Complete Care at Madison, LLC

Name: Complete Care at Madison, LLC
Address: 625 STATE HIGHWAY 34, Matawan, NJ, 07747, US
Telephone: 7325666400

625 State Highway 34, Matawan, NJ 07747 · Middlesex County · 167 certified beds · avg 129 residents/day · certified since Jan 1, 1967

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

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.87

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

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 (23)

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
Mar 3, 2026	E · Potential for harm, repeated	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Mar 3, 2026	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Mar 3, 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.
Mar 3, 2026	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.
Mar 3, 2026	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.
Mar 3, 2026	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 3, 2026	D · Potential for harm, one-off	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 27, 2024	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
Aug 27, 2024	E · Potential for harm, repeated	The facility did not provide timely, quality laboratory tests to meet residents' needs.
Aug 27, 2024	D · Potential for harm, one-off	The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings.
Aug 27, 2024	D · Potential for harm, one-off	The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out.
Aug 27, 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
Aug 27, 2024	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
Aug 27, 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. · from a complaint
Aug 27, 2024	D · Potential for harm, one-off	The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them. · from a complaint
Aug 27, 2024	D · Potential for harm, one-off	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area.
Dec 9, 2022	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Dec 9, 2022	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Dec 9, 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.
Dec 9, 2022	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.
Dec 9, 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.
Dec 9, 2022	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.
Dec 9, 2022	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.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 7).

Year	Citations	Worst severity that year
2022	7	E
2024	9	E
2026	7	E

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)	3.87	3.88	3.95	top 36% in New Jersey; top 45% in the U.S.
Registered Nurse hours	0.51	0.67	0.69	bottom 42% in New Jersey; bottom 39% in the U.S.
Weekend total nurse staffing	3.66	3.53	3.50	top 30% in New Jersey; top 35% 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 (%)	36.1	39.7	45.8	top 40% in New Jersey; top 27% in the U.S.
RN turnover (%)	43.8	37.7	42.9	bottom 35% in New Jersey; bottom 46% 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 0.47, weekend 3.39. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

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
Awan, Omar	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2022
Awan, Omar	Individual	ADP of the SNF	NOT APPLICABLE	06/01/2022
Fallah, Alex	Individual	ADP of the SNF	NOT APPLICABLE	09/09/2024
Grewal, Baljinder	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2021
Grewal, Baljinder	Individual	ADP of the SNF	NOT APPLICABLE	07/01/2021
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
Levovitz, Yitzchok	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2021
M Friedman 2018 Family Trust	Organization	ADP of the SNF	NOT APPLICABLE	07/30/2021

Questions to ask on your visit

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

"What systems do you use to prevent medication errors, and what happens when one occurs?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"How do you coordinate and monitor care for residents who receive dialysis?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"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
Meadowbrook Respiratory and Nursing Center	1.3 mi	Matawan, NJ	★★★★☆	4/5
Complete Care at Bayshore LLC	2.9 mi	Holmdel, NJ	★★★★☆	3/5
Anchor Care and Rehabilitation Center	3.1 mi	Hazlet, NJ	★★★★☆	4/5
Careone at Holmdel	4.0 mi	Holmdel, NJ	★★★★★	4/5
Preferred Care at Old Bridge, LLC	4.2 mi	Old Bridge, NJ	★★★★★	4/5
Venetian Care & Rehabilitation Center, LLC	4.5 mi	South Amboy, NJ	★★☆☆☆	1/5
Reformed Church Home	4.9 mi	Old Bridge, NJ	★★★★★	4/5
Roosevelt Care Center at Old Bridge	5.0 mi	Old Bridge, NJ	★★★★★	5/5
Arnold Walter Nursing & Rehabilitation Center	5.5 mi	Hazlet, NJ	★★★☆☆	2/5
Autumn Lake Healthcare at Old Bridge	5.7 mi	Old Bridge, NJ	★★★★☆	3/5
Laurel Bay Health & Rehabilitation Center	6.0 mi	Keansburg, NJ	★★☆☆☆	2/5
Alameda Center for Rehabilitation and Healthcare	6.6 mi	Perth Amboy, NJ	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in Matawan →

Facility data as of CMS processing date 2026-08-01. CCN 315015.

The Care File

Visit checklist — Complete Care at Madison, LLC

625 State Highway 34, Matawan, NJ 07747 · 7325666400

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "How do you coordinate and monitor care for residents who receive dialysis?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "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 315015 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)