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Complete Care At Park Place LLC

2 Deer Park Drive, Monmouth Junction, NJ 08852 · For profit - Corporation · 94 certified beds · (646) 988-4235 Medicare & Medicaid certified

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1 immediate-jeopardy citation
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • lower-than-typical staff turnover (26% vs 45% nationally) — better care continuity
Worth asking about
  • inspectors cited 1 immediate-jeopardy problem — the most serious level
  • a high number of inspection citations overall (18) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure score sits well above its independent inspection score
  • about 17% of its spending goes to commonly-owned related companies

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 5 of 5

Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
21 Jefferson Plz · (732) 355-0320 · Call to confirm hours
Pharmacy
1 Deer Park Dr · (732) 246-8676 · Call to confirm hours
Grocery
Aldi0.7 mi
4180 US Highway 1 · (855) 955-2534 · Call to confirm hours
Park
21 Monroe Ct · (732) 745-3900 · Typically dawn to dusk
Place of worship
4240 NJ-27 · (609) 580-1935

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 5 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 5 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 3 to 4 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased2.4%8.7%15.4%better
Long-stay residents who lose too much weight1.2%4.6%5.4%better
Long-stay residents with a catheter left in their bladder0.0%0.6%0.9%better
Long-stay residents with a urinary tract infection0.0%0.8%2.0%better than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms43.3%12.1%6.5%check this — see note marked dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury3.0%2.3%3.3%better
Long-stay residents whose ability to walk worsened3.0%8.2%16.1%better
Long-stay residents on antianxiety or hypnotic medication11.3%18.8%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%97.2%95.3%typical
Long-stay residents with pressure ulcers1.5%5.4%4.7%better
Long-stay residents with worsening bladder/bowel control6.9%15.6%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table11.9%12.7%17.1%better
Short-stay residents who newly got an antipsychotic medication1.5%1.2%1.4%typical
Short-stay residents given the seasonal flu vaccine100.0%80.1%79.4%better
Short-stay residents rehospitalized after admission23.8%24.9%22.6%typical
Short-stay residents with an outpatient ER visit4.7%8.1%12.0%better
Long-stay hospitalizations per 1,000 resident days1.192.071.67better
Long-stay outpatient ER visits per 1,000 resident days1.251.111.80better

This value is several times the typical-state benchmark. It can be real, or it can be a coding artifact in what the facility submitted. Weigh it against the inspection record above.

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

57.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 122 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

57.4%U.S. median 51.5%
Got home and stayed home
11.6%U.S. median 10.7%
Went back to hospital
84.8%U.S. median 56.6%
Met the expected recovery
0.16U.S. median 0.31
Therapy hours / resident / day
0.03hours / resident / day
Physical therapy
0.11hours / resident / day
Occupational therapy
0.02hours / resident / day
Speech therapy

Met the expected recovery: 84.8% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 46 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.16 therapist hours per resident per day in 2026Q1 — more than 14% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 15% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF57.4%CMS range 47.1–67.551.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.6%CMS range 7.5–15.410.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge84.8%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge84.8%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge78.3%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened3.5%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.1%CMS range 4.1–12.17.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.231.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.46
RN hours/ resident / day
0.89
LPN hours/ resident / day
1.71
Aide hours/ resident / day
3.05
Total nurse hours/ resident / day
0.37
RN hoursweekends
25.8%
Total nursing turnover
21.4%
RN turnover

How full it usually is: this home is certified for 94 beds and averages 89.1 residents a day — about 95% occupied, or roughly 5 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.05 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.46 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.71 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.79 hrs/resident/day on weekends vs 3.16 on weekdays — 12% thinner on weekends. RN hours go from 0.49 to 0.37 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 26% is below the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

9
deficiencies at the latest standard inspection (2026-03-13)
1
at the previous standard inspection (2024-08-30)

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

18 citations, most serious first. The 12 most serious are shown; the remaining 6 are one tap away and print in full.

