Maryland › Washington County › Hagerstown
Complete Care At Hagerstown
14014 Marsh Pike, Hagerstown, MD 21742
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Complete Care At Hagerstown is a For-profit, limited liability company nursing home in Hagerstown, Maryland, certified for 60 beds and caring for about 86 residents a day.
CMS gives it 1 of 5 stars overall, below the Maryland median of 3; the health inspection rating is 1, staffing 2 and quality measures 4.
Inspectors recorded 81 health deficiencies across the three most recent survey cycles (51, 30, 0 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 135.0 per 100 beds, more than the state median of 43.7.
CMS lists 2 penalties in the period covered: fines totalling $43K.
Reported nurse staffing is 3.9 hours per resident per day (1.0 RN), close to the Maryland median of 3.6; nursing staff turnover is 56.0%.
81health deficiencies, 3 survey cycles3 at actual harm or worse
$43Kfines listed by CMS2 penalties in period
3.9nurse hours per resident per daystate median 3.6
144%occupancy (residents ÷ beds)86 residents a day
Compared with county, state and nation
| Measure | This facility | Washington Co. median | Maryland median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 81 | 74 | 45 | 28.7 |
| Citations per 100 beds | 135.0 | 62.1 | 43.7 | 26.8 |
| Total nurse hours per resident day | 3.9 | 3.9 | 3.6 | 3.9 |
| RN hours per resident day | 1.0 | 0.8 | 0.7 | 0.7 |
| Nursing staff turnover | 56.0% | 44.4% | 41.5% | 45.8% |
| Fines listed | $43,352 | $24,060 | $0 | — |
County and state figures are medians across facilities (10 in the county, 221 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Maryland average per facility for the same cycle, as published by CMS. Standard health survey dates: 14 May 2025, 2 Jul 2021.
Severity mix: J ×1 G ×2 D ×62 E ×10 F ×5 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 2 Apr 2026 | F0584 | 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. | D | Complaint investigation | 28 Apr 2026 |
| 2 Apr 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 28 Apr 2026 |
| 2 Apr 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 28 Apr 2026 |
| 29 Jan 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 30 Mar 2026 |
| 29 Jan 2026 | F0730 | Observe each nurse aide's job performance and give regular training. | F | Complaint investigation | 30 Mar 2026 |
| 29 Jan 2026 | F0840 | 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. | F | Complaint investigation | 30 Mar 2026 |
| 29 Jan 2026 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | F | Complaint investigation | 30 Mar 2026 |
| 29 Jan 2026 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Complaint investigation | 30 Mar 2026 |
| 29 Jan 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 30 Mar 2026 |
| 29 Jan 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 30 Mar 2026 |
| 29 Jan 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 30 Mar 2026 |
| 29 Jan 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 30 Mar 2026 |
| 29 Jan 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 30 Mar 2026 |
| 29 Jan 2026 | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | Complaint investigation | 30 Mar 2026 |
| 29 Jan 2026 | F0726 | 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. | D | Complaint investigation | 30 Mar 2026 |
| 29 Jan 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 30 Mar 2026 |
| 29 Jan 2026 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Complaint investigation | 30 Mar 2026 |
| 29 Jan 2026 | F0837 | 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. | D | Complaint investigation | 30 Mar 2026 |
| 29 Jan 2026 | F0838 | 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. | D | Complaint investigation | 30 Mar 2026 |
| 29 Jan 2026 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Complaint investigation | 30 Mar 2026 |
| 21 Oct 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 3 Dec 2025 |
| 21 Oct 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 3 Dec 2025 |
| 21 Oct 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 3 Dec 2025 |
| 14 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 27 Jun 2025 |
| 14 May 2025 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | D | Standard survey | 27 Jun 2025 |
| 14 May 2025 | F0578 | 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. | D | Standard survey | 27 Jun 2025 |
| 14 May 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 27 Jun 2025 |
| 14 May 2025 | F0584 | 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. | D | Standard survey | 27 Jun 2025 |
| 14 May 2025 | F0585 | 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. | D | Standard survey | 27 Jun 2025 |
| 14 May 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 27 Jun 2025 |
| 14 May 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 27 Jun 2025 |
| 14 May 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 27 Jun 2025 |
| 14 May 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 27 Jun 2025 |
| 14 May 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 27 Jun 2025 |
| 14 May 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 27 Jun 2025 |
| 14 May 2025 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 27 Jun 2025 |
| 14 May 2025 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 27 Jun 2025 |
| 14 May 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 27 Jun 2025 |
| 14 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 27 Jun 2025 |
| 14 May 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 27 Jun 2025 |
| 14 May 2025 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Complaint investigation | 27 Jun 2025 |
| 14 May 2025 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 27 Jun 2025 |
| 14 May 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 27 Jun 2025 |
| 14 May 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 27 Jun 2025 |
| 14 May 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 27 Jun 2025 |
| 14 May 2025 | F0761 | 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. | D | Standard survey | 27 Jun 2025 |
| 14 May 2025 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 27 Jun 2025 |
| 14 May 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 27 Jun 2025 |
| 14 May 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 27 Jun 2025 |
