North Bergen, NJ

Complete Care At Harborage LLC

5-star overall rating with 4-star inspections with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

7600 River Rd, North Bergen, NJ

(201) 854-5400

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

247

Certified beds

Average residents

226

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Complete Care

Operator or chain grouping

Approved since

1991-10-02

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

No

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

0.83

Registered nurse staffing · state 0.69 · national 0.68

LPN hours / resident day

0.51

Licensed practical nurse staffing · state 0.94 · national 0.87

Aide hours / resident day

2.17

Nurse aide staffing · state 2.23 · national 2.35

Total nurse hours

3.51

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.35

RN + LPN hours · state 1.62 · national 1.54

Weekend hours

2.96

Weekend nurse staffing · state 3.45 · national 3.43

Weekend RN hours

0.60

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.74

CMS adjusted RN staffing hours

Adjusted total hours

3.10

CMS adjusted total nurse staffing hours

Case-mix index

1.55

Higher values indicate more complex resident acuity

RN turnover

44%

Annual RN turnover · state 39% · national 45%

Total nurse turnover

51%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,515

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

16.51

Composite VBP score used to determine payment impact.

Payment multiplier

0.9816

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 21.84% · Performance 23.55% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

0

Baseline 7.83% · Performance 9.17% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

5.29

Baseline 34.25% · Performance 42.08% · Measure score 5.29 · Achievement 5.29 · Improvement 0

Adjusted total nurse staffing

1.32

Baseline 3.24 hours · Performance 3.45 hours · Measure score 1.32 · Achievement 1.32 · Improvement 0.34

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	13.51%	10.72% 2.8 pts worse	Worse than the National Rate · Eligible stays 375 · Observed rate 16% · Lower 95% interval 10.95%
Discharge to community	57.89%	50.57% 7.3 pts better	Better than the National Rate · Eligible stays 390 · Observed rate 46.41% · Lower 95% interval 52.84%
Medicare spending per beneficiary	1.07	1.02 0.1 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 267 · Denominator 267
Falls with major injury	0.75%	0.77% About the same	Numerator 2 · Denominator 267
Discharge self-care score	48.75%	53.69% 4.9 pts worse	Numerator 78 · Denominator 160
Discharge mobility score	48.75%	50.94% 2.2 pts worse	Numerator 78 · Denominator 160
Pressure ulcers or injuries, new or worsened	1.5%	2.29% 0.8 pts better	Numerator 4 · Denominator 267 · Adjusted rate 1.15%
Healthcare-associated infections requiring hospitalization	9.17%	7.12% 2 pts worse	No Different than the National Rate · Eligible stays 254 · Observed rate 10.24% · Lower 95% interval 6.48%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 261
Staff flu vaccination coverage	77.02%	42% 35 pts better	Numerator 191 · Denominator 248
Discharge function score	57.5%	56.45% 1 pts better	Numerator 92 · Denominator 160
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 175 · Denominator 175
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	13.39%	25.2% 11.8 pts worse	Numerator 17 · Denominator 127

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.0	2.1 0.1 pts better	1.9 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.0 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.3	1.1 0.2 pts worse	1.8 0.5 pts better	Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.2 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	96.9%	93.0% 3.9 pts better	93.4% 3.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 97.8% · Q2 97.9% · Q3 95.7% · Q4 96.3% · 4Q avg 96.9%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	99.5%	97.2% 2.3 pts better	95.5% 4 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 99.5%
Percentage of long-stay residents experiencing one or more falls with major injury	2.2%	2.4% 0.2 pts better	3.3% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 2.7% · Q3 3.3% · Q4 2.1% · 4Q avg 2.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	4.1%	11.4% 7.3 pts better	11.4% 7.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 2.3% · Q3 5.4% · Q4 7.9% · 4Q avg 4.1%
Percentage of long-stay residents who lose too much weight	8.3%	4.6% 3.7 pts worse	5.4% 2.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 10.1% · Q3 8.7% · Q4 4.9% · 4Q avg 8.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	15.0%	19.0% 4 pts better	19.6% 4.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 14.2% · Q3 17.3% · Q4 13.5% · 4Q avg 15.0%
Percentage of long-stay residents who received an antipsychotic medication	13.5%	13.5% About the same	16.7% 3.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.1% · Q2 16.3% · Q3 13.2% · Q4 12.4% · 4Q avg 13.5% · 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	18.4%	9.8% 8.6 pts worse	16.3% 2.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 15.4% · Q3 24.5% · Q4 31.7% · 4Q avg 18.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	10.7%	9.7% 1 pts worse	14.9% 4.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 9.0% · Q3 13.1% · Q4 12.3% · 4Q avg 10.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.2%	0.7% 0.5 pts better	1.0% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.4% · Q3 0.0% · Q4 0.3% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.6%	0.8% 0.2 pts better	1.7% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.6% · Q4 1.7% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	17.2%	15.9% 1.3 pts worse	19.8% 2.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.6% · Q2 13.3% · Q3 21.7% · Q4 15.3% · 4Q avg 17.2%
Percentage of long-stay residents with pressure ulcers	5.2%	6.0% 0.8 pts better	5.1% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 6.1% · Q3 5.2% · Q4 4.4% · 4Q avg 5.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	81.9%	78.7% 3.2 pts better	81.7% 0.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 80.3% · Q2 79.2% · Q3 81.9% · Q4 86.1% · 4Q avg 81.9%
Percentage of short-stay residents who had an outpatient emergency department visit	8.5%	8.2% 0.3 pts worse	12.0% 3.5 pts better	Short Stay · 20240701-20250630 · Adjusted 8.5% · Observed 7.5% · Expected 9.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.5%	1.2% 0.7 pts better	1.6% 1.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.6% · Q3 0.6% · Q4 0.6% · 4Q avg 0.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	79.0%	80.1% 1.1 pts worse	79.7% 0.7 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 79.0%
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 27.2% · Expected 23.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-12-06 · Fire 2024-12-06

6 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2023-04-26 · Fire 2023-04-26

11 health deficiencies

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

7 fire-safety deficiencies

Top issue: Construction (2 deficiencies)

Cycle 3 Health 2021-04-22 · Fire 2021-04-22

3 health deficiencies

Top issue: Infection Control (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-12-06

K926 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2025-02-03

F · Potential for more than minimal harm 2023-04-26

K131 · Construction Deficiencies

Fire Safety

Meet requirements for sections of health care facilities separated by fire resistive construction.

Corrected 2023-06-30

F · Potential for more than minimal harm 2023-04-26

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-06-30

F · Potential for more than minimal harm 2023-04-26

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-06-30

F · Potential for more than minimal harm 2023-04-26

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2023-06-30

E · Potential for more than minimal harm 2023-04-26

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2023-06-30

E · Potential for more than minimal harm 2023-04-26

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-06-30

E · Potential for more than minimal harm 2023-04-26

K521 · Services Deficiencies

Fire Safety

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

Corrected 2023-06-30

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-12-06

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 2025-01-30

D · Potential for more than minimal harm 2024-12-06

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-12-26

D · Potential for more than minimal harm 2024-12-06

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-12-26

D · Potential for more than minimal harm 2024-12-06

F698 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-12-26

D · Potential for more than minimal harm 2024-12-06

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 2025-01-30

D · Potential for more than minimal harm 2024-12-06

F842 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-01-28

K · Immediate jeopardy 2024-01-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-30

D · Potential for more than minimal harm 2024-01-08

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 2024-01-30