Complete Care at Springbrook

Name: Complete Care at Springbrook
Address: 12325 NEW HAMPSHIRE AVENUE, Silver Spring, MD, 20904, US
Telephone: 3016224600

12325 New Hampshire Avenue, Silver Spring, MD 20904 · Montgomery County · 93 certified beds · avg 83 residents/day · certified since Dec 1, 1976

Part of chain: COMPLETE CARE (85 facilities, chain avg rating 3.1★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.01

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (45)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 1, 2026	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
May 1, 2026	E · Potential for harm, repeated	The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition.
May 1, 2026	E · Potential for harm, repeated	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. · from a complaint
May 1, 2026	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint
May 1, 2026	E · Potential for harm, repeated	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
May 1, 2026	D · Potential for harm, one-off	The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings.
May 1, 2026	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
May 1, 2026	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
May 1, 2026	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
May 1, 2026	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
May 1, 2026	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
May 1, 2026	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Apr 7, 2026	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Apr 7, 2026	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Apr 7, 2026	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint
Apr 7, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Dec 19, 2025	E · Potential for harm, repeated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Dec 19, 2025	E · Potential for harm, repeated	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaint
Dec 19, 2025	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint
Dec 19, 2025	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Dec 19, 2025	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint
Dec 19, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint
Mar 14, 2025	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Mar 14, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Mar 14, 2025	D · Potential for harm, one-off	The facility did not provide each resident with a nourishing, tasty, well-balanced diet that meets their daily nutritional and special dietary needs. · from a complaint
Dec 18, 2024	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Dec 18, 2024	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Dec 18, 2024	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Dec 18, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Dec 18, 2024	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Sep 16, 2020	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Sep 16, 2020	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Sep 16, 2020	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Sep 16, 2020	D · Potential for harm, one-off	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Sep 16, 2020	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Sep 16, 2020	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Sep 16, 2020	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Sep 12, 2019	E · Potential for harm, repeated	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Sep 12, 2019	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Sep 12, 2019	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Sep 12, 2019	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Sep 12, 2019	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Sep 12, 2019	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Sep 12, 2019	B · Minimal risk, repeated	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Sep 12, 2019	B · Minimal risk, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (7 → 12).

Year	Citations	Worst severity that year
2019	8	E
2020	7	E
2024	5	D
2025	9	E
2026	16	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Maryland avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.01	3.83	3.95	bottom 7% in Maryland; bottom 14% in the U.S.
Registered Nurse hours	0.47	0.83	0.69	bottom 12% in Maryland; bottom 33% in the U.S.
Weekend total nurse staffing	2.76	3.43	3.50	bottom 12% in Maryland; bottom 19% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.36	0.63	0.48	bottom 19% in Maryland; bottom 44% in the U.S.
Total nursing staff turnover (%)	37.8	40.2	45.8	top 42% in Maryland; top 31% in the U.S.
RN turnover (%)	38.5	38.7	42.9	top 50% in Maryland; top 44% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.45, RN 0.54, weekend 3.17. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Des Capital LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	02/01/2023
JRK Investments LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	02/01/2023
Klugman, Jacob	Individual	Indirect Ownership Interest	NOT APPLICABLE	02/01/2023
PC MD5 Opco Holdco LLC	Organization	5% or Greater Direct Ownership Interest	100%	02/01/2023
PC MD5 Topco LLC	Organization	5% or Greater Indirect Ownership Interest	—	02/01/2023
SMS 2021 Trust	Organization	5% or Greater Indirect Ownership Interest	—	02/01/2023
Stein, Shalom	Individual	Indirect Ownership Interest	NOT APPLICABLE	02/01/2023
Sternbuch, Daniel	Individual	Indirect Ownership Interest	NOT APPLICABLE	02/01/2023
Adesse Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	02/01/2023
Adesse MD Peace MD5 Propco Holdco LLC	Organization	ADP of the SNF	NOT APPLICABLE	02/01/2023
Adesse MD5 Propco Holdco LLC	Organization	ADP of the SNF	NOT APPLICABLE	02/01/2023
Cox, Vickie	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2023
Dave, Mitul	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2023
Dave, Mitul	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2023
Eludoyin, Oludapo	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2023
Eludoyin, Oludapo	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2023
HC Family Trust	Organization	ADP of the SNF	NOT APPLICABLE	02/01/2023
Mansfield, Melissa	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2023
Mansfield, Melissa	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2023
MD 4 Propco Holdco LLC	Organization	ADP of the SNF	NOT APPLICABLE	02/01/2023

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"How do you track that every resident's quarterly assessment happens on time?"
"How do you make sure resident assessments are completed and submitted to the state on time?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
"How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Harmony Suites Rehabilitation and Wellness Center	1.7 mi	Silver Spring, MD	★★☆☆☆	1/5
Fairland Center	2.1 mi	Silver Spring, MD	★★☆☆☆	2/5
Autumn Lake Healthcare at Arcola	2.2 mi	Silver Spring, MD	★★★★☆	3/5
Autumn Lake Healthcare at Silver Spring	2.2 mi	Silver Spring, MD	★★★☆☆	3/5
Riderwood Village	2.6 mi	Silver Spring, MD	★★★★★	5/5
Montcare at Wheaton	3.0 mi	Wheaton, MD	★★★☆☆	2/5
Sterling Care Hillhaven	3.1 mi	Adelphi, MD	★★★★★	5/5
Althea Woodland Nursing Home	3.5 mi	Silver Spring, MD	★★★★☆	4/5
Turtle Creek Rehabilitation and Wellness Center	3.8 mi	Kensington, MD	★★☆☆☆	1/5
Adelphi Nursing and Rehabilitation Center	4.0 mi	Adelphi, MD	★★☆☆☆	2/5
Autumn Lake Healthcare at Oak Manor	4.0 mi	Burtonsville, MD	★★★★☆	3/5
Autumn Lake Healthcare at Oakview	4.1 mi	Silver Spring, MD	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in Silver Spring →

Facility data as of CMS processing date 2026-08-01. CCN 215052.

The Care File

Visit checklist — Complete Care at Springbrook

12325 New Hampshire Avenue, Silver Spring, MD 20904 · 3016224600

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "How do you track that every resident's quarterly assessment happens on time?"
☐ "How do you make sure resident assessments are completed and submitted to the state on time?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
☐ "How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 215052 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)