Complete Care at Severna Park LLC

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF838Jul 26, 2021

  Based on review of facility records and interview with staff, it was determined the facility failed to revise and document an accurate up-to-date facility-wide assessment. This was evident during review of the sufficient and competent nurse staffing task of the annual survey. This had the potential to affect all residents within the facility. The findings include: A facility-wide assessment is conducted to determine what resources are necessary to care for its residents competently during both day-to-day operations and emergencies. […]

• No harm, potential for more than minimal, widespreadF908Jul 26, 2021

  Based upon staff interview and a review of facility documentation it was determined that facility staff failed to develop and implement a process to ensure that the Residents electrical or electronic equipment was inspected and failed to ensure that all the mechanical lifts used to transfer residents were inspected on a routine and as-needed basis for safe and effective operation. The findings included: A review of the facility policy required that all resident electrical or electronic equipment be inspected and contain the date of inspection and the initials of the inspector before use in the resident's room. During a tour of this nursing care center on July 12, 2021, at 9 AM the following observations were made: 1. […]

• No harm, potential for more than minimal, patternF695Jun 15, 2026

  Based on observation, record review, policy review and staff interview, it was determined that the facility failed to ensure respiratory equipment was maintained, stored, and labeled in accordance with physician orders, facility policy, and infection prevention and control standards. These deficient practices had the potential to affect residents receiving oxygen therapy, nebulizer treatments, and tracheostomy. This was evident for five (Residents #1, #4, #9, #15, and #45) of six residents reviewed for respiratory care during the recertification survey. The findings include: On 6/08/2026 at 8:13 AM, Resident #45 was observed receiving oxygen via nasal cannula; however, the oxygen tank connected to the resident was empty. […]

• No harm, potential for more than minimal, patternF812Jun 15, 2026

  Based on observation, and interview with facility staff, it was determined that the facility failed to maintain food service equipment in a manner that ensures sanitary food service operations to prevent possible foodborne illness. This was evident during the kitchen tours of the annual survey. The findings include:A food-contact surface refers to any surface of equipment and utensils that typically comes into contact with food; or from which food may drain, drip, or splash onto food; or a surface that is usually in contact with food. On 06/08/2026 at 7:36 AM, the surveyor conducted a tour of the kitchen alongside the Dietary Manager and identified the following deficient practices:-All three handwashing sinks in the kitchen were not properly stocked with soap and paper towels. […]

• No harm, potential for more than minimal, patternF849Jun 15, 2026

  Based on record review, complaint #3008206 and interviews, it was determined that the facility failed to: 1) obtain hospice orders as required to ensure that the hospice services meet professional standards which was evident for 4 (Resident #32, #112, #115 and #142) of 4 residents record review for hospice orders during the annual survey process; and 2) provide services in the facility, and to the timeliness of the services which was evident for 1 (Resident #142) of 6 resident records review for complaint during the annual survey process. Findings Included:1) On 06/11/2026 at 1:42 PM, in a Director of Nursing (DON) interview she was asked about Resident #115's hospice order and she reported that there was no hospice order in the Resident's chart. […]