C

COMPLETE CARE AT WHEATON

4011 RANDOLPH ROAD, WHEATON, MD 20902
Score: 63 / 100

Complete Care At Wheaton is an average performer in CMS ratings, earning a C grade with a score of 63/100. Located in Wheaton, Maryland, the facility meets baseline standards across most quality metrics.

With 3.35 total nurse hours per resident per day, Complete Care At Wheaton falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent CMS inspections identified 42 deficiencies at Complete Care At Wheaton, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals..

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.35 3.8 Below Average
Registered Nurses (RN) 0.63 0.7 Average
Licensed Practical Nurses (LPN) 0.86 0.7 Above Average
Certified Nursing Assistants (CNA) 1.86 2.4 Below Average
Weekend Total Nursing 3.08 3.8 Below Average
Weekend RN Hours 0.50 0.7 Below Average

🔍 Inspection & Deficiency History

42
Total Deficiencies
Apr 9, 2025
Most Recent Inspection
⚪ 2 Minor 🟠 39 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0657 Severity E
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    Apr 9, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0600 Severity D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Apr 9, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0684 Severity D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Apr 9, 2025 · Quality of Life and Care Deficiencies
  • Tag 0553 Severity D
    Allow resident to participate in the development and implementation of his or her person-centered plan of care.
    Apr 9, 2025 · Resident Rights Deficiencies
  • Tag 0578 Severity D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and
    Apr 9, 2025 · Resident Rights Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 9.0% 4.5% Worse
Falls with major injury 3.7% 3.0% Worse
On antipsychotic medication 13.8% 14.5% Average
Urinary tract infections 0.5% 2.5% Better
ADL decline (daily activities) 11.8% 14.0% Better
Excessive weight loss 4.8% 7.5% Better
New/worsened incontinence 32.0% 45.0% Better

How This Grade Was Calculated

This facility's grade of C is based on a score of 63 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
116
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Apr 9, 2025
Deficiencies (Cycle 1)
20