  • Immediate jeopardy · Jcited before2022-12-07 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews, interviews, and policy review, the facility failed to ensure that one of one resident (Resident (R) 23) reviewed for tracheostomy (trach) care out of a total sample of 20 residents was provided necessary suctioning of the airway, had the necessary supplies at the bedside in the event of a life-threatening emergency, and failed to train staff on appropriate emergency tracheostomy care in the event that a resident's airway was compromised, which placed residents with a tracheostomy at increased likelihood of serious harm or death and resulted in harm to R23 who was admitted to the hospital with diagnoses of pneumonia due to an infectious organism, AMS (altered mental status), SOB (shortness of breath), rigors (fever causing severe chills and shaking), respiratory distress, increasingly thick trach secretions, and sepsis (injury to tissues and organs due to infection). On 11/29/22 at 10:30 PM, the Administrator in Training (AIT), the Regional Clinical Supervisor, and Director…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Actual harm · G2022-12-07 · tag F0710 — isolated
    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interviews, and policy review, the facility failed to ensure the physician clarified orders for suctioning and emergency tracheostomy care for one of one resident (Resident (R) 23) with a tracheostomy (a surgical opening into the windpipe for breathing) out of a total sample of 20 residents. These failures resulted in harm to R23 who was admitted to the hospital with diagnoses of pneumonia due to an infectious organism, AMS (altered mental status), SOB (shortness of breath), rigors (fever causing severe chills and shaking), respiratory distress, increasingly thick trach secretions, and sepsis (injury to tissues and organs due to infection). Findings include: Review of R23's undated admission RECORD, located in the electronic medical record (EMR), revealed he was admitted to the facility on [DATE] with multiple diagnosis to include malignant neoplasm of larynx (cancer of the voice box), tracheostomy status, and dysphagia (difficulty swallowing). Review of R23's admission Minimum Data Set…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2026-03-13 · tag F0880 — failed to prevent and control infections — widespread
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interviews, and facility document review, the facility failed to ensure personal protective equipment (PPE) was worn by laundry staff in one of one laundry rooms while sorting soiled resident clothing and bed linens. This had the potential to infect the staff and/or residents with pathogens which could potentially lead to the development of infectious diseases.Findings include:During an observation conducted with the Infection Preventionist (IP) on 03/13/26 at 9:42 AM, upon entrance to the laundry room, the Laundry Aide was observed reaching into a soiled container of linens and loading them into the washing machine. The Laundry Aide wore disposable gloves but did not wear a protective gown. During the observation, the Laundry Aide stated that he/she had forgotten to don (put on) a protective gown prior to handling the soiled items. At 9:44 AM, The Director of Environmental Services (DES) entered the area and confirmed the Laundry Aide was required to don a protective gown since this was a potential infection control issue. The IP stated that the Laundry Aide…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2026-03-13 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and document review, the facility failed to maintain a safe, clean, comfortable, and homelike environment on the memory care unit. Specifically, the floor in the dining/activity area was observed to be sticky. Additionally, a large table surface was visibly dirty. The sticky floor posed a potential risk for residents who ambulate, as it could contribute to loss of balance of falls. The unclean condition of the table had the potential to attract pests. Findings include:During an observation conducted on 03/10/26 at 10:35 AM of the memory care unit's main dining/activity room, there were multiple staff and residents in the area participating in activities. The floor was observed to be dull and sticky. There was a rectangular table that faced the back wall and cabinets. The table's surface was visibly smudged, contained fingerprints, and had large areas of dry, raised substance. The observation ended at 12:10 PM. During an observation conducted on 03/10/26 at 1:52 PM, the memory care's dining/activity room had a small group of residents who were…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-03-13 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interviews, and review of the Resident Assessment Instrument (RAI) Manual, the facility failed to ensure that a comprehensive Minimum Data Set (MDS) assessment was completed accurately to reflect post-traumatic stress disorder (PTSD) for one of four residents (R87) reviewed for mood/behavior related to PTSD in the sample of 25 residents. This failure had the potential to affect the care planning and provision of needed services.Findings include:Review of R87's Face Sheet located in resident's electronic medical record (EMR) under the Profile tab revealed the resident was admitted to the facility on [DATE] with diagnoses which included PTSD. Review of R87's Hospital Notes dated 01/28/26 located in the EMR under the Misc tab revealed a diagnosis of PTSD effective 11/2024. Review of R87's admission MDS with an Assessment Reference Date (ARD) of 01/28/26 and located in the resident's EMR under the MDS tab revealed a Brief Interview for Mental Status (BIMS) score of 15 out of 15, which…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-03-13 · tag F0655 — isolated
