Home / New Jersey / Hackensack
336 Prospect Ave, Hackensack, NJ 07601 · Bergen County · (201) 678-1800
196 certified beds, about 122 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2000
CMS Care Compare ratings, data as of September 1, 2026 · CCN 315460 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on January 29, 2026, inspectors cited 19 health deficiencies (the New Jersey average is 8.6, the national average 9.2).
Of 33 health citations since October 2022, 3 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 6 fines totaling $59,312 in the last three years; the largest was $25,300, and the latest is dated April 16, 2024.
Nurses and nurse aides worked 3.09 hours per resident per day, against 3.85 across New Jersey and 3.86 nationally. Registered nurses accounted for 0.86 of those hours.
45.9% of nursing staff left within the year CMS measured (New Jersey average 39.7%).
CMS links it to Complete Care, an affiliated group of 85 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 33 health citations on file.
Inspectors wroteBased on observation, interview, record review, and policy review, it was determined that the facility failed to; a.) store potentially hazardous foods in a manner to prevent food borne illness, b.) failed to properly label and date food items to ensure safety and prevent contamination, c.) failed to discard expired and unsafe food in accordance with facility policy, d.) failed to maintain kitchen equipment and utensils in a sanitary manner to prevent contamination from foreign substances and the potential for development of food borne illness, and e.) failed to maintain essential kitchen equipment in safe operating condition. This deficient practice was evidenced by the following: On 1/21/26 at 09:45 AM, in the presence of the Food Services Director (FSD), the surveyor observed the following:Dry Storage Area:1. [...]
Inspectors wroteBased on interviews and review of pertinent documentation, it was determined that the facility failed to ensure the facility-wide assessment was revised and included the contingency plan that address the facility's need with regard to staffing. This failure had the potential to affect all 117 residents who currently live in the facility. This deficient practice was evidenced by the following:According to the CMS (Centers for Medicare & Medicaid Services) Ref: QSO-24-13-NH, dated 6/18/24, Subject: Revised Guidance for Long-Term Care Facility Assessment Requirements, Memorandum Summary: Under the Minimum Staffing Standards for Long-Term Care (LTC) Facilities and Medicaid Institutional Payment Transparency Reporting final rule, the requirements forFacility Assessment have been revised. These new provisions become effective 90 days after publication and must be implemented by 8/8/24. [...]
Inspectors wroteComplaint NJ#384180Based on observation, interview, and review of pertinent facility documentation, it was determined that the facility failed to provide a safe, clean, and comfortable homelike setting. This deficient practice was identified for 4 of 4 units and common areas, and was evidenced by the following:The deficient practice was evidenced by the following: 1. On 1/21/26 at 10:31 AM, during the initial tour of the facility, Surveyor #1 (S #1) entered the 3rd floor dining/activity area and observed the wall mounted thermostat. The thermostat indicated a temperature (temp) of 67 degrees Fahrenheit (deg F). On that same day, at 10:50 AM, S #1 entered the 4th floor dining/activity area and observed seven square tables in the room, 4 of the 7 tables were observed to have the thin laminate surface peeling back leaving a sharp edge and a wood surface underneath. [...]
Inspectors wroteREPEAT DEFICIENCYBased on observation, interview, and review of other pertinent facility documentation, it was determined that the facility failed to; a.) follow appropriate hand hygiene with regard to accessibility and availability of soap, for 1 of 5 resident rooms (room [ROOM NUMBER]) observed during tour, b.) ensure proper storage of linen supplies for 3 of 6 linen carts (4th and 6th floors and clean laundry room), c.) maintain cleanliness of the laundry room for 2 of 2 rooms (clean and dirty laundry rooms), d.) ensure the proper use of disinfecting wipes, and e.) follow appropriate infection control and sanitary practices for while donning and doffing personal protective equipment (PPE) for 2 of 2 nurses observed during the medication pass (med pass), in accordance with the Center for Disease Control and Prevention (CDC) guidelines, standards of clinical practice, and the [...]
