nursing home in Englewood, NJ

Complete Care at Inglemoor, LLC

333 Grand Ave, Englewood, NJ 07631 · (201) 568-0900

★★★★★2
Below average
CMS overall star rating
  • Health inspections★★★★★2
  • Staffing★★★★★3
  • Quality measures★★★★★3

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Complete Care at Inglemoor, LLC at a glance

Complete Care at Inglemoor, LLC is a 62-bed for-profit nursing home in Englewood, New Jersey (Bergen County).

CMS gives it 2 out of 5 stars on its overall star rating, worse than the New Jersey average of 3.3.

Residents receive about 3.6 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 3.8 hours.

Its most recent standard health inspection (March 13, 2025) found 19 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 38.5% per year (state average 39.7%).

Facility details

Type
Nursing home
Ownership
For Profit - Limited Liability Company
Beds
62
Certified for
Medicare and Medicaid
Chain / affiliated entity
Complete Care
Medicare-certified since
February 15, 1996
Resident/family council
Resident
County
Bergen County
CMS Certification Number
315349

Ratings

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

Staffing

This facility3.59 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)3.59 hrs3.85 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.64 hrs0.68 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)2.15 hrs2.23 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)3.42 hrs3.50 hrs3.42 hrsAverage
Nursing staff turnover (yearly) (lower is better)38.5%39.7%45.8%Better
Registered nurse turnover (yearly) (lower is better)44.4%37.7%42.9%Average
Administrators who left in the past year (lower is better)011Better

Inspections

This facility19New 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)1999Worse
Citations from complaint investigations (latest cycle) (lower is better)513Worse
Weighted health inspection score ⓘ (lower is better)9472.380.6Worse

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 beds62147107
Average residents per day5912286
Occupancy94.8%84%80.9%

Long-stay residents

This facility4.5%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)4.5%2.3%3.2%Worse
Long-stay residents with pressure ulcers (lower is better)5.9%5.4%4.6%Worse
Long-stay residents given antipsychotic medication (lower is better)17.8%12.7%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)0.5%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)16.5%8.7%13.9%Worse
Long-stay residents whose walking worsened (lower is better)15.4%8.2%14.1%Worse
Long-stay residents who lose too much weight (lower is better)13.7%4.6%5.2%Worse
Long-stay residents with depressive symptoms (lower is better)6.2%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)9.6%18.8%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)22.3%15.6%19%Worse
Long-stay residents given a flu vaccine (higher is better)93.9%97.2%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)90.9%93%93.6%Average

Short-stay residents

This facility0.6%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)0.6%1.2%1.6%Better
Short-stay residents given a flu vaccine (higher is better)32.8%80.1%79.8%Worse
Short-stay residents given a pneumonia vaccine (higher is better)51.2%79%82%Worse

