COMPLETE CARE AT WEST CALDWELL LLC
165 FAIRFIELD AVE, WEST CALDWELL, NJ 07006 · CCN 315247
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★★ 5
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 180
- Avg residents/day
- 137.5
- Phone
- 9732261100
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 | 2025-03-21 | 7 | 8.6 | 9.5 | -1.6 better |
| 2 | 2023-03-30 | 0 | 8.0 | 9.8 | -8.0 better |
| 3 | 2020-10-30 | 3 | 4.9 | 9.3 | -1.9 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 2 |
| Resident assessment and care planning | 1 |
| Pharmacy service | 1 |
| Administration | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.53 | 46.2% |
| RN staffing (reported) | 0.53 | 52.2% |
| Total nurse staffing (adjusted) | 3.39 | — |
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 (10)
- DF0610Respond appropriately to all alleged violations.2025-11-26 · Health · corrected 2025-12-18
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-03-21 · Health · corrected 2025-04-10
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-03-21 · Health · corrected 2025-04-10
Potential for more than minimal harm
- EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-03-21 · Health · corrected 2025-04-10
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-03-21 · Health · corrected 2025-04-10
Potential for more than minimal harm
- FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2025-03-21 · Health · corrected 2025-04-10
Potential for more than minimal harm
- FF0837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.2025-03-21 · Health · corrected 2025-04-10
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-03-30 · Health · corrected 2023-04-14
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2020-10-30 · Health · corrected 2020-11-13
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2020-10-30 · Health · corrected 2020-11-13
Potential for more than minimal harm
Ownership
No ownership records.
Other facilities in WEST CALDWELL
| Name | Overall | Beds |
|---|---|---|
| LUTHERAN SOCIAL MINISTRIES CRANES MILL | ★★★★★ | 56 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.