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview, and policy review, the facility failed to ensure the baseline care plan included information necessary to meet the care needs for one of two sampled residents (Resident (R) 91) reviewed for dialysis.Specifically, the baseline care plan did not address peritoneal dialysis (PD). This failure had the potential to result in staff lacking the necessary guidance to provide effective care and meet the resident's needs. Findings include:Review of R91's Face Sheet, located in the electronic medical record (EMR) under the Profile tab, revealed R91 was admitted to the facility on [DATE] with diagnoses that includes end stage renal disease (ESRD). Review of R91's Physician Orders, located in the EMR under the Orders tab, reflected an order, dated 02/27/26, for, Peritoneal dialysis: Exchange frequency: Q [every] 4 Hours. Exchange volume: 2L [liters] Dialysate: 2.5% Dianeal [sterile solution used for dialysis]. Instill PD Fluid over: 20mins [minutes]. PD fluids drain time: 20Mins. Continue…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-03-13 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview, review of Resident Assessment Instrument (RAI) User's Manual, and policy review, the facility failed to develop person-centered, comprehensive care plans with measurable goals and interventions for two residents (Resident (R) 13 and R87) reviewed for care plans out of a sample of 25 residents. The failure placed R13 at risk for skin breakdown due to incomplete and/or inconsistent care to prevent pressure ulcers and placed R87 at risk for compromised emotional stability and impaired daily functioning related to a diagnosis of Post Traumatic Stress Disorder (PTSD).Findings include: 1. Review of R13's electronic medical record (EMR) titled admission Record located under the Profile tab indicated the facility admitted the resident on 09/01/23. Review of R13's EMR titled annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 12/13/25, located under the MDS tab indicated that the staff could not determine a Brief Interview for Mental Status (BIMS) score for the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-03-13 · tag F0676 — failed to keep up residents' daily-living abilities — isolated
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, record review, and facility policy review, the facility failed to ensure residents received services to maintain or improve their activities of daily living (ADLs) for one of one resident (Resident (R) 19) reviewed for ADLs out of a sample size of 25 residents.Specifically, R19 was not properly assessed by the facility's interdisciplinary team prior to the staff altering the method of meal consumption by placing pureed food and thickened liquids into a plastic cup for the resident to consume.This had the potential for the resident to experience a decline in functioning. Findings include:1. Review of R19's electronic medical record (EMR) titled admission Record located under the Profile tab indicated that the facility admitted the resident on 12/13/24. Review of R19's EMR titled Care Plan located under the Care Plan tab dated 05/27/25, indicated that the resident required verbal cues during mealtimes provided by one staff member. There was no direction to provide the resident with a plastic cup to consume his/her meals. Review of R19's EMR titled…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-03-13 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews, the facility failed to administer oxygen in accordance with physician orders, document oxygen use, and change oxygen tubing for one of two residents (Resident (R) 87) reviewed for oxygen therapy out of a total of 25 sampled residents. This failure had the potential to place the resident at risk for adverse outcomes related to improper oxygen administration, including hyperoxia, a condition in which cells, tissues, and organs are exposed to an excessive level of oxygen. Findings include:Review of R87's Face Sheet located in resident's electronic medical record (EMR) under the Profile tab revealed the resident was admitted to the facility on [DATE], with diagnoses which included unspecified asthma.Review of R87's admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 01/28/26 and located in the resident's EMR under the MDS tab revealed a Brief Interview for Mental Status (BIMS) score of 15 out of 15, which indicated the resident was…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-03-13 · tag F0700 — isolated
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and policy review, the facility failed to ensure that, prior to the installation of bed rails, alternative measures were attempted, discussions regarding the risks versus benefits were documented, and signed informed consent was obtained for one of four residents (Resident (R) 108) reviewed for bed rails out of 25 sampled residents. The failure to complete these required steps before bed rail installation increased the potential risk for resident entrapment or for bed rails to be used as restraints. Findings include: Review of R108's admission Record in the Profile tab of the electronic medical record (EMR) revealed he was admitted to the facility on [DATE], with diagnoses of repeated falls and muscle weakness.Review of R108's Side Rail Assessment Screening located under Assessments tab in the EMR, dated 03/04/26, revealed no indication if bed/side rails would be used or not used. Further review revealed no documentation of risk versus benefits or signed informed…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-03-13 · tag F0849 — isolated
