Complete Care at West Caldwell LLC

Name: Complete Care at West Caldwell LLC
Address: 165 FAIRFIELD AVE, West Caldwell, NJ, 07006, US
Telephone: 9732261100

165 Fairfield Ave, West Caldwell, NJ 07006 · Essex County · 180 certified beds · avg 154 residents/day · certified since Oct 1, 1987

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

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.50

Nurse hours/resident/day (adjusted)

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.

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
Nov 26, 2025	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Mar 21, 2025	F · Potential for harm, facility-wide	The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Mar 21, 2025	F · Potential for harm, facility-wide	The facility did not have a proper governing body legally responsible for its policies and operations, or that body failed to appoint a properly licensed administrator to manage the facility.
Mar 21, 2025	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. · from a complaint
Mar 21, 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.
Mar 21, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Mar 21, 2025	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Oct 30, 2020	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 30, 2020	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.

Inspection trend by year

Year	Citations	Serious (G–L)	Worst severity that year
2020	2	0	D
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)	3.50	3.88	3.95	bottom 40% in New Jersey; bottom 37% in the U.S.
Registered Nurse hours	0.45	0.67	0.69	bottom 30% in New Jersey; bottom 29% in the U.S.
Weekend total nurse staffing	3.19	3.53	3.50	bottom 41% in New Jersey; bottom 41% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.30	0.50	0.48	bottom 30% in New Jersey; bottom 32% in the U.S.
Total nursing staff turnover (%)	51.7	39.7	45.8	bottom 18% in New Jersey; bottom 32% in the U.S.
RN turnover (%)	62.5	37.7	42.9	bottom 10% in New Jersey; bottom 19% 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 3.44, RN 0.44, weekend 3.14. Staffing rating: 2/5.

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	11/03/2023
JRK Investments LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	11/03/2023
Klugman, Jacob	Individual	Indirect Ownership Interest	NOT APPLICABLE	11/03/2023
PC HMH Holdings 2 LLC	Organization	5% or Greater Indirect Ownership Interest	—	11/03/2023
PC HMH Opco Holdings 2 LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	11/03/2023
Peace Capital Holdings LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	11/03/2023
SMS 2021 Trust	Organization	5% or Greater Indirect Ownership Interest	—	11/03/2023
Stein, Shalom	Individual	Indirect Ownership Interest	NOT APPLICABLE	11/03/2023
Sternbuch, Daniel	Individual	Indirect Ownership Interest	NOT APPLICABLE	11/03/2023
Allam, Naveen	Individual	ADP of the SNF	NOT APPLICABLE	02/10/2025
Chmura- Saez, Patricia	Individual	ADP of the SNF	NOT APPLICABLE	11/03/2023
Des Capital LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/03/2023
Guglielmo, Michael	Individual	Operational/Managerial Control	NOT APPLICABLE	11/03/2023
JRK Investments LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/03/2023
Klugman, Jacob	Individual	ADP of the SNF	NOT APPLICABLE	11/03/2023
PC HMH Holdings 2 LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/03/2023
PC HMH Propco Holdings 2 LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/03/2023
Peace Capital Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/03/2023
Saidi, Eran	Individual	ADP of the SNF	NOT APPLICABLE	01/29/2025
SMS 2021 Trust	Organization	ADP of the SNF	NOT APPLICABLE	11/03/2023

Questions to ask on your visit

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

"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"What were the findings behind this administration citation, and what has leadership changed since?"
"Who owns and governs this facility, and how long has the current administrator been here?"
"How do you coordinate and monitor care for residents who receive dialysis?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How do you assess and manage residents' pain, especially for those who have trouble communicating?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"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
Lutheran Social Ministries Cranes Mill	1.3 mi	West Caldwell, NJ	★★★★★	4/5
St Catherine of Siena	1.9 mi	Caldwell, NJ	★★★☆☆	3/5
Arbor Glen Center	2.8 mi	Cedar Grove, NJ	★★☆☆☆	2/5
Alaris Health at Cedar Grove	2.9 mi	Cedar Grove, NJ	★★★★☆	3/5
Canterbury at Cedar Grove	3.1 mi	Cedar Grove, NJ	★★★☆☆	3/5
Green Hill	3.1 mi	West Orange, NJ	★★☆☆☆	2/5
Complete Care at St Vincents LLC	3.3 mi	Cedar Grove, NJ	★★★★★	5/5
Complete Care at Cedar Grove	3.6 mi	Cedar Grove, NJ	★★★★☆	3/5
Lincoln Park Care Center	4.1 mi	Lincoln Park, NJ	★☆☆☆☆	1/5
Family of Caring Healthcare at Montclair	4.2 mi	Montclair, NJ	★★★★☆	4/5
Lincoln Park Renaissance	4.2 mi	Lincoln Park, NJ	★★★★☆	3/5
Complete Care at Summit Ridge	4.8 mi	West Orange, NJ	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in West Caldwell →

Facility data as of CMS processing date 2026-08-01. CCN 315247.

The Care File

Visit checklist — Complete Care at West Caldwell LLC

165 Fairfield Ave, West Caldwell, NJ 07006 · 9732261100

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

Questions for the administrator:

☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "What were the findings behind this administration citation, and what has leadership changed since?"
☐ "Who owns and governs this facility, and how long has the current administrator been here?"
☐ "How do you coordinate and monitor care for residents who receive dialysis?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "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 315247 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)