Complete Care at Bayshore LLC
715 North Beers Street, Holmdel, NJ 07733 · Monmouth County · 232 certified beds · avg 149 residents/day · certified since Jan 11, 1988
Part of chain: COMPLETE CARE (85 facilities, chain avg rating 3.1★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Aug 3, 2022 · F-0686
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Sep 13, 2022 (Deficient, Provider has date of correction)
All citations in the current public record (38)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 16, 2026 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint |
| Dec 29, 2025 | D · Potential for harm, one-off | The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. · from a complaint |
| Oct 30, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Oct 30, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Oct 30, 2024 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Oct 30, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Oct 30, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Oct 30, 2024 | D · Potential for harm, one-off | The facility did not properly prepare residents for a safe transfer or discharge. Before a resident leaves, the facility must get them ready and make sure the move is safe and orderly. · from a complaint |
| Oct 30, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| Apr 4, 2024 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Feb 14, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Oct 19, 2023 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Oct 19, 2023 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Oct 19, 2023 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Oct 19, 2023 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Oct 19, 2023 | D · Potential for harm, one-off | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. |
| Oct 19, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Oct 19, 2023 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Oct 19, 2023 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Oct 19, 2023 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Oct 19, 2023 | B · Minimal risk, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Aug 3, 2022 | ▲ G · Actual harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Aug 3, 2022 | F · Potential for harm, facility-wide | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Aug 3, 2022 | F · Potential for harm, facility-wide | The facility's activities program was not run by a qualified professional. The person directing recreation and social activities must have proper training or credentials. |
| Aug 3, 2022 | F · Potential for harm, facility-wide | The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. |
| Aug 3, 2022 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Aug 3, 2022 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Aug 3, 2022 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Aug 3, 2022 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Aug 3, 2022 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Aug 3, 2022 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Aug 3, 2022 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Aug 3, 2022 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Aug 3, 2022 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Aug 3, 2022 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Aug 3, 2022 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Aug 3, 2022 | D · Potential for harm, one-off | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Aug 3, 2022 | C · Minimal risk, facility-wide | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (10 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 17 | 1 | G ▲ |
| 2023 | 10 | 0 | E |
| 2024 | 9 | 0 | F |
| 2025 | 1 | 0 | D |
| 2026 | 1 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | New Jersey avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.06 | 3.88 | 3.95 | bottom 7% in New Jersey; bottom 16% in the U.S. |
| Registered Nurse hours | 0.30 | 0.67 | 0.69 | bottom 6% in New Jersey; bottom 10% in the U.S. |
| Weekend total nurse staffing | 2.85 | 3.53 | 3.50 | bottom 12% in New Jersey; bottom 23% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.21 | 0.50 | 0.48 | bottom 13% in New Jersey; bottom 14% in the U.S. |
| Total nursing staff turnover (%) | 37.8 | 39.7 | 45.8 | top 45% in New Jersey; top 31% in the U.S. |
| RN turnover (%) | 33.3 | 37.7 | 42.9 | top 42% in New Jersey; top 33% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.78, RN 0.37, weekend 3.52. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| PC HMH Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 03/16/2023 |
| PC HMH Opco Holdngs LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 03/16/2023 |
| SMS 2021 Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 03/16/2023 |
| Stein, Shalom | Individual | Indirect Ownership Interest | NOT APPLICABLE | 03/16/2023 |
| Bayshore Propco Holdco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/16/2023 |
| Bayshore Propco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/16/2023 |
| Eef Capital LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/16/2023 |
| Grewal, Baljinder | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/16/2023 |
| Grewal, Baljinder | Individual | ADP of the SNF | NOT APPLICABLE | 03/16/2023 |
| Levovitz, Yitzchok | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/16/2023 |
| Levovitz, Yitzchok | Individual | ADP of the SNF | NOT APPLICABLE | 03/16/2023 |
| Matzliah, Menachem | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/16/2023 |
| Matzliah, Menachem | Individual | ADP of the SNF | NOT APPLICABLE | 03/16/2023 |
| Mercado, Wanda | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/16/2023 |
| Mercado, Wanda | Individual | ADP of the SNF | NOT APPLICABLE | 03/16/2023 |
| Nasra, Magdy | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/16/2023 |
| Nasra, Magdy | Individual | ADP of the SNF | NOT APPLICABLE | 03/16/2023 |
| Opoku, Constance | Individual | ADP of the SNF | NOT APPLICABLE | 03/16/2023 |
| PC HMH Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/16/2023 |
| PC HMH Propco Intermediate 9 LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/16/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How do you decide you have enough staff and resources for your resident population, including nights and weekends?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What does your discharge planning process look like, and how are families involved before a move?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Anchor Care and Rehabilitation Center | 0.9 mi | Hazlet, NJ | ★★★★☆ | 4/5 | |
| Meadowbrook Respiratory and Nursing Center | 2.3 mi | Matawan, NJ | ★★★★☆ | 4/5 | |
| Careone at Holmdel | 2.7 mi | Holmdel, NJ | ★★★★★ | 4/5 | |
| Arnold Walter Nursing & Rehabilitation Center | 2.9 mi | Hazlet, NJ | ★★★☆☆ | 2/5 | |
| Complete Care at Madison, LLC | 2.9 mi | Matawan, NJ | ★★★★★ | 4/5 | |
| Laurel Bay Health & Rehabilitation Center | 3.9 mi | Keansburg, NJ | ★★☆☆☆ | 2/5 | |
| De la Salle Hall | 6.0 mi | Lincroft, NJ | ★★★★★ | 4/5 | |
| Venetian Care & Rehabilitation Center, LLC | 6.4 mi | South Amboy, NJ | ★★☆☆☆ | 1/5 | |
| Preferred Care at Old Bridge, LLC | 6.9 mi | Old Bridge, NJ | ★★★★★ | 4/5 | |
| Roosevelt Care Center at Old Bridge | 7.1 mi | Old Bridge, NJ | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 315252.