New Jersey › Passaic County › Wayne
Complete Care At Wayne Hills Rehab & Resp Center
130 Terhune Drive, Wayne, NJ 07470
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 Wayne Hills Rehab & Resp Center, in Wayne, New Jersey, is certified for 120 beds under for-profit, limited liability company ownership and belongs to the Complete Care chain.
CMS gives it 1 of 5 stars overall, below the New Jersey median of 4; the health inspection rating is 1, staffing 2 and quality measures 3.
Inspectors recorded 35 health deficiencies across the three most recent survey cycles (19, 8, 8 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 29.2 per 100 beds, more than the state median of 15.2.
CMS lists 2 penalties in the period covered: fines totalling $43K.
Reported nurse staffing is 3.4 hours per resident per day (0.4 RN), close to the New Jersey median of 3.6; nursing staff turnover is 35.1%.
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 | 35 | 24 | 21 | 28.7 |
| Citations per 100 beds | 29.2 | 14.4 | 15.2 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.5 | 3.6 | 3.9 |
| RN hours per resident day | 0.4 | 0.6 | 0.5 | 0.7 |
| Nursing staff turnover | 35.1% | 41.6% | 38.9% | 45.8% |
| Fines listed | $42,630 | $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: 3 Dec 2025, 24 May 2024.
Severity mix: J ×1 G ×1 D ×27 E ×4 F ×1 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 |
|---|---|---|---|---|---|
| 12 Jun 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 21 Jul 2026 |
| 29 Jan 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 30 Jan 2026 |
| 29 Jan 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 30 Jan 2026 |
| 29 Jan 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 30 Jan 2026 |
| 11 Dec 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 9 Jan 2026 |
| 11 Dec 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 15 Jan 2026 |
| 3 Dec 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 13 Jan 2026 |
| 3 Dec 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 26 Dec 2025 |
| 3 Dec 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 26 Dec 2025 |
| 3 Dec 2025 | 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 | 26 Dec 2025 |
| 3 Dec 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 26 Dec 2025 |
| 3 Dec 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 26 Dec 2025 |
| 3 Dec 2025 | 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 | 26 Dec 2025 |
| 3 Dec 2025 | 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 | 13 Jan 2026 |
| 3 Dec 2025 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 13 Jan 2026 |
| 3 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 26 Dec 2025 |
| 3 Dec 2025 | 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 | 26 Dec 2025 |
| 3 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 26 Dec 2025 |
| 3 Dec 2025 | F0732 | Post nurse staffing information every day. | C | Standard survey | 26 Dec 2025 |
| 18 Jul 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 25 Aug 2025 |
| 10 Sep 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 7 Oct 2024 |
| 10 Sep 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 7 Oct 2024 |
| 24 May 2024 | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | E | Standard survey | 7 Jul 2024 |
| 24 May 2024 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 7 Jul 2024 |
| 24 May 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 7 Jul 2024 |
| 24 May 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 7 Jul 2024 |
| 24 May 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 7 Jul 2024 |
| 26 Sep 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 25 Oct 2023 |
| 23 Feb 2022 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 1 Mar 2022 |
| 23 Feb 2022 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 1 Apr 2022 |
| 23 Feb 2022 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 1 Mar 2022 |
| 23 Feb 2022 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 1 Mar 2022 |
| 23 Feb 2022 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 1 Mar 2022 |
| 23 Feb 2022 | 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 | 1 Mar 2022 |
| 23 Feb 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 1 Mar 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 11 Dec 2025 | Fine | $7,266 | |
| 18 Jul 2025 | Fine | $35,364 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the New Jersey average. Turnover: nursing staff 35.1%, RNs 30.8%; 0 administrators 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 | 13.8% | 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 | 1.5% | 0.4% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.2% | 2.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 4.0% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.1% | 6.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 10.2% | 4.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 19.4% | 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 Lakeview Llc. Chain: Complete Care (85 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Lakeview Opco Holdco LLC | 5% or greater direct ownership interest | 100% | 11/03/2023 |
| Lakeview Holdco LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 11/03/2023 |
| Des Capital LLC | Indirect ownership interest | NOT APPLICABLE | 11/03/2023 |
| Jrk Investments LLC | Indirect ownership interest | NOT APPLICABLE | 11/03/2023 |
| Des Capital LLC | Adp of the snf | NOT APPLICABLE | 11/03/2023 |
| Jrk Investments LLC | Adp of the snf | NOT APPLICABLE | 11/03/2023 |
| Lakeview Holdco LLC | Adp of the snf | NOT APPLICABLE | 11/03/2023 |
| Lakeview Pc Propco LLC | Adp of the snf | NOT APPLICABLE | 11/03/2023 |
| Lakeview Propco Holdco LLC | Adp of the snf | NOT APPLICABLE | 11/03/2023 |
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 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 Wayne Hills Rehab & Resp Center been cited for?
35 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 Wayne Hills Rehab & Resp Center been fined?
Yes. CMS lists fines totalling $43K in the period covered.
How does staffing at Complete Care At Wayne Hills Rehab & Resp Center compare?
Reported total nurse staffing is 3.4 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 Wayne Hills Rehab & Resp Center?
It is part of the Complete Care chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Lakeview Opco Holdco LLC, Lakeview Holdco LLC and Des Capital LLC. Individual owners and managers are not listed on this site.
When was Complete Care At Wayne Hills Rehab & Resp Center last inspected?
The most recent survey or investigation in the CMS record is dated 12 Jun 2026; the most recent standard health survey was 3 Dec 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.