciesProvide or obtain dental services for each resident.DNoDeficient, Provider has date of correction27 June 2025
14 May 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correction27 June 2025
14 May 2025HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DNoDeficient, Provider has date of correction27 June 2025
14 May 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction27 June 2025
14 May 2025HealthF 0887Infection Control DeficienciesEducate 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.DNoDeficient, Provider has date of correction27 June 2025
14 May 2025HealthF 0908Environmental DeficienciesKeep all essential equipment working safely.DNoDeficient, Provider has date of correction27 June 2025
9 January 2025HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DYesDeficient, Provider has date of correction25 February 2025
9 January 2025HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EYesDeficient, Provider has date of correction25 February 2025
9 January 2025HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DYesDeficient, Provider has date of correction25 February 2025
9 January 2025HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DYesDeficient, Provider has date of correction25 February 2025
9 January 2025HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.GYesDeficient, Provider has date of correction25 February 2025
9 January 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GYesDeficient, Provider has date of correction25 February 2025
9 January 2025HealthF 0697Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.DYesDeficient, Provider has date of correction25 February 2025
2 July 2021HealthF 0584Resident Rights DeficienciesHonor 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.DNoDeficient, Provider has date of correction3 August 2021
2 July 2021HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DNoDeficient, Provider has date of correction3 August 2021
2 July 2021HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DNoDeficient, Provider has date of correction3 August 2021
2 July 2021HealthF 0622Resident Rights DeficienciesNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DNoDeficient, Provider has date of correction3 August 2021
2 July 2021HealthF 0624Resident Rights DeficienciesPrepare residents for a safe transfer or discharge from the nursing home.ENoDeficient, Provider has date of correction3 August 2021
2 July 2021HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correction3 August 2021
2 July 2021HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedENoDeficient, Provider has date of correction3 August 2021
2 July 2021HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.ENoDeficient, Provider has date of correction3 August 2021
2 July 2021HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correction3 August 2021
2 July 2021HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.ENoDeficient, Provider has date of correction3 August 2021
2 July 2021HealthF 0661Resident Assessment and Care Planning DeficienciesEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DNoDeficient, Provider has date of correction3 August 2021
2 July 2021HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correction3 August 2021
2 July 2021HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correction3 August 2021
2 July 2021HealthF 0710Nursing and Physician Services DeficienciesObtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DNoDeficient, Provider has date of correction3 August 2021
2 July 2021HealthF 0757Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.ENoDeficient, Provider has date of correction3 August 2021
2 July 2021HealthF 0758Pharmacy Service DeficienciesImplement 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.ENoDeficient, Provider has date of correction3 August 2021
2 July 2021HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.ENoDeficient, Provider has date of correction3 August 2021
2 July 2021HealthF 0761Pharmacy Service DeficienciesEnsure 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.DNoDeficient, Provider has date of correction3 August 2021
2 July 2021HealthF 0790Quality of Life and Care DeficienciesProvide routine and 24-hour emergency dental care for each resident.DNoDeficient, Provider has date of correction3 August 2021
2 July 2021HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DNoDeficient, Provider has date of correction3 August 2021
2 July 2021HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction3 August 2021
2 July 2021HealthF 0919Environmental DeficienciesMake sure that a working call system is available in each resident's bathroom and bathing area.DNoDeficient, Provider has date of correction3 August 2021
2 July 2021HealthF 0922Environmental DeficienciesHave enough backup water supply for essential areas of the nursing home.CNoDeficient, Provider has date of correction3 August 2021

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
29 January 2026Fine$14,082137148
9 January 2025Fine$29,27010141

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Limited Liability company
Legal Business NameCOMPLETE CARE AT HAGERSTOWN LLC
Date First Approved to Provide Medicare and Medicaid Services2018-08-14
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishWashington
Telephone Number3017338700
Chain NameCOMPLETE CARE
Chain ID157
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilNone
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds60
Average Number of Residents per Day86.3
Overall Rating1
Health Inspection Rating1
QM Rating4
Long-Stay QM Rating4
Short-Stay QM Rating5
Processing Date2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

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