Complete Care at Bayshore LLC
715 NORTH BEERS STREET, HOLMDEL, NJ 07733 · CCN 315252
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★★ 5
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 232
- Avg residents/day
- 140.7
- Phone
- 7327399000
Inspection history vs New Jersey & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | New Jersey avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-10-30 | 6 | 8.6 | 9.5 | -2.6 better |
| 2 | 2023-10-19 | 13 | 8.0 | 9.8 | +5.0 worse |
| 3 | 2022-08-03 | 18 | 4.9 | 9.3 | +13.1 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident assessment and care planning | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 2 |
| Administration | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.67 | 40.0% |
| RN staffing (reported) | 0.49 | 35.3% |
| Total nurse staffing (adjusted) | 3.17 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- COMPLETE CARE
- Facilities in chain
- 85
- Chain avg overall
- 3.20 / 5
Inspection citations (37)1 actual harm
- DF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2025-12-29 · Health · corrected 2026-02-13
Potential for more than minimal harm
- DF0624Prepare residents for a safe transfer or discharge from the nursing home.2024-10-30 · Health · corrected 2024-11-11
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-10-30 · Health · corrected 2024-11-11
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-10-30 · Health · corrected 2024-11-11
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-10-30 · Health · corrected 2024-11-11
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-10-30 · Health · corrected 2024-11-11
Potential for more than minimal harm
- DF0761Ensure 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.2024-10-30 · Health · corrected 2024-11-11
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-30 · Health · corrected 2024-11-12
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-04-04 · Health · corrected 2024-05-01
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-02-14 · Health · corrected 2024-03-12
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-10-19 · Health · corrected 2023-11-17
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-10-19 · Health · corrected 2023-11-17
Potential for more than minimal harm
- DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2023-10-19 · Health · corrected 2023-11-03
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-10-19 · Health · corrected 2023-11-17
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-10-19 · Health · corrected 2023-11-17
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-10-19 · Health · corrected 2023-11-17
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-10-19 · Health · corrected 2023-11-17
Potential for more than minimal harm
- DF0761Ensure 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.2023-10-19 · Health · corrected 2023-11-17
Potential for more than minimal harm
- BF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-10-19 · Health · corrected 2023-11-17
Potential for minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-10-19 · Health · corrected 2023-11-17
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-08-03 · Health · corrected 2022-09-13
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2022-08-03 · Health · corrected 2022-09-13
Potential for more than minimal harm
- CF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2022-08-03 · Health · corrected 2022-09-13
Potential for minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-08-03 · Health · corrected 2022-09-13
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-08-03 · Health · corrected 2022-09-13
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-08-03 · Health · corrected 2022-09-13
Potential for more than minimal harm
- FF0679Provide activities to meet all resident's needs.2022-08-03 · Health · corrected 2022-09-13
Potential for more than minimal harm
- FF0680Ensure the activities program is directed by a qualified professional.2022-08-03 · Health · corrected 2022-09-21
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-08-03 · Health · corrected 2022-09-13
Actual harm
- DF0692Provide enough food/fluids to maintain a resident's health.2022-08-03 · Health · corrected 2022-09-13
Potential for more than minimal harm
- DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2022-08-03 · Health · corrected 2022-09-13
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-08-03 · Health · corrected 2022-09-13
Potential for more than minimal harm
- DF0758Implement 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.2022-08-03 · Health · corrected 2022-09-13
Potential for more than minimal harm
- DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2022-08-03 · Health · corrected 2022-09-13
Potential for more than minimal harm
- FF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2022-08-03 · Health · corrected 2022-09-13
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-08-03 · Health · corrected 2022-09-13
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2022-08-03 · Health · corrected 2022-10-03
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| PC HMH OPCO HOLDNGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-03-16 |
| PC HMH HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-03-16 |
| PEACE CAPITAL HOLDINGS LLC (DE) | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-03-16 |
| SMS 2021 TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-03-16 |
| GREWAL, BALJINDER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-03-16 |
| LEVOVITZ, YITZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-03-16 |
| MATZLIAH, MENACHEM | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-03-16 |
| MERCADO, WANDA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-03-16 |
| NASRA, MAGDY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-03-16 |
| STEIN, SHALOM | Individual | CORPORATE OFFICER | — | 2023-03-16 |
Other facilities in HOLMDEL
| Name | Overall | Beds |
|---|---|---|
| CAREONE AT HOLMDEL | ★★★★★ | 130 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.