New Jersey › Bergen County › Hackensack
Complete Care At Prospect Heights LLC
336 Prospect Ave, Hackensack, NJ 07601
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 196 beds, Complete Care At Prospect Heights LLC serves Hackensack in Bergen County, New Jersey and has taken Medicare and Medicaid residents since 2000.
CMS gives it 2 of 5 stars overall, below the New Jersey median of 4; the health inspection rating is 1, staffing 2 and quality measures 5.
Inspectors recorded 33 health deficiencies across the three most recent survey cycles (19, 5, 9 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 16.8 per 100 beds, about the same as the state median of 15.2.
CMS lists 6 penalties in the period covered: fines totalling $59K.
Reported nurse staffing is 3.1 hours per resident per day (0.9 RN), close to the New Jersey median of 3.6; nursing staff turnover is 45.9%.
Compared with county, state and nation
| Measure | This facility | Bergen Co. median | New Jersey median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 4 | 3.0 |
| Health citations, 3 cycles | 33 | 22 | 21 | 28.7 |
| Citations per 100 beds | 16.8 | 14.8 | 15.2 | 26.8 |
| Total nurse hours per resident day | 3.1 | 3.7 | 3.6 | 3.9 |
| RN hours per resident day | 0.9 | 0.8 | 0.5 | 0.7 |
| Nursing staff turnover | 45.9% | 30.4% | 38.9% | 45.8% |
| Fines listed | $59,312 | $0 | $0 | — |
County and state figures are medians across facilities (29 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: 29 Jan 2026, 27 Sep 2024.
Severity mix: J ×1 G ×2 D ×24 E ×3 F ×2 C ×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 |
|---|---|---|---|---|---|
| 29 Jan 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 2 Feb 2026 |
| 29 Jan 2026 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Standard survey | 2 Feb 2026 |
| 29 Jan 2026 | 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. | E | Complaint investigation | 2 Feb 2026 |
| 29 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 2 Feb 2026 |
| 29 Jan 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 2 Feb 2026 |
| 29 Jan 2026 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 2 Feb 2026 |
| 29 Jan 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 2 Feb 2026 |
| 29 Jan 2026 | 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 | 2 Feb 2026 |
| 29 Jan 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 2 Feb 2026 |
| 29 Jan 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 2 Feb 2026 |
| 29 Jan 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 2 Feb 2026 |
| 29 Jan 2026 | F0693 | 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. | D | Standard survey | 2 Feb 2026 |
| 29 Jan 2026 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 2 Feb 2026 |
| 29 Jan 2026 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Complaint investigation | 2 Feb 2026 |
| 29 Jan 2026 | F0732 | Post nurse staffing information every day. | D | Standard survey | 2 Feb 2026 |
| 29 Jan 2026 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 2 Feb 2026 |
| 29 Jan 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 2 Feb 2026 |
| 29 Jan 2026 | F0761 | Ensure 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. | D | Standard survey | 2 Feb 2026 |
| 29 Jan 2026 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 2 Feb 2026 |
| 5 Mar 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 6 Mar 2025 |
| 11 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Infection control inspection | 12 Feb 2025 |
| 27 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 7 Nov 2024 |
| 27 Sep 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 7 Nov 2024 |
| 27 Sep 2024 | F0732 | Post nurse staffing information every day. | C | Standard survey | 7 Nov 2024 |
| 16 Apr 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. | G | Complaint investigation | 8 May 2024 |
| 16 Apr 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint investigation | 8 May 2024 |
| 16 Apr 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 8 May 2024 |
| 16 Apr 2024 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Complaint investigation | 8 May 2024 |
| 16 Apr 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Complaint investigation | 8 May 2024 |
| 15 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 11 Dec 2023 |
| 3 Oct 2022 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 1 Nov 2022 |
| 3 Oct 2022 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 1 Nov 2022 |
| 3 Oct 2022 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 14 Dec 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 16 Apr 2024 | Fine | $25,300 | |
| 20 Feb 2024 | Fine | $3,798 | |
| 15 Feb 2024 | Fine | $15,646 | |
| 12 Feb 2024 | Fine | $3,418 | |
| 22 Jan 2024 | Fine | $7,976 | |
| 18 Dec 2023 | Fine | $3,174 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the New Jersey average. Turnover: nursing staff 45.9%, RNs 42.1%; 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 | 16.9% | 7.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.2% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | 0.4% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.4% | 2.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.2% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.7% | 6.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.9% | 4.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 8.7% | 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 |
|---|---|---|---|
| Pc Hmh Holdings 2 LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 09/28/2023 |
| Des Capital LLC | Indirect ownership interest | NOT APPLICABLE | 09/28/2023 |
| Jrk Investments LLC | Indirect ownership interest | NOT APPLICABLE | 09/28/2023 |
| Des Capital LLC | Adp of the snf | NOT APPLICABLE | 09/28/2023 |
| Jrk Investments LLC | Adp of the snf | NOT APPLICABLE | 09/28/2023 |
| Pc Hmh Holdings 2 LLC | Adp of the snf | NOT APPLICABLE | 09/28/2023 |
| Pc Hmh Propco Holdings 2 LLC | Adp of the snf | NOT APPLICABLE | 09/28/2023 |
| Peace Capital Holdings LLC | Adp of the snf | NOT APPLICABLE | 09/28/2023 |
| Prospect Heights Propco LLC | Adp of the snf | NOT APPLICABLE | 09/28/2023 |
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 Bergen County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Careone At Valley | Westwood | 98 | 5 | 5 | 2 | 8 | 8.2 | — | 24 Apr 2026 |
| Emerson Health Care Center | Emerson | 155 | 5 | 5 | 1 | 5 | 3.2 | — | 13 Feb 2023 |
| Family of Caring Healthcare At Ridgewood | Ridgewood | 96 | 5 | 4 | 4 | 16 | 16.7 | — | 5 May 2025 |
| New Jersey Veterans Memorial Home At Paramus | Paramus | 336 | 5 | 5 | 5 | 7 | 2.1 | — | 23 Jan 2026 |
| Woodcliff Lake Health & Rehabilitation Center | Woodcliff Lake | 114 | 5 | 5 | 2 | 7 | 6.1 | — | 6 May 2025 |
| Actors Fund Home | Englewood | 107 | 4 | 4 | 5 | 15 | 14.0 | — | 24 Jul 2025 |
| Allendale Rehabilitation and Healthcare Center | Allendale | 120 | 4 | 3 | 2 | 23 | 19.2 | — | 25 Nov 2025 |
| Atlas Rehabilitation and Healthcare At Maywood | Maywood | 120 | 4 | 3 | 2 | 18 | 15.0 | — | 11 Aug 2025 |
All 29 facilities in Bergen County
Questions and answers
How many deficiencies has Complete Care At Prospect Heights LLC been cited for?
33 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 Prospect Heights LLC been fined?
Yes. CMS lists fines totalling $59K in the period covered.
How does staffing at Complete Care At Prospect Heights LLC compare?
Reported total nurse staffing is 3.1 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 Prospect Heights 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 Hmh Holdings 2 LLC, Des Capital LLC and Jrk Investments LLC. Individual owners and managers are not listed on this site.
When was Complete Care At Prospect Heights LLC last inspected?
The most recent survey or investigation in the CMS record is dated 29 Jan 2026; the most recent standard health survey was 29 Jan 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.