Inspectors wroteBased on observation, interview, review of the medical record, and review of other facility documentation, it was determined that the facility failed to ensure as needed psychotropic medication ordered was limited to 14 days, unless the attending physician/prescribing practitioner documents a rationale to extend the medication for 1 of 5 residents reviewed for unnecessary medications (Residents #12). This deficient practice was evidenced by the following:On 1/21/26 at 10:44 AM, the surveyor observed Resident #12 lying asleep in bed. A review of Resident #12's admission Record (admission summary) reflected that the resident was admitted to the facility with diagnoses which included but were not limited to; dementia, hemiplegia, and hemiparesis and hypertension. [...]
Inspectors wroteBased on interviews and record review, it was determined that the facility failed to complete the Minimum Data Set Assessment (MDS), an assessment tool used to facilitate the management of care, within fourteen days as required, for 2 of 31 residents, (Residents #51 and #94), reviewed for MDS, in accordance with federal guidelines. This deficient practice was evidenced by the following:The surveyor reviewed the medical records of the following residents and their MDS and revealed:1. On 1/27/26 at 1:35 PM, the surveyor reviewed Resident #51's comprehensive admission MDS dated [DATE], which revealed it was completed late on 1/22/26 (3 days late). The resident had an Entry MDS which was dated 1/6/26. 2. On 1/27/26 at 1:38 PM, the surveyor reviewed Resident #94's comprehensive admission MDS dated [DATE], which revealed it was completed late on 1/2/26 (8 days late). [...]
Inspectors wroteBased on interview and record review, it was determined that the facility failed to accurately reflect the resident status in the Minimum Data Set (MDS), an assessment tool used to facilitate the management of care in accordance with the federal guidelines for 2 of 31 residents (Residents #3 and #67) reviewed for the accuracy of MDS coding. This deficient practice was evidenced by the following: A review of the Centers for Medicare & Medicaid Services (CMS's) Resident Assessment Instrument (RAI; helps facility staff to gather definitive information on a resident's strengths and needs, which must be addressed in an individualized care plan) Version 3.0 Manual, October 2025, reflected under Section M Skin Conditions, Steps for Assessment 1. Review the medical record, including skin care flow sheets or other skin tracking forms, nurses' notes, and pressure ulcer/injury risk assessments. 2. [...]
Inspectors wroteBased on observation, interview and record review, it was determined that the facility failed to update and revise the comprehensive care plan of a resident. This deficient practice was identified for 1 of 31 residents (Resident #3), reviewed for bladder incontinence. This deficient practice was evidenced by the following:Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. The Nurse Practice Act for the State of New Jersey states: The practice of nursing as a registered professional nurse is defined as diagnosing and treating human responses to actual and potential physical and emotional health problems, through such services as case-finding, health teaching, health counseling, and provision of care supportive to or restorative of life and wellbeing, and executing medical regimens as prescribed by a licensed or otherwise legally authorized physician or dentist. [...]
Inspectors wroteBased on observation, interview, record review, and review of other pertinent facility provided documentation, it was determined that the facility failed to a.) follow a physician's order for side effect monitoring and clarify a physician's order for a hypoglycemic episode for 2 of 28 residents reviewed (Resident #7 and Resident #12) and b.) follow appropriate tuberculosis (TB) testing and documentation for 1 of 31 residents, Resident #51, according to the standard of clinical practice and facility's policies. This deficient practice was evidenced by the following: Reference: New Jersey Statues, Annotated Title 45, Chapter. Nursing Board The Nurse Practice Act for the State of New Jersey states; [...]
Inspectors wroteBased on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to ensure that resident receive treatment and care in accordance with professional standards of practice, by failing to ensure; a.) physicians' orders and approved plan of care were followed for 1 of 31 residents (Resident #120), b.) physician was notified of change in condition of 1 of 2 residents (Resident #120), and c.) recommendations were followed through and physician's orders were clarified for 1 of 2 residents, (Resident #12), reviewed for hospice. This deficient practice was evidenced by the following: Reference: New Jersey Statutes, Annotated Title 45, Chapter 11. Nursing Board. The Nurse Practice Act for the state of New Jersey states: [...]
