Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Complete Care At Corsica Hills Llc during CMS and state inspections, most recent first.
The facility failed to prevent and address abuse, leading to Immediate Jeopardy. A resident with cognitive impairment was physically abused by a nurse, and another resident with a fractured arm reported rough handling by a GNA. Investigations were inadequate, and monitoring of a resident with sexual impulse issues was inconsistent, leading to repeated inappropriate interactions.
The facility failed to implement its QAPI plan effectively, particularly in addressing potential deficient practices related to abuse prevention. Although an action plan was created for timely reporting of abuse allegations, there was no evidence of ongoing tracking, trending, or additional training as part of an effective QAPI program. Interviews revealed that while abuse prevention training was provided, there was no focus on sustaining compliance through the QAPI process.
The facility failed to document, investigate, and resolve grievances voiced by residents during Resident Council meetings. Concerns such as aides' attitudes, missing clothing, and issues with laundry were not addressed or discussed in the minutes. Residents reported unresolved issues, and the DON admitted to incomplete staff training. The Activities Director confirmed the lack of follow-up documentation, indicating a systemic issue in handling grievances.
The facility failed to ensure resident safety and conduct thorough investigations following abuse allegations. Incidents included delayed reporting of abuse by a nurse, incomplete documentation of resident interviews, and failure to interview relevant staff and residents. Additionally, a resident was not protected from being alone with the opposite sex, and a GNA with prior conduct issues continued working despite abuse allegations.
A resident reported an allegation of abuse, stating that a GNA caused them pain during care and did not listen to their requests to stop. The incident was also reported by the resident's roommate. The DON confirmed the resident felt their care preferences were ignored. The GNA was placed on administrative leave and later on a do-not-return list.
A facility failed to document and address grievances related to a resident's care, including medication dispensing and personal hygiene issues. Despite multiple discussions with the resident's family, no formal grievance was recorded, and the facility's grievance policy was not implemented until after the complaints. The DON acknowledged the grievance process should have been followed.
The facility failed to report abuse allegations within required timeframes for four residents. Incidents included verbal and physical abuse, and neglect, with delays in reporting to the SSA. In one case, a resident was told to urinate in her brief, and another resident's abuse was observed but not promptly reported. Documentation and procedural lapses were evident, as seen in the case of a resident who recanted an abuse allegation without proper documentation.
A facility failed to update a resident's care plan following two incidents of abuse. The existing care plans only addressed the resident's depression and cognitive decline, with no mention of the abuse incidents. This deficiency was identified during a survey and discussed with the DON and Regional President.
A facility failed to update a resident's care plan with dental recommendations after a consult revealed a fractured tooth requiring extraction, which the resident refused. The care plan did not reflect the resident's ongoing tooth pain or refusal of treatment, leaving staff unaware of these issues. Interviews with staff confirmed the oversight in updating the care plan.
Facility staff failed to provide necessary ADLs for a resident with Alzheimer's dementia, who was dependent on staff for care. Despite being scheduled for showers twice a week, the resident received only one shower in December and none in the first two weeks of February. Mouth care and incontinence care were also frequently marked as not applicable or left blank in documentation. The Memory Support Program Director was unaware of these issues, and the DON acknowledged the documentation errors.
A facility failed to complete a thorough admission assessment for a resident with dementia, resulting in the resident exiting the facility unsupervised. Additionally, residents in the dementia care unit were observed without activities, and a care plan for a resident with severe cognitive impairment was outdated, leading to a lack of meaningful engagement.
The facility did not post daily nurse staffing information, making it inaccessible to residents and visitors for three consecutive days. The DON was unaware of the requirement and stated they were working on completing the document for posting.
