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Nursing home report

COMPLETE CARE AT MILFORD MANOR LLC

WEST MILFORD, NJ · Medicare-certified · 120 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall

Complete Care at Milford Manor LLC in West Milford, NJ has a 1-star overall rating, with 1-star staffing and 2-star health inspection results despite 4-star quality measures. It reports 2.97 nurse hours per resident per day versus the 4.1 federal benchmark, and it had $3,595 in fines in the last 24 months plus a recent federal penalty.

Facility ratings

Health inspections

Staffing

2.9711 hrs/resident/day

Quality measures

Last inspection: June 25, 2025Penalties, last 24 months: $3,595recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9711.

Staffing detail

Registered nurses
0.42
Licensed practical nurses
0.73
Nurse aides
1.82
Weekend nursing
2.44

Hours per resident per day.

Total staff turnover: 54%
Registered nurse turnover: 50%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

15.3%12.1%Improving

Residents with a fall causing major injury

2.4%2.3%No change

Residents with pressure ulcers (bedsores)

6%3%Improving

Residents with a urinary tract infection

0%1.2%Worsening

Residents who lost too much weight

7%2.5%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

21.3%0%Improving

Residents whose ability to walk got worse

5.8%1.7%Improving

Long-stay residents on antianxiety or sleep medication

14.1%16%Worsening

Short-stay residents newly given an antipsychotic

0%3%Worsening

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

19.7%14%Improving

Residents with depressive symptoms

5.2%34.2%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

92.9%

Long-stay residents given the pneumonia vaccine

80.7%93.1%Improving

Short-stay residents given the seasonal flu vaccine

38.2%

Short-stay residents given the pneumonia vaccine

45%81.9%Improving

What the inspectors found

The home failed to provide safe, appropriate pain management for a resident who needed it. Cited March 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 697 — 42 CFR §483.25(k) — S/S: G

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2023 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited March 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 803 — 42 CFR §483.60 — S/S: E

The nursing home failed to develop and follow policies to make sure residents received flu and pneumonia vaccinations. Cited March 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 883 — 42 CFR §483.80 — S/S: E

The home failed to provide required infection prevention training with clear written standards, policies, and procedures. Cited March 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 945 — 42 CFR §483.95 — S/S: E

Recent history

  1. STAFFING

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

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. PENALTY

    A federal fine of $3,595 was recorded.

  4. INSPECTION

    Health inspection found 13 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $3,595 in total fines.

  • Federal fine

    Mar 7, 2025

    $3,595

Operator & ownership

Recent ownership change · Dec 27, 2021

Now operated by Complete Care at Milford Manor LLC, previously 69 Maple Ave INC.

Ownership
For profit - Corporation
Chain
Part of COMPLETE CARE · 85 homes · 3.1 stars avg
Occupancy
111.7 residents on an average day (93% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 37 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.