| 14 May 2025 | F0887 | 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. | D | Standard survey | 27 Jun 2025 |
| 14 May 2025 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 27 Jun 2025 |
| 9 Jan 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 25 Feb 2025 |
| 9 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 25 Feb 2025 |
| 9 Jan 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 25 Feb 2025 |
| 9 Jan 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 25 Feb 2025 |
| 9 Jan 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 25 Feb 2025 |
| 9 Jan 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 25 Feb 2025 |
| 9 Jan 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 25 Feb 2025 |
| 2 Jul 2021 | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | E | Standard survey | 3 Aug 2021 |
| 2 Jul 2021 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard survey | 3 Aug 2021 |
| 2 Jul 2021 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 3 Aug 2021 |
| 2 Jul 2021 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 3 Aug 2021 |
| 2 Jul 2021 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard survey | 3 Aug 2021 |
| 2 Jul 2021 | F0758 | 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. | E | Standard survey | 3 Aug 2021 |
| 2 Jul 2021 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 3 Aug 2021 |
| 2 Jul 2021 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 3 Aug 2021 |
| 2 Jul 2021 | F0584 | 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. | D | Standard survey | 3 Aug 2021 |
| 2 Jul 2021 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 3 Aug 2021 |
| 2 Jul 2021 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 3 Aug 2021 |
| 2 Jul 2021 | F0622 | 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. | D | Standard survey | 3 Aug 2021 |
| 2 Jul 2021 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 3 Aug 2021 |
| 2 Jul 2021 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 3 Aug 2021 |
| 2 Jul 2021 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard survey | 3 Aug 2021 |
| 2 Jul 2021 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 3 Aug 2021 |
| 2 Jul 2021 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 3 Aug 2021 |
| 2 Jul 2021 | F0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | Standard survey | 3 Aug 2021 |
| 2 Jul 2021 | F0761 | 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. | D | Standard survey | 3 Aug 2021 |
| 2 Jul 2021 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard survey | 3 Aug 2021 |
| 2 Jul 2021 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 3 Aug 2021 |
| 2 Jul 2021 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 3 Aug 2021 |
| 2 Jul 2021 | F0922 | Have enough backup water supply for essential areas of the nursing home. | C | Standard survey | 3 Aug 2021 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 29 Jan 2026 | Fine | $14,082 | |
| 9 Jan 2025 | Fine | $29,270 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Maryland average. Turnover: nursing staff 56.0%, RNs 58.8%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Maryland median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 13.6% | 20.0% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.9% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.6% | 0.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.5% | 2.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.6% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.9% | 20.7% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 8.7% | 5.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.5% | 11.9% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Complete Care At Hagerstown Llc. Chain: Complete Care (85 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Pc Md5 Opco Holdco LLC | 5% or greater direct ownership interest | 100% | 02/01/2023 |
| Pc Md5 Topco LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 02/01/2023 |
| Des Capital LLC | Indirect ownership interest | NOT APPLICABLE | 02/01/2023 |
| Jrk Investments LLC | Indirect ownership interest | NOT APPLICABLE | 02/01/2023 |
| Adesse Holdings LLC | Adp of the snf | NOT APPLICABLE | 02/01/2023 |
| Adesse Md5 Propco Holdco LLC | Adp of the snf | NOT APPLICABLE | 02/01/2023 |
| Pc Md5 Topco LLC | Adp of the snf | NOT APPLICABLE | 02/01/2023 |
| Peace Capital Holdings LLC | Adp of the snf | NOT APPLICABLE | 02/01/2023 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Washington County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Fahrney-Keedy Memorial Home | Boonsboro | 106 | 5 | 5 | 4 | 29 | 27.4 | — | 26 Mar 2026 |
| Western Md Hospital Center | Hagerstown | 63 | 5 | 3 | 5 | 37 | 58.7 | $24K | 2 Dec 2025 |
| Coffman Nursing Home | Hagerstown | 59 | 3 | 3 | 4 | 45 | 76.3 | — | 23 Jul 2025 |
| Homewood Living Williamsport | Williamsport | 82 | 3 | 3 | 4 | 30 | 36.6 | $42K | 9 Jan 2026 |
| South Mountain Rehab Center | Boonsboro | 157 | 3 | 3 | 2 | 39 | 24.8 | — | 22 Apr 2026 |
| Hagerstown Healthcare Centerabuse icon | Hagerstown | 140 | 2 | 2 | 3 | 87 | 62.1 | $24K | 16 Jun 2026 |
| Creekside Center For Rehabilitation and NursingSFF Candidate | Hagerstown | 80 | 1 | 1 | 2 | 104 | 130.0 | $112K | 6 Feb 2026 |
| Julia Manor Nursing and Rehabilitation Centerabuse icon | Hagerstown | 130 | 1 | 1 | 3 | 74 | 56.9 | — | 1 May 2026 |
All 10 facilities in Washington County
Questions and answers
How many deficiencies has Complete Care At Hagerstown been cited for?
81 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Maryland median is 45 per facility.
Has Complete Care At Hagerstown been fined?
Yes. CMS lists fines totalling $43K in the period covered.
How does staffing at Complete Care At Hagerstown compare?
Reported total nurse staffing is 3.9 hours per resident per day against a Maryland median of 3.6 and a national average of 3.9.
Who operates Complete Care At Hagerstown?
It is part of the Complete Care chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Pc Md5 Opco Holdco LLC, Pc Md5 Topco LLC and Des Capital LLC. Individual owners and managers are not listed on this site.
When was Complete Care At Hagerstown last inspected?
The most recent survey or investigation in the CMS record is dated 2 Apr 2026; the most recent standard health survey was 14 May 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.