nursing home in West Caldwell, NJ

Complete Care at West Caldwell LLC

165 Fairfield Ave, West Caldwell, NJ 07006 · (973) 226-1100

★★★★★4
Above average
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

MeasureThis facilityNew Jersey avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)4 / 53.3 / 53 / 5Better
Health inspection rating ⓘ (higher is better)3 / 52.8 / 52.8 / 5Average
Staffing rating ⓘ (higher is better)2 / 53.1 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)5 / 54.4 / 53.6 / 5Better
Long-stay quality rating (higher is better)5 / 54.5 / 53.8 / 5Better
Short-stay (rehab) quality rating (higher is better)5 / 54.1 / 53.3 / 5Better

Staffing

This facility3.44 hrsNew Jersey average3.85 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. New Jersey and U.S. averages
MeasureThis facilityNew Jersey avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.44 hrs3.85 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.44 hrs0.68 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)2.26 hrs2.23 hrs2.32 hrsAverage
Weekend nurse staff hours per resident per day (higher is better)3.14 hrs3.50 hrs3.42 hrsWorse
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)211Worse

Inspections

This facility7New Jersey average9U.S. average9
Health citations in the most recent inspection: this facility vs. New Jersey and U.S. averages
MeasureThis facilityNew Jersey avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)799Better
Citations from complaint investigations (latest cycle) (lower is better)213Better
Weighted health inspection score ⓘ (lower is better)4272.380.6Better

Penalties

This facility0New Jersey average1U.S. average1
Fines in the past 3 years: this facility vs. New Jersey and U.S. averages
MeasureThis facilityNew Jersey avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)011Better
Total fines in the past 3 years (lower is better)$0$34,926$30,972Better
All federal penalties in the past 3 years (lower is better)011Better

Size

MeasureThis facilityNew Jersey avg.U.S. avg.vs. U.S.
Certified beds180147107
Average residents per day15412286
Occupancy85.4%84%80.9%

Long-stay residents

This facility2.1%New Jersey average2.3%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. New Jersey and U.S. averages
MeasureThis facilityNew 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

This facility0.9%New Jersey average1.2%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. New Jersey and U.S. averages
MeasureThis facilityNew 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.

DateCitationSeverityStatus
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.

NameRoleShareSince
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 snfNOT APPLICABLE02/10/2025
CHMURA- SAEZ, PATRICIA
Individual
adp of the snfNOT APPLICABLE11/03/2023
DES CAPITAL LLC
Organization
adp of the snfNOT APPLICABLE11/03/2023
JRK INVESTMENTS LLC
Organization
adp of the snfNOT APPLICABLE11/03/2023
KLUGMAN, JACOB
Individual
adp of the snfNOT APPLICABLE11/03/2023
PC HMH HOLDINGS 2 LLC
Organization
adp of the snfNOT APPLICABLE11/03/2023
PC HMH PROPCO HOLDINGS 2 LLC
Organization
adp of the snfNOT APPLICABLE11/03/2023
PEACE CAPITAL HOLDINGS LLC
Organization
adp of the snfNOT APPLICABLE11/03/2023
SAIDI, ERAN
Individual
adp of the snfNOT APPLICABLE01/29/2025
SMS 2021 TRUST
Organization
adp of the snfNOT APPLICABLE11/03/2023
STERNBUCH, DANIEL
Individual
adp of the snfNOT APPLICABLE11/03/2023
WEST CALDWELL PC PROPCO LLC
Organization
adp of the snfNOT APPLICABLE11/03/2023
STEIN, SHALOM
Individual
corporate officerNOT APPLICABLE11/03/2023
PC HMH OPCO HOLDINGS 2 LLC
Organization
direct ownership interestNOT APPLICABLE11/03/2023
DES CAPITAL LLC
Organization
indirect ownership interestNOT APPLICABLE11/03/2023
JRK INVESTMENTS LLC
Organization
indirect ownership interestNOT APPLICABLE11/03/2023
KLUGMAN, JACOB
Individual
indirect ownership interestNOT APPLICABLE11/03/2023
PEACE CAPITAL HOLDINGS LLC
Organization
indirect ownership interestNOT APPLICABLE11/03/2023
STEIN, SHALOM
Individual
indirect ownership interestNOT APPLICABLE11/03/2023
STERNBUCH, DANIEL
Individual
indirect ownership interestNOT APPLICABLE11/03/2023
GUGLIELMO, MICHAEL
Individual
operational/managerial controlNOT APPLICABLE11/03/2023
STEIN, SHALOM
Individual
trustee of the snfNOT APPLICABLE11/03/2023

Other nursing homes near Complete Care at West Caldwell LLC

  1. 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
  2. St Catherine of Siena

    7 Ryerson Avenue, Caldwell, NJ 07006 · 1.9 mi

    Non-profit · 30 beds

    ★★★★★3Average
  3. Arbor Glen Center

    25 E Lindsley Road, Cedar Grove, NJ 07009 · 2.8 mi

    For-profit · 122 beds · Part of Genesis Healthcare

    ★★★★★2Below average
  4. Alaris Health at Cedar Grove

    110 Grove Ave, Cedar Grove, NJ 07009 · 2.9 mi

    For-profit · 230 beds · Part of Alaris Health

    ★★★★★4Above average
  5. Canterbury at Cedar Grove

    398 Pompton Avenue, Cedar Grove, NJ 07009 · 3.1 mi

    For-profit · 180 beds · Part of Mb Healthcare

    ★★★★★3Average
  6. Green Hill

    103 Pleasant Valley Way, West Orange, NJ 07052 · 3.1 mi

    Non-profit · 127 beds

    ★★★★★2Below average

All nursing homes in West Caldwell, NJ · Compare side by side

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.