A
LUTHERAN SOCIAL MINISTRIES CRANES MILL
91/100 score
0.89 hrs RN staffing
3 deficiencies
COMPLETE CARE AT WEST CALDWELL LLC
165 FAIRFIELD AVE, WEST CALDWELL, NJ 07006
- Provider number (CCN)
- 315247
- Certification
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified beds
- 180
- Phone
- (973) 226-1100
- CMS data as of
- August 1, 2026
C
●
stable
Staffing 0% · Deficiencies 0% over tracking period
What the records show
CMS rates COMPLETE CARE AT WEST CALDWELL LLC 4 out of 5 stars overall, with 3 of 5 for health inspections, 2 of 5 for staffing, 5 of 5 for quality measures. Federal inspectors cited 9 health deficiencies across the last three survey cycles, most recently surveyed in 2025. CMS lists no fines or payment denials for this facility in the covered period.
Facility Assessment
This facility staffs below 0.55 RN hours per resident day — the level the 2024 federal rule, repealed in February 2026, would have required.
Reviews, Ratings and Official Records
This page reviews COMPLETE CARE AT WEST CALDWELL LLC using federal government records — CMS star ratings, health-inspection findings, staffing data and enforcement actions. NursingHomeGrade does not collect, host or publish resident or family testimonials, and no star rating below is a consumer review score.
Below the repealed 0.55 hr benchmark — review the inspection and enforcement records below for the safety history behind the grade.
Ratings and Grade Breakdown
|
RN Staffing
Registered nurse time each resident receives daily. 2024 federal benchmark: 0.55 hrs. Repealed February 2026.
|
0.44 — Below the repealed 0.55 hr benchmark |
The 0.55 hour RN standard was repealed effective February 2, 2026 and is not currently enforced. We still grade against it. Why |
|
|
Health Deficiencies (last 3 survey cycles)
Violations found during federal inspections, with how many remain open and how many involved actual harm.
|
Total
9
Outstanding
0
Actual harm or worse (G–L)
0
|
|
CMS Ratings
Federal five-star ratings published by CMS. These are regulatory ratings, not consumer review scores.
|
Overall: ★★★★☆ (4/5)
Health inspection: ★★★☆☆ (3/5)
Quality: ★★★★★ (5/5)
Staffing: ★★☆☆☆ (2/5)
|
|
NursingHomeGrade Score
|
62/100 |
Loaded into NursingHomeGrade on September 5, 2026. This is the load date, not the date CMS published the underlying survey data — see release dates.
CMS scores each facility from one to five stars — one is in the bottom fifth of facilities in its state on health inspections, five is in the top tenth. Our own A–F grade is a separate 0–100 score built from staffing hours, inspection citations, and the severity and correction status of those citations, weighted as described in our grading methodology.
Staffing Compared With State and National Levels
| This facility | 0.44 hrs |
|---|---|
| NJ median | 0.55 hrs |
| National average | 0.69 hrs |
Registered nurse turnover: 62.5% · Total nursing staff turnover: 51.7%
Staffing figures are the values CMS published in its file processed August 1, 2026, drawn from payroll-based journal reporting.
Inspection Records Covered
- Most recent standard health survey: March 21, 2025.
- Citations shown below span 2 recorded inspection cycles.
- Survey dates on file range from October 30, 2020 to November 26, 2025.
Source records: CMS Care Compare profile for provider 315247 ↗ · the federal files we load and when.
Inspection Deficiencies
Health inspections identify violations of federal standards. Severity ranges from no actual harm (A–F) to immediate jeopardy (J–L).
9 deficiencies found. 9 corrected. None involved actual harm.
Most recent inspection (March 21, 2025)
F
Potential harm — widespread
F0835
Status: Corrected
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies — Deficient, Provider has date of correction, corrected April 10, 2025
F
Potential harm — widespread
F0837
Status: Corrected
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.
Administration Deficiencies — Deficient, Provider has date of correction, corrected April 10, 2025
D
Potential harm — isolated
F0610
Status: Corrected
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies — Deficient, Provider has date of correction, corrected December 18, 2025
D
Potential harm — isolated
F0756
Status: Corrected
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies — Deficient, Provider has date of correction, corrected April 10, 2025
E
Potential harm — pattern
F0698
Status: Corrected
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected April 10, 2025
D
Potential harm — isolated
F0697
Status: Corrected
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected April 10, 2025
D
Potential harm — isolated
F0641
Status: Corrected
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected April 10, 2025
Inspection cycle 3 (October 30, 2020)
D
Potential harm — isolated
F0880
Status: Corrected
Provide and implement an infection prevention and control program.
Infection Control Deficiencies — Deficient, Provider has date of correction, corrected November 13, 2020
D
Potential harm — isolated
F0658
Status: Corrected
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected November 13, 2020
Fines and Enforcement Actions
CMS lists no fines and no payment denials for COMPLETE CARE AT WEST CALDWELL LLC in the enforcement records covering the last three years, as published in the file processed August 1, 2026.
Ownership and Contact Information
- Facility name
- COMPLETE CARE AT WEST CALDWELL LLC
- Address
- 165 FAIRFIELD AVE, WEST CALDWELL, NJ 07006
- Phone
- (973) 226-1100
- Provider number (CCN)
- 315247
- Ownership type
- For profit - Limited Liability company
- Medicare/Medicaid certified since
- October 1, 1987
- Official record
- CMS Care Compare profile ↗
- Details verified against CMS data dated
- August 1, 2026
The federal nursing-home files publish no email address for certified facilities, so none is listed here. We do not guess or construct contact addresses. Contact details above are reproduced from CMS Provider Information; call the facility to confirm before relying on them.
How We Stay Independent
NursingHomeGrade is strictly independent. We do not accept payments from facilities. Our grades are calculated solely from federal CMS datasets.
Learn about our data methodology →Nearby facilities in WEST CALDWELL
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Sources and Methodology
- CMS Provider Information (file processed August 1, 2026) — ratings, staffing, ownership, certification and contact details. Dataset 4pq5-n9py ↗
- CMS Health Deficiencies — inspection citations, scope and severity, correction status. Dataset r5ix-sfxw ↗
- CMS Ownership — owning and managing organisations. Dataset y2hd-n93e ↗
The NursingHomeGrade score is our own calculation from these federal files — it is not a CMS rating and not a consumer review score. See exactly how the score is calculated · full methodology · source files and load dates.
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