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews, record review, and hospice agreement review, the facility failed to obtain documentation of recertification of hospice services for one of one resident (Resident (R) 14) reviewed for hospice services out of a total sample of 25 residents. This had the potential to result in a lack of coordination of care and services. Findings include:Review of R14's electronic medical record (EMR) titled admission Record located under the Profile tab indicated that the facility admitted the resident on 02/22/17.Review of R14's EMR titled physician Orders located under the Orders tab dated 12/16/24, indicated the resident was ordered hospice services.Review of R14's EMR titled annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 12/27/25, located under the MDS tab indicated that the staff could not determine the resident's Brief Interview for Mental Status (BIMS) score. The assessment indicated that the resident was dependent on staff for all activities of daily living and had a diagnosis of having six months or less to live. Review of R14's EMR Misc…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-08-30 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to follow a physician's order for a resident who required a continuous positive airway pressure (C-PAP) machine at night. This deficient practice was identified for one (1) of two (2) residents reviewed for Respiratory Care (Resident #33), and was evidenced by the following: During the initial tour of the facility on 8/22/24 at 09:35 AM, the surveyor observed an oxygen concentrator near Resident #33's bed. At that time, the surveyor did not observe a C-PAP machine (delivers oxygen via a mask while asleep) in the resident's room. According to the admission Record, Resident #33 was admitted to the facility with diagnoses which included but not limited to: Obstructive Sleep Apnea (occurs when airway is blocked during sleep), and Chronic Respiratory failure (low oxygen levels). A review of the Order Details revealed a physician's order (PO) dated 5/25/23 at 5:06 AM, Please assist pt [patient] in wearing C-PAP at HS [at night] please have respiratory come to ensure…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 6 citations
  • Potential for harm · E2022-12-07 · tag F0726 — failed to have competent, trained nursing staff — pattern
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record review, and policy review, the facility failed to ensure the clinical staff were trained to provide emergency treatment for one of one resident (Resident (R) 23) with a tracheostomy (surgical incision into the windpipe for breathing) out of a total sample of 20 residents. This failure increased R23's risk of not receiving appropriate tracheostomy care during an emergency situation. Findings include: Review of R23's undated admission RECORD, located in the electronic medical record (EMR) revealed he was admitted to the facility on [DATE] with multiple diagnosis to include malignant neoplasm of larynx (cancer of the voice box), tracheostomy status, and dysphagia (difficulty swallowing). Review of R23's admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 08/30/22 and located in the EMR under the MDS tab, revealed a Brief Interview for Mental Status (BIMS) score of 15 out of 15 indicating R23 was cognitively intact, had a tracheostomy, and required suctioning prior…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-12-07 · tag F0554 — isolated
    Allow residents to self-administer drugs if determined clinically appropriate.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, record reviews, and review of facility policy, the facility failed to ensure one of 20 sampled residents (Resident (R) 23) had a physician's order and was assessed and care planned for the self-administration of medications. This failure increased the risk of incomplete or inaccurate administration of medication for R23. Findings include: Review of the electronic medical record (EMR) revealed R23 was admitted to the facility on [DATE] with multiple diagnosis to include malignant neoplasm of larynx (cancer of the voice box), tracheostomy (surgical opening in the windpipe for breathing) status, and dysphagia (difficulty swallowing). Review of R23's admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 08/30/22 and located in the EMR under the MDS tab, revealed a Brief Interview for Mental Status (BIMS) score of 15 out of 15 indicating R23 was cognitively intact, had a tracheostomy, and required suctioning prior to admission but not while a resident at the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-12-07 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews, staff interviews, and policy review, the facility failed to ensure care plan interventions for emergency tracheostomy (trach) care were developed for one of one resident (Resident (R 23) reviewed for tracheostomy (a surgical opening into the windpipe for breathing) care out of a total sample of 20 residents. This failure increased R23's risk for compromised airway/respiratory distress and/or respiratory infections. Findings include: Review of R23's undated admission RECORD, located in the electronic medical record (EMR), revealed he was admitted to the facility on [DATE] with multiple diagnosis to include malignant neoplasm of larynx (cancer of the voice box), tracheostomy status, and dysphagia (difficulty swallowing). Review of R23's admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 08/30/22 and located in the EMR under the MDS tab, revealed a Brief Interview for Mental Status (BIMS) score of 15 out of 15 indicating R23 was cognitively intact, had…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-12-07 · tag F0660 — isolated
