COMPLETE CARE AT MILFORD MANOR LLC
COMPLETE CARE AT MILFORD MANOR LLC is a 120-bed nursing home in WEST MILFORD, New Jersey. CMS has certified it for Medicare and Medicaid since 1989-06-01. It averages 111.7 residents a day.
What harm was found in the violations cited at COMPLETE CARE AT MILFORD MANOR LLC?
CMS lists 26 health-inspection deficiencies for COMPLETE CARE AT MILFORD MANOR LLC since 2021-03-08, 15 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 2025-06-25.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-06-25 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-03-07 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G |
| 2025-03-07 | F0803, F0883, F0945, F0946, F0949 | 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. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. / Provide training in compliance and ethics. / Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E |
| 2025-03-07 | F0580, F0583, F0686, F0692, F0757, F0842, F0880 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Keep residents' personal and medical records private and confidential. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide enough food/fluids to maintain a resident's health. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. | D |
| 2024-01-05 | F0880 | Provide and implement an infection prevention and control program. | D |
| 2023-02-18 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2023-02-18 | F0578, F0656, F0660, F0689, F0697, F0755, F0759 | 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Plan the resident's discharge to meet the resident's goals and needs. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate pain management for a resident who requires such services. / 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. | D |
| 2021-03-08 | F0761, F0812, F0880 | 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. / 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. | D |
Why was COMPLETE CARE AT MILFORD MANOR LLC fined?
| Date | Type | Amount |
|---|---|---|
| 2025-03-07 | Fine | $3,595 |
How is COMPLETE CARE AT MILFORD MANOR LLC staffed relative to the NJ average?
| Measure | This facility | NJ average |
|---|---|---|
| Total nurse staffing hours per resident per day | 2.97106 | 3.84961 |
| Total nursing staff turnover (%) | 53.6 | 39.7 |
| Average number of residents per day | 111.7 | 122.4 |
Who owns COMPLETE CARE AT MILFORD MANOR LLC, and what chain is it in?
COMPLETE CARE AT MILFORD MANOR LLC is registered with CMS as For profit - Corporation, operates under the legal business name COMPLETE CARE AT MILFORD MANOR LLC and belongs to the COMPLETE CARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | MILFORD MANOR HOLDCO LLC | since 12/27/2021 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | PC GC HOLDCO LLC, SMS 2021 TRUST | since 12/27/2021 |
| INDIRECT OWNERSHIP INTEREST | STEIN, SHALOM | since 12/27/2021 |
| MANAGING CONTROL - GOVERNING BODY | STEIN, SHALOM | since 12/27/2021 |
| CORPORATE OFFICER | STEIN, SHALOM | since 12/27/2021 |
| OPERATIONAL/MANAGERIAL CONTROL | AYDIN, EMMANUEL, REYES, GRACE, ZACKAI, RAANAN | since 03/13/2023 |
| TRUSTEE OF THE SNF | STEIN, SHALOM | since 12/27/2021 |
| ADP OF THE SNF | MILFORD MANOR HOLDCO LLC, MILFORD MANOR PROPCO LLC, PC GC HOLDCO LLC, PEACE CAPITAL HOLDINGS LLC, SMS 2021 TRUST, AYDIN, EMMANUEL, REYES, GRACE, RUAYA, RIZZA | since 03/13/2023 |
Were you or a family member harmed at COMPLETE CARE AT MILFORD MANOR LLC?