Inspectors wroteBased on observation, interview, review of the medical record, and review of other facility documentation, the facility failed to maintain infection control practices to reduce the risk of infection during 1 of 1 wound treatment observed (Resident's #7). This deficient practice was evidenced by the following:On 1/21/26 at 11:12 AM, the surveyor observed Resident #7 sleeping in bed. A review of Resident #7's admission Record face sheet (an admission summary) reflected that the resident was admitted to the facility with diagnoses which included but were not limited to; fracture of left femur, dementia and hypertension. A review of Resident #7's most recent Minimum Data Set (MDS), an assessment tool used to facilitate the management of care, reflected that the resident's cognitive skills for daily decision making were severely impaired. [...]
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to: a.) clarify physician's orders (PO) to ensure appropriate care and services for a resident receiving enteral feedings, and b.) to notify the physician of a weight gain of 2-5 pounds (lbs.) as per physician order. This deficient practice was identified for 1 of 2 residents (Resident #51), reviewed for enteral tube feeding. This deficient practice was evidenced by the following: On 1/21/26 at 11:17 AM, the surveyor observed the resident sitting in a wheelchair, not able to answer questions. The surveyor interviewed the 5th floor Registered Nurse/Unit Manager (RN/UM), who stated Resident #51 was on a bolus TF (TF-liquid formula directly to the stomach or small intestine via a tube for those who are unable to take nutrition by mouth). [...]
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to provide care and services in accordance with professional standards with regard to a.) medication administration to accommodate dialysis schedule times and b.) following the physician's order for fluid restriction for 1 of 2 residents, (Resident #94), reviewed for dialysis services, and was evidenced by the following: Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. The Nurse Practice Act for the State of New Jersey states: [...]
Inspectors wroteComplaint NJ#s: 384182, 384183, 384186, 384188, 2573473, and 2615149Based on observation, interview, record review, and review of other pertinent facility documentation, it was determined that the facility failed to provide sufficient nursing staff to ensure residents received timely and appropriate incontinent care to achieve their highest practical wellbeing. This deficient practice was identified for 1 of 4 residents (Resident#13) observed during incontinence round, and was evidenced by the following:On 1/21/26 at 9:07 AM, the survey team entered the facility and observed the Nursing Home Resident Care Staffing Report (NHRCSR) for 1/21/26, 7 AM-3 PM shift with a census of 118 and the ratio of the Certified Nursing Aide (CNA) to Resident was 1:14.8. [...]
Inspectors wroteBased on observation, interview, and review of pertinent facility documentation, it was determined that the facility failed to ensure the accurate daily report of licensed nurses, certified nursing assistant staffing, and the resident census was posted at the beginning of the current shift for 3 of 6 days during the annual re-certification survey. This deficient practice was evidenced by the following: On 1/21/26 at 9:07 AM, the survey team entered the facility. The surveyor observed the Nursing Home Resident Care Staffing Report (NHRCSR) posted at the front desk by the receptionist. The NHRCSR posted was dated 1/21/26, for the 7 AM-3 PM day shift with a current resident census of 118. The Licensed Nursing Home Administrator (LNHA) informed the survey team on entrance that the resident census was 117 with no bed hold. [...]
Inspectors wroteBased on observation, interview, review of the medical record, and review of other facility documentation, it was determined that the facility failed to a.) ensure that a resident received a monthly medication review from a pharmacy consultant for 1 of 5 residents reviewed for unnecessary medication (Resident #12) and b.) act on the Consultant Pharmacist (CP) Medication Regimen Review (MRR) in a timely manner for 1 of 5 residents, (Resident #48), observed on the medication pass observation (med pass). This deficient practice was evidenced by the following: 1. On 1/21/26 at 10:44 AM, Surveyor #1 (S #1) observed Resident #12 lying asleep in bed. A review of Resident #12's admission Record (AR; admission summary) reflected that the resident was admitted to the facility with diagnoses which included but were not limited to; dementia, hemiplegia and hemiparesis, and hypertension. [...]