    Plan the resident's discharge to meet the resident's goals and needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record review, and policy review, the facility failed to provide a discharge assessment and discharge plan, for one of three residents (Resident (R) 39) reviewed for discharge out of a total sample of 20 residents. This failure increased the risk of delayed and/or incomplete discharge planning for residents wanting to be discharged from the facility. Findings include: Review of R39's undated admission RECORD, under the Profile tab in the electronic medical record (EMR), revealed R39 was admitted to the facility on [DATE] with multiple diagnosis to include major depression disorder and dementia without behavior disturbances. Review of R39's quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 09/12/22 and located in the EMR under the MDS tab, revealed a Brief Interview for Mental Status (BIMS) score of 14 out of 15 indicating R39 was cognitively intact. Review of R39's documents under the Miscellaneous tab located in the EMR revealed no information and/or documentation…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-12-07 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, record review, and policy review, the facility failed to ensure two of two residents (Resident (R) 54 and R69) reviewed for limited Range of Motion (ROM) out of a total sample of 20 residents was provided treatment to maintain and/or increase ROM. This failure increased the risk of a decline in ROM for residents that require treatment. Findings include: 1. Review of R54's undated admission RECORD, under the Profile tab located in the electronic medical record (EMR) revealed she was admitted to the facility on [DATE] with multiple diagnoses to include chronic inflammatory demyelination polyneuritis (nerve damage resulting in pain and tingling), neuromuscular dysfunction of bladder (loss of bladder control), and functioning quadriplegic (paralysis of arms and legs). Review of R54's annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 09/21/22 and located in the EMR under the MDS tab, revealed a Brief Interview for Mental Status (BIMS) score of 15 out of 15…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-12-07 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, record review, and policy review, the facility failed to ensure an indwelling catheter was anchored to prevent excessive tension on the catheter tubing for one of two residents (Resident (R) 54) reviewed for catheter care out of a total sample of 20 residents. This failure increased R54's risk of injury to the urinary tract. Findings include: Review of R54's undated admission RECORD, located in the electronic medical record (EMR), revealed she was admitted to the facility on [DATE] with multiple diagnosis to include chronic inflammatory demyelination polyneuritis (nerve damage resulting in pain and tingling), neuromuscular dysfunction of bladder (loss of bladder control), and functioning quadriplegic (paralysis of arms and legs). Review of R54's annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 09/21/22 and located in the EMR under the MDS tab, revealed a Brief Interview for Mental Status (BIMS) score of 15 out of 15 indicating R54 was cognitively intact…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to COMPLETE CARE — 85 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 4 of 53.1+0.9 vs chain
Health inspection 3 of 52.7+0.3 vs chain
Staffing 3 of 52.3+0.7 vs chain
Quality measures 5 of 54.4+0.6 vs chain
The other 84 homes this chain runs (chain average 3.1★, per CMS)
1 of 5Complete Care At Chestnut Hill LLCPassaic, NJ 1 of 5Complete Care At HagerstownHagerstown, MD 1 of 5Complete Care At Harston Hall LLCFlourtown, PA 1 of 5Complete Care At Kimberly Hall NorthWindsor, CT 1 of 5Complete Care At Laplata LLCLaplata, MD 1 of 5Complete Care At Milford Manor LLCWest Milford, NJ 1 of 5Complete Care At Wayne Hills Rehab & Resp CenterWayne, NJ 1 of 5Complete Care at Care AgeBrookfield, WI 1 of 5Complete Care at KensingtonWaukesha, WI 1 of 5Complete Care at Maple Grove LLCMadison, WI 1 of 5Complete Care at Margate ParkChicago, IL 1 of 5Complete Care at the BoulevardChicago, IL 2 of 5Complete Care At Brakeley ParkPhillipsburg, NJ 2 of 5Complete Care At Fox HillVernon, CT 2 of 5Complete Care At Harborage LLCNorth Bergen, NJ 2 of 5Complete Care At Harrington CourtColchester, CT 2 of 5Complete Care At HyattsvilleHyattsville, MD 2 of 5Complete Care At Inglemoor, LLCEnglewood, NJ 2 of 5Complete Care At Monmouth, LLCLong Branch, NJ 2 of 5Complete Care At Ocean Grove LLCOcean Grove, NJ 2 of 5Complete Care At Prospect Heights LLCHackensack, NJ 2 of 5Complete Care At Regent LLCHackensack, NJ 2 of 5Complete Care at Christian Home LLCWaupun, WI 2 of 5Complete Care at Grande PrairiePleasant Prairie, WI 2 of 5Complete Care at Heritage LLCDundalk, MD 2 of 5Complete Care at Linwood, LLCLinwood, NJ 2 of 5Complete Care at Nazareth LLCStoughton, WI 2 of 5Complete Care at Voorhees, LLCVoorhees, NJ 2 of 5Complete Care at Wall LLCWall, NJ 3 of 5Complete Care At Fair Lawn EdgePaterson, NJ 3 of 5Complete Care At Holiday CityToms River, NJ 3 of 5Complete Care At Lehigh LLCMacungie, PA 3 of 5Complete Care At Oak Ridge LLCCharleston, WV 3 of 5Complete Care At Orange ParkEast Orange, NJ 3 of 5Complete Care At Phillipsburg, LLCPhillipsburg, NJ 3 of 5Complete Care At Severna Park LLCSeverna Park, MD 3 of 5Complete Care At Shrewsbury LLCShrewsbury, NJ 3 of 5Complete Care At Silver Lake LLCDover, DE 3 of 5Complete Care At SpringbrookSilver Spring, MD 3 of 5Complete Care at Brick LLCBrick, NJ

