Complete Care at Park Place LLC
2 Deer Park Drive, Monmouth Junction, NJ 08852 · Middlesex County · 94 certified beds · avg 89 residents/day · certified since Jan 30, 1997
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)
▲ Immediate jeopardy, one-off · Dec 7, 2022 · F-0695
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.
Why it matters: Mistakes in breathing care can quickly become life-threatening for residents who depend on oxygen or equipment.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jan 3, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Dec 7, 2022 · F-0710
The facility admitted a resident without a doctor's order, or did not make sure each resident stayed under a doctor's ongoing care.
Why it matters: A resident without proper physician oversight may go without medical direction for their treatment and medications.
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: Jan 3, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (18)
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 13, 2026 | 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. |
| Mar 13, 2026 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Mar 13, 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 13, 2026 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Mar 13, 2026 | 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. |
| Mar 13, 2026 | D · Potential for harm, one-off | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. |
| Mar 13, 2026 | 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, 2026 | D · Potential for harm, one-off | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| Mar 13, 2026 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. |
| Aug 30, 2024 | E · Potential for harm, repeated | 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. |
| Dec 7, 2022 | ▲ J · Immediate jeopardy, 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. |
| Dec 7, 2022 | ▲ G · Actual harm, one-off | The facility admitted a resident without a doctor's order, or did not make sure each resident stayed under a doctor's ongoing care. |
| Dec 7, 2022 | E · Potential for harm, repeated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Dec 7, 2022 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Dec 7, 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. |
| Dec 7, 2022 | D · Potential for harm, one-off | The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. |
| Dec 7, 2022 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Dec 7, 2022 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 9).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 8 | 2 | J ▲ |
| 2024 | 1 | 0 | E |
| 2026 | 9 | 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) | 3.21 | 3.88 | 3.95 | bottom 16% in New Jersey; bottom 22% in the U.S. |
| Registered Nurse hours | 0.48 | 0.67 | 0.69 | bottom 37% in New Jersey; bottom 35% in the U.S. |
| Weekend total nurse staffing | 2.93 | 3.53 | 3.50 | bottom 18% in New Jersey; bottom 27% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.37 | 0.50 | 0.48 | bottom 45% in New Jersey; bottom 47% in the U.S. |
| Total nursing staff turnover (%) | 25.8 | 39.7 | 45.8 | top 16% in New Jersey; top 8% in the U.S. |
| RN turnover (%) | 21.4 | 37.7 | 42.9 | top 19% in New Jersey; top 16% 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 3.05, RN 0.46, weekend 2.79. 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 - 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 | 07/30/2021 |
| 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 |
| Edeltuch, Yosef | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/02/2023 |
| Edeltuch, Yosef | Individual | ADP of the SNF | NOT APPLICABLE | 08/02/2023 |
| 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 | 07/01/2021 |
| 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 | 07/30/2021 |
| 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 |
| Mercado, Wanda | Individual | Operational/Managerial Control | 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.
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Who would be my family member's attending doctor here, and how often would they be seen?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
- "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 |
|---|---|---|---|---|---|
| Carnegie Post Acute Care at Princeton LLC | 2.1 mi | Princeton, NJ | ★★★★☆ | 3/5 | |
| Merwick Care & Rehabilitation Center, LLC | 3.4 mi | Plainsboro, NJ | ★★★☆☆ | 2/5 | |
| Stonebridge at Montgomery Health Care Center | 3.9 mi | Skillman, NJ | ★★★☆☆ | 2/5 | |
| The Elms Rehab and Healthcare Center of Cranbury | 5.7 mi | Cranbury, NJ | ★★☆☆☆ | 1/5 | |
| Cranbury Center | 7.4 mi | Monroe Township, NJ | ★★☆☆☆ | 2/5 | |
| Village Point | 7.7 mi | Monroe Township, NJ | ★★★☆☆ | 2/5 | |
| Gardens at Monroe Healthcare and Rehabilitation, T | 8.4 mi | Monroe Township, NJ | ★★★★☆ | 3/5 | |
| Meadow Lakes | 8.9 mi | East Windsor, NJ | ★★★☆☆ | 2/5 | |
| Careone at East Brunswick | 8.9 mi | East Brunswick, NJ | ★★★☆☆ | 3/5 | |
| Bridgeway Care and Rehab Center at Hillsborough | 9.2 mi | Hillsborough, NJ | ★★★★☆ | 3/5 | |
| Regency Heritage Nursing and Rehabilitation Center | 9.4 mi | Somerset, NJ | ★★★★☆ | 4/5 | |
| Avalon Rehabilitation and Healthcare Center | 9.5 mi | Hamilton, NJ | ★☆☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 315362.