Nursing homeFAID #5644
Complete Care At Hagerstown
14014 MARSH PIKE, HAGERSTOWN, MD, 21742
(301) 733-8700
60 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections2/5 staffing4/5 quality measuresSource: CMS Care Compare
Public record summary
What we can show you for free.
Bed capacity
60
State license
2421001
CMS facility ID
215365
Care type
Nursing home
Facility name
Complete Care At Hagerstown
Street address
14014 MARSH PIKE
City / state / ZIP
Hagerstown, MD 21742
Phone
(301) 733-8700
State license #
2421001
About this facility — Complete Care At Hagerstown
Complete Care At Hagerstown is a Medicare/Medicaid-certified skilled nursing facility in Hagerstown, Maryland. It is licensed for 60 beds — well below the median for skilled nursing facilities in Maryland (120 beds).
It is one of 21 senior care facilities in Hagerstown and 221 skilled nursing facilities across Maryland. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
Federal inspectors have cited Complete Care At Hagerstown 104 times across 11 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $43,352 in fines. Every citation is listed, dated, and graded in the inspection record below.
This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.
Facility background
What the public record shows.
Ownership & operator
Parent company
Complete Care
Ownership type
For profit - Limited Liability company
Registered owners & officers
Pc Md5 Opco Holdco Llc
Direct owner — 100% stake — since 2023
Adesse Holdings Llc
Additional disclosable party — since 2023
Adesse Md Peace Md5 Propco Holdco Llc
Additional disclosable party — since 2023
Adesse Md5 Propco Holdco Llc
Additional disclosable party — since 2023
Cox, Vickie
Operational control · Additional disclosable party — since 2023
Des Capital Llc
Indirect owner — since 2023
Hagerstown Md Propco Holdco Llc
Additional disclosable party — since 2023
Hagerstown Md Propco Llc
Additional disclosable party — since 2023
Hc Family Trust
Additional disclosable party — since 2023
Jrk Investments Llc
Indirect owner — since 2023
Klugman, Jacob
Indirect owner — since 2023
Mansfield, Melissa
Operational control · Additional disclosable party — since 2023
Pc Md5 Topco Llc
Indirect owner · Additional disclosable party — since 2023
Peace Capital Holdings Llc
Additional disclosable party — since 2023
Schonfeld, Akiva
Trustee · Additional disclosable party — since 2023
Silverberg, Nisanel
Operational control · Additional disclosable party — since 2023
Simmers, Robert
Operational control · Additional disclosable party — since 2024
Sms 2021 Trust
Indirect owner · Additional disclosable party — since 2023
Stein, Shalom
Indirect owner · Governing body · Officer · Trustee — since 2023
Sternbuch, Daniel
Indirect owner — since 2023
Sweeney, Barbara
Operational control · Additional disclosable party — since 2023
Waseem, Muhammad
Operational control · Additional disclosable party — since 2023
Regulatory standing
Federal court records
20 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
2018-08-14
CMS overall rating
1 of 5 stars
Health deficiencies
51 at the last standard inspection
Federal fines
$43,352 total
Last standard inspection
2025-05-14
Nurse staffing
3.9 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$490 per day (≈ $14,900/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
65% Medicaid · 24% Medicare · 11% private/other
Occupancy
46% (fiscal year 2023)
Vs. state median
12% above the MD median of $439/day — full state cost breakdown
Services & coverage
Licensed beds
60
Licensed as
Long Term Care
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.
2026-04-02Health inspectionComplaint-triggered3 citations
F-0584
D · No harm foundFrom a complaint
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.
Corrected 2026-04-28
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-04-28
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-04-28
2026-01-29Health inspectionComplaint-triggered17 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-03-30
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-03-30
F-0609
E · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-03-30
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2026-03-30
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-03-30
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-03-30
F-0711
D · No harm foundFrom a complaint
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2026-03-30
F-0726
D · No harm foundFrom a complaint
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.
Corrected 2026-03-30
F-0730
F · No harm foundFrom a complaint
Observe each nurse aide's job performance and give regular training.
Corrected 2026-03-30
F-0757
D · No harm foundFrom a complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2026-03-30
F-0835
D · No harm foundFrom a complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2026-03-30
F-0837
D · No harm foundFrom a complaint
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.
Corrected 2026-03-30
F-0838
D · No harm foundFrom a complaint
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.
Corrected 2026-03-30
F-0840
F · No harm foundFrom a complaint
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.
