Nursing HomeInspections

Complete Care at Chestnut Hill LLC

Nursing home in Passaic, NJ

Medicare & Medicaid certified1★ overall (CMS)

Call (973) 777-7800Send a messageMap ↗

Public-record details

Address
360 Chestnut Street, Passaic, NJ 07055
Phone
(973) 777-7800
Listed under
For-profit
Medicare CCN
315085
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measures rating
4 of 5
Certified beds
111
Average residents per day
107
Ownership
For-profit, limited Liability company
Chain
Complete Care (85 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 1, 1968
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 315085. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Dec 5, 2024. CMS lists 27 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 11, 2020 to Dec 5, 2024): 3 from complaint inspections, 3 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
Dec 5, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights
D
Potential for more than minimal harm, isolated
Dec 5, 2024Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights
D
Potential for more than minimal harm, isolated
Dec 5, 2024Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident Rights
D
Potential for more than minimal harm, isolated
Dec 5, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
Dec 5, 2024Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
Dec 5, 2024PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Dec 5, 2024Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Dec 5, 2024Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Dec 5, 2024Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with…
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Dec 5, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning
E
Potential for more than minimal harm, pattern
Dec 5, 2024Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care
E
Potential for more than minimal harm, pattern
Dec 5, 2024Have a plan that describes the process for conducting QAPI and QAA activities.
Administration
F
Potential for more than minimal harm, widespread

Showing the 12 most recent of 27. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $41,688 in the last three years.

Dec 5, 2024Fine: $41,688

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.23 hours
Registered nurse (RN) time per resident per day
0.38 hours
Nurse aide time per resident per day
1.94 hours
Total nurse staffing on weekends
2.78 hours
Nursing staff turnover (yearly)
42%
RN turnover (yearly)
50%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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