Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before 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 Hyattsville during CMS and state inspections, most recent first.
A resident with a Stage 4 sacral pressure ulcer and severe dementia was not repositioned every two hours as ordered by the physician and outlined in the care plan. Over multiple observations on consecutive days, the resident was repeatedly found in the same or similar supine positions, sometimes without a wedge, with no staff seen providing turning or repositioning during these periods. Staff interviews with LPNs, GNAs, and the ADON confirmed that facility protocol required rounding and repositioning every two hours using a badge clock system, and that non-ambulatory residents were expected to be turned, but these expectations were not met for this resident.
Surveyors found that tracheostomy tubing for three residents was repeatedly observed resting on or touching the floor while connected to their airway, without staff intervention. The affected residents had significant neurologic injuries and required ongoing tracheostomy care. The Infection Preventionist acknowledged that tubing should not contact the floor due to contamination risk and that residents were immunocompromised. An LPN stated that rounds are done three times per shift to check tracheostomy residents and that items touching the floor should be replaced with clean ones, while the ADON confirmed nothing should be on the floor but could not explain how tubing was consistently kept off the floor.
Failure to Reposition Resident as Ordered for Pressure Ulcer Prevention
Penalty
Summary
The deficiency involves the facility’s failure to provide pressure ulcer prevention care in accordance with physician orders and the resident’s care plan, specifically by not repositioning a resident every two hours. Surveyor observations over multiple days showed that Resident #8, who was care planned and ordered to be turned and repositioned every two hours, remained in the same or similar positions for extended periods without evidence of repositioning. On one day, the resident was first observed lying on the right side facing the wall, and later that day was observed supine with a wedge at the feet. The following day, the resident was observed supine without a wedge in the morning and again in the early afternoon and mid-afternoon in the same position, with no staff observed providing repositioning assistance during these intervals. Record review showed that Resident #8 was admitted with diagnoses including a Stage 4 pressure ulcer of the sacral region, severe unspecified dementia without behavioral disturbance, psychotic disturbance, mood disturbance, anxiety, and a history of TIA and cerebral infarction without residual deficits. The care plan, initiated in early September and revised in early October, included pressure injury preventive interventions requiring turning and repositioning every two hours. Physician orders dated mid-August directed staff to assist and/or encourage the resident to turn and position every two hours for pressure relief each shift. Multiple LPNs and GNAs, as well as the ADON, confirmed in interviews that facility protocol and expectations were to round and reposition residents every two hours, using a clock on staff badges as a guide, and that residents unable to move themselves were supposed to be turned. Despite this, the observations of Resident #8 demonstrated that the ordered and care-planned repositioning was not carried out as required.
Failure to Prevent Tracheostomy Tubing from Contacting the Floor
Penalty
Summary
Surveyors identified a deficiency in the facility’s infection prevention and control program related to management of tracheostomy tubing. On multiple observations over two days, three residents with tracheostomies were seen with their tracheostomy tubing in contact with or resting on the floor while connected to their airway, and no staff were observed intervening at those times. One resident, admitted most recently on 1/6/2026 with an original admission date of 7/10/2020, was observed in the morning with tracheostomy tubing extending from the tracheostomy site and resting on the floor, and again the following day in an electric wheelchair with the tubing touching the floor. Another resident, admitted on 10/7/2025 with diagnoses including traumatic hemorrhage of the left cerebrum with loss of consciousness (sequela), encounter for attention to tracheostomy, and functional quadriplegia, was observed with tracheostomy tubing touching the floor while connected to the airway. A third resident, admitted on 12/23/2025 with diagnoses including traumatic subdural and subarachnoid hemorrhages with loss of consciousness (sequela) and encounter for attention to tracheostomy, was observed during routine care with tracheostomy tubing in contact with the floor. During interviews, the Infection Preventionist (RN6) acknowledged that tracheostomy tubing should not come into contact with the floor due to contamination risk, noting that the floor was considered dirty and that residents were already immunocompromised. An LPN reported that they conduct rounds three times per shift and check tracheostomy residents, including whether tubing is on the floor, and further stated that if something touches the floor, the expectation is to replace it with something clean. The Assistant Director of Nursing stated that staff are not supposed to have anything on the floor but was unable to explain how tracheostomy tubing was consistently maintained off the floor. These observations and statements demonstrated a failure to implement proper infection control measures to prevent contamination of tracheostomy equipment.
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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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Nursing homes near Hyattsville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Hsc Pediatric Skilled Nursing Facility | 0.7 mi | — | 0 | 0 |
| Ascension Living Carroll Manor | 1.1 mi | — | 4 | 1 |
| Sacred Heart Home Inc | 1.2 mi | — | 0 | 0 |
| White Oak Rehabilitation And Nursing Center | 1.3 mi | — | 2 | 0 |
| Jeanne Jugan Residence | 1.6 mi | — | 0 | 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.