Complete Care at Inglemoor, LLC

Name: Complete Care at Inglemoor, LLC
Address: 333 GRAND AVE, Englewood, NJ, 07631, US
Telephone: 2015680900

333 Grand Ave, Englewood, NJ 07631 · Bergen County · 62 certified beds · avg 59 residents/day · certified since Feb 15, 1996

Part of chain: COMPLETE CARE (85 facilities, chain avg rating 3.1★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.61

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

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.

All citations in the current public record (39)

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
Nov 7, 2025	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Nov 7, 2025	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. · from a complaint
Nov 7, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Mar 13, 2025	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.
Mar 13, 2025	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.
Mar 13, 2025	E · Potential for harm, repeated	The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit.
Mar 13, 2025	E · Potential for harm, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Mar 13, 2025	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Mar 13, 2025	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Mar 13, 2025	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. · from a complaint
Mar 13, 2025	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Mar 13, 2025	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.
Mar 13, 2025	D · Potential for harm, one-off	When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care.
Mar 13, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Mar 13, 2025	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.
Mar 13, 2025	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.
Mar 13, 2025	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.
Mar 13, 2025	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Mar 13, 2025	D · Potential for harm, one-off	The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
Dec 3, 2024	D · Potential for harm, one-off	The facility did not protect residents from being involuntarily separated — kept apart from other residents, kept out of their own room, or confined to their room. Isolating a resident this way is a form of mistreatment. · from a complaint
Jan 26, 2023	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.
Jan 26, 2023	E · Potential for harm, repeated	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.
Jan 26, 2023	E · Potential for harm, repeated	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Jan 26, 2023	E · Potential for harm, repeated	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.
Jan 26, 2023	E · Potential for harm, repeated	The facility did not perform required COVID-19 testing on residents and staff.
Jan 26, 2023	D · Potential for harm, one-off	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Jan 26, 2023	D · Potential for harm, one-off	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Jan 26, 2023	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.
Jan 26, 2023	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Jan 26, 2023	D · Potential for harm, one-off	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.
Jan 26, 2023	D · Potential for harm, one-off	The facility did not dispose of garbage and refuse properly.
May 5, 2021	F · Potential for harm, facility-wide	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service.
May 5, 2021	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.
May 5, 2021	E · Potential for harm, repeated	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
May 5, 2021	E · Potential for harm, repeated	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
May 5, 2021	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.
May 5, 2021	E · Potential for harm, repeated	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
May 5, 2021	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.
May 5, 2021	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (11 → 16).

Year	Citations	Worst severity that year
2021	8	F
2023	11	F
2024	1	D
2025	19	F

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)	3.61	3.88	3.95	bottom 47% in New Jersey; bottom 42% in the U.S.
Registered Nurse hours	0.64	0.67	0.69	top 40% in New Jersey; top 43% in the U.S.
Weekend total nurse staffing	3.44	3.53	3.50	top 43% in New Jersey; top 45% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.47	0.50	0.48	top 39% in New Jersey; top 37% in the U.S.
Total nursing staff turnover (%)	38.5	39.7	45.8	top 47% in New Jersey; top 32% in the U.S.
RN turnover (%)	44.4	37.7	42.9	bottom 33% in New Jersey; bottom 45% 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 3.59, RN 0.64, weekend 3.42. Staffing rating: 3/5.

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: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
PC NJ1 Opcos LLC	Organization	5% or Greater Direct Ownership Interest	100%	07/01/2021
PC Wta Opco Holdco LLC	Organization	5% or Greater Indirect Ownership Interest	—	07/01/2021
SMS 2021 Trust	Organization	5% or Greater Indirect Ownership Interest	—	07/01/2021
Stein, Shalom	Individual	Indirect Ownership Interest	NOT APPLICABLE	07/01/2021
Aurora Guardian Holdco II Co-Borrower, LLC	Organization	ADP of the SNF	NOT APPLICABLE	07/30/2021
Aurora Guardian Holdco II Mezz Borrower, LLC	Organization	ADP of the SNF	NOT APPLICABLE	07/30/2021
Aurora Guardian Holdco II, LLC	Organization	ADP of the SNF	NOT APPLICABLE	07/30/2021
Aurora Guardian II Realty, LLC	Organization	ADP of the SNF	NOT APPLICABLE	07/30/2021
Aurora Guardian Partners II LLC	Organization	ADP of the SNF	NOT APPLICABLE	07/30/2021
Fiegle, Margaret	Individual	ADP of the SNF	NOT APPLICABLE	04/10/2023
Gross, Harvey	Individual	Operational/Managerial Control	NOT APPLICABLE	07/21/2021
Gross, Harvey	Individual	ADP of the SNF	NOT APPLICABLE	07/21/2021
Inglemoor Center Realty, LLC	Organization	ADP of the SNF	NOT APPLICABLE	07/30/2021
J & R Family Investments, LLC	Organization	ADP of the SNF	NOT APPLICABLE	07/30/2021
L Friedman 2018 Family Trust	Organization	ADP of the SNF	NOT APPLICABLE	07/30/2021
L Friedman Family Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	07/30/2021
Landau Family Investment Trust	Organization	ADP of the SNF	NOT APPLICABLE	07/30/2021
M Friedman 2018 Family Trust	Organization	ADP of the SNF	NOT APPLICABLE	07/30/2021
PC Wta Acquisition LLC	Organization	ADP of the SNF	NOT APPLICABLE	07/01/2021
PC Wta Multi-State LLC	Organization	ADP of the SNF	NOT APPLICABLE	07/01/2021

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"If my family member falls or their condition changes, exactly when and how will I be notified?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"How do you keep residents' medical records accurate, complete, and secure?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"How often does each resident's doctor visit and review their care in person?"
"Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"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
Family of Caring at Teaneck LLC	1.5 mi	Teaneck, NJ	★★★★☆	4/5
Careone at Teaneck	1.8 mi	Teaneck, NJ	★★★★☆	3/5
Actors Fund Home	2.0 mi	Englewood, NJ	★★★★☆	4/5
Fort Tryon Center for Rehabilitation and Nursing	2.9 mi	New York, NY	★★★★★	4/5
Independence Care Center for Nursing and Rehabilit	3.1 mi	Riverdale, NY	★★☆☆☆	2/5
Schervier Nursing Care Center	3.2 mi	Bronx, NY	★★★★☆	3/5
Isabella Geriatric Center INC	3.2 mi	New York, NY	★★☆☆☆	2/5
New Riverdale Rehab and Nursing	3.3 mi	Bronx, NY	★★★☆☆	2/5	abuse
Family of Caring Healthcare at Tenafly, LLC	3.4 mi	Tenafly, NJ	★★★☆☆	3/5
Hudson Pointe at Riverdale Center for Nursing and	3.4 mi	Bronx, NY	★★☆☆☆	2/5
Careone at Wellington	3.5 mi	Hackensack, NJ	★★★☆☆	2/5
Prestige Nursing Care & Rehab Center	3.7 mi	Bronx, NY	★★☆☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Englewood →

Facility data as of CMS processing date 2026-08-01. CCN 315349.

The Care File

Visit checklist — Complete Care at Inglemoor, LLC

333 Grand Ave, Englewood, NJ 07631 · 2015680900

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "How often does each resident's doctor visit and review their care in person?"
☐ "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 315349 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)