COMPLETE CARE AT CHESTNUT HILL LLC
360 CHESTNUT STREET, PASSAIC, NJ 07055 · CCN 315085
SFF Candidate
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★★ 5
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 111
- Avg residents/day
- 104.4
- Phone
- 9737777800
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 | 2024-12-05 | 14 | 8.6 | 9.5 | +5.4 worse |
| 2 | 2022-08-18 | 11 | 8.0 | 9.8 | +3.0 worse |
| 3 | 2020-02-11 | 2 | 4.9 | 9.3 | -2.9 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 4 |
| Resident assessment and care planning | 2 |
| Resident rights | 4 |
| Administration | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.19 | 54.5% |
| RN staffing (reported) | 0.51 | 42.9% |
| Total nurse staffing (adjusted) | 3.13 | — |
Fines & penalties
- Total fines
- $41,688
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- COMPLETE CARE
- Facilities in chain
- 85
- Chain avg overall
- 3.20 / 5
Inspection citations (27)2 immediate jeopardy1 actual harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-12-05 · Health · corrected 2024-12-27
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-12-05 · Health · corrected 2024-12-27
Potential for more than minimal harm
- DF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2024-12-05 · Health · corrected 2024-12-27
Potential for more than minimal harm
- KF0578Honor 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.2024-12-05 · Health · corrected 2024-12-06
Immediate jeopardy
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-12-05 · Health · corrected 2024-12-27
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-12-05 · Health · corrected 2024-12-27
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-12-05 · Health · corrected 2024-12-27
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-12-05 · Health · corrected 2024-12-27
Potential for more than minimal harm
- EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-12-05 · Health · corrected 2024-12-27
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-12-05 · Health · corrected 2024-12-27
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-12-05 · Health · corrected 2024-12-27
Potential for more than minimal harm
- DF0700Try 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.2024-12-05 · Health · corrected 2024-12-27
Potential for more than minimal harm
- KF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-12-05 · Health · corrected 2024-12-06
Immediate jeopardy
- FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2024-12-05 · Health · corrected 2024-12-27
Potential for more than minimal harm
- DF0578Honor 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.2022-08-18 · Health · corrected 2022-09-30
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2022-08-18 · Health · corrected 2022-09-30
Potential for more than minimal harm
- DF0584Honor 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.2022-08-18 · Health · corrected 2022-09-30
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2022-08-18 · Health · corrected 2022-09-30
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.2022-08-18 · Health · corrected 2022-09-30
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.2022-08-18 · Health · corrected 2022-09-30
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-08-18 · Health · corrected 2022-09-30
Potential for more than minimal harm
- GF0692Provide enough food/fluids to maintain a resident's health.2022-08-18 · Health · corrected 2022-09-30
Actual harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-08-18 · Health · corrected 2022-09-30
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2022-08-18 · Health · corrected 2022-09-30
Potential for more than minimal harm
- DF0909Regularly 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.2022-08-18 · Health · corrected 2022-09-30
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2020-02-11 · Health · corrected 2020-02-21
Potential for more than minimal harm
- EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2020-02-11 · Health · corrected 2020-02-21
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CHESTNUT HILL HOLDCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2021-04-30 |
| EEF CAPITAL LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-04-30 |
| PC CHESTNUT HILL HOLDCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-04-30 |
| SCHLAFF, BENNY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-04-30 |
| SCHLAFF, NACHUM | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-04-30 |
| STEIN, SHALOM | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-04-30 |
| STEIN, SHALOM | Individual | CORPORATE OFFICER | — | 2021-04-30 |
| SCHWARTZ, HERSHEL | Individual | W-2 MANAGING EMPLOYEE | — | 2021-04-30 |
Other facilities in PASSAIC
| Name | Overall | Beds |
|---|---|---|
| COMPLETE CARE AT HAMILTON, LLC | ★★☆☆☆ | 120 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.