Failure to Prevent and Address Abuse in LTC Facility
Penalty
Summary
The facility staff failed to recognize and prevent abuse towards multiple residents, leading to an Immediate Jeopardy situation. For instance, a resident with moderately impaired cognition and behavioral disturbances was physically abused by a registered nurse who slapped the resident on the head multiple times after the resident became combative. The incident was not reported immediately, allowing the nurse continued access to vulnerable residents. Additionally, the psychiatric consult for the resident did not address the abuse, and the nurse involved had not completed required annual training. Another resident, who required non-weight-bearing care for a fractured arm, reported being handled roughly by a GNA, causing fear and distress. The facility's investigation into the incident was inadequate, as it failed to interview all relevant staff and residents, and the allegation of abuse was deemed inconclusive. The resident was found lying on their injured side, contrary to care instructions, and expressed fear of the GNA involved. Further deficiencies included a failure to report and address allegations of abuse in a timely manner, as seen in the case of a resident who was allegedly slapped by a GNA. The incident was not reported immediately, and the GNA continued to work in the facility. Additionally, a resident with a history of sexual impulse control issues was not adequately monitored, leading to repeated inappropriate interactions with other residents. The facility's interventions were delayed and inconsistently implemented, contributing to ongoing risks for residents.
Failure to Implement Effective QAPI for Abuse Prevention
Penalty
Summary
The facility failed to implement its Quality Assessment and Performance Improvement (QAPI) plan effectively, particularly in addressing potential deficient practices related to abuse prevention. The facility's policy, dated 2020, aimed to continuously evaluate systems to ensure quality care and life. However, the facility did not gather, analyze, or re-evaluate data related to adverse events concerning abuse, which could potentially affect all 105 residents. Although an action plan was created in September 2022 for timely reporting of abuse allegations, there was no evidence of ongoing tracking, trending, or additional training as part of an effective QAPI program. Interviews with the Regional Clinical Consultant (RCC) and the Director of Nursing (DON) revealed that while abuse prevention training was provided, there was no focus on sustaining compliance through the QAPI process. The RCC admitted that there was no data collection, monitoring, or evaluation to demonstrate sustained compliance with abuse prevention. The DON confirmed that QAPI meetings were held monthly, but no additional information was available regarding the tracking, trending, or monitoring of abuse prevention efforts with an action plan developed as a result.
Failure to Address and Document Resident Grievances
Penalty
Summary
The facility failed to ensure that grievances voiced by residents during Resident Council meetings were documented, investigated, resolved, and followed up on. The Resident Council Minutes from multiple meetings did not indicate the names of residents who attended, nor did they show that concerns raised, such as aides having attitudes, missing clothing, and issues with laundry, were addressed or discussed. Additionally, concerns about being put to bed with clothes on, showers not being given, and call lights not being answered timely were not documented as resolved. This lack of documentation and follow-up was consistent across several meetings, indicating a systemic issue in handling grievances. During a resident group meeting, residents expressed that they had reported concerns about laundry and staff not introducing themselves, but had not received any follow-up. The DON acknowledged that training had been conducted for aides on certain issues but admitted that not all staff had been educated. The Activities Director stated that there was no follow-up documentation on whether concerns were addressed or resolved, and the Administrator received a copy of the Resident Council Minutes without any follow-up documentation. This failure to document and resolve grievances had the potential to leave resident concerns unaddressed throughout the facility.
Inadequate Response to Abuse Allegations and Investigation Failures
Penalty
Summary
The facility failed to ensure the safety of residents following allegations of abuse and did not conduct thorough investigations into these allegations. In one instance, a Registered Nurse was reported to have cursed and hit a resident, but the incident was not reported to the Director of Nursing until over an hour later, allowing the nurse continued access to vulnerable residents. Another case involved a resident who reported rough treatment by a staff member, but the investigation was incomplete, lacking proper documentation and failing to identify who conducted the interview. Further deficiencies were noted in the investigation of a resident's representative's report of neglect, where the facility did not interview other staff who might have had knowledge of the care provided. In another case, a resident was found in distress, and the investigation was deemed inconclusive due to a lack of interviews with other staff and residents who might have had relevant information. Additionally, a resident was not protected from being alone with residents of the opposite sex despite previous orders, and the facility failed to document interventions to prevent such occurrences. The facility also did not complete a thorough investigation into an allegation of physical abuse involving a GNA and a resident, as no additional interviews with other residents or staff were conducted. The GNA involved had previous write-ups for unprofessional conduct but continued to work at the facility until termination for unrelated reasons. These incidents highlight significant lapses in the facility's response to abuse allegations and the protection of residents.