Inspectors wroteBased on interview, record review, and review of pertinent documentation, it was determined that the facility failed to ensure that the resident (Resident #15) did not receive an unnecessary medication by inaccurate or unknown dose for 1 of 5 residents, (Resident #15), reviewed for unnecessary medications. The deficient practice was evidenced by the following: The surveyor reviewed Resident #15's electronic medical record (EMR) which revealed the following: A review of the admission Record (an admission summary) reflected that the resident was admitted to the facility with diagnoses which included but not limited to; atrial fibrillation (rapid uncontrolled heartbeat), essential hypertension (high blood pressure), and muscle weakness. [...]
Inspectors wroteBased on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to properly store and/or label medication per manufacturer specifications and standards of practice. This deficient practice was identified in 1 of 2 medication carts (med cart) observed during the medication pass (med pass) observation and 1 of 5 med carts observed during the med storage observation. This deficient practice was evidenced by the following:Reference: New Jersey Statutes Annotated, Title 45, Chapter 11. Nursing Board. The Nurse Practice Act for the State of New Jersey states: The practice of nursing as a licensed practical nurse is defined as performing tasks and responsibilities within the framework of case finding; [...]
Inspectors wroteBased on observation, interview and policy review, it was determined that the facility failed to maintain essential kitchen equipment in safe operating condition for 2 of 2 days of observation. This deficient practice was evidenced by the following: On 1/21/26 at 9:45 AM, in the presence of the Food Services Director (FSD), the surveyor observed a leaking sink located in the middle of the food preparation area. The FSD was unable to turn off the sink with the faucet handles. The FSD stated she did not know about the leaking sink and stated, I will have them come check. On 1/22/26 during a follow-up kitchen tour, the surveyor observed that the sink in the meal prep area continued to have a steady leak ongoing. A review of the facility's Kitchen cleaning policy dated 9/1/25, revealed, the policy indicated that the staff shall maintain the sanitation of the kitchen. [...]
Inspectors wroteBased on interview, record review, and review of facility policies, it was determined that the facility failed to follow acceptable standards of clinical practice related to assessing residents' weights and accurate implementation of Physician's orders. This deficient practice was identified for 3 of 4 residents reviewed for weights (Resident #2, Resident #3 and Resident #6). 1. According to the admission Record (AR), Resident #2 was admitted to the facility in January 2025, with diagnoses which included but were not limited to: Urinary Tract Infection, Congestive Heart Failure and Hypertension (High Blood Pressure). According to the Minimum Data Set (MDS), an assessment tool dated 1/16/2025, Resident #2 had a Brief Interview for Mental Status (BIMS) score of 14, indicating the Resident was cognitively intact. [...]
Inspectors wroteBased on observation, record review, interview, and review of facility policies, the facility failed to screen outside vendors and ensure that Personal Protective Equipment (PPE) was worn on the COVID unit for two Emergency Medical Technician (EMT) staff who were observed transporting one of five sample residents (Resident (R) 1). This failure could potentially increase the spread of infections to residents.
Inspectors wroteBased on observation, interview, record review, and policy review, the facility failed to 1.) disinfect a multi-use glucometer with an EPA (Environmental Protection Agency)registered disinfectant for one (1) of four (4) residents (Resident #14) reviewed for blood glucose monitoring. This deficient practice had the potential to affect four (4) of four (4) residents (R #5, R #14, R #20, and R #297), who had physician's orders for blood glucose monitoring. On 09/24/24, one (1) of two (2) Licensed Practical Nurses on two (2) of the four (4) units was observed using an alcohol wipe to clean the glucometer after use on a resident. The failure to disinfect multi-use glucometer's with an appropriate disinfectant increased the potential of transmission of blood-borne pathogens. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure one of eight Residents (Resident (R) 9) has the appropriate physician orders in place for the use of oxygen (O2) as well as ensure oxygen tubing was properly labeled.
Inspectors wroteBased on observation, interview and facility policy review, the facility failed to ensure the Nursing Home Resident Care Staffing Report was post where resident could view if they desire. This failure had the potential for residents not to know the resident care staffing levels provided for all 96 residents in the facility.
