Complete Care At Heritage Llc - 2-Star Rehab Facility in Dundalk, MD | PlacetClinical Quality Indicators
Long-stay residents, lower is better
Antipsychotic medication use 12.61%Falls causing major injury 1.23%Pressure ulcers (high-risk) 4.72%Admissions Contacts
No admissions contacts on file yet.
CMS Star Ratings
Last inspected: Sep 2025 (315 days ago)🔍 Health Inspection
1/5
★☆☆☆☆
📊 Quality Measures
5/5
★★★★★
Source: CMS MDS Quality Measures. Updated quarterly.
State avg: 50 min · US avg: 41 min
Total Nurse / Resident / Day
3h 23m
State avg: 3h 54m · US avg: 3h 53m
3 min
State avg: 5 min · US avg: 4 min
61 per 100
State avg: 41 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
92%above avg
US avg: 64%
Federal Penalties
2 penalties · $129,919 total
| Date | Type | Fine | Denial Days |
|---|
| 2/26/2025 | Fine | $60,132 | - |
| 8/22/2023 | Fine | $69,787 | - |
Inspection Citations
Survey: September 16, 2025(3 citations)
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
Survey: February 26, 2025(1 citation)
🔴 Immediate JeopardyPharmacy Service DeficienciesComplaint
Survey: August 22, 2023(26 citations)
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
Survey: April 14, 2023(3 citations)
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
18.2 per 100
State avg: 21.2 · US avg: 23.9
8.0 per 100
State avg: 9.9 · US avg: 12.0
1.2 per 100
State avg: 2.3 · US avg: 3.3
4.7 per 100
State avg: 6.3 · US avg: 5.1
0.5 per 100
State avg: 1.3 · US avg: 1.6
63.3 per 100
State avg: 80.6 · US avg: 79.7
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
VBP Performance Score
23/100
Incentive Payment
-1.71% penalty
Healthcare-Assoc. Infections
8.7 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
248
Avg Length of Stay
30.9 days
Avg Payment / Stay
$15,240.8
Patient Complexity
2.88 × avg
Avg LOS 15-30 days is typical for short-term rehab · Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟠 Actual HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
🟡 Potential for HarmNursing and Physician Services DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
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