Complete Care at Mercerville LLC
2240 Whitehorse-Mercerville Road, Hamilton Township, NJ 08619 · Mercer County · 114 certified beds · avg 107 residents/day · certified since Jul 1, 1970
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: ★★★★☆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 (19)
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 |
|---|---|---|
| May 2, 2025 | 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. |
| May 2, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| May 2, 2025 | 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. |
| May 2, 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. |
| May 2, 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. |
| May 2, 2025 | 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. |
| Mar 11, 2025 | 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 |
| Oct 16, 2023 | E · Potential for harm, repeated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Oct 16, 2023 | E · Potential for harm, repeated | 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 16, 2023 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Oct 16, 2023 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Oct 16, 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. |
| Oct 16, 2023 | 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. |
| Oct 16, 2023 | D · Potential for harm, one-off | The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. |
| Oct 16, 2023 | 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 16, 2023 | B · Minimal risk, repeated | 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. |
| May 10, 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. |
| May 10, 2022 | 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. |
| May 10, 2022 | D · Potential for harm, one-off | The facility did not make sure its staff were vaccinated for COVID-19 in accordance with the federal requirements in effect at the time. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (9 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 3 | 0 | F |
| 2023 | 9 | 0 | E |
| 2025 | 7 | 0 | 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) | 3.56 | 3.88 | 3.95 | bottom 43% in New Jersey; bottom 39% in the U.S. |
| Registered Nurse hours | 0.54 | 0.67 | 0.69 | bottom 46% in New Jersey; bottom 43% in the U.S. |
| Weekend total nurse staffing | 3.31 | 3.53 | 3.50 | bottom 50% in New Jersey; bottom 48% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.33 | 0.50 | 0.48 | bottom 38% in New Jersey; bottom 38% in the U.S. |
| Total nursing staff turnover (%) | 39.3 | 39.7 | 45.8 | bottom 49% in New Jersey; top 35% 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 3.39, RN 0.51, weekend 3.15. 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: 4/5
Who owns this facility
For profit - Corporation
| 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 | 07/01/2021 |
| Aurora Guardian Holdco II Mezz Borrower, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2021 |
| Aurora Guardian Holdco II, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2021 |
| Aurora Guardian II Realty, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2021 |
| Aurora Guardian Partners II LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2021 |
| 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 | 07/01/2021 |
| L Friedman 2018 Family Trust | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2021 |
| L Friedman Family Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2021 |
| Landau Family Investment Trust | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2021 |
| Levovitz, Yitzchok | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2021 |
| Levovitz, Yitzchok | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2021 |
| M Friedman 2018 Family Trust | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2021 |
| Mercado, Wanda | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/19/2022 |
| Mercado, Wanda | Individual | ADP of the SNF | NOT APPLICABLE | 10/19/2022 |
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 happens if a resident is hungry between meals or misses a mealtime — what food options are available?"
- "Does your facility have an active resident council, and how does management respond to its concerns?"
- "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
- "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?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "How do you coordinate and monitor care for residents who receive dialysis?"
- "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 |
|---|---|---|---|---|---|
| Accela Post Acute Care at Hamilton | 1.0 mi | Hamilton, NJ | ★★☆☆☆ | 2/5 | |
| Hamilton Grove Healthcare and Rehabilitation, LLC | 1.0 mi | Hamilton, NJ | ★★☆☆☆ | 2/5 | |
| Preferred Care at Hamilton | 1.4 mi | Hamilton Square, NJ | ★★★★★ | 4/5 | |
| Avalon Rehabilitation and Healthcare Center | 2.1 mi | Hamilton, NJ | ★☆☆☆☆ | 1/5 | |
| Avant Rehabilitation and Care Center | 3.2 mi | Trenton, NJ | ★★★★☆ | 3/5 | |
| Riverside Health and Rehabilitation Center LLC | 3.8 mi | Trenton, NJ | ★★☆☆☆ | 2/5 | |
| Clover Meadows Healthcare and Rehabilitation Cente | 4.0 mi | Lawrenceville, NJ | ★★★★★ | 4/5 | |
| Trenton Gardens Rehabilitation and Nursing Center | 4.2 mi | Trenton, NJ | —/5 | SFF | |
| Belle Care Nursing and Rehabilitation Center | 4.8 mi | Trenton, NJ | ★☆☆☆☆ | 1/5 | SFF |
| Lawrence Rehab & Hcc/The Meadows at Lawrence | 4.9 mi | Lawrenceville, NJ | ★★☆☆☆ | 2/5 | |
| Lawrence Rehabilitation Hospital | 4.9 mi | Lawrenceville, NJ | ★★☆☆☆ | 1/5 | |
| Preferred Care at Mercer | 6.4 mi | Ewing, NJ | ★★★★☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 315094.