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Nursing home report

COMPLETE CARE AT CHESTNUT HILL LLC

PASSAIC, NJ · Medicare-certified · 111 beds

Needs attention
For-profitChain member
2 of 5 overall

2 of 5 stars overall. Health inspections and staffing are both 1 of 5 stars, reported nurse staffing is 3.35 hours per resident per day versus the 4.1 federal benchmark, and the facility had $41,688 in fines in the last 24 months with a recent federal penalty; quality measures are 5 of 5 stars.

Facility ratings

Health inspections

Staffing

3.3452 hrs/resident/day

Quality measures

Last inspection: December 5, 2024Penalties, last 24 months: $41,688recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3452.

Staffing detail

Registered nurses
0.39
Licensed practical nurses
0.92
Nurse aides
2.04
Weekend nursing
2.97

Hours per resident per day.

Total staff turnover: 51%
Registered nurse turnover: 47%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

7.2%Worsening

Residents with a fall causing major injury

0.8%Worsening

Residents with pressure ulcers (bedsores)

5.8%Improving

Residents with a urinary tract infection

1.2%Worsening

Residents who lost too much weight

4%Improving

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

12.8%Improving

Residents whose ability to walk got worse

8%Worsening
Show all measures

Long-stay residents on antianxiety or sleep medication

17.4%Worsening

Short-stay residents newly given an antipsychotic

2%Steady

Residents with a long-term catheter

0.2%Steady

Residents with new or worsening incontinence

20.9%Improving

Residents with depressive symptoms

5.7%Worsening

Long-stay residents given the seasonal flu vaccine

98.9%Steady

Long-stay residents given the pneumonia vaccine

97.2%Steady

Short-stay residents given the seasonal flu vaccine

76.7%Steady

Short-stay residents given the pneumonia vaccine

57.8%Steady

What the inspectors found

The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited December 2024 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 578 — 42 CFR §483.10 — S/S: K

The home failed to run its operations effectively and efficiently using its available resources. Cited December 2024 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 835 — 42 CFR §483.70 — S/S: K

The home failed to provide enough food and fluids to keep residents healthy. Cited August 2022 — isolated incident, actual harm.

View the original federal record

F-Tag 692 — 42 CFR §483.25(g) — S/S: G

The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited December 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 865 — 42 CFR §483.75 — S/S: F

The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited December 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. PENALTY

    A federal fine of $41,688 was recorded.

  3. INSPECTION

    Health inspection found 14 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 11 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $41,688 in total fines.

  • Federal fine

    Dec 5, 2024

    $41,688

Operator & ownership

Ownership
For profit - Limited Liability company
Chain
Part of COMPLETE CARE · 85 homes · 3.2 stars avg
Occupancy
105.1 residents on an average day (95% of 111 beds)
Resident voice
Resident council
Medicare history
Certified for 58 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.