Elder Care Record

Maryland › Montgomery County › Wheaton

Complete Care At Wheaton

4011 Randolph Road, Wheaton, MD 20902

CCN 215025 · For-profit, corporation · 116 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.

Complete Care At Wheaton is a For-profit, corporation nursing home in Wheaton, Maryland, certified for 116 beds and caring for about 111 residents a day.

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

Inspectors recorded 37 health deficiencies across the three most recent survey cycles (6, 20, 11 by cycle, most recent first), none at the actual-harm level. That is 31.9 per 100 beds, fewer than the state median of 43.7.

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

Reported nurse staffing is 3.4 hours per resident per day (0.8 RN), close to the Maryland median of 3.6; nursing staff turnover is 41.7%.

37health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
3.4nurse hours per resident per daystate median 3.6
96%occupancy (residents ÷ beds)111 residents a day

Compared with county, state and nation

MeasureThis facilityMontgomery Co. medianMaryland medianUS average
Overall star rating5333.0
Health citations, 3 cycles37404528.7
Citations per 100 beds31.939.843.726.8
Total nurse hours per resident day3.43.73.63.9
RN hours per resident day0.80.70.70.7
Nursing staff turnover41.7%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)6
Cycle 220
Cycle 311

Dark bar: this facility. Grey bar: Maryland average per facility for the same cycle, as published by CMS. Standard health survey dates: 21 Apr 2026, 10 Apr 2025.

Severity mix: D ×32 E ×5

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
21 Apr 2026F0730Observe each nurse aide's job performance and give regular training.EStandard survey19 Jun 2026
21 Apr 2026F0761Ensure 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 survey19 Jun 2026
21 Apr 2026F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey19 Jun 2026
21 Apr 2026F0679Provide activities to meet all resident's needs.DStandard survey19 Jun 2026
21 Apr 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey19 Jun 2026
21 Apr 2026F0880Provide and implement an infection prevention and control program.DStandard survey19 Jun 2026
10 Apr 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EComplaint investigation23 May 2025
10 Apr 2025F0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DStandard survey23 May 2025
10 Apr 2025F0578Honor 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.DStandard survey23 May 2025
10 Apr 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation23 May 2025
10 Apr 2025F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint investigation23 May 2025
10 Apr 2025F0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DStandard survey23 May 2025
10 Apr 2025F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey23 May 2025
10 Apr 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey23 May 2025
10 Apr 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation23 May 2025
10 Apr 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey23 May 2025
10 Apr 2025F0730Observe each nurse aide's job performance and give regular training.DStandard survey23 May 2025
10 Apr 2025F0759Ensure medication error rates are not 5 percent or greater.DStandard survey23 May 2025
10 Apr 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.DStandard survey23 May 2025
10 Apr 2025F0791Provide or obtain dental services for each resident.DStandard survey23 May 2025
10 Apr 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard survey23 May 2025
10 Apr 2025F0814Dispose of garbage and refuse properly.DStandard survey23 May 2025
10 Apr 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey23 May 2025
10 Apr 2025F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyDStandard survey23 May 2025
10 Apr 2025F0880Provide and implement an infection prevention and control program.DStandard survey23 May 2025
10 Apr 2025F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard survey23 May 2025
12 Mar 2021F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey24 Apr 2021
12 Mar 2021F0880Provide and implement an infection prevention and control program.EStandard survey24 Apr 2021
12 Mar 2021F0641Ensure each resident receives an accurate assessment.DStandard survey24 Apr 2021
12 Mar 2021F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey24 Apr 2021
12 Mar 2021F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey24 Apr 2021
12 Mar 2021F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey24 Apr 2021
12 Mar 2021F0685Assist a resident in gaining access to vision and hearing services.DStandard survey24 Apr 2021
12 Mar 2021F0692Provide enough food/fluids to maintain a resident's health.DStandard survey24 Apr 2021
12 Mar 2021F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey24 Apr 2021
12 Mar 2021F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey24 Apr 2021
12 Mar 2021F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey24 Apr 2021

Penalties

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

Staffing

Total nursing3.38 h
Nurse aides1.83 h
LPN0.76 h
RN0.79 h
Weekend total3.16 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Maryland average. Turnover: nursing staff 41.7%, RNs 50.0%; 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 Stay8.5%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 Stay0.5%0.9%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.2%2.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.4%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay7.6%20.7%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay6.0%5.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay5.6%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, corporation. Legal business name: Complete Care At Wheaton 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
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
Montgomery Village Care CenterGaithersburg1475533926.5—16 Apr 2025

All 34 facilities in Montgomery County

Questions and answers

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

37 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 Wheaton been fined?

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

How does staffing at Complete Care At Wheaton compare?

Reported total nurse staffing is 3.4 hours per resident per day against a Maryland median of 3.6 and a national average of 3.9.

Who operates Complete Care At Wheaton?

It is part of the Complete Care chain. Ownership type is for-profit, corporation. 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 Wheaton last inspected?

The most recent survey or investigation in the CMS record is dated 21 Apr 2026; the most recent standard health survey was 21 Apr 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.