Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around February 2027
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 Multi Medical Center Llc during CMS and state inspections, most recent first.
The facility failed to ensure meals were palatable and served at appropriate temperatures, affecting all residents. Several residents reported consistently receiving cold meals, such as scrambled eggs, and cold beverages not served at appropriate temperatures. The CDM acknowledged issues with timely delivery by nursing staff and provided only monthly tray testing results, despite ongoing complaints for at least three months.
A resident dependent on ADL care was observed with excessive mucous around their tracheostomy dressing and neck on multiple occasions. Despite the presence of an LPN, the resident remained soiled, as the LPN deferred suctioning to the Respiratory Therapist. The DON confirmed that nurses are trained to perform suctioning, yet the resident's condition was not promptly addressed.
A survey revealed that residents were unaware they could hold resident council meetings without facility staff present. During a meeting attended by fourteen residents, including the Resident Council President via iPad, it was confirmed that they did not know about this right. An Activities Assistant also expressed unawareness of this possibility, leading to a deficiency in respecting residents' rights to organize independently.
Residents were not informed about the identity or contact information of the facility Ombudsman, violating their rights to receive notices in a format and language they understand. During a resident council meeting, it was revealed that none of the residents knew the Ombudsman's name or how to contact them. Guest Services Director confirmed the residents' lack of awareness.
A facility staff member inaccurately coded a resident's MDS assessment, indicating the use of a trunk restraint when none was used. The error was confirmed by the MDS Coordinator after the resident denied using such a restraint.
A resident's medication administration was inaccurately documented by an LPN, who signed off that Metoprolol was given despite the resident's g-tube being clogged and orders prohibiting oral administration. The resident was later hospitalized for g-tube replacement.
A resident who was dependent on assistance for ADL care reported not receiving a shower since admission. Facility documentation lacked records of showers being provided or refused. The resident stated they were not offered a shower prior to the previous day, indicating a failure in care provision and documentation.
A resident received blood pressure medication outside the prescribed parameters on multiple occasions. The medication was supposed to be held if the systolic BP was less than 110 and heart rate less than 60, but it was administered despite readings below these thresholds. Interviews revealed that geriatric nursing aides are responsible for obtaining BP readings, and LPNs are to hold medication if parameters are not met, but this process was not followed.
A facility was found to have a medication error rate of 6.67% due to an LPN's failure to administer an antiviral medication on time and incorrect documentation of a Fortified Nutritional Shake that a resident refused. The DON acknowledged the errors and noted the availability of a Pyxis system for medication dispensing.
The facility staff failed to discard expired medications in one of the medication storage rooms. Expired items, including intravenous bags and vitamins, were found during a survey. Interviews revealed unclear responsibilities between the unit clerk and central supply personnel regarding the management of expired medications, leading to the oversight.
The facility failed to ensure that GNAs received annual dementia training, as there was no documentation confirming completion for four GNAs. The educator, who took over in July, could not verify the training due to a transition to electronic records. The administrator acknowledged incomplete education files due to previous filing issues, identified during a quality assessment meeting.
Deficiency in Meal Temperature and Palatability
Penalty
Summary
The facility staff failed to ensure that meals were palatable and served at appropriate temperatures, affecting all residents receiving meals from the facility's kitchen. During a tour of the units, several residents reported that their meals, including scrambled eggs, were consistently served cold. The certified dietary manager (CDM) acknowledged that meal carts were sent up in a timely manner, but nursing staff were not delivering the trays within 15 minutes of arrival. Additionally, the CDM stated that the hold temperature for hot food items was maintained at 140 degrees or greater, and the pellet bases/chargers had been replaced recently. A resident council meeting revealed that residents consistently experienced meals that were not warm or hot, with examples such as butter not melting on food. The surveyor observed that while the main courses were within safe temperature ranges, cold beverages like apple juice were not served at appropriate temperatures, with some readings as high as 80 degrees. The facility had been aware of residents' complaints about cold food for at least three months, but the CDM had not provided weekly tray testing results, only monthly ones, prior to the exit conference.
