Complete Care at Laplata LLC
1 Magnolia Drive, Laplata, MD 20646 · Charles County · (301) 934-4001
142 certified beds, about 132 residents a day · For profit - Partnership · Medicare and Medicaid since 1984
Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 215151 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 4, 2026, inspectors cited 15 health deficiencies (the Maryland average is 17, the national average 9.2).
Of 68 health citations since January 2020, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 2 fines totaling $21,764 in the last three years; the largest was $11,406, and the latest is dated January 9, 2026.
Nurses and nurse aides worked 3.35 hours per resident per day, against 3.87 across Maryland and 3.86 nationally. Registered nurses accounted for 0.79 of those hours.
46.5% of nursing staff left within the year CMS measured (Maryland average 40.2%).
CMS links it to Complete Care, an affiliated group of 85 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
201/20
1812/24
1203/25
504/25
1101/26
1505/26
506/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 68 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
52D
9E
4F
Potential for minimal harm
0A
1B
0C
June 10, 2026Complaint inspection · 5 citations
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on review of facility reported incident 3018652, medical record, and interview, it was determined that facility staff failed to notify a resident's responsible party of the addition and discontinuation of treatment. This was evident for 1 (#6) of 8 residents reviewed during a complaint survey.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on review of facility reported incident 3018652, medical record review, and staff interview, it was determined the facility staff failed to ensure Minimum Data Set (MDS) assessments were accurately coded. This was evident for 1 (#6) of 8 residents reviewed for complaints during a complaint survey.
- D Provide 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.
Inspectors wroteBased on investigation into a complaint, observations, record review, and staff interview, the facility failed to reassess and continue an established intervention for contracture management following a resident's readmission from the hospital. This was evident for 1 (Resident #2) of 8 residents reviewed during the complaint survey.
- D Ensure 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.
Inspectors wroteBased on interviews, observations, and record review, the facility failed to ensure residents were informed of meal selections by posting current menus for resident review prior to meal service. This was evident for 1 (Resident #8) of 8 residents reviewed during the complaint survey and had the potential to affect residents who relied on posted menus to make meal selections.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on review of complaint 3014373, facility reported incident 3018652, medical record review, and interviews, it was determined the facility failed to maintain complete and accurate medical records in accordance with accepted professional standards. This was evident for 2 (#1, #6) of 8 residents reviewed during a complaint survey.
May 4, 2026Standard inspection, Complaint inspection · 15 citations
- E Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on record reviews and interviews it was determined that the facility failed to provide services that met professional standards of practice. This was found to be evident for 4 ( Resident #50, Resident #124, Resident # 32, Resident #11) out of 8 Residents reviewed for professional standards of practice during the recertification and complaint survey.
- E Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on review of employee records and staff interview, it was determined that the facility staff failed to complete required performance reviews of geriatric nursing assistants at least once every 12 months. This was evident for 4 (Employee #27 # 28, #29 and #30) of 5 employee records reviewed during recertification survey process.
- E Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to be free of a medication error rate of 5% or more. This was found to be evident during the Medication Administration task completed during the Annual/Complaint survey and had the potential to affect all residents receiving medications in the facility.
- E 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.
Inspectors wroteBased on observation, record review and interview, it was determined that the facility failed to ensure discontinued medications and medications belonging to discharged residents were appropriately removed and returned to the pharmacy and/or destroyed in accordance with facility expectations. This was found to be evident for 4 (Resident #37, #138, #122, and #5) out of 4 residents reviewed for medication storage and labeling.
- D Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on record reviews and interviews it was determined the facility failed to ensure Residents were informed of risks and benefits of psychotropic medications. This was evident for 2 out of 5 residents (Resident #7, Resident #2) reviewed for unnecessary medications during the annual recertification survey.
- D Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Inspectors wroteBased on medical record review and interviews with resident and facility staff, it was determined that the facility failed to invite residents to their care plan meetings. This was evident for 2 (Resident #8 and #6) out of 2 residents reviewed during recertification survey.
- D 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.
Inspectors wroteBased on medical record reviews and staff interviews, it was determined that the facility failed to ensure that residents were offered written information regarding advance directives. This was evident for 1 (Resident#120) out of 3 residents reviewed for advance directives during the recertification survey process.
