Complete Care at Bayshore LLC
Complete Care at Bayshore LLC is a 232-bed nursing home in HOLMDEL, New Jersey. CMS has certified it for Medicare and Medicaid since 1988-01-11. It averages 148.6 residents a day.
What harm was found in the violations cited at Complete Care at Bayshore LLC?
CMS lists 38 health-inspection deficiencies for Complete Care at Bayshore LLC since 2022-08-03, 21 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-04-16.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-04-16 | F0641 | Ensure each resident receives an accurate assessment. | D |
| 2025-12-29 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | D |
| 2024-10-30 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-10-30 | F0656, F0686, F0755, F0761, F0624, F0657 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Prepare residents for a safe transfer or discharge from the nursing home. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
| 2024-04-04 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E |
| 2024-02-14 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2023-10-19 | F0755, F0880 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide and implement an infection prevention and control program. | E |
| 2023-10-19 | F0657, F0658, F0694, F0695, F0698, F0757, F0761 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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 |
| 2023-10-19 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B |
| 2022-08-03 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2022-08-03 | F0679, F0680, F0809, F0812, F0880 | Provide activities to meet all resident's needs. / Ensure the activities program is directed by a qualified professional. / Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | F |
| 2022-08-03 | F0609, F0610, F0656, F0658, F0677, F0692, F0693, F0695, F0758, F0804 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide enough food/fluids to maintain a resident's health. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D |
| 2022-08-03 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | C |
How is Complete Care at Bayshore LLC staffed relative to the NJ average?
| Measure | This facility | NJ average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.77607 | 3.84961 |
| Total nursing staff turnover (%) | 37.8 | 39.7 |
| Average number of residents per day | 148.6 | 122.4 |
Who owns Complete Care at Bayshore LLC, and what chain is it in?
Complete Care at Bayshore LLC is registered with CMS as For profit - Corporation, operates under the legal business name COMPLETE CARE AT BAYSHORE LLC and belongs to the COMPLETE CARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | PC HMH OPCO HOLDNGS LLC | since 03/16/2023 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | PC HMH HOLDINGS LLC, SMS 2021 TRUST | since 03/16/2023 |
| INDIRECT OWNERSHIP INTEREST | STEIN, SHALOM | since 03/16/2023 |
| MANAGING CONTROL - GOVERNING BODY | STEIN, SHALOM | since 03/16/2023 |
| CORPORATE OFFICER | STEIN, SHALOM | since 03/16/2023 |
| OPERATIONAL/MANAGERIAL CONTROL | GREWAL, BALJINDER, LEVOVITZ, YITZCHOK, MATZLIAH, MENACHEM, MERCADO, WANDA, NASRA, MAGDY | since 03/16/2023 |
| TRUSTEE OF THE SNF | STEIN, SHALOM | since 03/16/2023 |
| ADP OF THE SNF | BAYSHORE PROPCO HOLDCO LLC, BAYSHORE PROPCO LLC, EEF CAPITAL LLC, PC HMH HOLDINGS LLC, PC HMH PROPCO INTERMEDIATE 9 LLC, PC HMH TOPCO PROPCO HOLDINGS LLC, PEACE CAPITAL HOLDINGS LLC, SMS 2021 TRUST, GREWAL, BALJINDER, LEVOVITZ, YITZCHOK, MATZLIAH, MENACHEM, MERCADO, WANDA, NASRA, MAGDY, OPOKU, CONSTANCE, SCHLAFF, BENNY, SCHLAFF, NACHUM | since 03/16/2023 |
Were you or a family member harmed at Complete Care at Bayshore LLC?