Showing 40 of 84; lowest-rated first.

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleShareSince
PC NJ1 OPCOS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 07/01/2021
PC WTA OPCO HOLDCO LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 07/01/2021
SMS 2021 TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNFNO PERCENTAGE PROVIDEDsince 07/01/2021
STEIN, SHALOMIndividualINDIRECT OWNERSHIP INTEREST; MANAGING CONTROL - GOVERNING BODY; CORPORATE OFFICER; TRUSTEE OF THE SNFsince 07/01/2021
WELLTOWER INCOrganization5% OR GREATER SECURITY INTEREST; ADP OF THE SNFsince 07/01/2021
EDELTUCH, YOSEFIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/02/2023
GREWAL, BALJINDERIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/01/2021
LEVOVITZ, YITZCHOKIndividualOPERATIONAL/MANAGERIAL CONTROLsince 07/01/2021
MERCADO, WANDAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 10/19/2022
PLATZMAN, ROBERTIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/01/2022
AURORA GUARDIAN HOLDCO II CO-BORROWER, LLCOrganizationADP OF THE SNFsince 07/30/2021
AURORA GUARDIAN HOLDCO II MEZZ BORROWER, LLCOrganizationADP OF THE SNFsince 07/30/2021
AURORA GUARDIAN HOLDCO II, LLCOrganizationADP OF THE SNFsince 07/30/2021
AURORA GUARDIAN II REALTY, LLCOrganizationADP OF THE SNFsince 07/30/2021
AURORA GUARDIAN PARTNERS II LLCOrganizationADP OF THE SNFsince 07/30/2021
J & R FAMILY INVESTMENTS, LLCOrganizationADP OF THE SNFsince 07/30/2021
L FRIEDMAN 2018 FAMILY TRUSTOrganizationADP OF THE SNFsince 07/01/2021
L FRIEDMAN FAMILY HOLDINGS LLCOrganizationADP OF THE SNFsince 07/01/2021
LANDAU FAMILY INVESTMENT TRUSTOrganizationADP OF THE SNFsince 07/30/2021
M FRIEDMAN 2018 FAMILY TRUSTOrganizationADP OF THE SNFsince 07/30/2021
PARK PLACE REALTY, LLCOrganizationADP OF THE SNFsince 07/01/2021
PC WTA ACQUISITION LLCOrganizationADP OF THE SNFsince 07/01/2021
PC WTA MULTI-STATE LLCOrganizationADP OF THE SNFsince 07/01/2021
PEACE CAPITAL HOLDINGS LLCOrganizationADP OF THE SNFsince 07/01/2021
R&J FAMILY INVESTMENTS LLCOrganizationADP OF THE SNFsince 07/30/2021
SMITH, ZACQUEISHAIndividualADP OF THE SNFsince 08/02/2023

CMS files one row per role, so the 34 rows in the source record cover these 26 parties — each is shown once here with every role it holds. Nothing is omitted.

19 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$12.0M
Net patient revenuemost recent cost report
+8.9%
Operating marginrevenue minus expenses
$1.8M
Related-party expense17% of expenses
Who pays — share of resident-days
Medicaid 66%Medicare 13%Other / private 21%

This home reported $1.8M paid to related parties — landlords or management companies under common ownership — equal to about 17% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$346per resident / day
operating cost
$10,509per month
≈ monthly operating cost
$379per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NJ

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the New Jersey Medicaid page.

Typical monthly cost in New Jersey
$12,775/mo
Nursing home (semi-private)
$14,448/mo
Nursing home (private)
$8,710/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 315362. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-03-13, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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