- D 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.
Inspectors wroteBased on observations and interviews, it was determined that the facility failed to ensure that the environment was in good repair. This was found to be evident for 2 (Resident #10 & #15) out of 7 Resident rooms observed during the recertification and complaint survey.
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on record review and interview it was determined that the facility failed to ensure a resident was free of a chemical restraint. This was found to be evident for 1 (Resident #15) out of 5 Residents reviewed for unnecessary medications during the recertification and complaint survey.
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on medical record review, staff interviews, and review of the facility's discharge practices, it was determined that the facility failed to notify the resident and/or resident's representative with written notification of the bed-hold policy upon transfer to an acute care facility. This was evident for 1 (Resident #131) of 1 resident reviewed for hospitalization during the annual survey process.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on review of records and interviews, it was determined that the facility failed to ensure a comprehensive resident care plan was developed and implemented. This was found to be evident for 2 (Resident #7, Resident #14) out of 28 Resident care plans reviewed during the recertification and complaint survey.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on record reviews and interviews it was determined that the facility failed to ensure that Pharmacy Recommendations were implemented. This was found to be evident for 3 (Resident # 3, Resident #14 & #15) out of 6 Residents reviewed for Pharmacy Medication Regimen Review (MRR) during the recertification and complaint survey.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to ensure residents were free of any significant medication errors. This was identified during the Medication Administration facility task completed during the annual/complaint survey. This was evident for 1 resident (Resident #50) out of 7 residents reviewed for medication administration.
- D Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Inspectors wroteBased on record review and interviews with facility staff, it was determined that the facility failed to coordinate with hospice representatives to ensure coordination of care and services provided by both hospice and the facility. This was evident for 1 (Resident #8) out of 1 resident reviewed for hospice plan of care during the recertification annual survey process.
- D Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspectors wroteBased on review of facility documentation and interview, it was determined that facility staff failed to ensure the Infection Preventionist and Medical Director participated in the facility's Quality Assessment and Assurance (QA) committee.
January 9, 2026Complaint inspection · 11 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, record review, and interview, it was determined that facility staff failed to identify and evaluate factors contributing to a resident's falls and ensure appropriate interventions were implemented to prevent future occurrences. This deficient practice resulted in actual harm to Resident #1. This was evident for 1 (#6) of 1 resident reviewed for accidents/hazards.
- E 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.
Inspectors wroteBased on observation and interview, it was determined the facility failed to ensure that resident had a homelike environment to live in. This was evident for 2 of 2 nursing units in the facility.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on medical record review and interview with staff and resident representative (RP) it was determined that the facility failed to keep a representative updated and notified of changes in condition and refusals of treatments including medications. This was evident for 1 of 8 residents (Resident #7) reviewed during a complaint.
- D 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.
Inspectors wroteBased on record review and interview, it was determined that the facility failed to respond to a resident's concern by failing to provide a resolution. This was evident for 1 (#10) of 3 residents reviewed for grievances.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on record review, interview and review of the facility abuse policy, it was determined that the facility staff member failed to treat a resident with respect and free from verbal abuse. This was evident during the review of 1 of 8 facility reported incidents and complaints (Resident #3).
- D Protect each resident from the wrongful use of the resident's belongings or money.
Inspectors wroteBased on the review of a facility reported incident 2598625, medical record review, interview with facility staff and review of facility policies, it was determined that the facility failed to ensure that residents medications were free from misappropriation. This was evident for 1 of 1 allegation of misappropriation.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review and interview, it was determined that the facility failed to ensure that an allegation of abuse was reported to the state agency (SA) within the required 2-hour timeframe. This was evident for 2 (Resident #1 and 2598625, 2593945 ) of 7 residents/investigations reviewed for abuse allegations.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on record review and interview, it was determined that the facility failed to conduct a thorough investigation and ensure a written record of the investigation was maintained. This was evident for 2 (#1 and #5) of 7 residents reviewed for abuse allegations and an incident (2598625) regarding misappropriation.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on medical record review, interview and review of facility policy, it was determined that the facility staff failed to ensure the verification of the narcotic count at the end of each shift was signed and completed. This was evident for 1 of 2 medication carts on the A wing.
