Federal inspection record · CMS data as of October 1, 2026
Complete Care At Inglemoor, LLC
333 Grand Ave, Englewood, NJ · (201) 568-0900
- Certified beds
- 62
- Residents per day
- 59
- Ownership
- For-Profit
- Chain
- Complete Care
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 15, 1996
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in New Jersey.
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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.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among New Jersey homes
Complete Care At Inglemoor, LLC carries 94 inspection points. That is fewer than 19% of New Jersey's 346 rated homes.
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 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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
Resident Assessment and Care Planning7E
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service7E
- 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.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure medication error rates are not 5 percent or greater.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- 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.
Nutrition and Dietary6F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Dispose of garbage and refuse properly.
- F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
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.
Infection Control6F
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
- F
Provide and implement an infection prevention and control program.
- E
Perform COVID19 testing on residents and staff.
- E
Provide and implement an infection prevention and control program.
- E
Implement a program that monitors antibiotic use.
Resident Rights4D
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Quality of Life and Care4D
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Nursing and Physician Services3E
- E
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- D
Post nurse staffing information every day.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Respond appropriately to all alleged violations.
- D
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Inspection history
2025-03-13
19 health deficiencies · 14 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
2023-01-26
12 health deficiencies · 4 fire-safety deficiencies
Top issue: Pharmacy Service (4 deficiencies)
2021-05-05
8 health deficiencies · 2 fire-safety deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 33 min of nursing staff time a day, 34 min of it from a registered nurse.
This home
3 h 33 min
New Jersey average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 31% of nursing staff and 36% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts worse | 2.2 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better | 0.8 | 1.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.9 pts better | 95.9% | 93.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.3 pts better | 98.1% | 96.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.8 pts worse | 4.1% | 2.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5.4 pts better | 7.1% | 12.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight9.7 pts worse | 14.4% | 4.7% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.1 pts better | 10.7% | 18.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.2 pts worse | 16.1% | 12.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.3 pts worse | 10.6% | 7.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.2 pts worse | 13.5% | 8.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.0% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.7 pts better | 0.0% | 0.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.9 pts worse | 25.1% | 15.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.3 pts worse | 5.6% | 5.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16.2 pts worse | 62.8% | 79.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.6 pts worse | 12.7% | 8.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts better | 0.6% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine6.9 pts better | 86.4% | 79.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2 pts worse | 26.1% | 24.1% | 23.4% |
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Who owns and runs it
32 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Pc Nj1 Opcos LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 11 facilities |
| Aurora Guardian Holdco Ii Co-Borrower, LLC | Adp Of The SNF · Organization | 0% | 16 facilities |
| Aurora Guardian Holdco Ii Mezz Borrower, LLC | Adp Of The SNF · Organization | 0% | 15 facilities |
| Aurora Guardian Holdco Ii, LLC | Adp Of The SNF · Organization | 0% | 16 facilities |
| Aurora Guardian Ii Realty, LLC | Adp Of The SNF · Organization | 0% | 16 facilities |
| Aurora Guardian Partners Ii LLC | Adp Of The SNF · Organization | 0% | 16 facilities |
| Fiegle, Margaret | Adp Of The SNF · Individual | 0% | 1 facilities |
| Gross, Harvey | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Gross, Harvey | Adp Of The SNF · Individual | 0% | 2 facilities |
| Inglemoor Center Realty, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| J & R Family Investments, LLC | Adp Of The SNF · Organization | 0% | 31 facilities |
| L Friedman 2018 Family Trust | Adp Of The SNF · Organization | 0% | 23 facilities |
| L Friedman Family Holdings LLC | Adp Of The SNF · Organization | 0% | 23 facilities |
| Landau Family Investment Trust | Adp Of The SNF · Organization | 0% | 31 facilities |
| M Friedman 2018 Family Trust | Adp Of The SNF · Organization | 0% | 23 facilities |
| Pc Wta Acquisition LLC | Adp Of The SNF · Organization | 0% | 20 facilities |
| Pc Wta Multi-State LLC | Adp Of The SNF · Organization | 0% | 15 facilities |
| Pc Wta Opco Holdco LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 28 facilities |
| Peace Capital Holdings LLC | Adp Of The SNF · Organization | 0% | 46 facilities |
| R&J Family Investments LLC | Adp Of The SNF · Organization | 0% | 17 facilities |
| Schwartz, Hershel | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Singer, Ian | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Singer, Ian | Adp Of The SNF · Individual | 0% | 1 facilities |
| Sms 2021 Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 77 facilities |
| Sms 2021 Trust | Adp Of The SNF · Organization | 0% | 77 facilities |
| Stein, Shalom | Indirect Ownership Interest · Individual | 0% | 87 facilities |
| Stein, Shalom | Managing Control - Governing Body · Individual | 0% | 87 facilities |
| Stein, Shalom | Corporate Officer · Individual | 0% | 87 facilities |
| Stein, Shalom | Trustee Of The SNF · Individual | 0% | 87 facilities |
| Welltower Inc | 5% Or Greater Security Interest · Organization | 0% | 139 facilities |
| Welltower Inc | Adp Of The SNF · Organization | 0% | 139 facilities |
| Zackai, Raanan | Operational/Managerial Control · Individual | 0% | 3 facilities |
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Fire safety
20 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- F
Have an enclosure around a vertical opening shaft.
- D
Have an enclosure around a vertical opening shaft.
Services4F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F
Have elevators that firefighters can control in the event of a fire.
- F
Install properly constructed and protected linen or trash chutes.
- F
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems4F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Have proper medical gas storage and administration areas.
Egress3F
- F
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- F
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Emergency Preparedness2F
- F
Implement emergency and standby power systems.
- F
Address subsistence needs for staff and patients.
Miscellaneous1F
- F
Have restrictions on the use of portable space heaters.
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Other homes nearby
-
Family Of Caring At Teaneck LLC
Teaneck, NJ · Family Of Caring Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 38 min
- Fines
- $0
-
CareOne At Teaneck
Teaneck, NJ · Careone
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 17 min
- Fines
- $0
-
Actors Fund Home
Englewood, NJ
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 11 min
- Fines
- $0