Elder Care Record

New Jersey › Middlesex County › Matawan

Complete Care At Madison, LLC

625 State Highway 34, Matawan, NJ 07747

CCN 315015 · For-profit, limited liability company · 167 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 Madison, LLC, in Matawan, New Jersey, is certified for 167 beds under for-profit, limited liability company ownership and belongs to the Complete Care chain.

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

Inspectors recorded 23 health deficiencies across the three most recent survey cycles (7, 9, 7 by cycle, most recent first), none at the actual-harm level. That is 13.8 per 100 beds, about the same as the state median of 15.2.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.6 hours per resident per day (0.5 RN), close to the New Jersey median of 3.6; nursing staff turnover is 36.1%.

23health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
3.6nurse hours per resident per daystate median 3.6
77%occupancy (residents ÷ beds)129 residents a day

Compared with county, state and nation

MeasureThis facilityMiddlesex Co. medianNew Jersey medianUS average
Overall star rating5443.0
Health citations, 3 cycles23202128.7
Citations per 100 beds13.812.215.226.8
Total nurse hours per resident day3.63.73.63.9
RN hours per resident day0.50.70.50.7
Nursing staff turnover36.1%33.9%38.9%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (25 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)7
Cycle 29
Cycle 37

Dark bar: this facility. Grey bar: New Jersey average per facility for the same cycle, as published by CMS. Standard health survey dates: 3 Mar 2026, 27 Aug 2024.

Severity mix: D ×19 E ×4

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
3 Mar 2026F0760Ensure that residents are free from significant medication errors.EStandard survey8 Apr 2026
3 Mar 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey9 Apr 2026
3 Mar 2026F0641Ensure each resident receives an accurate assessment.DStandard survey9 Apr 2026
3 Mar 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey9 Apr 2026
3 Mar 2026F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey31 Mar 2026
3 Mar 2026F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard survey31 Mar 2026
3 Mar 2026F0880Provide and implement an infection prevention and control program.DStandard survey31 Mar 2026
27 Aug 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation18 Sep 2024
27 Aug 2024F0770Provide timely, quality laboratory services/tests to meet the needs of residents.EStandard survey9 Sep 2024
27 Aug 2024F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DStandard survey19 Sep 2024
27 Aug 2024F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard survey18 Sep 2024
27 Aug 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation9 Sep 2024
27 Aug 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation9 Sep 2024
27 Aug 2024F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DComplaint investigation9 Sep 2024
27 Aug 2024F0825Provide or get specialized rehabilitative services as required for a resident.DComplaint investigation9 Sep 2024
27 Aug 2024F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard survey20 Sep 2024
9 Dec 2022F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard survey6 Jan 2023
9 Dec 2022F0637Assess the resident when there is a significant change in conditionDStandard survey6 Jan 2023
9 Dec 2022F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey6 Jan 2023
9 Dec 2022F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey6 Jan 2023
9 Dec 2022F0758Implement 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.DStandard survey11 Jan 2023
9 Dec 2022F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard survey6 Jan 2023
9 Dec 2022F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey6 Jan 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.59 h
Nurse aides2.14 h
LPN0.98 h
RN0.47 h
Weekend total3.39 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the New Jersey average. Turnover: nursing staff 36.1%, RNs 43.8%; 0 administrators 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 Stay1.3%7.3%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.2%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.4%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.9%2.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.0%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay0.4%6.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.1%4.8%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay20.4%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 Madison Llc. Chain: Complete Care (85 facilities).

OrganisationRole in the CMS recordInterestSince
Pc Nj1 Opcos LLC5% or greater direct ownership interest100%07/01/2021
Pc Wta Opco Holdco LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED07/01/2021
Welltower Inc5% or greater security interestNOT APPLICABLE07/30/2021
Madison Center Realty, LLCAdp of the snfNOT APPLICABLE07/30/2021
Pc Wta Acquisition LLCAdp of the snfNOT APPLICABLE07/01/2021
Pc Wta Multi-State LLCAdp of the snfNOT APPLICABLE07/01/2021
Peace Capital Holdings LLCAdp of the snfNOT APPLICABLE07/01/2021
Welltower IncAdp of the snfNOT APPLICABLE07/30/2021

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 Middlesex County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Brighton Gardens of EdisonEdison305551756.7—16 Oct 2024
New Jersey Veterans Memorial Home MenloEdison328545216.4—5 Sep 2025
Preferred Care At Old Bridge, LLCOld Bridge1405421510.7—23 Oct 2025
Reformed Church HomeOld Bridge10854487.4—27 Apr 2026
Roosevelt Care CenterEdison1805452011.1$27K18 Dec 2025
Roosevelt Care Center At Old BridgeOld Bridge180554168.9—25 Sep 2025
St Joseph'S Home Al & Nc, IncWoodbridge5155547.8—8 Apr 2025
Alameda Center For Rehabilitation and HealthcarePerth Amboy2504322710.8—29 Dec 2025

All 25 facilities in Middlesex County

Questions and answers

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

23 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The New Jersey median is 21 per facility.

Has Complete Care At Madison, LLC been fined?

CMS lists no fines against the facility in the period covered.

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

Reported total nurse staffing is 3.6 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 Madison, LLC?

It is part of the Complete Care chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Pc Nj1 Opcos LLC and Pc Wta Opco Holdco LLC. Individual owners and managers are not listed on this site.

When was Complete Care At Madison, LLC last inspected?

The most recent survey or investigation in the CMS record is dated 3 Mar 2026; the most recent standard health survey was 3 Mar 2026.

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.