Complete Care at Hyattsville

In the surveyor’s words

From the most serious findings on record at Complete Care at Hyattsville, in the surveyor’s own words.

• Immediate jeopardy, widespreadF689Mar 9, 2023

  Based on observations, interviews, and medical record review it was determined that the facility failed to maintain water temperatures less than 120 degrees Fahrenheit (F) in residents' rooms and failed to have a system in place to monitor the temperature of the boiler that supplies hot water to resident rooms. The failure identified has the potential to affect all residents in the facility. Water temperatures exceeding 120 degrees Fahrenheit were identified in 8 out of 8 rooms (Rooms 418, 417, 457, 461, 111, 204, 301 and 541A). In addition, the facility failed to provide supervision and interventions to ensure the safety of resident #208 when served a hot beverage(tea) in his room that caused 2nd degree burns to the lower extremities. […]

• Immediate jeopardy, isolatedF689Aug 21, 2026

  Based on facility investigative record review, clinical record review, and staff interviews, it was determined that the facility failed to provide adequate supervision to prevent a cognitively impaired resident from leaving the facility without supervision. This was evident for 1 (Resident #9) of 5 residents reviewed for elopement during the complaint survey. This deficient practice resulted in Immediate Jeopardy. However, the facility developed, implemented, and completed corrective actions prior to the start of this survey. The facility's plan and actions were verified during this survey; therefore, this deficiency was found to be past noncompliance with a compliance date of 8/7/2026. […]

• Immediate jeopardy, isolatedF761Mar 9, 2023

  Based on observations, staff interviews and review of medical record documentation, the facility failed to 1. maintain a safe and effective system for securing medication, treatment supplies, and hazardous medical equipment in their designated carts on nursing units with confused and wandering residents. Surveyors repeatedly observed these incidents on 2 of 5 floors. This has the potential to impact all residents, 2. ensure only authorized staff maintain a safe and effective system for securing medications in designated carts. This was found to be evident for 1 out of 2 medication carts located on the second-floor nursing unit observed during a tour of the facility. […]

• Immediate jeopardy, isolatedF698Sep 23, 2021

  Based on review of MD 054, facility investigation documentation and the medical record, and staff interviews, it was determined that the facility staff failed to provide [CONDITION(S)] services for a resident (Resident # 19). This was evident for 1 of 7 residents reviewed for [CONDITION(S)] services during the survey.This incident resulted in actual harm to the resident. The resident was sent to the hospital via 911 for elevated blood pressure and change in mental status, and was admitted . A review of the facility's plan of correction implemented immediately after the facility gained knowledge of the incident, resulted in the deficiency being cited as an IJ past non-compliance. […]

• No harm, potential for more than minimal, widespreadF584Mar 9, 2023

  Based on tours of the facility and staff interview it was determined that the facility staff failed to ensure the facility environment was maintained in a homelike manner. This was evident for 5 out of 5 floors. The findings are: Tours of the facility by members of the survey team revealed: room [ROOM NUMBER] on 2/7/23 at 1:00 PM was observed to have water-stained ceiling tiles. A tour of the facility on 2/15/23 at 11:27 AM revealed 3 ceiling tiles outside of the room were water stained. The window in the room had two trapezoid windows that are part of the larger window. These trapezoids are 9.5 wide at the bottom, 8.5 at the top, and 4 tall. The trapezoid windows are designed to have screens to prevent insects, birds, etc. from entering the room. The left window was missing the screen. […]