Inspection citations

State inspectors cited this home for 39 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 7, 2025
Complaint
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 December 8, 2025
November 7, 2025
Complaint
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 December 17, 2025
November 7, 2025
Complaint
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
D
Potential harm, isolated
Corrected December 17, 2025
March 13, 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 15, 2025
March 13, 2025
Fire safety
Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923
F
Potential harm, widespread
Corrected April 11, 2025
March 13, 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 15, 2025
March 13, 2025
Fire safety
Implement emergency and standby power systems.
Emergency Preparedness Deficiencies · Tag E0041
F
Potential harm, widespread
Corrected April 15, 2025
March 13, 2025
Fire safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Egress Deficiencies · Tag K0223
F
Potential harm, widespread
Corrected April 11, 2025
March 13, 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 11, 2025
March 13, 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 15, 2025
March 13, 2025
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
F
Potential harm, widespread
Corrected April 15, 2025
March 13, 2025
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected April 15, 2025
March 13, 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 15, 2025
March 13, 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 15, 2025
March 13, 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 15, 2025
March 13, 2025
Fire safety
Install properly constructed and protected linen or trash chutes.
Services Deficiencies · Tag K0541
F
Potential harm, widespread
Corrected April 11, 2025
March 13, 2025
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 April 28, 2025
March 13, 2025
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
F
Potential harm, widespread
Corrected April 11, 2025
March 13, 2025
Standard
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Nursing and Physician Services Deficiencies · Tag F0711
E
Potential harm, pattern
Corrected April 11, 2025
March 13, 2025
Complaint
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
E
Potential harm, pattern
Corrected April 11, 2025
March 13, 2025
Standard
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
E
Potential harm, pattern
Corrected April 11, 2025
March 13, 2025
Standard
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected April 11, 2025
March 13, 2025
Standard
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected April 11, 2025
March 13, 2025
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 April 11, 2025
March 13, 2025
Complaint
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
D
Potential harm, isolated
Corrected April 2, 2025
March 13, 2025
Standard
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Tag F0623
D
Potential harm, isolated
Corrected April 11, 2025
March 13, 2025
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected April 11, 2025
March 13, 2025
Standard
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident Assessment and Care Planning Deficiencies · Tag F0661
D
Potential harm, isolated
Corrected April 11, 2025
March 13, 2025
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected April 11, 2025
March 13, 2025
Standard
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
D
Potential harm, isolated
Corrected April 11, 2025
March 13, 2025
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 April 11, 2025
March 13, 2025
Standard
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Tag F0883
D
Potential harm, isolated
Corrected April 11, 2025
March 13, 2025
Standard
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Infection Control Deficiencies · Tag F0887
D
Potential harm, isolated
Corrected April 11, 2025
December 3, 2024
Complaint
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0603
D
Potential harm, isolated
Corrected December 4, 2024
January 26, 2023
Fire safety
Have an enclosure around a vertical opening shaft.
Smoke Deficiencies · Tag K0311
F
Potential harm, widespread
Corrected March 15, 2023
January 26, 2023
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
F
Potential harm, widespread
Corrected March 15, 2023
January 26, 2023
Fire safety
Have restrictions on the use of portable space heaters.
Miscellaneous Deficiencies · Tag K0781
F
Potential harm, widespread
Corrected March 15, 2023
January 26, 2023
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
F
Potential harm, widespread
Corrected March 15, 2023
January 26, 2023
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
F
Potential harm, widespread
Corrected March 15, 2023
January 26, 2023
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
E
Potential harm, pattern
Corrected March 15, 2023
January 26, 2023
Standard
Perform COVID19 testing on residents and staff.
Infection Control Deficiencies · Tag F0886
E
Potential harm, pattern
Corrected March 15, 2023
January 26, 2023
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
E
Potential harm, pattern
Corrected March 15, 2023
January 26, 2023
Standard
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · Tag F0758
E
Potential harm, pattern
Corrected March 15, 2023
January 26, 2023
Standard
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.
Nursing and Physician Services Deficiencies · Tag F0726
D
Potential harm, isolated
Corrected March 15, 2023
January 26, 2023
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected March 15, 2023
January 26, 2023
Standard
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Tag F0732
D
Potential harm, isolated
Corrected March 15, 2023
January 26, 2023
Standard
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · Tag F0814
D
Potential harm, isolated
Corrected March 15, 2023
January 26, 2023
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
D
Potential harm, isolated
Corrected March 15, 2023
January 26, 2023
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
D
Potential harm, isolated
Corrected March 15, 2023
May 5, 2021
Fire safety
Address subsistence needs for staff and patients.
Emergency Preparedness Deficiencies · Tag E0015
F
Potential harm, widespread
Corrected July 27, 2021
May 5, 2021
Fire safety
Have an enclosure around a vertical opening shaft.
Smoke Deficiencies · Tag K0311
D
Potential harm, isolated
Corrected June 11, 2021
May 5, 2021
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
F
Potential harm, widespread
Corrected June 11, 2021
May 5, 2021
Standard
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies · Tag F0801
F
Potential harm, widespread
Corrected June 11, 2021
May 5, 2021
Standard
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Tag F0881
E
Potential harm, pattern
Corrected June 11, 2021
May 5, 2021
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected July 27, 2021
May 5, 2021
Standard
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · Tag F0803
E
Potential harm, pattern
Corrected June 11, 2021
May 5, 2021
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
E
Potential harm, pattern
Corrected June 11, 2021
May 5, 2021
Standard
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected June 11, 2021
May 5, 2021
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 June 11, 2021

