B-
70/100

Complete Care at Corsica Hills LLC Inspection Report, Violations & Safety Grade (CENTREVILLE, Maryland)

205 ARMSTRONG STREET, CENTREVILLE, Maryland 21617

Phone: 4107582323

CMS Overall:4/5

Overview & Bed Count

Certified Beds
120
Avg Residents/Day
112.3
Ownership
For profit - Individual
Provider Type
Medicare and Medicaid
County
Queen Annes
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health3/5
Staffing3/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityMaryland AvgDifference
RN Hours per Resident per Day0.900.88+0.02
Total Nurse Hours per Resident per Day3.543.93-0.39
CMS Staffing Rating3/53.2/5-
Nursing Staff Turnover51.6%40.2%-

Health Citation History

36 health citations on record

DateCategoryDescriptionSeverity
2026-01-12Resident Rights DeficienciesHonor 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.E – Moderate Harm Potential
2026-01-12Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2026-01-12Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E – Moderate Harm Potential
2026-01-12Environmental DeficienciesHave enough outside ventilation via a window or mechanical ventilation, or both.E – Moderate Harm Potential
2026-01-12Resident Rights DeficienciesGive the resident's representative the ability to exercise the resident's rights.D – Moderate Harm Potential
2026-01-12Freedom from Abuse, Neglect, and Exploitation DeficienciesPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D – Moderate Harm Potential
2026-01-12Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2026-01-12Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2026-01-12Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2026-01-12Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2026-01-12Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2026-01-12Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-07-12Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.K – Immediate Jeopardy
2024-07-12Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F – Moderate Harm Potential
2024-07-12Resident Rights DeficienciesHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.E – Moderate Harm Potential
2024-07-12Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2024-07-12Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2024-07-12Nursing and Physician Services DeficienciesPost nurse staffing information every day.C – Minimal Harm Potential
2024-07-12Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.E – Moderate Harm Potential
2024-07-12Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2024-07-12Resident Rights DeficienciesHonor the resident's right to organize and participate in resident/family groups in the facility.D – Moderate Harm Potential
2024-07-12Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2024-07-12Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2024-07-12Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.D – Moderate Harm Potential
2019-05-24Nursing and Physician Services DeficienciesObserve each nurse aide's job performance and give regular training.E – Moderate Harm Potential
2019-05-24Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2019-05-24Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2019-05-24Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.D – Moderate Harm Potential
2019-05-24Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D – Moderate Harm Potential
2019-05-24Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2019-05-24Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2019-05-24Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2019-05-24Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2019-05-24Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.D – Moderate Harm Potential
2019-05-24Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.D – Moderate Harm Potential
2019-05-24Environmental DeficienciesPut firmly secured handrails on each side of hallways.D – Moderate Harm Potential

Fire Safety Citation History

35 fire safety citations on record

DateCategoryDescriptionSeverity
2026-01-12Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2026-01-12Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential
2026-01-12Egress DeficienciesProvide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.E – Moderate Harm Potential
2026-01-12Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.E – Moderate Harm Potential
2026-01-12Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2026-01-12Smoke DeficienciesInstall an approved automatic sprinkler system.D – Moderate Harm Potential
2026-01-12Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2026-01-12Smoke DeficienciesEnsure that corridors are separated from use areas by walls constructed to limit the passage of smoke.D – Moderate Harm Potential
2026-01-12Services DeficienciesHave properly installed electrical wiring and gas equipment.D – Moderate Harm Potential
2024-07-12Smoke DeficienciesProvide properly protected cooking facilities.F – Moderate Harm Potential
2024-07-12Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2024-07-12Smoke DeficienciesInstall an approved automatic sprinkler system.F – Moderate Harm Potential
2024-07-12Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2024-07-12Services DeficienciesMeet other general requirements that are deficient.F – Moderate Harm Potential
2024-07-12Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2024-07-12Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.F – Moderate Harm Potential
2024-07-12Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2024-07-12Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential
2024-07-12Egress DeficienciesInstall proper backup exit lighting.E – Moderate Harm Potential
2024-07-12Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2024-07-12Smoke DeficienciesInstall a fire alarm system that can be heard throughout the facility.E – Moderate Harm Potential
2024-07-12Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2024-07-12Services DeficienciesHave properly installed electrical wiring and gas equipment.E – Moderate Harm Potential
2024-07-12Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.E – Moderate Harm Potential
2024-07-12Egress DeficienciesProvide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.D – Moderate Harm Potential
2024-07-12Smoke DeficienciesProperly provide smoke detection systems in areas open to corridors.D – Moderate Harm Potential
2019-05-24Smoke DeficienciesProvide properly protected cooking facilities.F – Moderate Harm Potential
2019-05-24Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2019-05-24Services DeficienciesMeet other general requirements that are deficient.F – Moderate Harm Potential
2019-05-24Miscellaneous DeficienciesMeet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.F – Moderate Harm Potential
2019-05-24Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.F – Moderate Harm Potential
2019-05-24Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2019-05-24Services DeficienciesHave properly installed electrical wiring and gas equipment.E – Moderate Harm Potential
2019-05-24Construction DeficienciesMeet other general requirements.D – Moderate Harm Potential
2019-05-24Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the use of electrical equipment.D – Moderate Harm Potential

Total Penalties & Fines

$55,564
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2024-07-12Fine$55,564-

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