nursing home in Passaic, NJ
Complete Care at Chestnut Hill LLC
360 Chestnut Street, Passaic, NJ 07055 · (973) 777-7800
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★1
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Complete Care at Chestnut Hill LLC at a glance
Complete Care at Chestnut Hill LLC is a 111-bed for-profit nursing home in Passaic, New Jersey (Passaic County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the New Jersey average of 3.3.
Residents receive about 3.2 hours of nursing care per day (0.4 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (June 12, 2026) found 3 health citations. The New Jersey average is 8.5.
Federal regulators fined it 1 time in the past three years, totaling $41,688.
Nursing staff turnover is 41.8% per year (state average 39.7%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 111
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Complete Care
- Medicare-certified since
- April 1, 1968
- Resident/family council
- Resident
- County
- Passaic County
- CMS Certification Number
- 315085
Ratings
| Measure | This facility | New Jersey avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3.3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 3.1 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 4.4 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 5 / 5 | 4.5 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 4.1 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | New Jersey avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.23 hrs | 3.85 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.38 hrs | 0.68 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.94 hrs | 2.23 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.78 hrs | 3.50 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 41.8% | 39.7% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 50% | 37.7% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | New Jersey avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 3 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 82 | 72.3 | 80.6 | Average |
Penalties
| Measure | This facility | New Jersey avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $41,688 | $34,926 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | New Jersey avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 111 | 147 | 107 | |
| Average residents per day | 107 | 122 | 86 | |
| Occupancy | 95.9% | 84% | 80.9% |
Long-stay residents
| Measure | This facility | New Jersey avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.1% | 2.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 4.3% | 5.4% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 6.7% | 12.7% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1.2% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.2% | 0.6% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 12.5% | 8.7% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 7.6% | 8.2% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 3.3% | 4.6% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 7.1% | 12.1% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 19.4% | 18.8% | 19.5% | Average |
| Long-stay residents with new or worse incontinence (lower is better) | 19.3% | 15.6% | 19% | Average |
| Long-stay residents given a flu vaccine (higher is better) | 98.9% | 97.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 96.7% | 93% | 93.6% | Average |
Short-stay residents
| Measure | This facility | New Jersey avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 2.1% | 1.2% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 76.7% | 80.1% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 62.3% | 79% | 82% | Worse |
Inspection citations
State inspectors cited this home for 29 health deficiencies and 14 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 12, 2026 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected June 26, 2026 |
| June 12, 2026 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | F Potential harm, widespread | Corrected June 26, 2026 |
| June 12, 2026 Fire safety | Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Tag K0225 | F Potential harm, widespread | Corrected June 26, 2026 |
| June 12, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected June 26, 2026 |
| June 12, 2026 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | G Actual harm, isolated | Corrected June 26, 2026 |
| June 12, 2026 Standard | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Tag F0806 | E Potential harm, pattern | Corrected June 26, 2026 |
| June 12, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected June 26, 2026 |
| June 12, 2026 Standard | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | D Potential harm, isolated | Corrected June 26, 2026 |
| December 5, 2024 Fire safety | Have properly sized and located compartments to protect residents from smoke. Smoke Deficiencies · Tag K0371 | F Potential harm, widespread | Corrected February 10, 2025 |
| December 5, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected December 27, 2024 |
| December 5, 2024 Fire safety | Install properly constructed windows in hallway walls or doors. Smoke Deficiencies · Tag K0364 | F Potential harm, widespread | Corrected January 15, 2025 |
| December 5, 2024 Fire safety | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0926 | F Potential harm, widespread | Corrected December 27, 2024 |
| December 5, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0578 | K Immediate jeopardy, pattern | Corrected December 6, 2024 |
| December 5, 2024 Standard | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Tag F0835 | K Immediate jeopardy, pattern | Corrected December 6, 2024 |