Inspectors wroteCOMPLAINT#: NJ00171849 Based on observations, interviews, medical record reviews, and review of other pertinent facility documentation on 4/15/24 and 4/16/24, it was determined that the facility failed to implement and revise care plan (CP) interventions for a resident who was experiencing pain resulted to a decline in condition, and failed to follow the facility policy for Pain and Comprehensive Care Plan for 1 of 3 residents (Resident #1) reviewed for implementation and revision of CP. This deficient practice was evidenced by the following: According to the admission record, Resident #1 was admitted with diagnoses that included but not limited to: Fall, Difficulty in Walking, and Adult Failure to Thrive. [...]
Inspectors wroteCOMPLAINT: # NJ00171849 Based on interviews, review of the medical records, and review of other pertinent facility documents, on 4/15/24 and 4/16/24, it was determined that the facility failed to consistently follow residents' care plan (CP), evaluate pain, and ensure that pain medications were administered according to the physician's orders (PO's) for residents who was experiencing pain. The facility also failed to follow its policy titled Pain for 1 of 3 residents (Resident #1) reviewed for pain management. This deficient practice was evidenced by the following: According to the admission record, Resident #1 was admitted with diagnoses that included but not limited to: Fall, Difficulty in Walking, and Adult Failure to Thrive. [...]
Inspectors wroteC #: NJ00171849 Based on interview and record review on 4/15/24 and 4/16/24, it was determined that the facility failed to accurately encoded a resident's wound in Minimum Data Set (MDS) assessment for 1 of 3 residents (Resident #1) reviewed for MDS accuracy. This was evidenced by the following: Reference: The Centers for Medicare and Medicaid Services (CMS) Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual Version 1.18.11 October 2023, under Section M: Skin Conditions .M0210 Unhealed Pressure Ulcers/Injuries .Coding Instructions Code based on the presence of any pressure ulcer/injury (regardless of stage) in the past 7 days. Code 0, no: if the resident did not have a pressure ulcer/injury in the 7-day look-back period. Then skip to M1030, Number of Venous and Arterial Ulcers. Code 1, yes: [...]
Inspectors wroteCOMPLAINT: # NJ00171849 Based on observation, interview, record review, and pertinent facility documents, it was determined that the facility failed to provide assistance in toileting service to 1 of 3 sampled residents (Resident #2). This deficient practice is evidenced by the following: According to admission record, Resident #2, was admitted with diagnosis which included but not limited to: Urinary Tract Infection, Metabolic Encephalopathy, Muscle Weakness, and Need Assistance with Personal Care. The form COGNITIVE IMPAIRMENT SLP SCREEN, signed and dated by the SLP on 4/11/2024, reflected that Resident #2's cognition was moderately impaired. Resident #2's care plan (CP), initiated on 4/9/24 and revised on 4/15/24, indicated that Resident #2 had actual impairment to skin integrity of sacrum r/t impaired mobility, incontinence, and nutritional concerns. [...]
Inspectors wroteCOMPLAINT: # NJ00171849 Based on observations, interviews, and record review, as well as review of pertinent facility documents on 4/15/24 and 4/16/24, it was determined that the facility failed to ensure there was adequate staffing to provide for the needs of residents for 1 of 3 Residents (Resident #1) observed for nursing care. This deficient practice is evidenced by the following: According to admission record, Resident #2, was admitted with diagnosis which included but not limited to: Urinary Tract Infection, Metabolic Encephalopathy, Muscle Weakness, and Need Assistance with Personal Care. Resident #2's care plan (CP), initiated on 4/9/24 and revised on 4/15/24, indicated that Resident #2 had actual impairment to skin integrity of sacrum r/t impaired mobility, incontinence, and nutritional concerns. [...]
