Public Record
Complete Care at West Caldwell Llc
From CMS
Facility profile
- CMS overall rating
- 4 / 5
- Certified beds
- 180
- Avg. residents per day
- 136.3
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Citations on record
- 30
- Inspections on file
- 5
- Last inspection
- 2025-11-26
*CMS
*CMS
*CMS
Citations
30 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0610Generalpotential for harm
Respond appropriately to all alleged violations.
- 0211Generalpotential for harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 0225Generalpotential for harm
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- 0311Generalpotential for harm
Have an enclosure around a vertical opening shaft.
- 0321Generalpotential for harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 0324Generalpotential for harm
Provide properly protected cooking facilities.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0362Generalpotential for harm
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- 0521Generalpotential for harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- 0531Generalpotential for harm
Have elevators that firefighters can control in the event of a fire.
- 0712Generalpotential for harm
Have simulated fire drills held at unexpected times.
- 0912Generalpotential for harm
Have power receptacles that are properly grounded.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0919Generalpotential for harm
Meet requirements for the use of electrical equipment.
- 0920Generalpotential for harm
Ensure proper usage of power strips and extension cords.
- 0921Generalpotential for harm
Ensure that testing and maintenance of electrical equipment is performed.
- 0641Generalpotential for harm
Ensure each resident receives an accurate assessment.
- 0697Generalpotential for harm
Provide safe, appropriate pain management for a resident who requires such services.
- 0698Generalpotential for harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- 0756Generalpotential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- 0835Generalpotential for harm
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- 0837Generalpotential for harm
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
- 0291Generalpotential for harm
Install emergency lighting that can last at least 1 1/2 hours.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0039Generalpotential for harm
Conduct testing and exercise requirements.
- 0531Generalpotential for harm
Have elevators that firefighters can control in the event of a fire.
- 0712Generalpotential for harm
Have simulated fire drills held at unexpected times.
- 0908Generalpotential for harm
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspection1 deficiency
- View inspection reportInspection22 deficiencies
- View inspection reportInspection22 deficiencies
- View inspection reportInspection5 deficiencies
- View inspection reportInspection5 deficiencies
- View inspection reportInspection2 deficiencies
FAQ
Questions and answers
- What is Complete Care at West Caldwell Llc?
- Complete Care at West Caldwell Llc is a Medicare- and Medicaid-certified nursing home in West Caldwell, NJ, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 315247.
- What is the CMS rating for Complete Care at West Caldwell Llc?
- Complete Care at West Caldwell Llc has a CMS overall rating of 4 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Complete Care at West Caldwell Llc have?
- Complete Care at West Caldwell Llc is certified for 180 beds. It serves an average of 136.3 residents per day.
- How many citations does Complete Care at West Caldwell Llc have?
- Complete Care at West Caldwell Llc has 30 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Complete Care at West Caldwell Llc last inspected?
- Complete Care at West Caldwell Llc was last inspected on November 26, 2025. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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