Failure to Honor Resident's Right to Dignified Care
Penalty
Summary
The facility staff failed to honor a resident's right to a dignified existence by not listening to the resident during care. Resident #911 reported an allegation of abuse, stating that a GNA turned them, causing pain, and continued despite their request to stop. The incident was reported by the resident on 1/14/23, and the roommate also reported mistreatment by the same GNA. The Director of Nursing confirmed that Resident #911 felt the GNA was not listening to their care preferences. The GNA was placed on administrative leave and subsequently on a do-not-return list after the investigation.
Failure to Document and Address Resident Grievances
Penalty
Summary
The facility failed to ensure that residents and/or their representatives were afforded the right to file a grievance and receive a response regarding the action taken by the facility. This deficiency was identified during a recertification and complaint survey for one of the three residents reviewed. The issue was highlighted by a complaint concerning care concerns for a resident, which included improper medication dispensing, inconsistent staffing in the memory care unit, and inadequate personal hygiene care. Despite the complainant having communicated these concerns to the Memory Support Program Director (MSPD), Director of Nursing (DON), and the Administrator, no grievance was formally documented or addressed. The facility's failure to document and address grievances was further evidenced by the absence of any grievance records for the resident in question, despite multiple discussions with the resident's family about care concerns. The MSPD admitted to not completing a grievance form if she believed the issue could be addressed immediately, and the DON acknowledged that the grievance process should have been followed. Additionally, the facility's Resident and Family Grievances policy was not implemented until after the complaints were made, indicating a lack of proper grievance handling procedures at the time of the incident.
Failure to Timely Report Abuse Allegations
Penalty
Summary
The facility failed to report allegations of abuse, neglect, or theft within the required timeframes to the state survey agency (SSA). This deficiency was identified during a recertification and complaint survey, affecting four residents. The facility's policy mandates that any alleged violations involving abuse must be reported immediately, but not later than two hours after the allegation is made. However, in the case of Resident #77, the allegation of verbal and physical abuse by a Geriatric Nurse Aide (GNA) was not reported to the Director of Nursing (DON) until the following morning, resulting in a delay in notifying the SSA. Resident #303 reported being told by staff to urinate in her brief, which she found uncomfortable and distressing. This incident was reported to a GNA, who then informed a Registered Nurse (RN). However, the incident was not reported to the Administrator or the DON until after noon, missing the two-hour reporting window. Similarly, Resident #921 was observed being abused by a Registered Nurse (RN), but the report to the DON was delayed, and the SSA was not notified within the required timeframe. In the case of Resident #928, an allegation of rough treatment and verbal abuse was made, but there was no evidence that this was reported to the SSA. The interview with the resident was conducted without proper documentation, and the resident later recanted the allegation. The DON was unable to confirm when the interview took place, indicating a lack of proper procedure and documentation in handling the incident. These failures highlight the facility's inability to adhere to its own policies and regulatory requirements for timely reporting of abuse allegations.
Failure to Update Care Plan After Abuse Incidents
Penalty
Summary
The facility failed to review and update the care plan for a resident following two incidents of abuse. The electronic health record for the resident did not show any updated care plans addressing these incidents, which occurred four days apart. The existing care plans only addressed the resident's depression and cognitive decline, without any mention of the abuse incidents. This deficiency was identified during a complaint and recertification survey and was discussed with the Director of Nursing and the Regional President at the exit meeting.
