Nursing HomeInspections

Complete Care at Milford Manor LLC

Nursing home in West Milford, NJ

Medicare & Medicaid certified1★ overall (CMS)

Call (973) 697-5640Send a messageMap ↗

Public-record details

Address
69 Maple Road, West Milford, NJ 07480
Phone
(973) 697-5640
Listed under
For-profit
Medicare CCN
315276
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measures rating
4 of 5
Certified beds
120
Average residents per day
112
Ownership
For-profit, corporation
Chain
Complete Care (85 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 1, 1989
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 315276. 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 7, 2025. CMS lists 26 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 8, 2021 to Jun 25, 2025): 2 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Jun 25, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 7, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 7, 2025Keep residents' personal and medical records private and confidential.
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 7, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 7, 2025Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 7, 2025Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Mar 7, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 7, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Mar 7, 2025Ensure 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.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Mar 7, 2025Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control		E
Potential for more than minimal harm, pattern
Mar 7, 2025Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Infection Control		E
Potential for more than minimal harm, pattern
Mar 7, 2025Provide training in compliance and ethics.
Administration		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 26. 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 $3,595 in the last three years.

Mar 7, 2025Fine: $3,595

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
2.97 hours
Registered nurse (RN) time per resident per day
0.42 hours
Nurse aide time per resident per day
1.82 hours
Total nurse staffing on weekends
2.44 hours
Nursing staff turnover (yearly)
54%
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.