CareSentinel

Federal Nursing-Home Survey Record

COMPLETE CARE AT WEST CALDWELL LLC

CCN 315247 · 165 FAIRFIELD AVE, WEST CALDWELL, NJ, 07006

Record as of May 2026 · Updated monthly from CMS · Data incorrect? Contact records@caregiverhelpnow.com

Does COMPLETE CARE AT WEST CALDWELL LLC have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), COMPLETE CARE AT WEST CALDWELL LLC (CCN 315247), in WEST CALDWELL, NJ, has federal inspection findings on its record.

In its current inspection cycle, CMS cited the facility for 7 deficiencies; the most serious carries scope/severity F on CMS's A–L scale — CMS's "potential for harm" tier, below actual harm. The most recent federal survey on file is dated 2025-03-21. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. This page restates the federal record as published by CMS and draws no conclusion of its own. Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with CMS; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.

The Federal Record

The most recent federal inspection on file records no actual-harm or immediate-jeopardy citations for this facility.

Below is this facility's federal survey record as on file with CMS.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with CMS.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 4  ·  CMS state average: 3.3

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2025-11-26
CURRENT CYCLE
F610S/S D

Respond appropriately to all alleged violations.

2025-03-21
CURRENT CYCLE
F837S/S F

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.

2025-03-21
CURRENT CYCLE
F835S/S F

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

2025-03-21
CURRENT CYCLE
F698S/S E

Provide safe, appropriate dialysis care/services for a resident who requires such services.

2025-03-21
CURRENT CYCLE
F697S/S D

Provide safe, appropriate pain management for a resident who requires such services.

2025-03-21
CURRENT CYCLE
F756S/S D

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

2025-03-21
CURRENT CYCLE
F641S/S D

Ensure each resident receives an accurate assessment.

2 citations from earlier inspection cycles — historical, not current (expand)
2020-10-30
HISTORICAL
F658S/S D

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

2020-10-30
HISTORICAL
F880S/S D

Provide and implement an infection prevention and control program.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with CMS. Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Have a concern about care at COMPLETE CARE AT WEST CALDWELL LLC?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to taking legal action — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

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