4011 Randolph Road, Wheaton, MD 20902 · Montgomery County · (301) 933-2500
116 certified beds, about 111 residents a day · For profit - Corporation · Medicare and Medicaid since 1967
CMS Care Compare ratings, data as of September 1, 2026 · CCN 215025 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on April 21, 2026, inspectors cited 6 health deficiencies (the Maryland average is 17, the national average 9.2).
None of its 37 health citations since March 2021 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.38 hours per resident per day, against 3.87 across Maryland and 3.86 nationally. Registered nurses accounted for 0.79 of those hours.
41.7% 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.
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.
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 37 health citations on file.
Inspectors wroteBased on record reviews and interviews it was determined that the facility failed to ensure that Geriatric Nursing Assistants (GNAs) were provided with annual performance evaluations and skills competencies. This was found to be evident for 4 (GNA #9, #10, #11, #13) out of 5 GNAs reviewed for performance evaluations and skills competencies reviewed during the recertification and complaint survey.
Inspectors wroteBased on observation and staff interviews, it was determined that the facility failed to properly store and label medications. This was evident in 1 of 1 medication room and 2 of 2 medication carts observed during the recertification survey process.
Inspectors wroteBased on record review and interview, it was determined that the facility failed to ensure completion of required Preadmission Screening and Resident Review (PASARR) prior to admission. This was evident for 1 of 1 resident reviewed (Resident #14).
Inspectors wroteBased on observations, record review, and interviews it was determined the facility failed to provide an activities program to meet the needs and preferences for 1 resident. This was evident for 1 (Resident #36) of 1 resident reviewed for activities during the recertification survey and complaint survey.
Inspectors wroteBased on record reviews and interviews, it was determined the facility failed to maintain Quality of Care. This was evident for 1 (#8) out of 1 Resident evaluated for quality of care during the recertification survey.
Inspectors wroteBased on observation and interviews it was determined that the facility failed to ensure staff perform appropriate hand hygiene. This was evident for 1 Licensed Practical Nurse (LPN #21) of 1 LPN observed for hand hygiene during the recertification survey and complaint survey.
Inspectors wroteBased on surveyor record review, interviews with facility staff and Residents, it was determined that the facility failed to revise Resident care plans and conduct timely care plan meetings. This was found to be evident in 4 (Resident #10, 41, 93, and 106) out of 4 Residents reviewed for timing and revision of care planning.
Inspectors wroteBased on interviews and medical record review, it was determined that the facility failed to invite a resident to their care plan meeting. This was evident in 1 (Resident#35) of 7 residents reviewed for care planning.
Inspectors wroteBased on surveyor record reviews and facility staff interviews, it was determined that the facility failed to offer the opportunity to complete an advance directive and provide educational materials on advance directive for Residents and/or Resident Representatives. This was found to be evident for 3 (Resident #41, 93 and 95) out of 3 Residents reviewed for advance directives.
Inspectors wroteBased on review of facility investigation, record review, and interview, it was determined that the facility failed to ensure that a resident remained free of abuse. This was evident for 1 (Resident #105) of 31 abuse investigations reviewed during the survey. The facility implemented effective and thorough corrective measures following this incident prior to the start of this survey. The facility's plan and action were verified during this survey; therefore, this deficiency was found to be past noncompliance with a compliance date of 3/11/24.
Inspectors wroteBased on staff interviews and medical record review, it was determined that the facility failed to provide written notification for Residents that were transferred to the hospital. This was found to be evident for 3 Residents ( #4, #18, #48) out of 3 Residents reviewed for hospitalization.
Inspectors wroteBased on facility staff and Resident interviews and surveyor record review, it was determined that the facility failed to provide written notification of the bed hold policy for a Resident that was transferred to the hospital. This finding was found to be evident for 1 Resident (#95) out of 1 Resident reviewed for hospitalization.
Inspectors wroteBased on record review and interview, it was determined that the facility failed to conduct an accurate Preadmission Screening and Resident Review (PASRR). This was found evident for 1 (Resident #27) out of 1 resident reviewed for PASRR screening.
