COMPLETE CARE AT INGLEMOOR, LLC

ENGLEWOOD, NJ · 62 beds · For profit - Limited Liability company

37 Trust Score
Grade: F HIGH Risk → Stable

Red Flags

  • 19 deficiencies — 2.2x the state average

Green Flags

  • No fines or penalties on record

Quick Facts

★★☆☆☆
CMS Overall
★★☆☆☆
Health Inspection
19
2.2x state avg
Deficiencies
$0
Fines (3-yr)
★★★☆☆
Staffing

Violation Timeline

November 6, 2025

9 deficiencyies
F0580 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

F0692 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide enough food/fluids to maintain a resident's health.

F0842 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

F0580 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

F0692 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide enough food/fluids to maintain a resident's health.

F0842 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

F0580 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

F0692 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide enough food/fluids to maintain a resident's health.

F0842 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

March 12, 2025

11 deficiencyies
F0558 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

Reasonably accommodate the needs and preferences of each resident.

F0578 Potential Harm Scope/Severity: D

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.

F0623 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

F0641 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Ensure each resident receives an accurate assessment.

F0658 Potential Harm Scope/Severity: E

Resident Assessment and Care Planning Deficiencies

Show details

Ensure services provided by the nursing facility meet professional standards of quality.

F0661 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0692 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide enough food/fluids to maintain a resident's health.

F0695 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

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

F0711 Potential Harm Scope/Severity: E

Nursing and Physician Services Deficiencies

Show details

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

F0761 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

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.

See full violation history →

Staffing

0.71
RN hrs/res/day
0.60
LPN hrs/res/day
2.05
CNA hrs/res/day
3.31
Weekend hrs/res/day
40%
Total nurse turnover
40%
RN turnover

A nurse checks on each resident roughly every 7.1 hours on average.

Fines & Penalties

No fines or penalties on record.

Ownership

For profit - Limited Liability company Chain: COMPLETE CARE
  • PC NJ1 OPCOS LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 07/01/2021

    100% Organization
  • PC WTA OPCO HOLDCO LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 07/01/2021

    NO PERCENTAGE PROVIDED Organization
  • PEACE CAPITAL HOLDINGS LLC (DE)

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 07/01/2021

    NO PERCENTAGE PROVIDED Organization
  • SMS 2021 TRUST

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 07/01/2021

    NO PERCENTAGE PROVIDED Organization
  • GROSS, HARVEY

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 07/21/2021

    Individual
  • SCHWARTZ, HERSHEL

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 07/30/2021

    Individual
  • SINGER, IAN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 03/03/2025

    Individual
  • ZACKAI, RAANAN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 07/01/2021

    Individual
  • STEIN, SHALOM

    CORPORATE OFFICER

    Since since 07/01/2021

    Individual
  • WELLTOWER OP LLC

    5% OR GREATER SECURITY INTEREST

    Since since 07/01/2021

    Organization

Nearby Facilities in ENGLEWOOD, NJ