New Jersey › Essex County › West Caldwell
Complete Care At West Caldwell LLC
165 Fairfield Ave, West Caldwell, NJ 07006
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 West Caldwell LLC, in West Caldwell, New Jersey, is certified for 180 beds under for-profit, limited liability company ownership and belongs to the Complete Care chain.
CMS gives it 4 of 5 stars overall, equal to the New Jersey median; the health inspection rating is 3, staffing 2 and quality measures 5.
Inspectors recorded 9 health deficiencies across the three most recent survey cycles (7, 0, 2 by cycle, most recent first), none at the actual-harm level. That is 5.0 per 100 beds, fewer than the state median of 15.2.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.4 hours per resident per day (0.4 RN), close to the New Jersey median of 3.6; nursing staff turnover is 51.7%.
Compared with county, state and nation
| Measure | This facility | Essex Co. median | New Jersey median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 4 | 3.0 |
| Health citations, 3 cycles | 9 | 22 | 21 | 28.7 |
| Citations per 100 beds | 5.0 | 15.4 | 15.2 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.6 | 3.6 | 3.9 |
| RN hours per resident day | 0.4 | 0.6 | 0.5 | 0.7 |
| Nursing staff turnover | 51.7% | 32.2% | 38.9% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (32 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: 21 Mar 2025, 30 Mar 2023.
Severity mix: D ×6 E ×1 F ×2
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 |
|---|---|---|---|---|---|
| 26 Nov 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 18 Dec 2025 |
| 21 Mar 2025 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Standard survey | 10 Apr 2025 |
| 21 Mar 2025 | F0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | F | Standard survey | 10 Apr 2025 |
| 21 Mar 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Complaint investigation | 10 Apr 2025 |
| 21 Mar 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 10 Apr 2025 |
| 21 Mar 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 10 Apr 2025 |
| 21 Mar 2025 | 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 | 10 Apr 2025 |
| 30 Oct 2020 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 13 Nov 2020 |
| 30 Oct 2020 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 13 Nov 2020 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the New Jersey average. Turnover: nursing staff 51.7%, RNs 62.5%; 2 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 | 4.3% | 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 | 0.2% | 0.4% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.1% | 2.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.9% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 2.7% | 6.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.9% | 4.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.3% | 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 Opco Holdings 2 LLC | Direct ownership interest | NOT APPLICABLE | 11/03/2023 |
| Pc Hmh Holdings 2 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 |
| Peace Capital Holdings 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 |
| Pc Hmh Holdings 2 LLC | Adp of the snf | NOT APPLICABLE | 11/03/2023 |
| Pc Hmh Propco Holdings 2 LLC | Adp of the snf | NOT APPLICABLE | 11/03/2023 |
| Peace Capital Holdings LLC | Adp of the snf | NOT APPLICABLE | 11/03/2023 |
| West Caldwell Pc Propco 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 Essex County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Complete Care At St Vincents LLC | Cedar Grove | 151 | 5 | 5 | 3 | 9 | 6.0 | — | 25 Jan 2024 |
| Inglemoor Rehabilitation and Care Center | Livingston | 138 | 5 | 5 | 4 | 2 | 1.4 | — | 6 Aug 2021 |
| Job Haines Home For Aged People | Bloomfield | 40 | 5 | 5 | 5 | 4 | 10.0 | — | 4 Apr 2025 |
| Lutheran Social Ministries Cranes Mill | West Caldwell | 56 | 5 | 4 | 4 | 13 | 23.2 | — | 14 Mar 2025 |
| White House Healthcare and Rehabilitation Center | Orange | 176 | 5 | 4 | 4 | 11 | 6.3 | — | 5 Sep 2025 |
| Winchester Gardens Health Care Center | Maplewood | 30 | 5 | 4 | 5 | 11 | 36.7 | — | 20 Feb 2026 |
| Alaris Health At Cedar Grove | Cedar Grove | 230 | 4 | 3 | 4 | 42 | 18.3 | — | 8 Apr 2026 |
| Alaris Health At West Orange | West Orange | 120 | 4 | 3 | 2 | 18 | 15.0 | $64K | 21 May 2026 |
All 32 facilities in Essex County
Questions and answers
How many deficiencies has Complete Care At West Caldwell LLC been cited for?
9 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 West Caldwell LLC been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Complete Care At West Caldwell LLC 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 West Caldwell 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 Opco Holdings 2 LLC, Pc Hmh Holdings 2 LLC and Des Capital LLC. Individual owners and managers are not listed on this site.
When was Complete Care At West Caldwell LLC last inspected?
The most recent survey or investigation in the CMS record is dated 26 Nov 2025; the most recent standard health survey was 21 Mar 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.