Complete Care at Chestnut Hill LLC
360 Chestnut Street · Passaic, NJ · 07055 · 9737777800
111 certified beds For profit - Limited Liability company Chain: Complete Care
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.35 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.39 | 0.55–0.75 |
| Weekend hours / resident-day | 2.97 | ≈ weekday level |
| Nursing turnover / year | 51% | median 45% |
| Fines (3-yr window) | 1 · $41,688 |
Inspection citations (27 in the current record)
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Immediate jeopardy · K December 5, 2024
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected December 6, 2024 · Resident Rights
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Immediate jeopardy · K December 5, 2024
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected December 6, 2024 · Administration
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Potential for harm · D December 5, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 27, 2024 · Resident Rights
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Potential for harm · D December 5, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected December 27, 2024 · Resident Rights
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Potential for harm · D December 5, 2024
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected December 27, 2024 · Resident Rights
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Potential for harm · D December 5, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected December 27, 2024 · Resident Assessment and Care Planning
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Potential for harm · E December 5, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 27, 2024 · Resident Assessment and Care Planning
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Potential for harm · E December 5, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 27, 2024 · Quality of Life and Care
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Potential for harm · D December 5, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 27, 2024 · Quality of Life and Care
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Potential for harm · D December 5, 2024
Try 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 the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected December 27, 2024 · Quality of Life and Care
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Potential for harm · F December 5, 2024
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected December 27, 2024 · Administration
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Potential for harm · D December 5, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 27, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 5, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected December 27, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 5, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected December 27, 2024 · Quality of Life and Care
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Actual harm · G August 18, 2022
Provide enough food/fluids to maintain a resident's health.
Corrected September 30, 2022 · Quality of Life and Care
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Potential for harm · D August 18, 2022
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected September 30, 2022 · Resident Rights
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Potential for harm · D August 18, 2022
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected September 30, 2022 · Resident Rights
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Potential for harm · D August 18, 2022
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected September 30, 2022 · Resident Rights
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Potential for harm · D August 18, 2022
Ensure each resident receives an accurate assessment.
Corrected September 30, 2022 · Resident Assessment and Care Planning
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Potential for harm · D August 18, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 30, 2022 · Resident Assessment and Care Planning
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Potential for harm · D August 18, 2022
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected September 30, 2022 · Resident Assessment and Care Planning
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Potential for harm · D August 18, 2022
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected September 30, 2022 · Quality of Life and Care
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Potential for harm · D August 18, 2022
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 30, 2022 · Resident Assessment and Care Planning
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Potential for harm · D August 18, 2022
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected September 30, 2022 · Infection Control
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Potential for harm · D August 18, 2022
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected September 30, 2022 · Environmental
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 5, 2024 | Fine | $41,688 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 315085 · certified since April 1, 1968. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.