Complete Care At Chestnut Hill LLC

Inspection history (27)

• December 5, 2024 · D

  Citation F0550

  Federal surveyors cited this nursing home on 2024-12-05 under CMS tag F0550 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2024-12-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-05.GOV

• December 5, 2024 · D

  Citation F0609

  Federal surveyors cited this nursing home on 2024-12-05 under CMS tag F0609 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2024-12-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-05.GOV

• December 5, 2024 · D

  Citation F0645

  Federal surveyors cited this nursing home on 2024-12-05 under CMS tag F0645 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for PASARR screening for Mental disorders or Intellectual Disabilities. The deficiency was recorded as corrected on 2024-12-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-05.GOV

• December 5, 2024 · D

  Citation F0700

  Federal surveyors cited this nursing home on 2024-12-05 under CMS tag F0700 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-12-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-05.GOV

• December 5, 2024 · E

  Citation F0686

  Federal surveyors cited this nursing home on 2024-12-05 under CMS tag F0686 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2024-12-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-05.GOV

• December 5, 2024 · D

  Citation F0610

  Federal surveyors cited this nursing home on 2024-12-05 under CMS tag F0610 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Respond appropriately to all alleged violations. The deficiency was recorded as corrected on 2024-12-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-05.GOV

• December 5, 2024 · K

  Citation F0835

  Federal surveyors cited this nursing home on 2024-12-05 under CMS tag F0835 (CMS scope/severity K: pattern, immediate jeopardy) for Administer the facility in a manner that enables it to use its resources effectively and efficiently. The deficiency was recorded as corrected on 2024-12-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-05.GOV

• December 5, 2024 · K

  Citation F0578

  Federal surveyors cited this nursing home on 2024-12-05 under CMS tag F0578 (CMS scope/severity K: pattern, immediate jeopardy) for Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. The deficiency was recorded as corrected on 2024-12-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-05.GOV

• December 5, 2024 · E

  Citation F0657

  Federal surveyors cited this nursing home on 2024-12-05 under CMS tag F0657 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2024-12-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-05.GOV

• December 5, 2024 · D

  Citation F0552

  Federal surveyors cited this nursing home on 2024-12-05 under CMS tag F0552 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are fully informed and understand their health status, care and treatments. The deficiency was recorded as corrected on 2024-12-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-05.GOV

• December 5, 2024 · D

  Citation F0695

  Federal surveyors cited this nursing home on 2024-12-05 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2024-12-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-05.GOV

• December 5, 2024 · D

  Citation F0568

  Federal surveyors cited this nursing home on 2024-12-05 under CMS tag F0568 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. The deficiency was recorded as corrected on 2024-12-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-05.GOV

• December 5, 2024 · D

  Citation F0690

  Federal surveyors cited this nursing home on 2024-12-05 under CMS tag F0690 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2024-12-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-05.GOV

• December 5, 2024 · F

  Citation F0865

  Federal surveyors cited this nursing home on 2024-12-05 under CMS tag F0865 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Have a plan that describes the process for conducting QAPI and QAA activities. The deficiency was recorded as corrected on 2024-12-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-05.GOV

• August 18, 2022 · D

  Citation F0909

  Federal surveyors cited this nursing home on 2022-08-18 under CMS tag F0909 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. The deficiency was recorded as corrected on 2022-09-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-08-18.GOV

• August 18, 2022 · D

  Citation F0578

  Federal surveyors cited this nursing home on 2022-08-18 under CMS tag F0578 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. The deficiency was recorded as corrected on 2022-09-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-08-18.GOV

• August 18, 2022 · D

  Citation F0690

  Federal surveyors cited this nursing home on 2022-08-18 under CMS tag F0690 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2022-09-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-08-18.GOV

• August 18, 2022 · D

  Citation F0584

  Federal surveyors cited this nursing home on 2022-08-18 under CMS tag F0584 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor 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. The deficiency was recorded as corrected on 2022-09-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-08-18.GOV

• August 18, 2022 · D

  Citation F0580

  Federal surveyors cited this nursing home on 2022-08-18 under CMS tag F0580 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. The deficiency was recorded as corrected on 2022-09-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-08-18.GOV

• August 18, 2022 · D

  Citation F0883

  Federal surveyors cited this nursing home on 2022-08-18 under CMS tag F0883 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures for flu and pneumonia vaccinations. The deficiency was recorded as corrected on 2022-09-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-08-18.GOV

Penalties

Total fines on file: $41,688

Staffing

Latest: 3.35 nurse staffing hours per resident per day (2026-06-01)

Ownership

For profit - Limited Liability company

1. Parent organization: Chestnut Hill Holdco LLC

   parent · PAC 3476931668