- D 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.
Inspectors wroteBased on random observations, interviews it was determined that the facility staff failed to keep resident medications secure from vulnerable residents. This was evident during a random tour of the facility.
- B Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Inspectors wroteBased on record review and interview, it was determined that the facility failed to have 3 years of survey results available for residents, family members, and visitors to review. This was evident during the survey.
April 10, 2025Complaint inspection · 5 citations
- D 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.
Inspectors wroteBased on medical record review and interview it was determined that the facility failed to ensure required information was sent to the hospital when the resident was transferred. This was found to be evident for 1 (Resident # 1) out of 2 resident complaints.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on medical record review and interview it was determined that the facility failed to provide a notice of discharge to Resident #1 before or during before being sent back to the hospital on [DATE]. This was found to be evident for 1 (Resident # 1) out of 2 resident complaints.
- D Prepare residents for a safe transfer or discharge from the nursing home.
Inspectors wroteBased on medical record review and interview it was determined that the facility failed to provide documentation to Resident #1 or the responsible party before being transferred to the hospital on [DATE]. This was found to be evident for 1 (Resident # 1) out of 2 resident complaints.
- D Notify 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.
Inspectors wroteBased on medical record review and interview it was determined that the facility failed to provide a bed hold notice to Resident #1 or the responsible party before being transferred to the hospital on [DATE]. This was found to be evident for 1 (Resident # 1) out of 2 resident reviewed during a complaint survey.
- D Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Inspectors wroteBased on medical record review and interview it was determined that the facility failed to issue an involuntary discharge to Resident #1 before being transferred to the hospital on [DATE]. This failure did not allow Resident #1 to become aware of all his/her legal rights as a resident in a Long Term Care Facility. This was found to be evident for 1 (Resident # 1) out of 2 resident reviewed during a complaint survey.
March 24, 2025Standard inspection · 12 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record reviews and interviews with facility staff, it was determined that the facility failed to protect residents from accidents and hazards. This was found to be evident for 1 (Resident #22) out of 1 Resident reviewed for accidents. This deficient practice resulted in actual harm cited as past noncompliance.
- F Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Inspectors wroteBased on observations and interviews it was determined that the facility failed to ensure that food was prepared in a form designed to meet the needs of individuals with alterations in their ability to chew and swallow. This was evident during 1 of 1 observation of meal preparations in the kitchen. This deficient practice has the potential to affect all residents on a therapeutic diet.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations of the Kitchen it was determined that the facility failed to maintain food service equipment in a manner that ensures sanitary and safe food service operations. This was evident during multiple observations of the kitchen food service operations. This deficient practice has the potential to affect all Residents.
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review and interview, it was determined the facility failed 1) to use appropriate infection control practices such as Enhanced Barrier Precautions (EBP) during a high contact care for residents with indwelling urinary catheters, tracheostomy tube, feeding tube and wounds. This was evident for 3 (Resident #45, #384 and #386) of 51 residents reviewed for infection control practices during the recertification survey and 2) to properly store and handle personal clothing. This was evident during the observation of laundry services and has the potential to affect all residents.
- E Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation and interview, it was determined that the facility failed to provide residents with access to their call bell. This was found to be evident for 4 (Resident #102, #29, #42, #25) of 4 residents reviewed for call bells.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation and staff and resident interviews, it was determined that the facility failed to 1) ensure the dignity of the residents as evidenced by the nursing staff (#7) not knocking on resident room doors before entering resident rooms and nursing staff (#8,9,10 and 11) not wearing a name tag and 2) provide an environment that promotes resident respect and dignity. This was evident for 3 (Resident #46, #112 and #76) of 3 residents reviewed for dignity.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, surveyor record review and facility staff interview, it was determined that the facility failed to accurately code the Minimum Data Set (MDS) assessment for 1) a resident that was dependent on dialysis and 2) the resident's discharge status. This was found to be evident for 2 (Resident #112 and #132) of 2 residents reviewed for accuracy of MDS assessments.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, record review and interview, it was determined that the facility failed to develop and implement a comprehensive care plan for the use of oxygen. This was evident for 2 (Resident #45 and #46) of 51 residents reviewed for care planning during the recertification survey.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to conduct care plan meetings and failed to review and revise the residents' care plans. This was evident for 7 ( Resident #4, #23, #45, #105, #55, #76, #66, and #11) of 51 residents reviewed for care planning during the recertification survey.