Inspectors wroteBased on medical record review and staff interviews, it was determined that the facility failed to revise a care plan. This was evident for 3 (#4, #48, and #445) out of 3 residents reviewed for care plans.
Inspectors wroteBased on record review and facility staff interview, the facility failed to 1) assess a Resident with an actual fall and 2) document a witnessed fall. This was evident for 1 (resident #445) of 1 resident reviewed for quality of care.
Inspectors wroteBased on surveyor observation, facility staff interviews and surveyor record review it was determined that the facility failed to follow appropriate respiratory care and services. This finding was found to be evident in 1 (Resident #93) out of 1 Resident reviewed for respiratory care and services.
Inspectors wroteBased on review of employee records and staff interview, it was determined that the facility failed to complete annual performance reviews for Geriatric Nursing Assistants (GNAs). This was evident for 2 (#10, #17) out of 5 GNA staff members reviewed during the annual survey.
Inspectors wroteBased on observation of medication administration, medical record reviews, and staff interviews, it was determined that the facility licensed staff failed to maintain a medication error rate of less than 5 percent for 2 out of 2 residents ( #94 and #81). This finding was evident for 3 out of 26 opportunities observed for errors which resulted in a medication error rate of 11.54%. The findings Include: 1) On 04/02/25 at 8:20 AM, during a medication administration observation for Resident #94, the surveyors observed Licensed Practical Nurse (LPN) #1 administer scheduled medications to the resident. The medications included 1 tablet Amlodipine 10 mg (milligram). LPN #1 stated, I am holding the Amlodipine due to the resident ' s heart rate of 59 and I will contact the physician. [...]
Inspectors wroteBased on observation, staff interviews and record review, it was determined that the facility failed to properly store medications. This was found to be evident in 2 of 2 medication storage rooms and 3 of 3 medication carts observed during the recertification survey.
Inspectors wroteBased on interviews and medical record review, it was determined that the facility failed to ensure that residents who required dental services on a routine basis, received the necessary services in a timely manner. This was evident for 1(Resident#59) of 1 resident reviewed for dental services.
Inspectors wroteBased on surveyor observation, facility staff interview and facility record review, it was determined that the facility failed to maintain proper sanitation for storage of food on the nursing units and in the kitchen. This was found to be evident on 1 out of 3 nursing units and on the initial tour of the kitchen during review of food storage and sanitation.
Inspectors wroteBased on surveyor observation and facility staff interview it was determined that the facility failed to dispose garbage and refuse properly. This finding was found to be evident during the tour of the outside dumpster area.
Inspectors wroteBased on medical record review and interview, it was determined that the facility failed to ensure that the medical records for a resident who was required to wear a cervical collar, were maintained in the most accurate form. This was evident for 1(Resident #35) of 1 resident reviewed for cervical collar application.
Inspectors wroteBased on record review and interview, it was determined that the facility failed to have the minimum required members in attendance at the Quality Assessment and Assurance (QAA) committee. This was found evident during the Quality Assurance and Performance Improvement (QAPI) and Quality Assessment and Assurance (QAA) review, which has the potential to affect all residents.
Inspectors wroteBased on observation, interview and record review, it was determined that the facility failed to follow Enhanced Barrier Precautions (EBP). This was evident for 1 (Resident #53) out of 1 Resident reviewed for infection control.
Inspectors wroteBased on observations and interviews, it was determined that the facility failed to keep a sanitary environment. This was evident during the tour of the laundry room conducted as part of the facility's annual recertification survey.
Inspectors wroteBased on surveyor review of the clinical record and interviews with residents and facility staff, it was determined that the facility failed to ensure interdisciplinary care conferences, including the participation of residents. This finding was evident for 2 of 23 residents selected during the survey (Resident #64 and #73). In addition, the facility failed to ensure the revision of a comprehensive plan of care for Resident #67. This finding was evident for 1 of 23 residents selected during the survey.
Inspectors wroteBased on surveyor review of administrative files, surveyor observations and staff interviews, it was determined that the facility staff failed to ensure staff to identify and wear the appropriate personal protective equipment in accordance with infection control procedures. This finding was evident for 2 of 4 units in the facility (the East and Terrace units).