Failure to Maintain Dignity in Resident's Tracheostomy Care
Penalty
Summary
The facility staff failed to provide a dignified existence to a resident dependent on Activities of Daily Living (ADL) care. This deficiency was observed in one of the three dependent residents assessed during the survey. On two separate occasions, the surveyor observed the resident in bed with a significant amount of mucous overflowing around the tracheostomy dressing and on the right side of their neck. Despite the presence of a Licensed Practical Nurse (LPN) in the room, the resident remained soiled with mucous, as the LPN indicated that the Respiratory Therapist was responsible for suctioning the resident. During an interview with the Director of Nursing (DON), it was confirmed that nurses are trained to suction residents, and respiratory therapists are available on the unit to provide care. However, the resident continued to be observed in a soiled state, indicating a failure in providing timely and appropriate care.
Residents Unaware of Right to Hold Independent Meetings
Penalty
Summary
During a survey, it was found that residents participating in the resident council meetings were unaware that they could hold meetings without facility staff being present. This issue was identified during a resident council meeting attended by fourteen residents, where the surveyor inquired about the resident council process. The residents, including the Resident Council President who attended via iPad video, expressed that they did not know they could conduct meetings independently of staff presence. Additionally, an interview with an Activities Assistant revealed that they were also unaware that residents could hold meetings without staff being present. This lack of awareness among both residents and staff led to the deficiency in honoring the residents' right to organize and participate in resident/family groups independently.
Residents Unaware of Ombudsman Contact Information
Penalty
Summary
Residents were not informed about the identity or contact information of the facility Ombudsman, which is a violation of their rights to receive notices in a format and language they understand. During a resident council meeting attended by fourteen residents, it was revealed that none of the residents knew the Ombudsman's name or how to contact them. This deficiency was confirmed through an interview with Guest Services Director #24, who acknowledged that the residents were not aware of the Ombudsman. The director mentioned that meeting dates and times for the resident council are posted in case the Ombudsman wants to attend, but there was no indication that the Ombudsman had been introduced to the residents or that their contact information had been shared.
Inaccurate MDS Assessment Due to Incorrect Coding
Penalty
Summary
The facility staff failed to ensure the accuracy of a Minimum Data Set (MDS) assessment for a resident. During an annual assessment, the staff incorrectly coded the MDS Section P 0100, indicating the use of a trunk restraint for the resident. However, upon review and observation, it was found that the resident did not use a trunk restraint, and the resident themselves denied its use. The MDS Coordinator confirmed that the MDS was coded incorrectly, leading to the inaccurate assessment.
Medication Administration Documentation Error
Penalty
Summary
The facility staff failed to meet professional standards by inaccurately documenting medication administration for a resident. The resident had physician orders for Keppra to be administered via g-tube twice daily for seizures and Metoprolol Tartrate by mouth twice daily for tachycardia. On May 31, 2023, the LPN documented that Keppra was not administered at 5 PM due to a clogged g-tube, yet later signed off that Metoprolol was administered at 9 PM. However, the Director of Nurses confirmed that the Metoprolol was not administered either by g-tube or mouth, as the resident was not to receive anything by mouth per physician order. The resident was subsequently transferred to the hospital on June 1, 2023, for g-tube replacement.
Failure to Provide Showers to Dependent Resident
Penalty
Summary
The facility staff failed to provide showers to a resident who was dependent on assistance for activities of daily living (ADL) care. This deficiency was identified when a resident, who was unable to stand independently, reported not receiving a shower since being admitted to the facility. Upon review of the facility's documentation in PointClickCare (PCC), there was no record of the resident receiving a shower, nor was there documentation indicating that the resident had refused a shower. The Director of Nursing (DON) confirmed that the documentation should have been present in the PCC system. Further investigation revealed that the facility later provided documentation indicating the resident had refused showers on specific dates. However, the resident stated they had not been offered a shower prior to the previous day and had not refused any showers. The resident was admitted to the facility on an unspecified date and should have received a shower at some point during their stay. The lack of documentation and the resident's account suggest a failure in providing necessary care and maintaining accurate records.
