COMPLETE CARE AT CHESTNUT HILL LLC

PASSAIC, NJ · 111 beds · For profit - Limited Liability company

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • 1-star health inspection rating (lowest possible)
  • 2 citation(s) at the highest severity level — immediate risk to residents
  • 1 citation(s) where residents suffered actual harm

Green Flags

No positive signals identified yet.

Quick Facts

★★☆☆☆
CMS Overall
★☆☆☆☆
Health Inspection
14
1.6x state avg
Deficiencies
$41,688
Fines (3-yr)
★★☆☆☆
Staffing

Violation Timeline

December 4, 2024

20 deficiencyies
F0550 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F0552 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Ensure that residents are fully informed and understand their health status, care and treatments.

F0568 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

F0578 Immediate Jeopardy Scope/Severity: K

Resident Rights Deficiencies

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Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

F0645 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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PASARR screening for Mental disorders or Intellectual Disabilities

F0657 Potential Harm Scope/Severity: E

Resident Assessment and Care Planning Deficiencies

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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F0686 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F0695 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe and appropriate respiratory care for a resident when needed.

F0700 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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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.

F0835 Immediate Jeopardy Scope/Severity: K

Administration Deficiencies

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Administer the facility in a manner that enables it to use its resources effectively and efficiently.

F0865 Potential Harm Scope/Severity: F

Administration Deficiencies

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Have a plan that describes the process for conducting QAPI and QAA activities.

F0609 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F0610 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Respond appropriately to all alleged violations.

F0690 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

F0550 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F0552 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

Ensure that residents are fully informed and understand their health status, care and treatments.

F0568 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

F0578 Immediate Jeopardy Scope/Severity: K

Resident Rights Deficiencies

Show details

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

F0645 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

PASARR screening for Mental disorders or Intellectual Disabilities

F0657 Potential Harm Scope/Severity: E

Resident Assessment and Care Planning Deficiencies

Show details

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

See full violation history →

Staffing

0.50
RN hrs/res/day
0.76
LPN hrs/res/day
1.87
CNA hrs/res/day
2.59
Weekend hrs/res/day
55%
Total nurse turnover
43%
RN turnover

A nurse checks on each resident roughly every 7.7 hours on average.

Fines & Penalties

  • Fine Dec 4, 2024
    $41,688
Total $41,688

Ownership

For profit - Limited Liability company Chain: COMPLETE CARE
  • CHESTNUT HILL HOLDCO LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 04/30/2021

    100% Organization
  • EEF CAPITAL LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 04/30/2021

    NO PERCENTAGE PROVIDED Organization
  • PC CHESTNUT HILL HOLDCO LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 04/30/2021

    NO PERCENTAGE PROVIDED Organization
  • SCHLAFF, BENNY

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 04/30/2021

    NO PERCENTAGE PROVIDED Individual
  • SCHLAFF, NACHUM

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 04/30/2021

    NO PERCENTAGE PROVIDED Individual
  • STEIN, SHALOM

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 04/30/2021

    NO PERCENTAGE PROVIDED Individual
  • STEIN, SHALOM

    CORPORATE OFFICER

    Since since 04/30/2021

    Individual
  • SCHWARTZ, HERSHEL

    W-2 MANAGING EMPLOYEE

    Since since 04/30/2021

    Individual

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