| December 5, 2024 Standard | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Tag F0865 | F Potential harm, widespread | Corrected December 27, 2024 |
| December 5, 2024 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected December 27, 2024 |
| December 5, 2024 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | E Potential harm, pattern | Corrected December 27, 2024 |
| December 5, 2024 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected December 27, 2024 |
| December 5, 2024 Standard | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident Rights Deficiencies · Tag F0568 | D Potential harm, isolated | Corrected December 27, 2024 |
| December 5, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected December 27, 2024 |
| December 5, 2024 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected December 27, 2024 |
| December 5, 2024 Standard | 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. Quality of Life and Care Deficiencies · Tag F0700 | D Potential harm, isolated | Corrected December 27, 2024 |
| December 5, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected December 27, 2024 |
| December 5, 2024 Complaint | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected December 27, 2024 |
| December 5, 2024 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected December 27, 2024 |
| December 5, 2024 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected December 27, 2024 |
| August 18, 2022 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected October 7, 2022 |
| August 18, 2022 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected October 7, 2022 |
| August 18, 2022 Fire safety | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Tag K0341 | F Potential harm, widespread | Corrected November 4, 2022 |
| August 18, 2022 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected November 4, 2022 |
| August 18, 2022 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected November 11, 2022 |
| August 18, 2022 Fire safety | 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. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected October 7, 2022 |
| August 18, 2022 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | G Actual harm, isolated | Corrected September 30, 2022 |
| August 18, 2022 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected September 30, 2022 |
| August 18, 2022 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected September 30, 2022 |
| August 18, 2022 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected September 30, 2022 |
| August 18, 2022 Standard | 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. Environmental Deficiencies · Tag F0909 | D Potential harm, isolated | Corrected September 30, 2022 |
| August 18, 2022 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected September 30, 2022 |
| August 18, 2022 Standard | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected September 30, 2022 |
| August 18, 2022 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected September 30, 2022 |
| August 18, 2022 Standard | 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. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected September 30, 2022 |
| August 18, 2022 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected September 30, 2022 |
| August 18, 2022 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected September 30, 2022 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $41,688 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| December 5, 2024 | Fine | $41,688 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CHESTNUT HILL HOLDCO LLC Organization | 5% or greater direct ownership interest | 100% | 04/30/2021 |
| EEF CAPITAL LLC Organization | 5% or greater indirect ownership interest | — | 04/30/2021 |
| PC CHESTNUT HILL HOLDCO LLC Organization | 5% or greater indirect ownership interest | — | 04/30/2021 |
| SCHLAFF, BENNY Individual | 5% or greater indirect ownership interest | — | 04/30/2021 |
| SCHLAFF, NACHUM Individual | 5% or greater indirect ownership interest | — | 04/30/2021 |
| STEIN, SHALOM Individual | corporate officer | NOT APPLICABLE | 04/30/2021 |
| SCHWARTZ, HERSHEL Individual | w-2 managing employee | NOT APPLICABLE | 04/30/2021 |
Other nursing homes near Complete Care at Chestnut Hill LLC
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★★★★★1Much below averageBarnert Subacute Rehabilitation Center, LLC
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★★★★★4Above averageDoctors Subacute Healthcare, LLC
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Frequently asked questions
What is Complete Care at Chestnut Hill LLC's rating?
Complete Care at Chestnut Hill LLC has 1 out of 5 stars on the CMS overall star rating. The average for New Jersey nursing homes is 3.3 stars.
How many inspection citations did Complete Care at Chestnut Hill LLC receive?
Its most recent standard health inspection found 3 citations, compared with a New Jersey average of 8.5. Every citation is listed on this page with its severity.
Does Complete Care at Chestnut Hill LLC accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Complete Care at Chestnut Hill LLC?
It is for profit - limited liability company and part of Complete Care. The ownership section on this page lists the owners and managers reported to CMS.
Where is Complete Care at Chestnut Hill LLC and how do I contact it?
Complete Care at Chestnut Hill LLC is at 360 Chestnut Street, Passaic, NJ 07055. Phone: (973) 777-7800.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.