Complete Care At Germantown

Inspection findings

1. May 29, 2026 Fire Safety · 1 finding
   • Not serious Scope/severity F

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Jun 24, 2026 · CMS fire safety

2. Mar 5, 2025 Fire Safety · 14 findings
   • Not serious Scope/severity F

     E0030 Emergency Preparedness Deficiencies

     List the names and contact information of those in the facility.

     Corrected Mar 6, 2025 · CMS fire safety

   • Not serious Scope/severity D

     F0551 Resident Rights Deficiencies

     Give the resident's representative the ability to exercise the resident's rights.

     Corrected Mar 21, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0623 Resident Rights Deficiencies

     Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

     Corrected Mar 24, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0645 Resident Assessment and Care Planning Deficiencies

     PASARR screening for Mental disorders or Intellectual Disabilities

     Corrected Mar 25, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Mar 25, 2025 · CMS health inspection

   • Not serious Scope/severity D

     K0211 Egress Deficiencies

     Keep aisles, corridors, and exits free of obstruction in case of emergency.

     Corrected Apr 8, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0222 Egress Deficiencies

     Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

     Corrected Mar 25, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Mar 6, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0351 Smoke Deficiencies

     Install an approved automatic sprinkler system.

     Corrected Mar 25, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0711 Miscellaneous Deficiencies

     Provide a written emergency evacuation plan.

     Corrected Apr 8, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0741 Miscellaneous Deficiencies

     Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

     Corrected Apr 8, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0761 Miscellaneous Deficiencies

     To conduct inspection, testing and maintenance of fire doors by qualified individuals.

     Corrected Mar 25, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0916 Gas, Vacuum, and Electrical Systems Deficiencies

     Have a battery powered remote alarm panel in a location accessible by operating personnel.

     CMS fire safety

   • Not serious Scope/severity D

     K0925 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure that sources of ignition are removed from patients receiving respiratory therapy.

     Corrected Mar 25, 2025 · CMS fire safety

3. Jan 30, 2025 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Mar 1, 2025 · CMS health inspection

4. Jul 17, 2024 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Aug 16, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Respond appropriately to all alleged violations.

     Corrected Aug 16, 2024 · CMS health inspection

5. May 8, 2024 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Jun 8, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Respond appropriately to all alleged violations.

     Corrected Jun 8, 2024 · CMS health inspection

6. Jan 24, 2024 Health · 9 findings
   • Not serious Scope/severity D Complaint

     F0585 Resident Rights Deficiencies

     Honor 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.

     Corrected Feb 23, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Feb 23, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0700 Quality of Life and Care Deficiencies

     Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

     Corrected Feb 23, 2024 · CMS health inspection

   • Not serious Scope/severity D

     K0271 Egress Deficiencies

     Have exits that are accessible at all times.

     Corrected Feb 23, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Feb 23, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0341 Smoke Deficiencies

     Install a fire alarm system that can be heard throughout the facility.

     Corrected Sep 6, 2024 · CMS fire safety

   • Not serious Scope/severity C

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Feb 23, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0781 Miscellaneous Deficiencies

     Have restrictions on the use of portable space heaters.

     Corrected Feb 23, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0920 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure proper usage of power strips and extension cords.

     Corrected Feb 23, 2024 · CMS fire safety

7. Nov 7, 2023 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0585 Resident Rights Deficiencies

     Honor 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.

     Corrected Nov 23, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0657 Resident Assessment and Care Planning Deficiencies

     Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

     Corrected Dec 1, 2023 · CMS health inspection

8. Oct 25, 2023 Health · 4 findings
   • Not serious Scope/severity D Complaint

     F0580 Resident Rights Deficiencies

     Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

     Corrected Nov 23, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0585 Resident Rights Deficiencies

     Honor 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.

     Corrected Nov 23, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Develop and implement policies and procedures to prevent abuse, neglect, and theft.

     Corrected Nov 23, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Nov 23, 2023 · CMS health inspection

Owners and managers (as published by CMS)

• BIELINSKI, RENEE — adp of the snf, NOT APPLICABLE, since 07/11/2022
• BIELINSKI, RENEE — operational/managerial control, NOT APPLICABLE, since 07/11/2022
• HALE, CASSANDRA — operational/managerial control, NOT APPLICABLE, since 01/22/2024
• HALE, CASSANDRA — adp of the snf, NOT APPLICABLE, since 01/22/2024
• HELLMAN, YOSEF — adp of the snf, NOT APPLICABLE, since 06/01/2022
• HELLMAN, YOSEF — operational/managerial control, NOT APPLICABLE, since 06/01/2022
• KLUGMAN, JACOB — adp of the snf, NOT APPLICABLE, since 06/01/2022
• SIDHU, SARFRAZ — operational/managerial control, NOT APPLICABLE, since 05/15/2023
• SIDHU, SARFRAZ — adp of the snf, NOT APPLICABLE, since 05/15/2023
• SPITZER, MICHAEL — operational/managerial control, NOT APPLICABLE, since 03/26/2025
• SPITZER, MICHAEL — adp of the snf, NOT APPLICABLE, since 03/25/2025
• STEIN, SHALOM — indirect ownership interest, NOT APPLICABLE, since 06/01/2022
• STEIN, SHALOM — managing control - governing body, NOT APPLICABLE, since 06/01/2022
• STEIN, SHALOM — corporate officer, NOT APPLICABLE, since 06/01/2022
• STEIN, SHALOM — trustee of the snf, NOT APPLICABLE, since 06/01/2022
• STERNBUCH, DANIEL — adp of the snf, NOT APPLICABLE, since 06/01/2022
• DES CAPITAL LLC — adp of the snf, NOT APPLICABLE, since 06/01/2022
• JRK INVESTMENTS LLC — adp of the snf, NOT APPLICABLE, since 06/01/2022
• PC SWI HOLDCO LLC — 5% or greater direct ownership interest, 100%, since 06/01/2022
• PC SWI TOPCO LLC — 5% or greater indirect ownership interest, since 06/01/2022
• PEACE CAPITAL HOLDINGS II LLC — adp of the snf, NOT APPLICABLE, since 06/01/2022
• SMS 2021 TRUST — adp of the snf, NOT APPLICABLE, since 06/01/2022
• SMS 2021 TRUST — 5% or greater indirect ownership interest, since 06/01/2022
• VIRGINIA HIGHLANDS PROPCO LLC — adp of the snf, NOT APPLICABLE, since 06/01/2022
• WI 6 PROPCO HOLDCO LLC — adp of the snf, NOT APPLICABLE, since 06/01/2022
• WI 6 PROPCO TOPCO LLC — adp of the snf, NOT APPLICABLE, since 06/01/2022