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 NJ1 OPCOS LLC
Organization
5% or greater direct ownership interest100%07/01/2021
PC WTA OPCO HOLDCO LLC
Organization
5% or greater indirect ownership interest—07/01/2021
SMS 2021 TRUST
Organization
5% or greater indirect ownership interest—07/01/2021
WELLTOWER INC
Organization
5% or greater security interestNOT APPLICABLE07/01/2021
AURORA GUARDIAN HOLDCO II CO-BORROWER, LLC
Organization
adp of the snfNOT APPLICABLE07/30/2021
AURORA GUARDIAN HOLDCO II, LLC
Organization
adp of the snfNOT APPLICABLE07/30/2021
AURORA GUARDIAN HOLDCO II MEZZ BORROWER, LLC
Organization
adp of the snfNOT APPLICABLE07/30/2021
AURORA GUARDIAN II REALTY, LLC
Organization
adp of the snfNOT APPLICABLE07/30/2021
AURORA GUARDIAN PARTNERS II LLC
Organization
adp of the snfNOT APPLICABLE07/30/2021
FIEGLE, MARGARET
Individual
adp of the snfNOT APPLICABLE04/10/2023
GROSS, HARVEY
Individual
adp of the snfNOT APPLICABLE07/21/2021
INGLEMOOR CENTER REALTY, LLC
Organization
adp of the snfNOT APPLICABLE07/30/2021
J & R FAMILY INVESTMENTS, LLC
Organization
adp of the snfNOT APPLICABLE07/30/2021
LANDAU FAMILY INVESTMENT TRUST
Organization
adp of the snfNOT APPLICABLE07/30/2021
L FRIEDMAN 2018 FAMILY TRUST
Organization
adp of the snfNOT APPLICABLE07/30/2021
L FRIEDMAN FAMILY HOLDINGS LLC
Organization
adp of the snfNOT APPLICABLE07/30/2021
M FRIEDMAN 2018 FAMILY TRUST
Organization
adp of the snfNOT APPLICABLE07/30/2021
PC WTA ACQUISITION LLC
Organization
adp of the snfNOT APPLICABLE07/01/2021
PC WTA MULTI-STATE LLC
Organization
adp of the snfNOT APPLICABLE07/01/2021
PEACE CAPITAL HOLDINGS LLC
Organization
adp of the snfNOT APPLICABLE07/01/2021
R&J FAMILY INVESTMENTS LLC
Organization
adp of the snfNOT APPLICABLE07/30/2021
SINGER, IAN
Individual
adp of the snfNOT APPLICABLE03/03/2025
SMS 2021 TRUST
Organization
adp of the snfNOT APPLICABLE07/01/2021
WELLTOWER INC
Organization
adp of the snfNOT APPLICABLE07/01/2021
STEIN, SHALOM
Individual
corporate officerNOT APPLICABLE07/01/2021
STEIN, SHALOM
Individual
indirect ownership interestNOT APPLICABLE07/01/2021
STEIN, SHALOM
Individual
managing control - governing bodyNOT APPLICABLE07/01/2021
GROSS, HARVEY
Individual
operational/managerial controlNOT APPLICABLE07/21/2021
SCHWARTZ, HERSHEL
Individual
operational/managerial controlNOT APPLICABLE07/30/2021
SINGER, IAN
Individual
operational/managerial controlNOT APPLICABLE03/03/2025
ZACKAI, RAANAN
Individual
operational/managerial controlNOT APPLICABLE07/01/2021
STEIN, SHALOM
Individual
trustee of the snfNOT APPLICABLE07/01/2021

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Frequently asked questions

What is Complete Care at Inglemoor, LLC's rating?

Complete Care at Inglemoor, LLC has 2 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 Inglemoor, LLC receive?

Its most recent standard health inspection found 19 citations, compared with a New Jersey average of 8.5. Every citation is listed on this page with its severity.

Does Complete Care at Inglemoor, 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 Inglemoor, 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 Inglemoor, LLC and how do I contact it?

Complete Care at Inglemoor, LLC is at 333 Grand Ave, Englewood, NJ 07631. Phone: (201) 568-0900.

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.