Inspectors wroteC#:NJ00171288 Based on observation, interviews, review of medical records and other facility documentation on 2/15/24, it was determined that the facility failed to ensure a resident's specific Physician Order to receive nothing by mouth (NPO) on 12/4/23 was implemented. Resident #3 who was NPO, received a dinner meal tray from a Certified Nursing Assistant (CNA #1). The CNA served Resident #3 the tray of another resident who was not in the facility at that time. The CNA failed to ask nursing staff why the resident was provided with a tray of food. Resident #3 was able to feed self, but had cognitive issues tounderstand and to be understood. A visitor in the room, informed the staff that the resident appeared to be choking. [...]
Inspectors wroteBased on observation, interview, and record review it was determined that the facility failed to a.) hold a medication used to treat hypotension in accordance with the physician's order (PO), b.) accurately document in the administration record and c.) verify a PO for treatment administration in accordance with professional standards of nursing practice. The deficient practice was identified for 2 of 20 residents reviewed, Resident #407, #507. Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. The Nurse Practice Act for the State of New Jersey states: [...]
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to ensure that the oxygen therapy was administered to a resident in accordance with the current physician's orders (PO). This deficient practice was observed with 2 of 3 residents (Resident #24 and #4) reviewed for respiratory care. The deficient practice was evidenced by the following: 1. On 9/19/22 at 11:12 AM, the surveyor observed Resident #24 sitting in a wheelchair at the bedside, alert and oriented. The resident was observed receiving an oxygen via nasal cannula (NC-plastic prongs attached to a tube, inserted into the nostrils that oxygen flows through) that was attached to an oxygen wall mounted flowmeter (an oxygen delivery system). The oxygen flowmeter was set at 3 LPM (liters per minute). [...]
Inspectors wroteBased on observation, interview, record review, and review of pertinent facility documentation, it was identified that the facility failed to a.) appropriately don (put on) Personal Protective Equipment (PPE) while providing care to a resident who was placed on Transmission Based Precautions (TBP); practice appropriate hand hygiene in accordance with the Centers for Disease Control and Prevention guidelines for infection control and b.) appropriately provide wound treatments in accordance with infection control protocols. This deficient practice was identified for Resident #55 and Resident #407 on two out of four nursing units. The deficient practice was evidenced by the following: [...]
12 fire safety citations on file: 2 on January 29, 2026, 5 on September 27, 2024, 5 on October 3, 2022.
| Date | Penalty | Amount or length |
|---|---|---|
| April 16, 2024 | Fine | $25,300 |
| February 20, 2024 | Fine | $3,798 |
| February 15, 2024 | Fine | $15,646 |
| February 12, 2024 | Fine | $3,418 |
| January 22, 2024 | Fine | $7,976 |
| December 18, 2023 | Fine | $3,174 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | New Jersey | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.09 | 3.85 | 3.86 |
| Registered nurses | 0.86 | 0.68 | 0.69 |
| All nursing staff on weekends | 2.61 | 3.50 | 3.42 |
| Nurse aides | 1.24 | ||
| Licensed practical nurses | 0.99 | ||
| Nursing staff turnover (share who left in a year) | 45.9% | 39.7% | 45.8% |
| Registered nurse turnover | 42.1% | 37.7% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.20 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.28 on weekdays and 2.61 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.78 in April to June 2025 to 3.09 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.09 | 0.86 | 3.28 | 2.61 | 0.0% | 0 of 90 | 122 |
| Oct to Dec 2025 | 3.39 | 0.75 | 3.62 | 2.82 | 0.2% | 0 of 92 | 118 |
| Jul to Sep 2025 | 3.34 | 0.82 | 3.59 | 2.68 | 0.0% | 0 of 92 | 120 |
| Apr to Jun 2025 | 3.78 | 0.74 | 4.04 | 3.15 | 0.0% | 0 of 91 | 109 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| New Jersey, Jan to Mar 2026 | 3.68 | 0.59 | 3.82 | 3.34 | 11.6% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| New Jersey, all employers | |||
| CNAs (nursing assistants) | $22.52 | $21.13 to $23.44 | 32,400 |
| LPNs and LVNs | $36.13 | $32.16 to $38.45 | 17,410 |
| Registered nurses | $51.20 | $47.94 to $61.41 | 92,680 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | New Jersey | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 16.9 | 8.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.4 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.4 | 2.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.2 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.7 | 8.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.9 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.7 | 12.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.6 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 5.5 | 8.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Complete Care at Prospect Heights LLC's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (57.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
57.0% this home
Better than the national rate
US median of homes 51.5% · New Jersey: 130 better, 19 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 489 eligible stays.
