Nursing HomeInspections

Complete Care at West Caldwell LLC

Nursing home in West Caldwell, NJ

Medicare & Medicaid certified4★ overall (CMS)

Call (973) 226-1100Send a messageMap ↗

Public-record details

Address
165 Fairfield Ave, West Caldwell, NJ 07006
Phone
(973) 226-1100
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
315247
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
3 of 5
Staffing rating
2 of 5
Quality measures rating
5 of 5
Certified beds
180
Average residents per day
154
Ownership
For-profit, limited Liability company
Chain
Complete Care (85 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Oct 1, 1987
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 315247. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 21, 2025. CMS lists 9 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 30, 2020 to Nov 26, 2025): 2 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Nov 26, 2025Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 21, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 21, 2025Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 21, 2025Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Mar 21, 2025Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care · complaint inspection		E
Potential for more than minimal harm, pattern
Mar 21, 2025Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration		F
Potential for more than minimal harm, widespread
Mar 21, 2025Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed…
Administration		F
Potential for more than minimal harm, widespread
Oct 30, 2020Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Oct 30, 2020Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated

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 no fines or payment denials for this facility in the last three years.

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
3.44 hours
Registered nurse (RN) time per resident per day
0.44 hours
Nurse aide time per resident per day
2.26 hours
Total nurse staffing on weekends
3.14 hours
Nursing staff turnover (yearly)
52%
RN turnover (yearly)
63%
Administrators who left in the past year
2

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.

Other nursing homes in West Caldwell

Lutheran Social Ministries Cranes Mill459 Passaic Avenue · West Caldwell, NJ 07006 · (973) 276-3018 · Nonprofit13 health citations in 3 inspection cycles · last standard inspection Mar 14, 2025 · no CMS fines in 3 yrsMedicare-certified5★ overall (CMS)

All 2 in West Caldwell →