- D Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Inspectors wroteBased on observation, record review and interview, it was determined the facility failed to provide appropriate care and services to residents with parenteral and intravenous (IV) access device. This was evident for 2 (Resident #23 and #385) of 2 residents reviewed for parenteral and IV care and services during the recertification survey.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, record review and interview, it was determined that the facility failed to provide necessary respiratory care services for residents by failing to 1) label oxygen administration equipment 2) put an oxygen order in place and 3) put up a sign Oxygen in use, no smoking. This was evident for (Residents #45 and #46) of 5 residents reviewed for respiratory care during the recertification survey.
- D Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Inspectors wroteBased on observation, interviews, and record review, it was determined that the facility did not provide drinks that adequately meet the needs of residents. This was observed in 1 (Resident #92) out of 1 resident observed for drink-related needs.
December 4, 2024Complaint inspection · 18 citations
- F Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation and interview, it was determined the facility staff failed to implement measures to provide warm palatable food to the facility residents. This was evident for 2 of 2 test trays sampled and has the potential to affect all residents who receive meals from the facility kitchen.
- E Ensure each resident receives an accurate assessment.
Inspectors wroteBased on medical record review, observation and interview, it was determined that the facility failed to complete accurate assessments of a resident related to the use of 1. side rails and 2. functional use of extremities on the quarterly and annual minimum data set (MDS). This was determined during the review of side rails for 3 of 3 residents reviewed (#29, #5, #30). The Minimum Data Set (MDS) is a federally mandated assessment tool used by nursing home staff to gather information on each Resident's strengths and needs. Information collected drives resident care planning decisions. MDS assessments must be accurate to ensure that each Resident receives the care they need
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation and interview, it was determined that facility staff failed to removed their personal protective equipment based on the Centers for Disease Control's guidelines during a COVID 19 outbreak. This was evident for 1 of 1 COVID 19 unit.
- E Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation and interview, it was determined that the facility failed to maintain a safe environment for their residents. This was evident for 3 (Unit A, B, D) of 4 nursing units.
- D 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.
Inspectors wroteBased on medical record review and interview with facility staff, it was determined that the facility failed to follow the wishes of a resident as identified in his/her advanced directive and follow the wishes of the resident's representative for decision making purposes. This was identified for 1 (#5) of 3 residents reviewed during a complaint survey. Advance Directive is a written instruction, such as a living will or durable power of attorney for health care, recognized under State law related to provision of health care when the individual is not able to make their own decisions. A Maryland MOLST (Medical Orders for Life-Sustaining Treatment) form is used for documenting a resident's specific wishes related to life-sustaining treatments. [...]
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review and interview with staff it was determined the facility staff failed to report an allegation of abuse timely to the State Agency. This was evident for 1 (#8) of 43 residents reviewed during the complaint survey.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on record review and interview with staff, it was determined the facility staff failed to thoroughly investigate an allegation of resident abuse. This was evident for 1(#6) of 43 resident's reviewed during the complaint survey.
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased on medical record review and interview, the facility staff failed to assess residents (resident #22 and #28) after a significant change, a reduction of elopement risk score, causing the residents to be monitored using a elopement deterrent device when it was not necessary. This was evident for 2 out of 43 residents reviewed during a complaint survey.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on medical record review and interview, the facility failed to update the resident's care plan after a change in status (Resident # 1). This was evident in 1 of 43 residents reviewed during a complaint survey.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on medical record review and interview with facility staff, it was determined that the facility failed to document that care was provided to a resident that was dependent on staff for activities of daily living (ADL). This was evident during the review of a complaint for 2 of 3 (#11 and # 16) residents related to quality of care. The Minimum Data Set (MDS) is a federally mandated assessment tool used by nursing home staff to gather information on each Resident's strengths and needs. Information collected drives resident care planning decisions. MDS assessments must be accurate to ensure that each Resident receives the care they need
- D Provide care or services that was trauma informed and/or culturally competent.
