Starfile / New Jersey

COMPLETE CARE AT INGLEMOOR, LLC

333 GRAND AVE, ENGLEWOOD, NJ 07631 · CCN 315349

Inspection history vs New Jersey & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

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 (39)

1. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-11-07 · Health · corrected 2025-12-08

   Potential for more than minimal harm

2. DF0692Provide enough food/fluids to maintain a resident's health.2025-11-07 · Health · corrected 2025-12-17

   Potential for more than minimal harm

3. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-11-07 · Health · corrected 2025-12-17

   Potential for more than minimal harm

4. DF0558Reasonably accommodate the needs and preferences of each resident.2025-03-13 · Health · corrected 2025-04-11

   Potential for more than minimal harm

5. 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.2025-03-13 · Health · corrected 2025-04-11

   Potential for more than minimal harm

6. DF0610Respond appropriately to all alleged violations.2025-03-13 · Health · corrected 2025-04-02

   Potential for more than minimal harm

7. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-03-13 · Health · corrected 2025-04-11

   Potential for more than minimal harm

8. DF0641Ensure each resident receives an accurate assessment.2025-03-13 · Health · corrected 2025-04-11

   Potential for more than minimal harm

9. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-03-13 · Health · corrected 2025-04-11

   Potential for more than minimal harm

10. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2025-03-13 · Health · corrected 2025-04-11

    Potential for more than minimal harm

11. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-13 · Health · corrected 2025-04-11

    Potential for more than minimal harm

12. DF0692Provide enough food/fluids to maintain a resident's health.2025-03-13 · Health · corrected 2025-04-11

    Potential for more than minimal harm

13. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-03-13 · Health · corrected 2025-04-11

    Potential for more than minimal harm

14. EF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2025-03-13 · Health · corrected 2025-04-11

    Potential for more than minimal harm

15. 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.2025-03-13 · Health · corrected 2025-04-11

    Potential for more than minimal harm

16. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-13 · Health · corrected 2025-04-11

    Potential for more than minimal harm

17. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-03-13 · Health · corrected 2025-04-11

    Potential for more than minimal harm

18. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-03-13 · Health · corrected 2025-04-11

    Potential for more than minimal harm

19. DF0887Educate 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.2025-03-13 · Health · corrected 2025-04-11

    Potential for more than minimal harm

20. DF0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).2024-12-03 · Health · corrected 2024-12-04

    Potential for more than minimal harm

21. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-01-26 · Health · corrected 2023-03-15

    Potential for more than minimal harm

22. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-01-26 · Health · corrected 2023-03-15

    Potential for more than minimal harm

23. DF0732Post nurse staffing information every day.2023-01-26 · Health · corrected 2023-03-15

    Potential for more than minimal harm

24. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-01-26 · Health · corrected 2023-03-15

    Potential for more than minimal harm

25. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-01-26 · Health · corrected 2023-03-15

    Potential for more than minimal harm

26. EF0758Implement 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.2023-01-26 · Health · corrected 2023-03-15

    Potential for more than minimal harm

27. DF0759Ensure medication error rates are not 5 percent or greater.2023-01-26 · Health · corrected 2023-03-15

    Potential for more than minimal harm

28. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-01-26 · Health · corrected 2023-03-15

    Potential for more than minimal harm

29. DF0814Dispose of garbage and refuse properly.2023-01-26 · Health · corrected 2023-03-15

    Potential for more than minimal harm

30. FF0880Provide and implement an infection prevention and control program.2023-01-26 · Health · corrected 2023-03-15

    Potential for more than minimal harm

31. EF0886Perform COVID19 testing on residents and staff.2023-01-26 · Health · corrected 2023-03-15

    Potential for more than minimal harm

32. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2021-05-05 · Health · corrected 2021-06-11

    Potential for more than minimal harm

33. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2021-05-05 · Health · corrected 2021-06-11

    Potential for more than minimal harm

34. 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.2021-05-05 · Health · corrected 2021-06-11

    Potential for more than minimal harm

35. FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2021-05-05 · Health · corrected 2021-06-11

    Potential for more than minimal harm

36. EF0803Ensure 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.2021-05-05 · Health · corrected 2021-06-11

    Potential for more than minimal harm

37. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-05-05 · Health · corrected 2021-06-11

    Potential for more than minimal harm

38. EF0880Provide and implement an infection prevention and control program.2021-05-05 · Health · corrected 2021-07-27

    Potential for more than minimal harm

39. EF0881Implement a program that monitors antibiotic use.2021-05-05 · Health · corrected 2021-06-11

    Potential for more than minimal harm

Ownership

Other facilities in ENGLEWOOD

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.