nursing home in West Caldwell, NJ
Complete Care at West Caldwell LLC
165 Fairfield Ave, West Caldwell, NJ 07006 · (973) 226-1100
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★2
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Complete Care at West Caldwell LLC at a glance
Complete Care at West Caldwell LLC is a 180-bed for-profit nursing home in West Caldwell, New Jersey (Essex County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the New Jersey average of 3.3.
Residents receive about 3.4 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 (March 21, 2025) found 7 health citations. The New Jersey average is 8.5.
It has not received a federal fine in the past three years.
Nursing staff turnover is 51.7% per year (state average 39.7%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 180
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Complete Care
- Medicare-certified since
- October 1, 1987
- Resident/family council
- Resident
- County
- Essex County
- CMS Certification Number
- 315247
Ratings
| Measure | This facility | New Jersey avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3.3 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 3.1 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 4.4 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4.5 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 4.1 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | New Jersey avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.44 hrs | 3.85 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.44 hrs | 0.68 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.26 hrs | 2.23 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.14 hrs | 3.50 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 51.7% | 39.7% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 62.5% | 37.7% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 2 | 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) | 7 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 42 | 72.3 | 80.6 | Better |
Penalties
| Measure | This facility | New Jersey avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $34,926 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | New Jersey avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 180 | 147 | 107 | |
| Average residents per day | 154 | 122 | 86 | |
| Occupancy | 85.4% | 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) | 2.1% | 2.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 3.9% | 5.4% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 16.3% | 12.7% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.2% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.6% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 4.3% | 8.7% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 2.7% | 8.2% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 0.7% | 4.6% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 4.6% | 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) | 21.4% | 18.8% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 16.8% | 15.6% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 97.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.4% | 93% | 93.6% | Better |
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) | 0.9% | 1.2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 100% | 80.1% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 99.1% | 79% | 82% | Better |
Inspection citations
State inspectors cited this home for 9 health deficiencies and 20 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| November 26, 2025 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected December 18, 2025 |
| March 21, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected April 10, 2025 |
| March 21, 2025 Fire safety | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Tag K0311 | F Potential harm, widespread | Corrected April 10, 2025 |
| March 21, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected April 10, 2025 |
| March 21, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected April 10, 2025 |
| March 21, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected April 18, 2025 |
| March 21, 2025 Fire safety | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Tag K0362 | F Potential harm, widespread | Corrected April 10, 2025 |
| March 21, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected April 18, 2025 |
| March 21, 2025 Fire safety | Have elevators that firefighters can control in the event of a fire. Services Deficiencies · Tag K0531 | F Potential harm, widespread | Corrected April 18, 2025 |
| March 21, 2025 Fire safety | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0912 | F Potential harm, widespread | Corrected April 10, 2025 |
| March 21, 2025 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 April 17, 2025 |
| March 21, 2025 Fire safety | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919 | F Potential harm, widespread | Corrected April 17, 2025 |
| March 21, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected April 10, 2025 |
| March 21, 2025 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected April 10, 2025 |
| March 21, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected April 16, 2025 |
| March 21, 2025 Fire safety | Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Tag K0225 | F Potential harm, widespread | Corrected April 10, 2025 |
