D61

COMPLETE CARE AT PROSPECT HEIGHTS LLC

Grade D 61/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
2/5
Health Insp.
1/5
Quality
5/5
Staffing
2/5
RN Staffing
Not rated

Certified Beds

196

Ownership

For profit - Limited Liability company

Total Fines

$118,483

Last Survey

N/A

336 PROSPECT AVE, HACKENSACK, NJ 07601
2016781800

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.69h
LPN
0.91h
CNA
1.21h
Total
2.81h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

PC HMH OPCO HOLDINGS 2 LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Sep 2023

100%

PC HMH HOLDINGS 2 LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2023

PEACE CAPITAL HOLDINGS LLC (DE)

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2023

SMS 2021 TRUST

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2023

ASPRIL, VILMA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2024

STEIN, SHALOM

IndividualCORPORATE OFFICERSince Sep 2023

Penalties & Fines (7)

$118,483total fines
DateTypeDescriptionAmount
Sep 27, 2024Fine$59,171
Apr 16, 2024Fine$25,300
Feb 20, 2024Fine$3,798
Feb 15, 2024Fine$15,646
Feb 12, 2024Fine$3,418
Jan 22, 2024Fine$7,976
Dec 18, 2023Fine$3,174

Health Inspection Deficiencies (16)

March 5, 2025Health1 deficiency
0658DMinimal harm, Isolated

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 6, 2025
February 11, 2025Health1 deficiency
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Feb 12, 2025
September 27, 2024Health3 deficiencies1 severe
0880KImmediate jeopardy, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Nov 7, 2024
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Nov 7, 2024
0732CNo harm, Widespread

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies

Corrected Nov 7, 2024
April 16, 2024Health5 deficiencies2 severe
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected May 8, 2024
0657GActual harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected May 8, 2024
0676DMinimal harm, Isolated

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Quality of Life and Care Deficiencies

Corrected May 8, 2024
0697GActual harm, Isolated

Provide safe, appropriate pain management for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected May 8, 2024
0725DMinimal harm, Isolated

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Nursing and Physician Services Deficiencies

Corrected May 8, 2024
February 15, 2024Health1 deficiency1 severe
0689JImmediate jeopardy, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Dec 11, 2023
October 3, 2022Health3 deficiencies
0658DMinimal harm, Isolated

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Nov 1, 2022
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Nov 1, 2022
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Dec 14, 2022
February 25, 2020Health2 deficiencies
0658EMinimal harm, Pattern

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 20, 2020
0693EMinimal harm, Pattern

Ensure 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.

Quality of Life and Care Deficiencies

Corrected Mar 20, 2020

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Frequently Asked Questions

What is the CareGrader rating for COMPLETE CARE AT PROSPECT HEIGHTS LLC?

COMPLETE CARE AT PROSPECT HEIGHTS LLC in HACKENSACK, New Jersey has a CareGrader grade of D (Below Average), with a composite score of 60.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for COMPLETE CARE AT PROSPECT HEIGHTS LLC?

COMPLETE CARE AT PROSPECT HEIGHTS LLC has an overall CMS star rating of 2 out of 5, a health inspection rating of 1/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does COMPLETE CARE AT PROSPECT HEIGHTS LLC have?

COMPLETE CARE AT PROSPECT HEIGHTS LLC has 16 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has COMPLETE CARE AT PROSPECT HEIGHTS LLC been fined?

Yes. COMPLETE CARE AT PROSPECT HEIGHTS LLC has $118,483 in total fines from CMS enforcement actions across 7 penalties.

How many beds does COMPLETE CARE AT PROSPECT HEIGHTS LLC have?

COMPLETE CARE AT PROSPECT HEIGHTS LLC has 196 certified beds with approximately 120 current residents (61% occupancy). The facility is located at 336 PROSPECT AVE, HACKENSACK, New Jersey 07601. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.