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Complete Care At Chestnut Hill LLC
360 Chestnut Street, Passaic, NJ 07055
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 111 beds, Complete Care At Chestnut Hill LLC serves Passaic in Passaic County, New Jersey and has taken Medicare and Medicaid residents since 1968.
CMS gives it 1 of 5 stars overall, below the New Jersey median of 4; the health inspection rating is 1, staffing 1 and quality measures 4.
Inspectors recorded 27 health deficiencies across the three most recent survey cycles (14, 11, 2 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 24.3 per 100 beds, more than the state median of 15.2.
CMS lists 1 penalty in the period covered: fines totalling $42K.
Reported nurse staffing is 3.2 hours per resident per day (0.4 RN), close to the New Jersey median of 3.6; nursing staff turnover is 41.8%.
Compared with county, state and nation
| Measure | This facility | Passaic Co. median | New Jersey median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 4 | 3.0 |
| Health citations, 3 cycles | 27 | 24 | 21 | 28.7 |
| Citations per 100 beds | 24.3 | 14.4 | 15.2 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.5 | 3.6 | 3.9 |
| RN hours per resident day | 0.4 | 0.6 | 0.5 | 0.7 |
| Nursing staff turnover | 41.8% | 41.6% | 38.9% | 45.8% |
| Fines listed | $41,688 | $3,595 | $0 | — |
County and state figures are medians across facilities (19 in the county, 348 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: New Jersey average per facility for the same cycle, as published by CMS. Standard health survey dates: 5 Dec 2024, 18 Aug 2022.
Severity mix: K ×2 G ×1 D ×19 E ×4 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 5 Dec 2024 | F0578 | Honor 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. | K | Standard survey | 6 Dec 2024 |
| 5 Dec 2024 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | K | Standard survey | 6 Dec 2024 |
| 5 Dec 2024 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 27 Dec 2024 |
| 5 Dec 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 27 Dec 2024 |
| 5 Dec 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard survey | 27 Dec 2024 |
| 5 Dec 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 27 Dec 2024 |
| 5 Dec 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 27 Dec 2024 |
| 5 Dec 2024 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | Standard survey | 27 Dec 2024 |
| 5 Dec 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 27 Dec 2024 |
| 5 Dec 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 27 Dec 2024 |
| 5 Dec 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 27 Dec 2024 |
| 5 Dec 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 27 Dec 2024 |
| 5 Dec 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 27 Dec 2024 |
| 5 Dec 2024 | F0700 | Try 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. | D | Standard survey | 27 Dec 2024 |
| 18 Aug 2022 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 30 Sep 2022 |
| 18 Aug 2022 | F0578 | Honor 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. | D | Standard survey | 30 Sep 2022 |
| 18 Aug 2022 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 30 Sep 2022 |
| 18 Aug 2022 | F0584 | Honor 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. | D | Standard survey | 30 Sep 2022 |
| 18 Aug 2022 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 30 Sep 2022 |
| 18 Aug 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 30 Sep 2022 |
| 18 Aug 2022 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 30 Sep 2022 |
| 18 Aug 2022 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 30 Sep 2022 |
| 18 Aug 2022 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 30 Sep 2022 |
| 18 Aug 2022 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 30 Sep 2022 |
| 18 Aug 2022 | F0909 | Regularly 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. | D | Standard survey | 30 Sep 2022 |
| 11 Feb 2020 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 21 Feb 2020 |
| 11 Feb 2020 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 21 Feb 2020 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 5 Dec 2024 | Fine | $41,688 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the New Jersey average. Turnover: nursing staff 41.8%, RNs 50.0%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | New Jersey median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 12.5% | 7.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.2% | 0.2% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.2% | 0.4% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.1% | 2.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.1% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.6% | 6.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.3% | 4.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 6.7% | 11.8% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Chain: Complete Care (85 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Chestnut Hill Holdco LLC | 5% or greater direct ownership interest | 100% | 04/30/2021 |
| Eef Capital LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 04/30/2021 |
| Pc Chestnut Hill Holdco LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 04/30/2021 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Passaic County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Careone At Wayne | Wayne | 101 | 5 | 5 | 3 | 8 | 7.9 | — | 23 Dec 2025 |
| Complete Care At Hamilton, LLC | Passaic | 120 | 5 | 4 | 5 | 24 | 20.0 | $25K | 9 Sep 2025 |
| Doctors Subacute Healthcare, LLC | Paterson | 54 | 5 | 4 | 4 | 16 | 29.6 | — | 2 Dec 2025 |
| Health Center At Bloomingdale | Bloomingdale | 120 | 5 | 4 | 4 | 28 | 23.3 | — | 28 Aug 2025 |
| Atrium Post Acute Care of Wayne | Wayne | 209 | 4 | 4 | 3 | 21 | 10.0 | $3K | 25 Feb 2025 |
| Barnert Subacute Rehabilitation Center, LLC | Paterson | 68 | 4 | 4 | 3 | 13 | 19.1 | — | 23 Apr 2025 |
| Lakeland Nursing & Rehab | Haskell | 201 | 4 | 3 | 3 | 23 | 11.4 | — | 29 Jul 2024 |
| Windmere | North Haledon | 57 | 4 | 4 | — | 5 | 8.8 | — | 3 Mar 2026 |
All 19 facilities in Passaic County
Questions and answers
How many deficiencies has Complete Care At Chestnut Hill LLC been cited for?
27 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The New Jersey median is 21 per facility.
Has Complete Care At Chestnut Hill LLC been fined?
Yes. CMS lists fines totalling $42K in the period covered.
How does staffing at Complete Care At Chestnut Hill LLC compare?
Reported total nurse staffing is 3.2 hours per resident per day against a New Jersey median of 3.6 and a national average of 3.9.
Who operates Complete Care At Chestnut Hill LLC?
It is part of the Complete Care chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Chestnut Hill Holdco LLC, Eef Capital LLC and Pc Chestnut Hill Holdco LLC. Individual owners and managers are not listed on this site.
When was Complete Care At Chestnut Hill LLC last inspected?
The most recent survey or investigation in the CMS record is dated 5 Dec 2024; the most recent standard health survey was 5 Dec 2024.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.