12.1% this home
No different from the national rate
US median of homes 10.7% · New Jersey: 2 better, 8 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 416 eligible stays.
8.3% this home
No different from the national rate
US median of homes 7.1% · New Jersey: 3 better, 13 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 322 eligible stays.
77.0% this home
Median of homes: New Jersey68.7% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 152 residents counted.
0.3% this home
Median of homes: New Jersey0.6% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 284 residents counted.
2.5% this home
Median of homes: New Jersey1.7% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 283 residents counted.
96.8% this home
Median of homes: New Jersey99.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 93 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: COMPLETE CARE AT PROSPECT HEIGHTS LLC. CMS links this home to Complete Care, a group of 85 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| PC Hmh Holdings 2 LLC | 5% or greater indirect ownership interest | Organization | 09/28/2023 | |
| Sms 2021 Trust | 5% or greater indirect ownership interest | Organization | 09/28/2023 | |
| Des Capital LLC | Indirect ownership interest | Organization | 09/28/2023 | |
| Jrk Investments LLC | Indirect ownership interest | Organization | 09/28/2023 | |
| Klugman, Jacob | Indirect ownership interest | Individual | 09/28/2023 | |
| Stein, Shalom | Indirect ownership interest | Individual | 09/28/2023 | |
| Sternbuch, Daniel | Indirect ownership interest | Individual | 09/28/2023 | |
| Stein, Shalom | Managing control - governing body | Individual | 09/28/2023 | |
| Elsebai, Karina | Corporate director | Individual | 09/28/2023 | |
| Mina, Joseph | Corporate director | Individual | 11/18/2024 | |
| Stein, Shalom | Corporate officer | Individual | 09/28/2023 | |
| Aspril, Vilma | Operational/managerial control | Individual | 10/21/2024 | |
| Clemor, Rj | Operational/managerial control | Individual | 06/07/2024 | |
| Elsebai, Karina | Operational/managerial control | Individual | 09/28/2023 | |
| Mina, Joseph | Operational/managerial control | Individual | 11/18/2024 | |
| Schwartz, Hershel | Operational/managerial control | Individual | 09/28/2023 | |
| Sowma, Nikita | Operational/managerial control | Individual | 02/10/2025 | |
| Stein, Shalom | Trustee of the SNF | Individual | 09/28/2023 | |
| Des Capital LLC | Adp of the SNF | Organization | 09/28/2023 | |
| Jrk Investments LLC | Adp of the SNF | Organization | 09/28/2023 | |
| PC Hmh Holdings 2 LLC | Adp of the SNF | Organization | 09/28/2023 | |
| PC Hmh Propco Holdings 2 LLC | Adp of the SNF | Organization | 09/28/2023 | |
| Peace Capital Holdings LLC | Adp of the SNF | Organization | 09/28/2023 | |
| Prospect Heights Propco LLC | Adp of the SNF | Organization | 09/28/2023 | |
| Sms 2021 Trust | Adp of the SNF | Organization | 09/28/2023 | |
| Aspril, Vilma | Adp of the SNF | Individual | 10/21/2024 | |
| Clemor, Rj | Adp of the SNF | Individual | 06/07/2024 | |
| Elsebai, Karina | Adp of the SNF | Individual | 09/28/2023 | |
| Klugman, Jacob | Adp of the SNF | Individual | 09/28/2023 | |
| Mina, Joseph | Adp of the SNF | Individual | 11/18/2024 | |
| Schwartz, Hershel | Adp of the SNF | Individual | 09/28/2023 | |
| Sowma, Nikita | Adp of the SNF | Individual | 02/10/2025 | |
| Sternbuch, Daniel | Adp of the SNF | Individual | 09/28/2023 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
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