Failure to Administer Blood Pressure Medication as Ordered
Penalty
Summary
Facility staff failed to administer blood pressure medication as ordered by the physician for a resident. The medication, Metoprolol Succinate 25mg extended release, was prescribed to be taken every 24 hours with specific parameters to hold the dose if the systolic blood pressure was less than 110 and heart rate less than 60. However, the medication was administered on multiple occasions when the resident's blood pressure readings were below the prescribed parameters, specifically on 09/26/24, 10/04/24, 10/08/24, 10/11/24, and 10/14/24. During interviews, the Unit Manager explained that geriatric nursing aides are responsible for obtaining blood pressure readings and communicating them to the assigned nurse. The Licensed Practical Nurse stated that medication orders are reviewed, and if blood pressure readings are outside the ordered parameters, the medication should be held, and the doctor notified. Despite this process, the medication was not held as required by the physician's order, leading to the deficiency.
Medication Error Rate Exceeds 5% Due to Documentation and Administration Issues
Penalty
Summary
The facility was found to have a medication error rate greater than 5%, specifically 6.67%, during a survey. This deficiency was identified through observations and record reviews involving a resident. On the morning of November 6, a surveyor observed an LPN preparing medications for a resident, but the antiviral medication due at 9:00 am was missing from the medication cart. Additionally, the resident refused to take a Fortified Nutritional Shake, which the LPN subsequently poured down the sink and discarded the cup. Further review of the Medication Administration Audit Record revealed discrepancies in the documentation. The LPN signed off the antiviral medication as administered at 11:43 am, which was 1 hour and 43 minutes past the scheduled time. The Fortified Nutritional Shake was also signed off as given, despite the resident's refusal and the LPN's disposal of the shake. During an interview, the DON acknowledged the errors and noted that the Pyxis system was available for medication dispensing, although it was unclear if the antiviral medication was stocked there. The DON also stated that any medication not administered should be documented as such, and the physician and responsible party should be informed.
Expired Medications Not Discarded in Medication Storage Room
Penalty
Summary
The facility staff failed to discard expired medications in one of the four medication storage rooms assessed during the survey. During an observation of the medication storage room on the Evergreen unit, the surveyor found several expired items, including three intravenous bags of 10% Dextrose, an Infuvite Adult Multiple vitamin vial, a Biopatch Protective Disk, and a Thick & Easy Clear Drink. These items had expiration dates ranging from March 2024 to October 2024. The Nurse Unit Manager was informed of these findings and subsequently discarded the expired items. Interviews with the Evergreen Unit Clerk and Central Supply Personnel revealed a lack of clarity and responsibility regarding the management of expired medications. The Evergreen Unit Clerk stated that she occasionally checks for expiration dates, but primarily relies on central supply personnel for restocking and removing expired items. Conversely, the Central Supply Personnel indicated that she restocks the medication supply room but does not handle expired items, considering it the responsibility of the nurse or nurse manager. This miscommunication and lack of defined roles contributed to the oversight in managing expired medications.
Deficiency in Annual Dementia Training for GNAs
Penalty
Summary
The facility staff failed to ensure that geriatric nursing assistants (GNAs) received annual dementia training, as evidenced by the lack of documentation in the files of four GNAs. During a review of employee files, it was found that there was no confirmation of completed dementia training within the last 12 months for these GNAs. The facility's educator, who assumed the role in July 2024, stated that annual competencies, including dementia training, are typically conducted in April. However, she was unable to provide verification of the training due to the transition from paper documentation to an electronic system. The facility's administrator acknowledged an issue with employee education records not being properly filed by the previous educator, which resulted in incomplete education files. This issue was identified during a quality assessment performance improvement meeting in September 2024. The facility is in the process of implementing a new virtual education software to address the documentation challenges. Despite these efforts, the deficiency in ensuring annual dementia training for GNAs was evident during the survey.
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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 Towson
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Holly Hill Healthcare Center | 0.2 mi | — | 0 | 0 |
| Towson Rehabilitation And Healthcare Center | 1.2 mi | — | 18 | 0 |
| Greater Baltimore Medical Center Sub Acute Unit | 1.3 mi | — | 0 | 0 |
| Edenwald | 1.4 mi | — | 3 | 0 |
| Pickersgill Retirement Community | 1.5 mi | — | 1 | 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.