Elder Care Record

New Jersey › Passaic County › Passaic

Complete Care At Hamilton, LLC

56 Hamilton Avenue, Passaic, NJ 07055

CCN 315221 · For-profit, limited liability company · 120 certified beds · chain Complete Care

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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.

Complete Care At Hamilton, LLC is a For-profit, limited liability company nursing home in Passaic, New Jersey, certified for 120 beds and caring for about 103 residents a day.

CMS gives it 5 of 5 stars overall, above the New Jersey median of 4; the health inspection rating is 4, staffing 5 and quality measures 3.

Inspectors recorded 24 health deficiencies across the three most recent survey cycles (5, 3, 16 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 20.0 per 100 beds, more than the state median of 15.2.

CMS lists 2 penalties in the period covered: fines totalling $25K.

Reported nurse staffing is 3.5 hours per resident per day (0.6 RN), close to the New Jersey median of 3.6; nursing staff turnover is 28.0%.

24health deficiencies, 3 survey cycles2 at actual harm or worse
$25Kfines listed by CMS2 penalties in period
3.5nurse hours per resident per daystate median 3.6
86%occupancy (residents ÷ beds)103 residents a day

Compared with county, state and nation

MeasureThis facilityPassaic Co. medianNew Jersey medianUS average
Overall star rating5343.0
Health citations, 3 cycles24242128.7
Citations per 100 beds20.014.415.226.8
Total nurse hours per resident day3.53.53.63.9
RN hours per resident day0.60.60.50.7
Nursing staff turnover28.0%41.6%38.9%45.8%
Fines listed$25,313$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

Cycle 1 (latest)5
Cycle 23
Cycle 316

Dark bar: this facility. Grey bar: New Jersey average per facility for the same cycle, as published by CMS. Standard health survey dates: 9 Sep 2025, 27 Jun 2024.

Severity mix: J ×1 G ×1 D ×14 E ×5 F ×3

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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
9 Sep 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey3 Nov 2025
9 Sep 2025F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation3 Nov 2025
9 Sep 2025F0584Honor 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.DComplaint investigation3 Nov 2025
9 Sep 2025F0692Provide enough food/fluids to maintain a resident's health.DStandard survey3 Nov 2025
9 Sep 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey3 Nov 2025
28 Jan 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation21 Feb 2025
15 Oct 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation10 Oct 2024
27 Jun 2024F0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.DStandard survey14 Aug 2024
30 Jan 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation21 Feb 2024
26 May 2023F0880Provide and implement an infection prevention and control program.FStandard survey21 Jul 2023
26 May 2023F0881Implement a program that monitors antibiotic use.FStandard survey21 Jul 2023
26 May 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EStandard survey21 Jul 2023
26 May 2023F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard survey21 Jul 2023
26 May 2023F0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.EStandard survey21 Jul 2023
26 May 2023F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.EStandard survey21 Jul 2023
26 May 2023F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard survey21 Jul 2023
26 May 2023F0578Honor 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.DStandard survey21 Jul 2023
26 May 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard survey21 Jul 2023
26 May 2023F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard survey21 Jul 2023
26 May 2023F0610Respond appropriately to all alleged violations.DStandard survey21 Jul 2023
26 May 2023F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey21 Jul 2023
26 May 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey26 May 2023
26 May 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey21 Jul 2023
26 May 2023F0700Try 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.DStandard survey21 Jul 2023

Penalties

DateTypeAmountDetail
15 Oct 2024Fine$16,801
30 Jan 2024Fine$8,512

Staffing

Total nursing3.5 h
Nurse aides2.2 h
LPN0.71 h
RN0.59 h
Weekend total3.3 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the New Jersey average. Turnover: nursing staff 28.0%, RNs 12.5%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityNew Jersey medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay5.4%7.3%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.2%0.2%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.8%0.4%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.5%2.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay5.4%6.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay6.7%4.8%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay7.2%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. Legal business name: Complete Care At Hamilton Llc. Chain: Complete Care (85 facilities).

OrganisationRole in the CMS recordInterestSince
Eef Capital LLC5% or greater direct ownership interest48%06/13/2018
Peace Capital LLC5% or greater direct ownership interest53%06/13/2018
Cc Hamilton Management LLC5% or greater indirect ownership interest53%06/13/2018
Eef Capital LLCAdp of the snfNOT APPLICABLE06/13/2018
Hamilton Property LLCAdp of the snfNOT APPLICABLE06/13/2018
Hp Intermediate Administrative Services LLCAdp of the snfNOT APPLICABLE06/13/2018
Peace Capital LLCAdp of the snfNOT APPLICABLE06/13/2018

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

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Careone At WayneWayne10155387.9—23 Dec 2025
Doctors Subacute Healthcare, LLCPaterson545441629.6—2 Dec 2025
Health Center At BloomingdaleBloomingdale1205442823.3—28 Aug 2025
Atrium Post Acute Care of WayneWayne2094432110.0$3K25 Feb 2025
Barnert Subacute Rehabilitation Center, LLCPaterson684431319.1—23 Apr 2025
Lakeland Nursing & RehabHaskell2014332311.4—29 Jul 2024
WindmereNorth Haledon5744—58.8—3 Mar 2026
Atlas Rehabilitation and Healthcare At Daughters OClifton2103223014.3—30 Oct 2025

All 19 facilities in Passaic County

Questions and answers

How many deficiencies has Complete Care At Hamilton, LLC been cited for?

24 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The New Jersey median is 21 per facility.

Has Complete Care At Hamilton, LLC been fined?

Yes. CMS lists fines totalling $25K in the period covered.

How does staffing at Complete Care At Hamilton, LLC compare?

Reported total nurse staffing is 3.5 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 Hamilton, LLC?

It is part of the Complete Care chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Eef Capital LLC, Peace Capital LLC and Cc Hamilton Management LLC. Individual owners and managers are not listed on this site.

When was Complete Care At Hamilton, LLC last inspected?

The most recent survey or investigation in the CMS record is dated 9 Sep 2025; the most recent standard health survey was 9 Sep 2025.

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.