Federal inspection record · CMS data as of October 1, 2026

Complete Care At Bayshore LLC

715 North Beers Street, Holmdel, NJ · (732) 739-9000

CMS overall rating

2 of 5

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Certified beds
232
Residents per day
141
Ownership
For-Profit
Chain
Complete Care
Medicare / Medicaid
Medicare + Medicaid
Certified since
January 11, 1988

1

How this home got 2 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in New Jersey.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    2 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among New Jersey homes

Complete Care At Bayshore LLC carries 139 inspection points. That is fewer than 8% of New Jersey's 346 rated homes.

5★4★3★2★1★+11 homes above 20305102550100200inspection points → fewer is better on the leftThis home · 139 pts · 1★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in New Jersey: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–18 pts
  • 4★ 18–37 pts
  • 3★ 37–60 pts
  • 2★ 60–93.75 pts
  • 1★ over 93.75 pts

Bars show every rated home in New Jersey by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

39 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 19 4 pts
E 13 8 pts
F 6 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 1 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Quality of Life and Care9E
  1. E

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    May 8, 2026 · Standard · F677 · Corrected June 18, 2026

  2. E

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    May 8, 2026 · Standard · F684 · Corrected June 18, 2026

  3. E

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    May 8, 2026 · Standard · F689 · Corrected June 18, 2026

  4. E

    Provide safe and appropriate respiratory care for a resident when needed.

    May 8, 2026 · Standard · F695 · Corrected June 16, 2026

  5. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    May 8, 2026 · Standard · F698 · Corrected June 16, 2026

  6. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    October 30, 2024 · Standard · F686 · Corrected November 11, 2024

  7. D

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    October 19, 2023 · Standard · F694 · Corrected November 3, 2023

  8. D

    Provide safe and appropriate respiratory care for a resident when needed.

    October 19, 2023 · Standard · F695 · Corrected November 17, 2023

  9. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    October 19, 2023 · Standard · F698 · Corrected November 17, 2023

Pharmacy Service8E
  1. E

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    May 8, 2026 · Standard · F755 · Corrected June 16, 2026

  2. E

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    May 8, 2026 · Standard · F761 · Corrected June 16, 2026

  3. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    October 30, 2024 · Standard · F755 · Corrected November 11, 2024

  4. D

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    October 30, 2024 · Standard · F761 · Corrected November 11, 2024

  5. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    February 14, 2024 · Complaint · F755 · Corrected March 12, 2024

  6. E

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    October 19, 2023 · Complaint · F755 · Corrected November 17, 2023

  7. D

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    October 19, 2023 · Standard · F757 · Corrected November 17, 2023

  8. D

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    October 19, 2023 · Standard · F761 · Corrected November 17, 2023

Resident Assessment and Care Planning7E
  1. D

    Ensure each resident receives an accurate assessment.

    April 16, 2026 · Complaint · F641 · Corrected May 16, 2026

  2. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    October 30, 2024 · Standard · F656 · Corrected November 11, 2024

  3. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    October 30, 2024 · Complaint · F657 · Corrected November 11, 2024

  4. E

    Ensure services provided by the nursing facility meet professional standards of quality.

    April 4, 2024 · Complaint · F658 · Corrected May 1, 2024

  5. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    October 19, 2023 · Standard · F657 · Corrected November 17, 2023

  6. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    October 19, 2023 · Complaint · F658 · Corrected November 17, 2023

  7. B

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    October 19, 2023 · Complaint · F842 · Corrected November 17, 2023

Nutrition and Dietary5F
  1. F

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

    May 8, 2026 · Standard · F800 · Corrected June 18, 2026

  2. F

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    May 8, 2026 · Standard · F803 · Corrected June 18, 2026

  3. F

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    May 8, 2026 · Standard · F804 · Corrected June 18, 2026

  4. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    May 8, 2026 · Standard · F812 · Corrected June 18, 2026

  5. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    October 30, 2024 · Standard · F812 · Corrected November 12, 2024

Administration3F
  1. F

    Have a plan that describes the process for conducting QAPI and QAA activities.

    May 8, 2026 · Standard · F865 · Corrected June 16, 2026

  2. E

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    May 8, 2026 · Standard · F849 · Corrected June 16, 2026

  3. D

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    December 29, 2025 · Complaint · F838 · Corrected February 13, 2026

Resident Rights3E
  1. E

    Reasonably accommodate the needs and preferences of each resident.

    May 8, 2026 · Standard · F558 · Corrected June 16, 2026

  2. E

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    May 8, 2026 · Standard · F584 · Corrected June 16, 2026

  3. D

    Prepare residents for a safe transfer or discharge from the nursing home.

    October 30, 2024 · Complaint · F624 · Corrected November 11, 2024

Freedom from Abuse, Neglect, and Exploitation2E
  1. E

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    May 8, 2026 · Standard · F605 · Corrected June 16, 2026

  2. D

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    May 8, 2026 · Standard · F607 · Corrected June 16, 2026

Environmental1D
  1. D

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    May 8, 2026 · Standard · F919 · Corrected June 16, 2026

Infection Control1E
  1. E

    Provide and implement an infection prevention and control program.

    October 19, 2023 · Standard · F880 · Corrected November 17, 2023

Inspection history

  1. 2026-05-08

    20 health deficiencies · 6 fire-safety deficiencies

    Top issue: Quality of Life and Care (5 deficiencies)

  2. 2024-10-30

    7 health deficiencies · 2 fire-safety deficiencies

    Top issue: Pharmacy Service (2 deficiencies)

  3. 2023-10-19

    12 health deficiencies · 3 fire-safety deficiencies

    Top issue: Pharmacy Service (4 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 55 min of nursing staff time a day, 23 min of it from a registered nurse.

