B81

COMPLETE CARE AT WEST CALDWELL LLC

Grade B 81/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
4/5
Health Insp.
3/5
Quality
5/5
Staffing
2/5
RN Staffing
Not rated

Certified Beds

180

Ownership

For profit - Limited Liability company

Total Fines

None

Last Survey

N/A

165 FAIRFIELD AVE, WEST CALDWELL, NJ 07006
9732261100

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.51h
LPN
0.77h
CNA
2.11h
Total
3.39h
Facility
State Average

Turnover Rates

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

Ownership

Ownership information not available.

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (10)

November 26, 2025Health1 deficiency
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Dec 18, 2025
March 21, 2025Health6 deficiencies
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 10, 2025
0697DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Apr 10, 2025
0835FMinimal harm, Widespread

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Administration Deficiencies

Corrected Apr 10, 2025
0698EMinimal harm, Pattern

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Apr 10, 2025
0756DMinimal harm, Isolated

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies

Corrected Apr 10, 2025
0837FMinimal harm, Widespread

Establish 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.

Administration Deficiencies

Corrected Apr 10, 2025
March 30, 2023Health1 deficiency
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Apr 14, 2023
October 30, 2020Health2 deficiencies
0658DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Nov 13, 2020
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Nov 13, 2020

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Frequently Asked Questions

What is the CareGrader rating for COMPLETE CARE AT WEST CALDWELL LLC?

COMPLETE CARE AT WEST CALDWELL LLC in WEST CALDWELL, New Jersey has a CareGrader grade of B (Good), with a composite score of 81.3 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 WEST CALDWELL LLC?

COMPLETE CARE AT WEST CALDWELL LLC has an overall CMS star rating of 4 out of 5, a health inspection rating of 3/5, 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 WEST CALDWELL LLC have?

COMPLETE CARE AT WEST CALDWELL LLC has 10 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.

How many beds does COMPLETE CARE AT WEST CALDWELL LLC have?

COMPLETE CARE AT WEST CALDWELL LLC has 180 certified beds with approximately 137 current residents (76% occupancy). The facility is located at 165 FAIRFIELD AVE, WEST CALDWELL, New Jersey 07006. 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.