69 Maple Road, West Milford, NJ 07480 (opens Google Maps) · Passaic County · (973) 697-5640· 120 certified beds · avg 112 residents/day · certified since Jun 1, 1989 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: COMPLETE CARE (85 facilities, chain avg rating 3.1★)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5 · how star ratings work →
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 quality measures from resident assessments and claims.
▲ Actual harm, isolated · Mar 7, 2025 · F-0697
The facility did not provide safe and appropriate pain management for a resident who needed it.
Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Mar 10, 2025 (Deficient, Provider has date of correction)
Showing the latest 3 of 26 inspection findings. Open the full record below to read every finding.
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint F-0684
The facility did not provide safe and appropriate pain management for a resident who needed it. F-0697
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. F-0803
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 25, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684 |
| Mar 7, 2025 | ▲ G · Actual harm, isolated | The facility did not provide safe and appropriate pain management for a resident who needed it. · F-0697 |
| Mar 7, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0803 |
| Mar 7, 2025 | E · Potential for more than minimal harm, pattern | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883 |
| Mar 7, 2025 | E · Potential for more than minimal harm, pattern | The facility did not include required infection control training — with written standards, policies, and procedures — as part of its infection prevention program. · F-0945 |
| Mar 7, 2025 | E · Potential for more than minimal harm, pattern | The facility did not provide its staff with training in compliance and ethics — teaching employees the laws and ethical standards that govern how residents must be treated. · F-0946 |
| Mar 7, 2025 | E · Potential for more than minimal harm, pattern | The facility did not provide its staff with required training on behavioral health — caring for residents with conditions like dementia, depression, or other mental health needs. · F-0949 |
| Mar 7, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0580 |
| Mar 7, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' personal and medical information private and confidential. · F-0583 |
| Mar 7, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0686 |
| Mar 7, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| Mar 7, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0757 |
| Mar 7, 2025 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| Mar 7, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Jan 5, 2024 | D · Potential for more than minimal harm, isolated | 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. · from a complaint · F-0880 |
| Feb 18, 2023 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Feb 18, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0578 |
| Feb 18, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Feb 18, 2023 | D · Potential for more than minimal harm, isolated | The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. · F-0660 |
| Feb 18, 2023 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Feb 18, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate pain management for a resident who needed it. · F-0697 |
| Feb 18, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| Feb 18, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0759 |
| Mar 8, 2021 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| Mar 8, 2021 | D · Potential for more than minimal harm, isolated | 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. · F-0812 |
| Mar 8, 2021 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
Citations from standard inspections increased between the last two inspection cycles (8 → 13).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 3 | 0 | D |
| 2023 | 8 | 0 | F |
| 2024 | 1 | 0 | D |
| 2025 | 14 | 1 | G ▲ |
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.
How to file a complaint about care →
1 fine totaling $3,595.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Mar 7, 2025 | Fine | $3,595 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | New Jersey avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.88 | 3.88 | 3.95 | bottom 2% in New Jersey; bottom 10% in the U.S. |
| Registered Nurse hours | 0.41 | 0.67 | 0.69 | bottom 24% in New Jersey; bottom 24% in the U.S. |
| Weekend total nurse staffing | 2.37 | 3.53 | 3.50 | bottom 1% in New Jersey; bottom 6% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.24 | 0.50 | 0.48 | bottom 18% in New Jersey; bottom 21% in the U.S. |
| Total nursing staff turnover (%) | 53.6 | 39.7 | 45.8 | bottom 15% in New Jersey; bottom 28% in the U.S. |
| RN turnover (%) | 50.0 | 37.7 | 42.9 | bottom 26% in New Jersey; bottom 39% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 2.97, RN 0.42, weekend 2.44.Comparing with Medicare Care Compare? Care Compare shows the raw figure (2.97 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Complete Care at Milford Manor LLC. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Milford Manor Holdco LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 12/27/2021 |
| PC GC Holdco LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 12/27/2021 |
| SMS 2021 Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 12/27/2021 |
| Stein, Shalom | Individual | Indirect Ownership Interest | NOT APPLICABLE | 12/27/2021 |
| Aydin, Emmanuel | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/27/2021 |
| Aydin, Emmanuel | Individual | ADP of the SNF | NOT APPLICABLE | 12/27/2021 |
| Milford Manor Holdco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/27/2021 |
| Milford Manor Propco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/27/2021 |
| PC GC Holdco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/27/2021 |
| Peace Capital Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/27/2021 |
| Reyes, Grace | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/13/2023 |
| Reyes, Grace | Individual | ADP of the SNF | NOT APPLICABLE | 03/13/2023 |
| Ruaya, Rizza | Individual | ADP of the SNF | NOT APPLICABLE | 04/08/2025 |
| SMS 2021 Trust | Organization | ADP of the SNF | NOT APPLICABLE | 12/27/2021 |
| Stein, Shalom | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/27/2021 |
| Stein, Shalom | Individual | Corporate Officer | NOT APPLICABLE | 12/27/2021 |
| Stein, Shalom | Individual | Trustee of the SNF | NOT APPLICABLE | 12/27/2021 |
| Zackai, Raanan | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/27/2021 |
All 18 owning or managing parties CMS has on file are shown — none excluded.
CMS lists this facility under the chain Complete Care — 85 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking. Showing 8 of the 84 others, continuing from this facility's own place in that list.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Health Center at Bloomingdale | 5.2 mi | Bloomingdale, NJ | ★★★★★ | 4/5 | |
| Lakeland Nursing & Rehab | 5.4 mi | Haskell, NJ | ★★★★☆ | 3/5 | |
| Phoenix Center for Rehabilitation and Pediatrics | 5.8 mi | Haskell, NJ | ★★★☆☆ | 3/5 | |
| Cedar Crest/Mountainview Gardens | 6.3 mi | Pompton Plains, NJ | ★★★★☆ | 2/5 | abuse |
| Arbor Ridge Rehabilitation and Healthcare Center | 7.6 mi | Wayne, NJ | ★★☆☆☆ | 1/5 | |
| Complete Care at Wayne Hills Rehab & Resp Center | 7.7 mi | Wayne, NJ | ★☆☆☆☆ | 1/5 | |
| Llanfair House Care & Rehabilitation Center | 8.4 mi | Wayne, NJ | ★★☆☆☆ | 2/5 | |
| Oakland Rehabilitation and Healthcare Center | 8.6 mi | Oakland, NJ | ★★★☆☆ | 2/5 | |
| Careone at Wayne | 9.7 mi | Wayne, NJ | ★★★★★ | 5/5 | |
| Avalon Rehab and Care Center | 9.9 mi | Wayne, NJ | ★★★☆☆ | 4/5 | |
| Fallsview Nursing and Rehabilitation Center | 10.5 mi | Boonton, NJ | ★★★☆☆ | 2/5 | |
| Lincoln Park Renaissance | 11.1 mi | Lincoln Park, NJ | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
CMS records place this facility in Passaic, NJ — 19 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 315276.
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