Inspectors wroteBased on surveyor review of the clinical record and interview with facility staff, it was determined that the facility failed to ensure accurate Minimum Data Set (MDS) assessments for residents. This finding was identified for 2 of 23 residents selected for review during the survey (Residents #30 and #76).
Inspectors wroteBased on surveyor review of the clinical record, surveyor observations and staff interviews, it was determined that the facility staff failed to develop and implement comprehensive care plans for residents. This finding was evident for 3 of 23 residents reviewed for care plan area during the survey (#289, #71, and #76).
Inspectors wroteBased on review of the clinical record and interview with Resident #62's representative and facility staff, it was determined that the facility failed to ensure standards of professional practice for Resident #62. This was evident for 1 of 23 residents selected for review during the survey.
Inspectors wroteBased on surveyor review of the clinical record, surveyor observations, resident and staff interviews, it was determined that the facility staff failed to follow physician orders for residents. This finding was evident for 2 of 23 residents reviewed during survey (#289 and #71).
Inspectors wroteBased on surveyor review of the clinical record, and interview with Resident #76 and staff, it was determined that the facility staff failed to provide treatment/devices to maintain the hearing of 1 of 1 resident reviewed for the hearing and vision area during the survey (Resident #76).
Inspectors wroteBased on surveyor review of the clinical record and interviews with the facility staff, it was determined that the facility failed to address a significant weight loss for 1 of 4 residents reviewed for nutrition during the survey (Resident #52).
Inspectors wroteBased on clinical record review and interviews with facility staff, it was determined that the facility's pharmacist failed to identify and/or report a gradual dose reduction (GDR) of a psychotropic medication irregularity for 1 of 5 residents reviewed for Unnecessary Medications Review during the survey (Resident #79).
Inspectors wroteBased on clinical record review and interviews with facility staff, it was determined that the facility failed to ensure 1 of 5 residents reviewed for the Unnecessary Medications remained free of an unnecessary psychotropic medication (Resident #71).
Inspectors wroteBased on surveyor review of the clinical record, surveyor observation and interview with facility staff, it was determined that the facility staff failed to ensure accurate documentation in the clinical record for 1 of 23 residents reviewed during the survey (Resident #71).
13 fire safety citations on file: 5 on April 21, 2026, 5 on April 10, 2025, 3 on March 12, 2021.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 3.38 | 3.87 | 3.86 |
| Registered nurses | 0.79 | 0.84 | 0.69 |
| All nursing staff on weekends | 3.16 | 3.47 | 3.42 |
| Nurse aides | 1.83 | ||
| Licensed practical nurses | 0.76 | ||
| Nursing staff turnover (share who left in a year) | 41.7% | 40.2% | 45.8% |
| Registered nurse turnover | 50.0% | 38.7% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.93 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.47 on weekdays and 3.16 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.28 in April to June 2025 to 3.38 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 | 3.38 | 0.79 | 3.47 | 3.16 | 0.0% | 0 of 90 | 111 |
| Oct to Dec 2025 | 3.45 | 0.72 | 3.58 | 3.10 | 0.0% | 0 of 92 | 111 |
| Jul to Sep 2025 | 3.35 | 0.63 | 3.45 | 3.08 | 0.0% | 0 of 92 | 113 |
| Apr to Jun 2025 | 3.28 | 0.61 | 3.38 | 3.01 | 0.0% | 0 of 91 | 110 |
| 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.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Maryland, all employers | |||
| CNAs (nursing assistants) | $20.79 | $18.46 to $22.00 | 27,720 |
| LPNs and LVNs | $35.89 | $31.40 to $38.30 | 9,560 |
| Registered nurses | $47.98 | $40.26 to $51.61 | 52,910 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 8.5 | 20.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.5 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.2 | 2.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.4 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.6 | 22.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.0 | 5.9 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.7 | 13.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 13.7 | 21.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.7 | 9.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.2 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Complete Care at Wheaton's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (42.1% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
42.1% this home
No different from the national rate
US median of homes 51.5% · Maryland: 90 better, 29 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 91 eligible stays.
11.5% this home
No different from the national rate
US median of homes 10.7% · Maryland: 0 better, 41 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 104 eligible stays.