Failure to Update Care Plan with Dental Recommendations
Penalty
Summary
The facility failed to revise the care plan for a resident, identified as R73, to include recommendations from a dental consult. The dental consult on 05/11/24 recommended the extraction of tooth #20 due to a fracture and food impaction, which the resident refused. Despite this, the care plan was not updated to reflect the fractured tooth, the recommendation for extraction, or the resident's refusal, leaving staff unaware of the resident's ongoing tooth pain and the dentist's recommendations. Interviews revealed that the Medical Records Director and Unit Manager were responsible for ensuring follow-up from dental appointments was documented and communicated. However, the Unit Manager admitted that the care plan should have been updated to include the dentist's recommendations and the resident's refusal. The Resource Nurse confirmed that the care plan was not revised in a timely manner to address the resident's dental issues, which were significant to the resident's care and comfort.
Failure to Provide Scheduled ADLs for a Resident
Penalty
Summary
Facility staff failed to provide necessary activities of daily living (ADLs) for a resident who was dependent on them for care. The resident, who had Alzheimer's dementia with anxiety and was severely cognitively impaired, was documented as being dependent on staff for most ADLs according to the Minimum Data Set (MDS). Despite being scheduled for showers twice a week, the resident only received one shower in December and none in the first two weeks of February. Additionally, the resident's mouth care and incontinence care were frequently marked as not applicable (N/A) or left blank in the geriatric nursing assistant (GNA) documentation. The Memory Support Program Director was unaware of the documentation issues, despite frequent communication with the resident's family about care concerns. The Director of Nursing and other regional staff were informed of the deficiencies, and the DON acknowledged that the GNAs should not have documented N/A for those care categories. The failure to provide scheduled showers, mouth care, and incontinence care as documented indicates a significant lapse in the facility's care for the resident.
Deficiencies in Dementia Care and Resident Safety
Penalty
Summary
The facility failed to complete a thorough admission nursing assessment for a resident with a known history of dementia, leading to an incident where the resident was able to exit the facility unsupervised. The resident, who had been admitted following hospitalization for changes in vital signs and dementia-related behaviors, was not properly assessed for elopement risk upon admission. This oversight resulted in the resident exiting the facility through a side door, only to be noticed and brought back by a geriatric nursing assistant. The elopement assessment section of the nursing admission assessment was incomplete, failing to identify the resident's medical conditions that could lead to confusion or exit-seeking behaviors. Additionally, the facility did not ensure that residents in the dementia care unit had access to activities that would help them achieve their highest practicable physical, mental, and psychosocial well-being. Observations revealed that residents were left without activities on multiple occasions. A specific resident with severe cognitive impairment had a care plan that was not updated to reflect their current needs and abilities, resulting in a lack of meaningful engagement. The Memory Support Program Manager acknowledged the lack of activities but did not provide a rationale for the deficiency.
Failure to Post Daily Nurse Staffing Information
Penalty
Summary
The facility failed to comply with the regulatory requirement to post daily nurse staffing information, which was not available to residents or visitors during the first three days of the survey. Observations on three consecutive days revealed that the nurse staffing information was not posted or accessible at 8:35 AM each day. During an interview, the Director of Nursing (DON) admitted that the facility did not have the nurse staffing information posted and was unaware of the requirement to do so. The DON mentioned that they were in the process of completing the document for posting.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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How nearby facilities compare on the same public inspection record.
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| Willow Brooke Ct Skilled Care Ctr At Heron Point | 11.6 mi | — | 5 | 0 |
| Resorts At Chester River Manor Corp | 12 mi | — | 19 | 0 |
| Chestertown Nursing And Rehab | 12 mi | — | 9 | 0 |
| Caroline Nursing And Rehab | 17.4 mi | — | 5 | 0 |
| Denton Nursing And Rehab | 17.5 mi | — | 5 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.