Elder Care Record

Maryland › Montgomery County › Silver Spring

Complete Care At Springbrook

12325 New Hampshire Avenue, Silver Spring, MD 20904

CCN 215052 · For-profit, limited liability company · 93 certified beds · chain Complete Care

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.

Certified for 93 beds, Complete Care At Springbrook serves Silver Spring in Montgomery County, Maryland and has taken Medicare and Medicaid residents since 1976.

CMS gives it 3 of 5 stars overall, equal to the Maryland median; the health inspection rating is 3, staffing 2 and quality measures 4.

Inspectors recorded 45 health deficiencies across the three most recent survey cycles (22, 15, 8 by cycle, most recent first), none at the actual-harm level. That is 48.4 per 100 beds, about the same as the state median of 43.7.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.5 hours per resident per day (0.5 RN), close to the Maryland median of 3.6; nursing staff turnover is 37.8%.

45health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
3.5nurse hours per resident per daystate median 3.6
89%occupancy (residents ÷ beds)83 residents a day

Compared with county, state and nation

MeasureThis facilityMontgomery Co. medianMaryland medianUS average
Overall star rating3333.0
Health citations, 3 cycles45404528.7
Citations per 100 beds48.439.843.726.8
Total nurse hours per resident day3.53.73.63.9
RN hours per resident day0.50.70.70.7
Nursing staff turnover37.8%34.8%41.5%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (34 in the county, 221 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)22
Cycle 215
Cycle 38

Dark bar: this facility. Grey bar: Maryland average per facility for the same cycle, as published by CMS. Standard health survey dates: 1 May 2026, 16 Sep 2020.

Severity mix: D ×31 E ×12 B ×2

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 dateTagWhat the tag requiresSeverityTypeCorrected
1 May 2026F0584Honor 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.EStandard survey30 May 2026
1 May 2026F0638Assure that each resident’s assessment is updated at least once every 3 months.EStandard survey30 May 2026
1 May 2026F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.EComplaint investigation30 May 2026
1 May 2026F0641Ensure each resident receives an accurate assessment.EComplaint investigation30 May 2026
1 May 2026F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard survey30 May 2026
1 May 2026F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DStandard survey30 May 2026
1 May 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation30 May 2026
1 May 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey30 May 2026
1 May 2026F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey30 May 2026
1 May 2026F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey30 May 2026
1 May 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard survey30 May 2026
1 May 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation30 May 2026
7 Apr 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation27 Apr 2026
7 Apr 2026F0610Respond appropriately to all alleged violations.DComplaint investigation27 Apr 2026
7 Apr 2026F0641Ensure each resident receives an accurate assessment.DComplaint investigation27 Apr 2026
7 Apr 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation27 Apr 2026
19 Dec 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.EComplaint investigation19 Jan 2026
19 Dec 2025F0919Make sure that a working call system is available in each resident's bathroom and bathing area.EComplaint investigation19 Jan 2026
19 Dec 2025F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint investigation19 Jan 2026
19 Dec 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation19 Jan 2026
19 Dec 2025F0759Ensure medication error rates are not 5 percent or greater.DComplaint investigation19 Jan 2026
19 Dec 2025F0761Ensure 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.DComplaint investigation19 Jan 2026
14 Mar 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation30 Apr 2025
14 Mar 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation30 Apr 2025
14 Mar 2025F0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.DComplaint investigation30 Apr 2025
18 Dec 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation27 Jan 2025
18 Dec 2024F0610Respond appropriately to all alleged violations.DComplaint investigation27 Jan 2025
18 Dec 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation27 Jan 2025
18 Dec 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation27 Jan 2025
18 Dec 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation27 Jan 2025
16 Sep 2020F0761Ensure 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.EStandard survey16 Oct 2020
16 Sep 2020F0880Provide and implement an infection prevention and control program.EStandard survey16 Oct 2020
16 Sep 2020F0583Keep residents' personal and medical records private and confidential.DStandard survey16 Oct 2020
16 Sep 2020F0585Honor 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.DStandard survey16 Oct 2020
16 Sep 2020F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey16 Oct 2020
16 Sep 2020F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey16 Oct 2020
16 Sep 2020F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard survey16 Oct 2020
12 Sep 2019F0695Provide safe and appropriate respiratory care for a resident when needed.EStandard survey28 Oct 2019
12 Sep 2019F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey28 Oct 2019
12 Sep 2019F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey28 Oct 2019
12 Sep 2019F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey28 Oct 2019
12 Sep 2019F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey28 Oct 2019
12 Sep 2019F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey28 Oct 2019
12 Sep 2019F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.BStandard survey28 Oct 2019
12 Sep 2019F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.BStandard survey28 Oct 2019

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.45 h
Nurse aides1.91 h
LPN1 h
RN0.54 h
Weekend total3.17 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Maryland average. Turnover: nursing staff 37.8%, RNs 38.5%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityMaryland medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay21.0%20.0%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.9%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.5%2.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.8%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay13.5%20.7%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.5%5.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay7.0%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 Springbrook Llc. Chain: Complete Care (85 facilities).

OrganisationRole in the CMS recordInterestSince
Pc Md5 Opco Holdco LLC5% or greater direct ownership interest100%02/01/2023
Pc Md5 Topco LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED02/01/2023
Des Capital LLCIndirect ownership interestNOT APPLICABLE02/01/2023
Jrk Investments LLCIndirect ownership interestNOT APPLICABLE02/01/2023
Adesse Holdings LLCAdp of the snfNOT APPLICABLE02/01/2023
Adesse Md5 Propco Holdco LLCAdp of the snfNOT APPLICABLE02/01/2023
Pc Md5 Topco LLCAdp of the snfNOT APPLICABLE02/01/2023
Peace Capital Holdings LLCAdp of the snfNOT APPLICABLE02/01/2023

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 Montgomery County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Bedford Court Healthcare Cent.Silver Spring605442846.7—20 Mar 2026
Complete Care At WheatonWheaton1165433731.9—21 Apr 2026
Friends Nursing HomeSandy Spring825451923.2$23K26 May 2026
Hebrew Home of Greater WashingtonRockville558544315.6—23 Apr 2026
Ingleside At King FarmRockville455451942.2—31 Mar 2026
Maplewood Park PlaceBethesda3155—516.1—10 Mar 2025
Montcare At BethesdaBethesda1205432823.3—25 Feb 2026
Montcare At PotomacPotomac1685442112.5—18 Feb 2026

All 34 facilities in Montgomery County

Questions and answers

How many deficiencies has Complete Care At Springbrook been cited for?

45 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Maryland median is 45 per facility.

Has Complete Care At Springbrook been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Complete Care At Springbrook compare?

Reported total nurse staffing is 3.5 hours per resident per day against a Maryland median of 3.6 and a national average of 3.9.

Who operates Complete Care At Springbrook?

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 Springbrook last inspected?

The most recent survey or investigation in the CMS record is dated 1 May 2026; the most recent standard health survey was 1 May 2026.

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.