| March 21, 2025 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected April 10, 2025 |
| March 21, 2025 Standard | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. Administration Deficiencies · Tag F0837 | F Potential harm, widespread | Corrected April 10, 2025 |
| March 21, 2025 Standard | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Tag F0835 | F Potential harm, widespread | Corrected April 10, 2025 |
| March 21, 2025 Complaint | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | E Potential harm, pattern | Corrected April 10, 2025 |
| March 21, 2025 Standard | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected April 10, 2025 |
| March 21, 2025 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected April 10, 2025 |
| March 21, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected April 10, 2025 |
| March 30, 2023 Fire safety | Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0908 | F Potential harm, widespread | Corrected April 14, 2023 |
| March 30, 2023 Fire safety | Have elevators that firefighters can control in the event of a fire. Services Deficiencies · Tag K0531 | F Potential harm, widespread | Corrected April 14, 2023 |
| March 30, 2023 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected April 28, 2023 |
| March 30, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | D Potential harm, isolated | Corrected April 14, 2023 |
| October 30, 2020 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected November 13, 2020 |
| October 30, 2020 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected November 13, 2020 |
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 no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| PC HMH HOLDINGS 2 LLC Organization | 5% or greater indirect ownership interest | — | 11/03/2023 |
| SMS 2021 TRUST Organization | 5% or greater indirect ownership interest | — | 11/03/2023 |
| ALLAM, NAVEEN Individual | adp of the snf | NOT APPLICABLE | 02/10/2025 |
| CHMURA- SAEZ, PATRICIA Individual | adp of the snf | NOT APPLICABLE | 11/03/2023 |
| DES CAPITAL LLC Organization | adp of the snf | NOT APPLICABLE | 11/03/2023 |
| JRK INVESTMENTS LLC Organization | adp of the snf | NOT APPLICABLE | 11/03/2023 |
| KLUGMAN, JACOB Individual | adp of the snf | NOT APPLICABLE | 11/03/2023 |
| PC HMH HOLDINGS 2 LLC Organization | adp of the snf | NOT APPLICABLE | 11/03/2023 |
| PC HMH PROPCO HOLDINGS 2 LLC Organization | adp of the snf | NOT APPLICABLE | 11/03/2023 |
| PEACE CAPITAL HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 11/03/2023 |
| SAIDI, ERAN Individual | adp of the snf | NOT APPLICABLE | 01/29/2025 |
| SMS 2021 TRUST Organization | adp of the snf | NOT APPLICABLE | 11/03/2023 |
| STERNBUCH, DANIEL Individual | adp of the snf | NOT APPLICABLE | 11/03/2023 |
| WEST CALDWELL PC PROPCO LLC Organization | adp of the snf | NOT APPLICABLE | 11/03/2023 |
| STEIN, SHALOM Individual | corporate officer | NOT APPLICABLE | 11/03/2023 |
| PC HMH OPCO HOLDINGS 2 LLC Organization | direct ownership interest | NOT APPLICABLE | 11/03/2023 |
| DES CAPITAL LLC Organization | indirect ownership interest | NOT APPLICABLE | 11/03/2023 |
| JRK INVESTMENTS LLC Organization | indirect ownership interest | NOT APPLICABLE | 11/03/2023 |
| KLUGMAN, JACOB Individual | indirect ownership interest | NOT APPLICABLE | 11/03/2023 |
| PEACE CAPITAL HOLDINGS LLC Organization | indirect ownership interest | NOT APPLICABLE | 11/03/2023 |
| STEIN, SHALOM Individual | indirect ownership interest | NOT APPLICABLE | 11/03/2023 |
| STERNBUCH, DANIEL Individual | indirect ownership interest | NOT APPLICABLE | 11/03/2023 |
| GUGLIELMO, MICHAEL Individual | operational/managerial control | NOT APPLICABLE | 11/03/2023 |
| STEIN, SHALOM Individual | trustee of the snf | NOT APPLICABLE | 11/03/2023 |
Other nursing homes near Complete Care at West Caldwell LLC
Lutheran Social Ministries Cranes Mill
459 Passaic Avenue, West Caldwell, NJ 07006 · 1.3 mi
Non-profit · 56 beds
- CMS high performer
★★★★★5Much above average- ★★★★★3Average
Arbor Glen Center
25 E Lindsley Road, Cedar Grove, NJ 07009 · 2.8 mi
For-profit · 122 beds · Part of Genesis Healthcare
★★★★★2Below averageAlaris Health at Cedar Grove
110 Grove Ave, Cedar Grove, NJ 07009 · 2.9 mi
For-profit · 230 beds · Part of Alaris Health
★★★★★4Above averageCanterbury at Cedar Grove
398 Pompton Avenue, Cedar Grove, NJ 07009 · 3.1 mi
For-profit · 180 beds · Part of Mb Healthcare
★★★★★3Average- ★★★★★2Below average
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Frequently asked questions
What is Complete Care at West Caldwell LLC's rating?
Complete Care at West Caldwell LLC has 4 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 West Caldwell LLC receive?
Its most recent standard health inspection found 7 citations, compared with a New Jersey average of 8.5. Every citation is listed on this page with its severity.
Does Complete Care at West Caldwell 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 West Caldwell 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 West Caldwell LLC and how do I contact it?
Complete Care at West Caldwell LLC is at 165 Fairfield Ave, West Caldwell, NJ 07006. Phone: (973) 226-1100.
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.