Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 215365

Complete Care At Hagerstown

78 federal citations on record , including 1 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $50,935.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
78
Total citations
55
Last 3 years
3
Actual harm+
2
Federal penalties
$50,935
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care16 Care Planning14 Resident Rights11 Abuse & Neglect9 Medication & Pharmacy9

Most common F-tags at this facility

F6104 F6093 F6893 F7573 F8423

Citation history

78 on record
SurveyF-TagViolationSeveritySource
Jan 29, 2026F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.FComplaint
Jan 29, 2026F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.FComplaint
Jan 29, 2026F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyDComplaint
Jan 29, 2026F840Employ 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.FComplaint
Jan 29, 2026F838Conduct 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.DComplaint
Jan 29, 2026F837Establish 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.DComplaint
Jan 29, 2026F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DComplaint
Jan 29, 2026F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint
Jan 29, 2026F730Observe each nurse aide's job performance and give regular training.FComplaint
Jan 29, 2026F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint
Jan 29, 2026F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DComplaint
Jan 29, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Jan 29, 2026F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Jan 29, 2026F610Respond appropriately to all alleged violations.DComplaint
Jan 29, 2026F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
Jan 29, 2026F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jan 29, 2026F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Oct 21, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Oct 21, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Oct 21, 2025F610Respond appropriately to all alleged violations.DComplaint
May 14, 2025F699Provide care or services that was trauma informed and/or culturally competent.DComplaint
May 14, 2025F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
May 14, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
May 14, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
May 14, 2025F908Keep all essential equipment working safely.DStandard
May 14, 2025F887Educate 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.DStandard
May 14, 2025F880Provide and implement an infection prevention and control program.DStandard
May 14, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
May 14, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
May 14, 2025F791Provide or obtain dental services for each resident.DStandard
May 14, 2025F761Ensure 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
May 14, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
May 14, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
May 14, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
May 14, 2025F730Observe each nurse aide's job performance and give regular training.DStandard
May 14, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
May 14, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
May 14, 2025F685Assist a resident in gaining access to vision and hearing services.DStandard
May 14, 2025F679Provide activities to meet all resident's needs.DStandard
May 14, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
May 14, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
May 14, 2025F641Ensure each resident receives an accurate assessment.DStandard
May 14, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard
May 14, 2025F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard
May 14, 2025F585Honor 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
May 14, 2025F584Honor 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.DStandard
May 14, 2025F578Honor 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
May 14, 2025F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.DStandard
Jan 9, 2025F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Jan 9, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Jan 9, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Jan 9, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jan 9, 2025F610Respond appropriately to all alleged violations.DComplaint
Jan 9, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
Jan 9, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Jul 2, 2021F922Have enough backup water supply for essential areas of the nursing home.CStandard
Jul 2, 2021F919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard
Jul 2, 2021F880Provide and implement an infection prevention and control program.EStandard
Jul 2, 2021F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Jul 2, 2021F790Provide routine and 24-hour emergency dental care for each resident.DStandard
Jul 2, 2021F761Ensure 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
Jul 2, 2021F759Ensure medication error rates are not 5 percent or greater.EStandard
Jul 2, 2021F758Implement 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.EStandard
Jul 2, 2021F757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard
Jul 2, 2021F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DStandard
Jul 2, 2021F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Jul 2, 2021F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jul 2, 2021F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard
Jul 2, 2021F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Jul 2, 2021F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Jul 2, 2021F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Jul 2, 2021F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard
Jul 2, 2021F641Ensure each resident receives an accurate assessment.DStandard
Jul 2, 2021F624Prepare residents for a safe transfer or discharge from the nursing home.EStandard
Jul 2, 2021F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard
Jul 2, 2021F610Respond appropriately to all alleged violations.DStandard
Jul 2, 2021F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Jul 2, 2021F584Honor 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.DStandard

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $50,935 .

DateTypeFinePayment denial
Jan 29, 2026Fine$21,665—
Jan 9, 2025Fine$29,270—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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