This home

3 h 55 min

New Jersey average

3 h 54 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 37% of nursing staff and 35% of registered nurses left in the past year, along with 1 administrator.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$22,205 in federal fines on record over the past three years.

DatePenaltyAmount
2026-09-02Fine$22,205

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.3 pts better1.72.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better0.71.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7 pts better100.0%93.0%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.4 pts better99.2%96.8%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.1 pts better0.2%2.3%3.2%
Percentage of long-stay residents who have depressive symptoms32.4 pts worse44.9%12.5%13.5%
Percentage of long-stay residents who lose too much weight1 pts better3.7%4.7%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication2.7 pts worse21.5%18.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication2.2 pts worse15.1%12.9%15.4%
Percentage of long-stay residents who were physically restrained0.3 pts worse0.4%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened2.5 pts better4.8%7.3%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased5.3 pts better3.0%8.3%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better0.2%0.5%0.7%
Percentage of long-stay residents with a urinary tract infection0.7 pts better0.0%0.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.5 pts worse15.7%15.2%18.3%
Percentage of long-stay residents with pressure ulcers0.4 pts worse5.7%5.3%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine18.9 pts better97.9%79.0%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit3.2 pts better4.9%8.1%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts better0.9%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.8 pts better83.3%79.5%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission0.1 pts worse24.2%24.1%23.4%

·

Who owns and runs it

28 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Pc Hmh Opco Holdngs LLC5% Or Greater Direct Ownership Interest · Organization100%8 facilities
Bayshore Propco Holdco LLCAdp Of The SNF · Organization0%1 facilities
Bayshore Propco LLCAdp Of The SNF · Organization0%1 facilities
Eef Capital LLCAdp Of The SNF · Organization0%23 facilities
Grewal, BaljinderOperational/Managerial Control · Individual0%13 facilities
Grewal, BaljinderAdp Of The SNF · Individual0%13 facilities
Levovitz, YitzchokOperational/Managerial Control · Individual0%7 facilities
Levovitz, YitzchokAdp Of The SNF · Individual0%7 facilities
Matzliah, MenachemOperational/Managerial Control · Individual0%1 facilities
Matzliah, MenachemAdp Of The SNF · Individual0%1 facilities
Mercado, WandaOperational/Managerial Control · Individual0%26 facilities
Mercado, WandaAdp Of The SNF · Individual0%26 facilities
Nasra, MagdyOperational/Managerial Control · Individual0%2 facilities
Nasra, MagdyAdp Of The SNF · Individual0%2 facilities
Opoku, ConstanceAdp Of The SNF · Individual0%1 facilities
Pc Hmh Holdings LLC5% Or Greater Indirect Ownership Interest · Organization0%8 facilities
Pc Hmh Holdings LLCAdp Of The SNF · Organization0%8 facilities
Pc Hmh Propco Intermediate 9 LLCAdp Of The SNF · Organization0%7 facilities
Pc Hmh Topco Propco Holdings LLCAdp Of The SNF · Organization0%6 facilities
Peace Capital Holdings LLCAdp Of The SNF · Organization0%46 facilities
Schlaff, BennyAdp Of The SNF · Individual0%21 facilities
Schlaff, NachumAdp Of The SNF · Individual0%21 facilities
Sms 2021 Trust5% Or Greater Indirect Ownership Interest · Organization0%77 facilities
Sms 2021 TrustAdp Of The SNF · Organization0%77 facilities
Stein, ShalomIndirect Ownership Interest · Individual0%87 facilities
Stein, ShalomManaging Control - Governing Body · Individual0%87 facilities
Stein, ShalomCorporate Officer · Individual0%87 facilities
Stein, ShalomTrustee Of The SNF · Individual0%87 facilities

·

Fire safety

11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke6F
  1. E

    Properly provide smoke detection systems in areas open to corridors.

    May 8, 2026 · K347 · Corrected July 16, 2026

  2. D

    Have an enclosure around a vertical opening shaft.

    May 8, 2026 · K311 · Corrected June 5, 2026

  3. D

    Properly select, install, inspect, or maintain portable fire extinguishes.

    May 8, 2026 · K355 · Corrected June 5, 2026

  4. F

    Have an enclosure around a vertical opening shaft.

    October 30, 2024 · K311 · Corrected November 12, 2024

  5. F

    Have an enclosure around a vertical opening shaft.

    October 19, 2023 · K311 · Corrected November 1, 2023

  6. F

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    October 19, 2023 · K372 · Corrected November 1, 2023

Gas, Vacuum, and Electrical Systems3F
  1. E

    Have proper medical gas storage and administration areas.

    May 8, 2026 · K923 · Corrected July 16, 2026

  2. F

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    October 30, 2024 · K914 · Corrected November 12, 2024

  3. F

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    October 19, 2023 · K914 · Corrected November 1, 2023

Emergency Preparedness1E
  1. E

    Develop and maintain an Emergency Preparedness Program (EP).

    May 8, 2026 · E4 · Corrected June 5, 2026

Egress1E
  1. E

    Install emergency lighting that can last at least 1 1/2 hours.

    May 8, 2026 · K291 · Corrected June 5, 2026

·

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    Worst citation, 3 yrs
    E
    Nursing / resident / day
    3 h 27 min
    Fines
    $0
  2. Meadowbrook Respiratory And Nursing Center

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    Nursing / resident / day
    3 h 52 min
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  3. Careone At Holmdel

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    Worst citation, 3 yrs
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    4 h
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