Starfile

Starfile / New Jersey

COMPLETE CARE AT VOORHEES, LLC

3001 EVESHAM ROAD, VOORHEES, NJ 08043 · CCN 315219

Ratings

Overall
★★★☆☆ 3
Health inspection
★★☆☆☆ 2
Quality measures
★★★★★ 5
Staffing
★★☆☆☆ 2

Facility

Ownership type
For profit - Limited Liability company
Certified beds
190
Avg residents/day
175.9
Phone
8567511600

Inspection history vs New Jersey & national averages

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

CycleInspection dateThis facilityNew Jersey avgNational avgvs state
12025-01-13118.69.5+2.4 worse
22023-09-29168.09.8+8.0 worse
32022-06-0774.99.3+2.1 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care3
Resident assessment and care planning1
Resident rights2
Nutrition and dietary3
Pharmacy service2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.5864.1%
RN staffing (reported)0.2747.1%
Total nurse staffing (adjusted)3.72

Fines & penalties

Total fines
$41,098
Number of fines
1
Number of penalties
2
Payment denials
1

Chain

Chain
COMPLETE CARE
Facilities in chain
85
Chain avg overall
3.20 / 5

Inspection citations (34)1 immediate jeopardy

  1. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-08-29 · Health · corrected 2025-10-17

    Potential for more than minimal harm

  2. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-05-02 · Health · corrected 2025-07-11

    Potential for more than minimal harm

  3. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-01-13 · Health · corrected 2025-02-21

    Potential for more than minimal harm

  4. EF0584Honor 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.2025-01-13 · Health · corrected 2025-02-21

    Potential for more than minimal harm

  5. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-01-13 · Health · corrected 2025-02-21

    Potential for more than minimal harm

  6. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-01-13 · Health · corrected 2025-02-21

    Potential for more than minimal harm

  7. EF0687Provide appropriate foot care.2025-01-13 · Health · corrected 2025-02-21

    Potential for more than minimal harm

  8. EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-01-13 · Health · corrected 2025-02-21

    Potential for more than minimal harm

  9. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-01-13 · Health · corrected 2025-02-21

    Potential for more than minimal harm

  10. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2025-01-13 · Health · corrected 2025-02-21

    Potential for more than minimal harm

  11. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-01-13 · Health · corrected 2025-02-21

    Potential for more than minimal harm

  12. 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.2023-09-29 · Health · corrected 2023-10-28

    Potential for more than minimal harm

  13. EF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-09-29 · Health · corrected 2023-10-28

    Potential for more than minimal harm

  14. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-09-29 · Health · corrected 2023-10-28

    Potential for more than minimal harm

  15. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-09-29 · Health · corrected 2023-10-28

    Potential for more than minimal harm

  16. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-09-29 · Health · corrected 2023-10-28

    Potential for more than minimal harm

  17. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-09-29 · Health · corrected 2023-10-28

    Potential for more than minimal harm

  18. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-29 · Health · corrected 2023-10-28

    Potential for more than minimal harm

  19. 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.2023-09-29 · Health · corrected 2023-10-28

    Potential for more than minimal harm

  20. 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.2023-09-29 · Health · corrected 2023-10-28

    Potential for more than minimal harm

  21. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-09-29 · Health · corrected 2023-10-28

    Potential for more than minimal harm

  22. EF0809Ensure 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.2023-09-29 · Health · corrected 2023-10-28

    Potential for more than minimal harm

  23. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-09-29 · Health · corrected 2023-10-28

    Potential for more than minimal harm

  24. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-09-29 · Health · corrected 2023-10-28

    Potential for more than minimal harm

  25. JF0880Provide and implement an infection prevention and control program.2023-09-29 · Health · corrected 2023-11-30

    Immediate jeopardy

  26. EF0881Implement a program that monitors antibiotic use.2023-09-29 · Health · corrected 2023-10-28

    Potential for more than minimal harm

  27. EF0909Regularly 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.2023-09-29 · Health · corrected 2023-10-28

    Potential for more than minimal harm

  28. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-06-07 · Health · corrected 2022-07-11

    Potential for more than minimal harm

  29. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-06-07 · Health · corrected 2022-07-11

    Potential for more than minimal harm

  30. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2022-06-07 · Health · corrected 2022-07-11

    Potential for more than minimal harm

  31. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-06-07 · Health · corrected 2022-07-11

    Potential for more than minimal harm

  32. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-06-07 · Health · corrected 2022-07-11

    Potential for more than minimal harm

  33. EF0760Ensure that residents are free from significant medication errors.2022-06-07 · Health · corrected 2022-07-11

    Potential for more than minimal harm

  34. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-06-07 · Health · corrected 2022-07-11

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
PC NJ2 OPCOS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2021-07-01
PEACE CAPITAL HOLDINGS LLC (DE)Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST2021-07-01
SMS 2021 TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2021-07-01
HOCH, ROBERTIndividualOPERATIONAL/MANAGERIAL CONTROL2021-07-01
LOVE, SUSANIndividualOPERATIONAL/MANAGERIAL CONTROL2021-07-01
MERCADO, WANDAIndividualOPERATIONAL/MANAGERIAL CONTROL2021-07-01
PECORA, ANDREWIndividualOPERATIONAL/MANAGERIAL CONTROL2021-07-01
SOLARZ, JEFFREYIndividualOPERATIONAL/MANAGERIAL CONTROL2021-07-01
STEIN, SHALOMIndividualCORPORATE OFFICER2021-07-01
WELLTOWER OP LLCOrganization5% OR GREATER SECURITY INTEREST2021-07-01

Other facilities in VOORHEES

NameOverallBeds
ECHELON CARE & REHAB★★★★☆240
LIONS GATE★★★★☆110
COMPLETE CARE AT KRESSON VIEW, LLC★★★☆☆240
Voorhees Pediatric Facility★★☆☆☆122
AUTUMN LAKE HEALTHCARE AT VOORHEES★★☆☆☆120

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