COMPLETE CARE AT INGLEMOOR, LLC
Certified for Medicare and Medicaid since 1996-02-15, COMPLETE CARE AT INGLEMOOR, LLC is a 62-bed nursing home in ENGLEWOOD, New Jersey, averaging 58.8 residents a day.
Has COMPLETE CARE AT INGLEMOOR, LLC been cited for violations?
CMS lists 39 health-inspection deficiencies for COMPLETE CARE AT INGLEMOOR, LLC since 2021-05-05, 20 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is F; the most recent health inspection was 2025-11-07.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-11-07 | F0580, F0692, F0842 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide enough food/fluids to maintain a resident's health. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-03-13 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2025-03-13 | F0658, F0711, F0842 | Ensure services provided by the nursing facility meet professional standards of quality. / Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2025-03-13 | F0558, F0578, F0610, F0623, F0641, F0661, F0684, F0692, F0695, F0761, F0883, F0887 | Reasonably accommodate the needs and preferences of each resident. / 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. / Respond appropriately to all alleged violations. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Ensure each resident receives an accurate assessment. / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D |
| 2024-12-03 | F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | D |
| 2023-01-26 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2023-01-26 | F0656, F0756, F0758, F0886 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Perform COVID19 testing on residents and staff. | E |
| 2023-01-26 | F0726, F0732, F0755, F0759, F0812, F0814 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / Post nurse staffing information every day. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure medication error rates are not 5 percent or greater. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Dispose of garbage and refuse properly. | D |
| 2021-05-05 | F0801, F0812 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2021-05-05 | F0756, F0803, F0880, F0881 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use. | E |
| 2021-05-05 | F0658, F0761 | Ensure services provided by the nursing facility meet professional standards of quality. / 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. | D |
How is COMPLETE CARE AT INGLEMOOR, LLC staffed relative to the NJ average?
| Measure | This facility | NJ average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.59447 | 3.84961 |
| Total nursing staff turnover (%) | 38.5 | 39.7 |
| Average number of residents per day | 58.8 | 122.4 |
Who owns COMPLETE CARE AT INGLEMOOR, LLC, and what chain is it in?
COMPLETE CARE AT INGLEMOOR, LLC is registered with CMS as For profit - Limited Liability company, operates under the legal business name COMPLETE CARE AT INGLEMOOR LLC and belongs to the COMPLETE CARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | PC NJ1 OPCOS LLC | since 07/01/2021 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | PC WTA OPCO HOLDCO LLC, SMS 2021 TRUST | since 07/01/2021 |
| INDIRECT OWNERSHIP INTEREST | STEIN, SHALOM | since 07/01/2021 |
| 5% OR GREATER SECURITY INTEREST | WELLTOWER INC | since 07/01/2021 |
| MANAGING CONTROL - GOVERNING BODY | STEIN, SHALOM | since 07/01/2021 |
| CORPORATE OFFICER | STEIN, SHALOM | since 07/01/2021 |
| OPERATIONAL/MANAGERIAL CONTROL | GROSS, HARVEY, SCHWARTZ, HERSHEL, SINGER, IAN, ZACKAI, RAANAN | since 03/03/2025 |
| TRUSTEE OF THE SNF | STEIN, SHALOM | since 07/01/2021 |
| ADP OF THE SNF | AURORA GUARDIAN HOLDCO II CO-BORROWER, LLC, AURORA GUARDIAN HOLDCO II MEZZ BORROWER, LLC, AURORA GUARDIAN HOLDCO II, LLC, AURORA GUARDIAN II REALTY, LLC, AURORA GUARDIAN PARTNERS II LLC, INGLEMOOR CENTER REALTY, LLC, J & R FAMILY INVESTMENTS, LLC, L FRIEDMAN 2018 FAMILY TRUST, L FRIEDMAN FAMILY HOLDINGS LLC, LANDAU FAMILY INVESTMENT TRUST, M FRIEDMAN 2018 FAMILY TRUST, PC WTA ACQUISITION LLC, PC WTA MULTI-STATE LLC, PEACE CAPITAL HOLDINGS LLC, R&J FAMILY INVESTMENTS LLC, SMS 2021 TRUST, WELLTOWER INC, FIEGLE, MARGARET, GROSS, HARVEY, SINGER, IAN | since 03/03/2025 |
Were you or a family member harmed at COMPLETE CARE AT INGLEMOOR, LLC?