01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-05-14 | 51 | 2025-05-14 | 12 |
| Cycle 2 | 2021-07-02 | 30 | 2021-07-02 | 7 |
| Cycle 3 | 2018-08-14 | 0 | 2018-08-14 | 4 |
CMS CCN 2153652026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Complete Care At Hagerstown
14014 Marsh Pike · Hagerstown, MD 21742 · Washington County
Certified beds60CMS provider file
Recent citation rows104current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
104 rows in the current release
3 rows carry G–L scope/severity codes; 1 carry J–L. 21 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-04-02 · HEALTHF0584Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-04-28 · complaint2026-04-02 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-04-28 · complaint2026-04-02 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2026-04-28 · complaint2026-01-29 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2026-03-30 · complaint2026-01-29 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2026-03-30 · complaint2026-01-29 · HEALTHF0609Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2026-03-30 · complaint2026-01-29 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2026-03-30 · complaint2026-01-29 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2026-03-30 · complaint2026-01-29 · HEALTHF0689Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-03-30 · complaint2026-01-29 · HEALTHF0711Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Correction field: Deficient, Provider has date of correction · 2026-03-30 · complaint2026-01-29 · HEALTHF0726Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-03-30 · complaint2026-01-29 · HEALTHF0730Severity F · widespread; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Correction field: Deficient, Provider has date of correction · 2026-03-30 · complaint2026-01-29 · HEALTHF0757Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2026-03-30 · complaint2026-01-29 · HEALTHF0835Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Correction field: Deficient, Provider has date of correction · 2026-03-30 · complaint2026-01-29 · HEALTHF0837Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-03-30 · complaint2026-01-29 · HEALTHF0838Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-03-30 · complaint2026-01-29 · HEALTHF0840Severity F · widespread; potential for more than minimal harm
Administration Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-03-30 · complaint2026-01-29 · HEALTHF0868Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Correction field: Deficient, Provider has date of correction · 2026-03-30 · complaint2026-01-29 · HEALTHF0940Severity F · widespread; potential for more than minimal harm
Administration Deficiencies
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Correction field: Deficient, Provider has date of correction · 2026-03-30 · complaint2026-01-29 · HEALTHF0947Severity F · widespread; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Correction field: Deficient, Provider has date of correction · 2026-03-30 · complaint2025-10-21 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2025-12-03 · complaint2025-10-21 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2025-12-03 · complaint2025-10-21 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2025-12-03 · complaint2025-05-14 · HEALTHF0577Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Correction field: Deficient, Provider has date of correction · 2025-06-2703 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2026-01-29 | Fine | $14,082 | 0 |
| 2025-01-09 | Fine | $29,270 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- PC MD5 OPCO HOLDCO LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 02/01/2023
- PC MD5 TOPCO LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 02/01/2023
- SMS 2021 TRUSTOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 02/01/2023
- DES CAPITAL LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 02/01/2023
- JRK INVESTMENTS LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 02/01/2023
- KLUGMAN, JACOBIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 02/01/2023
- STEIN, SHALOMIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 02/01/2023
- STERNBUCH, DANIELIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 02/01/2023
- STEIN, SHALOMIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 02/01/2023
- STEIN, SHALOMIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/01/2023
- COX, VICKIEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/01/2023
- MANSFIELD, MELISSAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/01/2023
- SILVERBERG, NISANELIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/01/2023
- SIMMERS, ROBERTIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/03/2024
- SWEENEY, BARBARAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/01/2023
- WASEEM, MUHAMMADIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/01/2023
- SCHONFELD, AKIVAIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 02/01/2023
- STEIN, SHALOMIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 02/01/2023
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.92per resident day
RN hours0.99per resident day
Weekend nurse hours3.75per resident day
Staff turnover56.0%CMS reported field
06 / LOCAL RECORDS
Open the Hagerstown ledger →Other published facilities nearby
Coffman Nursing Home59 beds · CMS overall 3/553 citation rowsCreekside Center For Rehabilitation And Nursing80 beds · CMS overall 1/5122 citation rowsHagerstown Healthcare Center140 beds · CMS overall 2/5113 citation rowsJulia Manor Nursing And Rehabilitation Center130 beds · CMS overall 1/599 citation rowsWestern Md Hospital Center63 beds · CMS overall 5/554 citation rows