Inspectors wroteBased on record review and interviews, it was determined that the facility failed to develop and implement a process to determine if residents with a history of trauma received the appropriate trauma informed care. This was evident for 1 (25) of 3 residents reviewed for trauma informed care.
- D Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Inspectors wroteBased on medical record review, observation and interview with facility staff, it was determined that the facility failed to assess a resident for the use of side rails when there was a documented change in condition in the resident's functional status. This was evident for 2 of 2 residents observed and reviewed (#26 and #3) during a complaint survey. Bed rails -Adjustable metal or rigid plastic bars that attach to the bed. They are available in a variety of types, shapes, and sizes ranging from full to one-half, one-quarter, or one-eighth lengths. Synonymous terms are side rails, bed side rails, and safety rails.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on Observation, record review, and interview, it was determined that the facility failed to ensure that residents were free of significant medication errors as evidenced by facility staff failing to administer medications in accordance with professional standards. This was evident for 1 (#17) of 1 resident reviewed for medication administration.
- D Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Inspectors wroteBased on medical record review and interview with facility staff, it was determined that the facility failed to ensure that the physician was notified of lab results. This was evident for 1 of 5 lab results reviewed.
- D Keep complete, dated laboratory records in the resident's record.
Inspectors wroteBased on medical record review and interview, it was determined that the facility failed to ensure that an ordered lab report was available on the chart for review. This was evident for the review of 1 of 5 labs reviewed during a complaint survey.
- D Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Inspectors wroteBased on interviews, and record review, it was determined the facility staff failed to honor resident food preferences. This was evident for 1(#9) of 43 residents reviewed during the complaint survey.
- D Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Inspectors wroteBased on medical record review and interview, the facility administration failed to provide a surveyor with QA and risk management records after an incident when a resident (resident #41) sustained injury from being burned by a hot liquid. This was evident for 1 out of 43 residents reviewed during a complaint survey.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on medical record review and interview, the facility administration failed to maintain QA and risk management records for five years after a resident was discharged from the facility. This was evident for 1 (resident #41) out of 43 residents reviewed during a complaint survey.
January 30, 2020Standard inspection · 2 citations
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on medication cart observations and staff interviews it was determined that the facility staff failed to ensure that residents medical records were kept in a confidential manner. This was evident in 1 out of 9 medication carts. The Medication Administration Record (MAR) / Treatment Administration Record (TAR) is commonly referred to as a drug chart, its report serves as a legal record of the drugs administered to a patient at a facility by a health care professional. This record is a permanent record in the patient's medical record/chart.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation and interview with facility staff, it was determined that the facility failed to ensure that medication carts were not left unlocked and unattended. This was evident for 1 of 4 observations of medication carts.
Fire safety inspections
23 fire safety citations on file: 7 on May 4, 2026, 12 on March 24, 2025, 4 on January 30, 2020.
Every fire safety citation23 citations
- F Conduct testing and exercise requirements.
- F Provide properly protected cooking facilities.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- F Conduct testing and exercise requirements.
- F Provide properly protected cooking facilities.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Install corridor and hallway doors that block smoke.
- D Have correct number of accessible exits for each story.
- D Install corridor and hallway doors that block smoke.
- D Have proper medical gas storage and administration areas.