Corrected 2026-03-30
F-0868
D · No harm foundFrom a complaint
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2026-03-30
F-0940
F · No harm foundFrom a complaint
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected 2026-03-30
F-0947
F · No harm foundFrom a complaint
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2026-03-30
7 earlier / fire-safety inspections (84 citations)
2025-10-21Health inspectionComplaint-triggered3 citations
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2025-12-03
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-12-03
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-12-03
2025-05-14Health inspectionComplaint-triggered28 citations
F-0577
D · No harm found
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2025-06-27
F-0578
D · No harm found
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.
Corrected 2025-06-27
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-06-27
F-0584
D · No harm found
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.
Corrected 2025-06-27
F-0585
D · No harm found
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.
Corrected 2025-06-27
F-0605
D · No harm found
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-06-27
F-0628
D · No harm found
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-06-27
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-06-27
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-06-27
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-06-27
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-06-27
F-0679
D · No harm found
Provide activities to meet all resident's needs.
Corrected 2025-06-27
F-0685
D · No harm found
Assist a resident in gaining access to vision and hearing services.
Corrected 2025-06-27
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-06-27
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-27
F-0697
D · No harm foundFrom a complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-06-27
F-0699
D · No harm foundFrom a complaint
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-06-27
F-0730
D · No harm found
Observe each nurse aide's job performance and give regular training.
Corrected 2025-06-27
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-06-27
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-06-27
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-06-27
F-0761
D · No harm found
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.
Corrected 2025-06-27
F-0791
D · No harm found
Provide or obtain dental services for each resident.
Corrected 2025-06-27
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-06-27
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-06-27
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-06-27
F-0887
D · No harm found
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.
Corrected 2025-06-27
F-0908
D · No harm found
Keep all essential equipment working safely.
Corrected 2025-06-27
2025-01-09Health inspectionComplaint-triggered7 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-02-25
F-0609
E · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-02-25
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2025-02-25
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-02-25
F-0686
G · Actual harmFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-02-25
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-25
F-0697
D · No harm foundFrom a complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-02-25
2021-07-02Health inspection23 citations
F-0584
D · No harm found
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.
Corrected 2021-08-03
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2021-08-03
F-0610
D · No harm found
Respond appropriately to all alleged violations.
Corrected 2021-08-03
F-0622
D · No harm found
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.
Corrected 2021-08-03
F-0624
E · No harm found
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected 2021-08-03
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2021-08-03
F-0655
E · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2021-08-03
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2021-08-03
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2021-08-03
F-0658
E · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2021-08-03
F-0661
D · No harm found
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2021-08-03
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2021-08-03
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2021-08-03
F-0710
D · No harm found
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2021-08-03
F-0757
E · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2021-08-03
F-0758
E · No harm found
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.
Corrected 2021-08-03
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2021-08-03
F-0761
D · No harm found
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.
Corrected 2021-08-03
F-0790
D · No harm found
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2021-08-03
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2021-08-03
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2021-08-03
F-0919
D · No harm found
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2021-08-03
F-0922
C · No harm found
Have enough backup water supply for essential areas of the nursing home.
Corrected 2021-08-03
2025-05-14Fire-safety inspection12 citations
K-0223
E · No harm found
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2025-06-27
K-0281
D · No harm found
Install proper backup exit lighting.
Corrected 2025-06-27
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-06-27
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2025-06-27
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-06-27
K-0362
D · No harm found
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2025-06-27
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2025-06-27
K-0712
D · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2025-06-27
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-06-27
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-06-27
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2025-06-27
K-0923
D · No harm found
Have proper medical gas storage and administration areas.
Corrected 2025-06-27
2021-07-02Fire-safety inspection7 citations
K-0281
C · No harm found
Install proper backup exit lighting.
Corrected 2021-08-09
K-0293
D · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2021-08-09
K-0311
D · No harm found
Have an enclosure around a vertical opening shaft.
Corrected 2021-08-09
K-0907
D · No harm found
Ensure medical gas and vacuum systems have documented maintenance programs.
Corrected 2021-08-09
K-0908
D · No harm found
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
Corrected 2021-08-09
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2021-08-09
K-0921
E · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2021-08-09
2018-08-14Fire-safety inspection4 citations
K-0225
B · No harm found
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2018-05-25
K-0321
C · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2018-05-25
K-0353
C · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2018-05-25
K-0911
B · No harm found
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2018-05-25
Federal penalties
2026-01-29Fine$14,082
2025-01-09Fine$29,270
Total fines$43,352
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 215365.
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 104 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.
Civil & criminal lawsuits
Advanced tier onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered