Paterson, NJ

Complete Care At Fair Lawn Edge

3-star overall rating with 3-star inspections with $10,036 in total fines with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

77 East 43rd Street, Paterson, NJ

(973) 754-6700

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

180

Certified beds

Average residents

175

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Complete Care

Operator or chain grouping

Approved since

1994-06-21

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

85 facilities

Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.36

Registered nurse staffing · state 0.69 · national 0.68

LPN hours / resident day

0.75

Licensed practical nurse staffing · state 0.94 · national 0.87

Aide hours / resident day

2.05

Nurse aide staffing · state 2.23 · national 2.35

Total nurse hours

3.16

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.11

RN + LPN hours · state 1.62 · national 1.54

Weekend hours

2.70

Weekend nurse staffing · state 3.45 · national 3.43

Weekend RN hours

0.29

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.44

CMS adjusted RN staffing hours

Adjusted total hours

3.87

CMS adjusted total nurse staffing hours

Case-mix index

1.12

Higher values indicate more complex resident acuity

RN turnover

53%

Annual RN turnover · state 39% · national 45%

Total nurse turnover

45%

Annual nurse turnover · state 41% · national 46%

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.66%	10.72% 1.1 pts better	No Different than the National Rate · Eligible stays 43 · Observed rate 6.98% · Lower 95% interval 6.02%
Discharge to community	40.69%	50.57% 9.9 pts worse	No Different than the National Rate · Eligible stays 40 · Observed rate 25% · Lower 95% interval 28.42%
Medicare spending per beneficiary	1.3	1.02 0.3 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 53 · Denominator 53
Falls with major injury	1.89%	0.77% 1.1 pts worse	Numerator 1 · Denominator 53
Discharge self-care score	40.63%	53.69% 13.1 pts worse	Numerator 13 · Denominator 32
Discharge mobility score	34.38%	50.94% 16.6 pts worse	Numerator 11 · Denominator 32
Pressure ulcers or injuries, new or worsened	1.89%	2.29% 0.4 pts better	Numerator 1 · Denominator 53 · Adjusted rate 1.55%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 24 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	1%	8.2% 7.2 pts worse	Numerator 2 · Denominator 200
Staff flu vaccination coverage	96.17%	42% 54.2 pts better	Numerator 201 · Denominator 209
Discharge function score	59.38%	56.45% 2.9 pts better	Numerator 19 · Denominator 32
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	20.59%	25.2% 4.6 pts worse	Numerator 7 · Denominator 34

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	73.8%	93.0% 19.2 pts worse	93.4% 19.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 93.1% · Q2 72.4% · Q3 64.6% · Q4 67.3% · 4Q avg 73.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	99.4%	97.2% 2.2 pts better	95.5% 3.9 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 99.4%
Percentage of long-stay residents experiencing one or more falls with major injury	1.0%	2.4% 1.4 pts better	3.3% 2.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.4% · Q3 1.3% · Q4 1.2% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	4.0%	11.4% 7.4 pts better	11.4% 7.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.9% · Q3 7.0% · Q4 3.7% · 4Q avg 4.0%
Percentage of long-stay residents who lose too much weight	1.9%	4.6% 2.7 pts better	5.4% 3.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.7% · Q3 2.6% · Q4 2.4% · 4Q avg 1.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	25.0%	19.0% 6 pts worse	19.6% 5.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.9% · Q2 26.1% · Q3 24.0% · Q4 26.7% · 4Q avg 25.0%
Percentage of long-stay residents who received an antipsychotic medication	10.8%	13.5% 2.7 pts better	16.7% 5.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.9% · Q2 8.1% · Q3 8.4% · Q4 10.3% · 4Q avg 10.8% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	10.3%	9.8% 0.5 pts worse	16.3% 6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 17.3% · Q3 10.7% · Q4 8.2% · 4Q avg 10.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	11.0%	9.7% 1.3 pts worse	14.9% 3.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 20.0% · Q3 12.5% · Q4 7.4% · 4Q avg 11.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.7% 0.7 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.2%	0.8% 0.6 pts better	1.7% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	26.1%	15.9% 10.2 pts worse	19.8% 6.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.7% · Q2 23.8% · Q3 25.8% · Q4 30.3% · 4Q avg 26.1%
Percentage of long-stay residents with pressure ulcers	5.1%	6.0% 0.9 pts better	5.1% About the same	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 4.1% · Q3 6.8% · Q4 6.5% · 4Q avg 5.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	69.7%	78.7% 9 pts worse	81.7% 12 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 89.5% · Q2 75.3% · Q3 57.4% · Q4 48.1% · 4Q avg 69.7%
Percentage of short-stay residents who had an outpatient emergency department visit	23.3%	8.2% 15.1 pts worse	12.0% 11.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 23.3% · Observed 29.4% · Expected 14.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.2%	1.2% 1 pts worse	1.6% 0.6 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.3% · Q3 3.4% · Q4 0.0% · 4Q avg 2.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	73.8%	80.1% 6.3 pts worse	79.7% 5.9 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 73.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	27.3%	25.4% 1.9 pts worse	23.9% 3.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 27.3% · Observed 29.4% · Expected 25.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-18 · Fire 2024-04-23

6 health deficiencies

Top issue: Resident Rights (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2024-04-23 · Fire 2022-02-23

8 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

6 fire-safety deficiencies

Top issue: Services (2 deficiencies)

Cycle 3 Health 2022-02-23 · Fire 2021-04-08

12 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-04-23

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-24

F · Potential for more than minimal harm 2022-02-23

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2022-05-17

F · Potential for more than minimal harm 2022-02-23

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-04-11

F · Potential for more than minimal harm 2022-02-23

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2022-04-11

E · Potential for more than minimal harm 2022-02-23

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2022-04-12

E · Potential for more than minimal harm 2022-02-23

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2022-04-11

E · Potential for more than minimal harm 2022-02-23

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-04-11

D · Potential for more than minimal harm 2021-04-08

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2021-04-29

C · Minimal harm 2021-04-08

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-04-29

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-29

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2026-01-16

E · Potential for more than minimal harm 2025-08-18

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2025-09-19

D · Potential for more than minimal harm 2025-08-18

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2025-08-19

D · Potential for more than minimal harm 2025-08-18

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-08-19

D · Potential for more than minimal harm 2025-08-18

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-08-19

D · Potential for more than minimal harm 2025-08-18

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-08-19

J · Immediate jeopardy 2024-04-23

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-05-24

D · Potential for more than minimal harm 2024-04-23

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-05-17

D · Potential for more than minimal harm 2024-04-23

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-05-24

D · Potential for more than minimal harm 2024-04-23

F711 · Nursing and Physician Services Deficiencies

Health

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Corrected 2024-05-24

D · Potential for more than minimal harm 2024-04-23

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-05-24

D · Potential for more than minimal harm 2024-04-23

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2024-05-24

D · Potential for more than minimal harm 2024-04-23

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-05-24

D · Potential for more than minimal harm 2024-04-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-05-24

E · Potential for more than minimal harm 2022-02-23

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2022-04-11

E · Potential for more than minimal harm 2022-02-23

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2022-04-11