- C Meet other general requirements.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| January 9, 2026 | Fine | $11,406 |
| March 24, 2025 | Fine | $10,358 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Maryland | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.35 | 3.87 | 3.86 |
| Registered nurses | 0.79 | 0.84 | 0.69 |
| All nursing staff on weekends | 2.99 | 3.47 | 3.42 |
| Nurse aides | 1.79 | ||
| Licensed practical nurses | 0.77 | ||
| Nursing staff turnover (share who left in a year) | 46.5% | 40.2% | 45.8% |
| Registered nurse turnover | 53.6% | 38.7% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.90 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.50 on weekdays and 2.99 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 16.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.56 in April to June 2025 to 3.35 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.35 | 0.79 | 3.50 | 2.99 | 16.0% | 0 of 90 | 132 |
| Oct to Dec 2025 | 3.42 | 0.67 | 3.56 | 3.06 | 17.7% | 0 of 92 | 131 |
| Jul to Sep 2025 | 3.20 | 0.71 | 3.33 | 2.85 | 16.7% | 0 of 92 | 129 |
| Apr to Jun 2025 | 3.56 | 0.72 | 3.71 | 3.19 | 24.7% | 0 of 91 | 125 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Maryland, Jan to Mar 2026 | 3.73 | 0.74 | 3.88 | 3.34 | 8.0% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Maryland | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 12.3 | 20.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.9 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.6 | 2.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.5 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.3 | 22.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.5 | 5.9 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 3.2 | 13.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.1 | 21.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.3 | 9.8 | 12.0 |
Owners and operators
Legal business name: COMPLETE CARE AT LA PLATA LLC. CMS links this home to Complete Care, a group of 85 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| PC Md Opcos LLC | 5% or greater direct ownership interest | Organization | 100% | 05/01/2021 |
| PC Wta Opco Holdco LLC | 5% or greater indirect ownership interest | Organization | 05/01/2021 | |
| Sms 2021 Trust | 5% or greater indirect ownership interest | Organization | 05/01/2021 | |
| Silverberg, Nisanel | W-2 managing employee | Individual | 05/01/2021 | |
| Silverberg, Nisanel | Corporate officer | Individual | 05/01/2021 | |
| Stein, Shalom | General partnership interest | Individual | 05/01/2021 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 19 problems in this area, most recently on June 10, 2026: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- When is the care plan meeting, and can family attend it?Inspectors cited 11 problems in this area, most recently on June 10, 2026: "Ensure each resident receives an accurate assessment."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 9 problems in this area, most recently on June 10, 2026: "Provide 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."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 7 problems in this area, most recently on May 4, 2026: "Ensure medication error rates are not 5 percent or greater."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.99 hours per resident per day, below the Maryland average of 3.47.
- How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.
Other nursing homes nearby
- Green Acres Nursing and Rehab La Plata, 1.6 mi · 5 of 5 stars · 45 citations
- Restore Health Rehabilitation Center White Plains, 4.2 mi · 3 of 5 stars · 45 citations
- Waldorf Center Waldorf, 5.2 mi · 4 of 5 stars · 42 citations
- Charlotte Hall Veterans Home Charlotte Hall, 12.1 mi · 5 of 5 stars · 33 citations
- Ft Washington Rehabilitation and Wellness Center Fort Washington, 13 mi · 4 of 5 stars · 51 citations
- George Washington Health & Rehabilitation Alexandria, 14.2 mi · 3 of 5 stars · 45 citations
- Mount Vernon Healthcare Center Alexandria, 14.7 mi · 1 of 5 stars · 82 citations
- Autumn Lake Healthcare at Bradford Oaks Clinton, 16 mi · 4 of 5 stars · 35 citations
Maryland contacts for a concern about a nursing home
These are the official offices in Maryland. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Maryland Department of Health, Office of Health Care Quality, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Maryland Long-Term Care Ombudsman Program, Maryland Department of Aging, 800-243-3425. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Maryland Health Care Commission, Maryland Quality Reporting, Nursing Homes, where Maryland publishes its own records on licensed homes.
Common questions
- What is Complete Care at Laplata LLC's Medicare star rating?
- CMS rates Complete Care at Laplata LLC 1 out of 5 stars overall, with 1 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Complete Care at Laplata LLC get at its last inspection?
- 15 health deficiencies at the standard inspection on May 4, 2026. The Maryland average is 17.
- Has Complete Care at Laplata LLC been fined?
- Yes. CMS lists 2 fines totaling $21,764 in the last three years.
- Does Complete Care at Laplata LLC accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Complete Care at Laplata LLC?
- CMS lists 6 owners and managers, and links the home to Complete Care. Legal business name: COMPLETE CARE AT LA PLATA LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.