COMPLETE CARE AT WAYNE HILLS REHAB & RESP CENTER
130 TERHUNE DRIVE, WAYNE, NJ 07470 · CCN 315110
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 120
- Avg residents/day
- 104.7
- Phone
- 9738394500
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 | 2025-12-03 | 16 | 8.6 | 9.5 | +7.4 worse |
| 2 | 2024-05-24 | 7 | 8.0 | 9.8 | -1.0 better |
| 3 | 2022-02-23 | 8 | 4.9 | 9.3 | +3.1 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 5 |
| Resident assessment and care planning | 3 |
| Nursing and physician services | 1 |
| Resident rights | 4 |
| Nutrition and dietary | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.19 | 43.5% |
| RN staffing (reported) | 0.51 | 50.0% |
| Total nurse staffing (adjusted) | 2.43 | — |
Fines & penalties
- Total fines
- $54,406
- 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 (31)1 immediate jeopardy
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-12-11 · Health · corrected 2026-01-08
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-12-11 · Health · corrected 2026-01-15
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-12-03 · Health · corrected 2025-12-26
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-12-03 · Health · corrected 2025-12-26
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.2025-12-03 · Health · corrected 2025-12-26
Potential for more than minimal harm
- DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-12-03 · Health · corrected 2025-12-26
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-12-03 · Health · corrected 2025-12-26
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.2025-12-03 · Health · corrected 2025-12-26
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.2025-12-03 · Health · corrected 2026-01-13
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2025-12-03 · Health · corrected 2026-01-13
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-03 · Health · corrected 2025-12-26
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.2025-12-03 · Health · corrected 2025-12-26
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2025-12-03 · Health · corrected 2025-12-26
Potential for minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-12-03 · Health · corrected 2026-01-13
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-12-03 · Health · corrected 2025-12-26
Potential for more than minimal harm
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-07-18 · Health · corrected 2025-08-25
Immediate jeopardy
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-09-10 · Health · corrected 2024-10-07
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-09-10 · Health · corrected 2024-10-07
Potential for more than minimal harm
- DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2024-05-24 · Health · corrected 2024-07-07
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-05-24 · Health · corrected 2024-07-07
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-05-24 · Health · corrected 2024-07-07
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-05-24 · Health · corrected 2024-07-07
Potential for more than minimal harm
- EF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2024-05-24 · Health · corrected 2024-07-07
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2023-09-26 · Health · corrected 2023-10-25
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-02-23 · Health · corrected 2022-03-01
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-02-23 · Health · corrected 2022-03-01
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-02-23 · Health · corrected 2022-03-01
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.2022-02-23 · Health · corrected 2022-03-01
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.2022-02-23 · Health · corrected 2022-03-01
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-02-23 · Health · corrected 2022-03-01
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-02-23 · Health · corrected 2022-04-01
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| LAKEVIEW OPCO HOLDCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-11-03 |
| LAKEVIEW HOLDCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-11-03 |
| PEACE CAPITAL HOLDINGS LLC (DE) | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-11-03 |
| SMS 2021 TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-11-03 |
| GRELLA, WILLIAM | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-11-03 |
| MULLER, RAPHOEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-12 |
| SCHWARTZ, HERSHEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-11-03 |
| STEIN, SHALOM | Individual | CORPORATE OFFICER | — | 2023-11-03 |
Other facilities in WAYNE
| Name | Overall | Beds |
|---|---|---|
| CAREONE AT WAYNE | ★★★★★ | 101 |
| EXCEL CARE AT WAYNE | ★★★★☆ | 120 |
| ARBOR RIDGE REHABILITATION AND HEALTHCARE CENTER | ★★★★☆ | 120 |
| Avalon Rehab and Care Center | ★★★☆☆ | 170 |
| Alps at Wayne Rehab & Care Center | ★★★☆☆ | 209 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.