Elder Care Record

New Jersey › Union County › Westfield

Complete Care At Westfield, LLC

1515 Lamberts Mill Road, Westfield, NJ 07090

CCN 315122 · For-profit, limited liability company · 227 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 Westfield, LLC, in Westfield, New Jersey, is certified for 227 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 17 health deficiencies across the three most recent survey cycles (5, 11, 1 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 7.5 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 45.9%.

17health deficiencies, 3 survey cycles1 at actual harm or worse
$0fines listed by CMS0 penalties in period
3.4nurse hours per resident per daystate median 3.6
85%occupancy (residents ÷ beds)194 residents a day

Compared with county, state and nation

MeasureThis facilityUnion Co. medianNew Jersey medianUS average
Overall star rating4443.0
Health citations, 3 cycles17222128.7
Citations per 100 beds7.514.015.226.8
Total nurse hours per resident day3.43.53.63.9
RN hours per resident day0.40.50.50.7
Nursing staff turnover45.9%33.0%38.9%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (23 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 211
Cycle 31

Dark bar: this facility. Grey bar: New Jersey average per facility for the same cycle, as published by CMS. Standard health survey dates: 10 Mar 2025, 13 Feb 2023.

Severity mix: J ×1 D ×12 E ×3 F ×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)
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
10 Mar 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation28 Mar 2025
10 Mar 2025F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard survey21 Mar 2025
10 Mar 2025F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey21 Mar 2025
10 Mar 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DComplaint investigation28 Mar 2025
10 Mar 2025F0880Provide and implement an infection prevention and control program.DStandard survey21 Mar 2025
24 Jan 2025F0695Provide safe and appropriate respiratory care for a resident when needed.EComplaint investigation7 Feb 2025
24 Jan 2025F0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.DComplaint investigation7 Feb 2025
24 Jan 2025F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint investigation7 Feb 2025
24 Jan 2025F0697Provide safe, appropriate pain management for a resident who requires such services.DComplaint investigation7 Feb 2025
24 Jan 2025F0700Try 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.DComplaint investigation7 Feb 2025
13 Feb 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JStandard survey15 Feb 2023
13 Feb 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey17 Feb 2023
13 Feb 2023F0880Provide and implement an infection prevention and control program.EStandard survey15 Mar 2023
13 Feb 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey17 Feb 2023
13 Feb 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey17 Feb 2023
13 Feb 2023F0759Ensure medication error rates are not 5 percent or greater.DStandard survey17 Feb 2023
6 May 2021F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey21 May 2021

Penalties

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

Staffing

Total nursing3.36 h
Nurse aides2.06 h
LPN0.91 h
RN0.39 h
Weekend total3.15 h

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 26.3%; 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 Stay2.3%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 Stay1.3%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 Stay2.2%6.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.5%4.8%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay21.1%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 Westfield Llc. Chain: Complete Care (85 facilities).

OrganisationRole in the CMS recordInterestSince
Pc Nj2 Opcos LLC5% or greater direct ownership interest100%07/01/2021
Welltower Op, LLC5% or greater security interestNOT APPLICABLE05/01/2023
Aurora Guardian Partners M7 LLCAdp of the snfNOT APPLICABLE04/28/2023
Pc Wta Acquisition LLCAdp of the snfNOT APPLICABLE07/01/2021
Pc Wta M7 LLCAdp of the snfNOT APPLICABLE07/01/2021
Peace Capital Holdings LLCAdp of the snfNOT APPLICABLE07/01/2021
Welltower Op, LLCAdp of the snfNOT APPLICABLE05/01/2023
Westfield Center Nj Owner LLCAdp of the snfNOT APPLICABLE04/28/2023

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 Union County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Aristacare At Norwood TerracePlainfield1205431210.0—3 Apr 2025
Birchwood Rehabilitation and Healthcare CenterCranford2005432512.5—11 Dec 2025
Childrens Specialized Hospital MountainsideMountainside64555914.1—23 Jan 2026
Complete Care At Plainfield LLCPlainfield10654387.5—20 Mar 2025
Complete Care At WoodlandsPlainfield1205431613.3—21 Nov 2025
Elmora Hills Health & Rehabilitation CenterElizabeth2005432814.0—12 Dec 2025
Adroit Care Rehabilitation and Nursing CenterRahway1224322218.0$11K6 May 2026
Autumn Lake Healthcare At Berkeley HeightsBerkeley Heights1304332116.2$103K21 Jan 2026

All 23 facilities in Union County

Questions and answers

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

17 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The New Jersey median is 21 per facility.

Has Complete Care At Westfield, LLC been fined?

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

How does staffing at Complete Care At Westfield, 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 Westfield, 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 Nj2 Opcos LLC. Individual owners and managers are not listed on this site.

When was Complete Care At Westfield, LLC last inspected?

The most recent survey or investigation in the CMS record is dated 10 Mar 2025; the most recent standard health survey was 10 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.