Complete Care at Wheaton

Name: Complete Care at Wheaton
Address: 4011 RANDOLPH ROAD, Wheaton, MD, 20902, US
Telephone: 3019332500

4011 Randolph Road, Wheaton, MD 20902 · Montgomery County · 116 certified beds · avg 111 residents/day · certified since Jan 1, 1967

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

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.29

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

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 (37)

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
Apr 21, 2026	E · Potential for harm, repeated	The facility did not observe each nurse aide's job performance or provide regular training as required.
Apr 21, 2026	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.
Apr 21, 2026	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Apr 21, 2026	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Apr 21, 2026	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.
Apr 21, 2026	D · Potential for harm, one-off	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.
Apr 10, 2025	E · Potential for harm, repeated	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. · from a complaint
Apr 10, 2025	D · Potential for harm, one-off	The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences.
Apr 10, 2025	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Apr 10, 2025	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Apr 10, 2025	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · from a complaint
Apr 10, 2025	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Apr 10, 2025	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Apr 10, 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.
Apr 10, 2025	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. · from a complaint
Apr 10, 2025	D · Potential for harm, one-off	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.
Apr 10, 2025	D · Potential for harm, one-off	The facility did not observe each nurse aide's job performance or provide regular training as required.
Apr 10, 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.
Apr 10, 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.
Apr 10, 2025	D · Potential for harm, one-off	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
Apr 10, 2025	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.
Apr 10, 2025	D · Potential for harm, one-off	The facility did not dispose of garbage and refuse properly.
Apr 10, 2025	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.
Apr 10, 2025	D · Potential for harm, one-off	The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months.
Apr 10, 2025	D · Potential for harm, one-off	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.
Apr 10, 2025	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Mar 12, 2021	E · Potential for harm, repeated	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.
Mar 12, 2021	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.
Mar 12, 2021	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.
Mar 12, 2021	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.
Mar 12, 2021	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.
Mar 12, 2021	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.
Mar 12, 2021	D · Potential for harm, one-off	The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
Mar 12, 2021	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Mar 12, 2021	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.
Mar 12, 2021	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.
Mar 12, 2021	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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (18 → 6).

Year	Citations	Worst severity that year
2021	11	E
2025	20	E
2026	6	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)	3.29	3.83	3.95	bottom 30% in Maryland; bottom 26% in the U.S.
Registered Nurse hours	0.77	0.83	0.69	top 40% in Maryland; top 30% in the U.S.
Weekend total nurse staffing	3.08	3.43	3.50	bottom 42% in Maryland; bottom 35% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.63	0.63	0.48	top 34% in Maryland; top 21% in the U.S.
Total nursing staff turnover (%)	41.7	40.2	45.8	bottom 50% in Maryland; top 41% in the U.S.
RN turnover (%)	50.0	38.7	42.9	bottom 26% in Maryland; bottom 39% 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 3.38, RN 0.79, weekend 3.16. Staffing rating: 3/5.

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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

For profit - Corporation

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
Bates, Kimberly	Individual	Operational/Managerial Control	NOT APPLICABLE	03/31/2025
Bates, Kimberly	Individual	ADP of the SNF	NOT APPLICABLE	03/31/2025
Bharaj, Narender	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2023
Bharaj, Narender	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2023
Cox, Vickie	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2023
Cox, Vickie	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2023
HC Family Trust	Organization	ADP of the SNF	NOT APPLICABLE	02/01/2023
Klugman, Jacob	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2023
Mansfield, Melissa	Individual	Operational/Managerial Control	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.

"How often do you evaluate your nurse aides and what ongoing training do they receive?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
"Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How are residents and families included in care plan meetings, and how often do those meetings happen?"
"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
Montcare at Wheaton	1.5 mi	Wheaton, MD	★★★☆☆	2/5
Turtle Creek Rehabilitation and Wellness Center	1.9 mi	Kensington, MD	★★☆☆☆	1/5
Layhill Nursing and Rehabilitation Center	2.5 mi	Silver Spring, MD	★☆☆☆☆	1/5
Hebrew Home of Greater Washington	2.5 mi	Rockville, MD	★★★★★	4/5
Tuckerman Rehabilitation and Healthcare Center	2.7 mi	North Bethesda, MD	★★★★★	5/5
Autumn Lake Healthcare at Oakview	2.7 mi	Silver Spring, MD	★★★★☆	3/5
Sterling Care Bethesda	3.1 mi	Bethesda, MD	★★★☆☆	3/5
Autumn Lake Healthcare at Arcola	3.2 mi	Silver Spring, MD	★★★★☆	3/5
Bedford Court Healthcare Cent.	3.2 mi	Silver Spring, MD	★★★★★	4/5
Maplewood Park Place	3.7 mi	Bethesda, MD	★★★★★	5/5
Montcare at Bethesda	3.8 mi	Bethesda, MD	★★★★★	4/5
Carriage Hill Bethesda	3.8 mi	Bethesda, MD	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Wheaton →

Facility data as of CMS processing date 2026-08-01. CCN 215025.

The Care File

Visit checklist — Complete Care at Wheaton

4011 Randolph Road, Wheaton, MD 20902 · 3019332500

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "How often do you evaluate your nurse aides and what ongoing training do they receive?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
☐ "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How are residents and families included in care plan meetings, and how often do those meetings happen?"
☐ "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 215025 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)