Complete Care at Westfield, LLC
1515 Lamberts Mill Road, Westfield, NJ 07090 · Union County · 227 certified beds · avg 194 residents/day · certified since Nov 5, 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: ★★★☆☆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 · Feb 13, 2023 · F-0600
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
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: Feb 15, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (17)
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 10, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Mar 10, 2025 | 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. |
| Mar 10, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Mar 10, 2025 | D · Potential for harm, one-off | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
| Mar 10, 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. |
| Jan 24, 2025 | 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. · from a complaint |
| Jan 24, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to share a room with their spouse or a roommate of their choosing, or moved residents to a different room without written notice beforehand. · from a complaint |
| Jan 24, 2025 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · from a complaint |
| Jan 24, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| Jan 24, 2025 | 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. · from a complaint |
| Feb 13, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. |
| Feb 13, 2023 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Feb 13, 2023 | E · Potential for harm, repeated | 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. |
| Feb 13, 2023 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Feb 13, 2023 | 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. |
| Feb 13, 2023 | D · Potential for harm, one-off | 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. |
| May 6, 2021 | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 1 | 0 | F |
| 2023 | 6 | 1 | J ▲ |
| 2025 | 10 | 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 | 0.39 | 0.67 | 0.69 | bottom 19% in New Jersey; bottom 20% in the U.S. |
| Weekend total nurse staffing | 3.11 | 3.53 | 3.50 | bottom 34% in New Jersey; bottom 37% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.25 | 0.50 | 0.48 | bottom 18% in New Jersey; bottom 21% in the U.S. |
| Total nursing staff turnover (%) | 45.9 | 39.7 | 45.8 | bottom 31% in New Jersey; bottom 47% in the U.S. |
| RN turnover (%) | 26.3 | 37.7 | 42.9 | top 30% in New Jersey; top 23% 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 3.36, RN 0.39, weekend 3.15. 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 |
|---|---|---|---|---|
| PC NJ2 Opcos LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/01/2021 |
| SMS 2021 Trust | Organization | 5% or Greater Indirect Ownership Interest | 95% | 07/01/2021 |
| Stein, Shalom | Individual | Indirect Ownership Interest | NOT APPLICABLE | 07/01/2021 |
| Aurora Guardian Holdco IV Co-Borrower, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/28/2023 |
| Aurora Guardian Holdco IV Mezz Borrower, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/28/2023 |
| Aurora Guardian Holdco IV, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/28/2023 |
| Aurora Guardian IV Realty, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/28/2023 |
| Aurora Guardian Partners M7 LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/28/2023 |
| Cohen, Yosef | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/28/2024 |
| Cohen, Yosef | Individual | ADP of the SNF | NOT APPLICABLE | 08/28/2024 |
| 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 | 04/28/2021 |
| J&r M7 Family Investments LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/28/2023 |
| L Friedman 2018 Family Trust | Organization | ADP of the SNF | NOT APPLICABLE | 04/28/2023 |
| L Friedman Family Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/28/2023 |
| Landau Family Investment Trust | Organization | ADP of the SNF | NOT APPLICABLE | 04/28/2023 |
| Levovitz, Yitzchok | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2021 |
| M Friedman 2018 Family Trust | Organization | ADP of the SNF | NOT APPLICABLE | 04/28/2023 |
| 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.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How do you handle room assignments and roommate requests, and do residents get advance written notice before any move?"
- "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 |
|---|---|---|---|---|---|
| Complete Care at Clark LLC | 0.6 mi | Clark, NJ | ★★★★☆ | 4/5 | |
| Ashbrook Care & Rehabilitation Center | 1.8 mi | Scotch Plains, NJ | ★★☆☆☆ | 2/5 | |
| Care Connection Rahway | 2.4 mi | Rahway, NJ | ★★★★☆ | 4/5 | |
| Cranford Park Care | 2.5 mi | Cranford, NJ | ★★☆☆☆ | 2/5 | |
| Childrens Specialized Hospital Mountainside | 3.2 mi | Mountainside, NJ | ★★★★★ | 5/5 | |
| Adroit Care Rehabilitation and Nursing Center | 3.5 mi | Rahway, NJ | ★★★★☆ | 3/5 | |
| Careone at the Highlands | 3.5 mi | Edison, NJ | ★★★★☆ | 3/5 | |
| Birchwood Rehabilitation and Healthcare Center | 3.6 mi | Cranford, NJ | ★★★★★ | 4/5 | |
| Complete Care at Woodlands | 3.7 mi | Plainfield, NJ | ★★★★★ | 4/5 | |
| Mountainside Skilled Nursing and Rehab | 3.7 mi | Mountainside, NJ | ★★★☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 315122.