9.3% this home
No different from the national rate
US median of homes 7.1% · Maryland: 5 better, 6 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 75 eligible stays.
79.3% this home
Median of homes: Maryland61.2% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 53 residents counted.
3.5% this home
Median of homes: Maryland0.4% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 85 residents counted.
1.5% this home
Median of homes: Maryland2.4% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 85 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Maryland98.1% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 14 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: COMPLETE CARE AT WHEATON 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 Md5 Opco Holdco LLC | 5% or greater direct ownership interest | Organization | 100% | 02/01/2023 |
| PC Md5 Topco LLC | 5% or greater indirect ownership interest | Organization | 02/01/2023 | |
| Sms 2021 Trust | 5% or greater indirect ownership interest | Organization | 02/01/2023 | |
| Des Capital LLC | Indirect ownership interest | Organization | 02/01/2023 | |
| Jrk Investments LLC | Indirect ownership interest | Organization | 02/01/2023 | |
| Klugman, Jacob | Indirect ownership interest | Individual | 02/01/2023 | |
| Stein, Shalom | Indirect ownership interest | Individual | 02/01/2023 | |
| Sternbuch, Daniel | Indirect ownership interest | Individual | 02/01/2023 | |
| Stein, Shalom | Managing control - governing body | Individual | 02/01/2023 | |
| Stein, Shalom | Corporate officer | Individual | 02/01/2023 | |
| Bates, Kimberly | Operational/managerial control | Individual | 03/31/2025 | |
| Bharaj, Narender | Operational/managerial control | Individual | 02/01/2023 | |
| Cox, Vickie | Operational/managerial control | Individual | 02/01/2023 | |
| Mansfield, Melissa | Operational/managerial control | Individual | 02/01/2023 | |
| Nabi, Abdoulatif | Operational/managerial control | Individual | 12/18/2023 | |
| Silverberg, Nisanel | Operational/managerial control | Individual | 02/01/2023 | |
| Sternbuch, Daniel | Operational/managerial control | Individual | 02/01/2023 | |
| Schonfeld, Akiva | Trustee of the SNF | Individual | 02/01/2023 | |
| Stein, Shalom | Trustee of the SNF | Individual | 02/01/2023 | |
| Adesse Holdings LLC | Adp of the SNF | Organization | 02/01/2023 | |
| Adesse Md Peace Md5 Propco Holdco LLC | Adp of the SNF | Organization | 02/01/2023 | |
| Adesse Md5 Propco Holdco LLC | Adp of the SNF | Organization | 02/01/2023 | |
| Hc Family Trust | Adp of the SNF | Organization | 02/01/2023 | |
| Md 4 Propco Holdco LLC | Adp of the SNF | Organization | 02/01/2023 | |
| PC Md5 Topco LLC | Adp of the SNF | Organization | 02/01/2023 | |
| Peace Capital Holdings LLC | Adp of the SNF | Organization | 02/01/2023 | |
| Sms 2021 Trust | Adp of the SNF | Organization | 02/01/2023 | |
| Wheaton Md Propco LLC | Adp of the SNF | Organization | 02/01/2023 | |
| Bates, Kimberly | Adp of the SNF | Individual | 03/31/2025 | |
| Bharaj, Narender | Adp of the SNF | Individual | 02/01/2023 | |
| Cox, Vickie | Adp of the SNF | Individual | 02/01/2023 | |
| Klugman, Jacob | Adp of the SNF | Individual | 02/01/2023 | |
| Mansfield, Melissa | Adp of the SNF | Individual | 02/01/2023 | |
| Nabi, Abdoulatif | Adp of the SNF | Individual | 12/18/2023 | |
| Schonfeld, Akiva | Adp of the SNF | Individual | 02/01/2023 | |
| Silverberg, Nisanel | Adp of the SNF | Individual | 02/01/2023 | |
| Stein, Shalom | Adp of the SNF | Individual | 02/01/2023 | |
| Sternbuch, Daniel | Adp of the SNF | Individual | 02/01/2023 |
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.
Chosen from this home's own inspection record.
These are the official offices in Maryland. NursingHomeClear cannot take or act on complaints.