Coffman Nursing Home
Hagerstown · 3.1 mi · 59 beds
Citations0Substantiated0
Complete Care at Hagerstown
14014 MARSH PIKE, Hagerstown, MD, 21742
Nursing home60 licensed beds0 citations on record
3 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 51 deficiencies against Complete Care at Hagerstown in Hagerstown, Maryland at its most recent standard inspection on 2025-05-14, 27 of them arising from complaints. 1 finding has been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 2 times, totalling $43,352. Medicare rates it 1 out of 5 overall.
1 / 5Medicare overall rating
60certified beds
51deficiencies at the last inspection
1immediate-jeopardy findings on record
2actual-harm findings on record
2federal fines, $43,352
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.1
Actual harmA resident was harmed, but not placed in immediate danger.2
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.77
Potential for minimal harmThe least serious band.1
Most recentDDDJFFFFEDDDDDDDDDDD
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
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.
Resident Rights Deficiencies · F0584 · 2026-04-02 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2026-04-02 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · F0686 · 2026-04-02 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2026-01-29 · from a complaint · Immediate jeopardy to resident health or safety
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · F0730 · 2026-01-29 · from a complaint · No actual harm, potential for more than minimal harm
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
Administration Deficiencies · F0840 · 2026-01-29 · from a complaint · No actual harm, potential for more than minimal harm
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Administration Deficiencies · F0940 · 2026-01-29 · from a complaint · No actual harm, potential for more than minimal harm
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · F0947 · 2026-01-29 · from a complaint · No actual harm, potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2026-01-29 · from a complaint · No actual harm, potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2026-01-29 · from a complaint · No actual harm, potential for more than minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2026-01-29 · from a complaint · No actual harm, potential for more than minimal harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2026-01-29 · from a complaint · No actual harm, potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · F0658 · 2026-01-29 · from a complaint · No actual harm, potential for more than minimal harm
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Nursing and Physician Services Deficiencies · F0711 · 2026-01-29 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · F0726 · 2026-01-29 · from a complaint · No actual harm, potential for more than minimal harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · F0757 · 2026-01-29 · from a complaint · No actual harm, potential for more than minimal harm
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · F0835 · 2026-01-29 · from a complaint · No actual harm, potential for more than minimal harm
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Administration Deficiencies · F0837 · 2026-01-29 · from a complaint · No actual harm, potential for more than minimal harm
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Administration Deficiencies · F0838 · 2026-01-29 · from a complaint · No actual harm, potential for more than minimal harm
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies · F0868 · 2026-01-29 · from a complaint · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below1 of 5
Health inspectionBased on the last three inspection cycles1 of 5
StaffingNurse hours per resident, adjusted for how sick residents are2 of 5
Quality measuresResident outcomes reported by the home4 of 5
Nurse hours per resident per dayReported by the home to CMS3.92119
Nursing staff turnoverShare of nursing staff who left in a year56%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS2
Total fined$43,352
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one2
Ownership
Who owns Complete Care at Hagerstown
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| PC MD5 OPCO HOLDCO LLC | Organization | 100% | since 02/01/2023 |
| PC MD5 TOPCO LLC | Organization | NO PERCENTAGE PROVIDED | since 02/01/2023 |
| SMS 2021 TRUST | Organization | NO PERCENTAGE PROVIDED | since 02/01/2023 |
| DES CAPITAL LLC | Organization | NOT APPLICABLE | since 02/01/2023 |
| JRK INVESTMENTS LLC | Organization | NOT APPLICABLE | since 02/01/2023 |
| KLUGMAN, JACOB | Individual | NOT APPLICABLE | since 02/01/2023 |
| STEIN, SHALOM | Individual | NOT APPLICABLE | since 02/01/2023 |
| STERNBUCH, DANIEL | Individual | NOT APPLICABLE | since 02/01/2023 |
| STEIN, SHALOM | Individual | NOT APPLICABLE | since 02/01/2023 |
| STEIN, SHALOM | Individual | NOT APPLICABLE | since 02/01/2023 |
| COX, VICKIE | Individual | NOT APPLICABLE | since 02/01/2023 |
| MANSFIELD, MELISSA | Individual | NOT APPLICABLE | since 02/01/2023 |
Part of the COMPLETE CARE group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Hagerstown Healthcare Center
Hagerstown · 4.5 mi · 140 beds
Citations0Substantiated0
Julia Manor Nursing and Rehabilitation Center
Hagerstown · 5.0 mi · 130 beds
Citations0Substantiated0
Contact
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 215365.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction