Complete Care at St Vincents LLC
315 East Lindsley Road, Cedar Grove, NJ 07009 · Essex County · 151 certified beds · avg 135 residents/day · certified since Jul 1, 1983
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: ★★★★★5/5 · 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Sep 28, 2021 · F-0678
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.
Why it matters: In a cardiac or breathing emergency, failure to start CPR promptly can be the difference between life and death.
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: Oct 5, 2021 (Deficient, Provider has date of correction)
All citations in the current public record (9)
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 |
|---|---|---|
| Jan 25, 2024 | 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. · from a complaint |
| Jan 25, 2024 | E · Potential for harm, repeated | 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. |
| Sep 28, 2021 | ▲ J · Immediate jeopardy, 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. |
| Sep 28, 2021 | 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. |
| Sep 28, 2021 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Sep 28, 2021 | 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. |
| Sep 28, 2021 | D · Potential for harm, one-off | The facility did not provide proper care for residents with a colostomy, urostomy, or ileostomy — surgical openings in the abdomen that let waste leave the body into a pouch. These require regular, skilled attention to stay clean and healthy. |
| Sep 28, 2021 | 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. |
| Sep 28, 2021 | B · Minimal risk, repeated | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 7 | 1 | J ▲ |
| 2024 | 2 | 0 | 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) | 3.32 | 3.88 | 3.95 | bottom 26% in New Jersey; bottom 28% in the U.S. |
| Registered Nurse hours | 0.59 | 0.67 | 0.69 | top 47% in New Jersey; top 50% in the U.S. |
| Weekend total nurse staffing | 3.12 | 3.53 | 3.50 | bottom 35% in New Jersey; bottom 37% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.43 | 0.50 | 0.48 | top 45% in New Jersey; top 43% in the U.S. |
| Total nursing staff turnover (%) | 33.9 | 39.7 | 45.8 | top 34% in New Jersey; top 22% in the U.S. |
| RN turnover (%) | 5.9 | 37.7 | 42.9 | top 2% in New Jersey; top 2% 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 3.48, RN 0.61, weekend 3.27. 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 |
|---|---|---|---|---|
| Des Capital LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 12/21/2023 |
| JRK Investments LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 12/21/2023 |
| Klugman, Jacob | Individual | Indirect Ownership Interest | NOT APPLICABLE | 12/21/2023 |
| PC St. Vincent's Opco LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 12/21/2023 |
| PC St. Vincent's Topco LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 12/21/2023 |
| SMS 2021 Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 12/21/2023 |
| Stein, Shalom | Individual | Indirect Ownership Interest | NOT APPLICABLE | 12/21/2023 |
| Sternbuch, Daniel | Individual | Indirect Ownership Interest | NOT APPLICABLE | 12/21/2023 |
| Amiths, Ruth | Individual | ADP of the SNF | NOT APPLICABLE | 12/21/2023 |
| Des Capital LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/21/2023 |
| Gadarla, Mamatha | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2024 |
| Gadarla, Mamatha | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2024 |
| Grewal, Baljinder | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/21/2023 |
| Grewal, Baljinder | Individual | ADP of the SNF | NOT APPLICABLE | 12/21/2023 |
| JRK Investments LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/21/2023 |
| Klugman, Jacob | Individual | ADP of the SNF | NOT APPLICABLE | 12/21/2023 |
| Levovitz, Yitzchok | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/21/2023 |
| Levovitz, Yitzchok | Individual | ADP of the SNF | NOT APPLICABLE | 12/21/2023 |
| Mercado, Wanda | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/21/2023 |
| Mercado, Wanda | Individual | ADP of the SNF | NOT APPLICABLE | 12/21/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "Which staff are trained in ostomy care, and how often is that care provided and checked?"
- "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 |
|---|---|---|---|---|---|
| Arbor Glen Center | 0.7 mi | Cedar Grove, NJ | ★★☆☆☆ | 2/5 | |
| Complete Care at Cedar Grove | 1.3 mi | Cedar Grove, NJ | ★★★★☆ | 3/5 | |
| Alaris Health at Cedar Grove | 1.3 mi | Cedar Grove, NJ | ★★★★☆ | 3/5 | |
| Canterbury at Cedar Grove | 1.7 mi | Cedar Grove, NJ | ★★★☆☆ | 3/5 | |
| Complete Care at West Caldwell LLC | 3.3 mi | West Caldwell, NJ | ★★★★☆ | 3/5 | |
| St Catherine of Siena | 3.4 mi | Caldwell, NJ | ★★★☆☆ | 3/5 | |
| Family of Caring Healthcare at Montclair | 3.5 mi | Montclair, NJ | ★★★★☆ | 4/5 | |
| Atlas Rehabilitation and Healthcare at Daughters O | 3.5 mi | Clifton, NJ | ★★★☆☆ | 2/5 | |
| Doctors Subacute Healthcare, LLC | 3.6 mi | Paterson, NJ | ★★★★★ | 4/5 | |
| Green Hill | 3.8 mi | West Orange, NJ | ★★☆☆☆ | 2/5 | |
| Lutheran Social Ministries Cranes Mill | 4.4 mi | West Caldwell, NJ | ★★★★★ | 4/5 | |
| Montclair Care Center | 4.5 mi | Montclair, NJ | ★★★★☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 315194.