Complete Care at Inglemoor, LLC
333 Grand Ave · Englewood, NJ · 07631 · 2015680900
62 certified beds For profit - Limited Liability company Chain: Complete Care
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 72 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
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: 2 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.37 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.67 | 0.55–0.75 |
| Weekend hours / resident-day | 3.33 | ≈ weekday level |
| Nursing turnover / year | 38% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (39 in the current record)
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Potential for harm · D November 7, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected December 8, 2025 · Resident Rights
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Potential for harm · D November 7, 2025 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected December 17, 2025 · Quality of Life and Care
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Potential for harm · D November 7, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected December 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 13, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected April 11, 2025 · Resident Rights
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Potential for harm · D March 13, 2025
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 April 11, 2025 · Resident Rights
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Potential for harm · D March 13, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected April 11, 2025 · Resident Rights
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Potential for harm · D March 13, 2025
Ensure each resident receives an accurate assessment.
Corrected April 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · E March 13, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 13, 2025
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected April 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 13, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 11, 2025 · Quality of Life and Care
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Potential for harm · D March 13, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected April 11, 2025 · Quality of Life and Care
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Potential for harm · D March 13, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 11, 2025 · Quality of Life and Care
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Potential for harm · E March 13, 2025
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected April 11, 2025 · Nursing and Physician Services
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Potential for harm · D March 13, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected April 11, 2025 · Pharmacy Service
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Potential for harm · F March 13, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 11, 2025 · Nutrition and Dietary
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Potential for harm · D March 13, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected April 11, 2025 · Infection Control
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Potential for harm · D March 13, 2025
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected April 11, 2025 · Infection Control
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Potential for harm · D March 13, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 2, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 13, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 3, 2024 · found via complaint
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Corrected December 4, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E January 26, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 15, 2023 · Resident Assessment and Care Planning
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Potential for harm · D January 26, 2023
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected March 15, 2023 · Nursing and Physician Services
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Potential for harm · D January 26, 2023
Post nurse staffing information every day.
Corrected March 15, 2023 · Nursing and Physician Services
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Potential for harm · D January 26, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 15, 2023 · Pharmacy Service
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Potential for harm · E January 26, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected March 15, 2023 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 315349 · certified since February 15, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.