Cycle 1
Health 2025-08-06 · Fire 2025-08-06
16 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Wall, NJ
Complete Care At Wall LLC
2-star overall rating with 1-star inspections with 16 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
1725 Meridian Trail, Wall, NJ
(732) 312-1800
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
130
Certified beds
Average residents
79
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Complete Care
Operator or chain grouping
Approved since
2007-02-26
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
0.80
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.08
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.11
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
3.99
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.87
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.53
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.56
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.13
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.69
CMS adjusted RN staffing hours
Adjusted total hours
3.43
CMS adjusted total nurse staffing hours
Case-mix index
1.59
Higher values indicate more complex resident acuity
RN turnover
44%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
55%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
12,703
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
10.97
Composite VBP score used to determine payment impact.
Payment multiplier
0.9810
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0.41
Baseline 22.29% · Performance 21.81% · Measure score 0.41 · Achievement 0 · Improvement 0.41
Healthcare-associated infections
0.84
Baseline 5.89% · Performance 7.58% · Measure score 0.84 · Achievement 0.84 · Improvement 0
Total nurse turnover
0
Baseline 55.63% · Performance 76.87% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
3.14
Baseline 5.31 hours · Performance 3.97 hours · Measure score 3.14 · Achievement 3.14 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.13% |
10.72%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 755 · Observed rate 11.79% · Lower 95% interval 9.36% |
| Discharge to community | 64.24% |
50.57%
13.7 pts better
|
Better than the National Rate · Eligible stays 839 · Observed rate 57.69% · Lower 95% interval 58.74% |
| Medicare spending per beneficiary | 1.05 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 364 · Denominator 364 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 364 |
| Discharge self-care score | 71.63% |
53.69%
17.9 pts better
|
Numerator 149 · Denominator 208 |
| Discharge mobility score | 65.38% |
50.94%
14.4 pts better
|
Numerator 136 · Denominator 208 |
| Pressure ulcers or injuries, new or worsened | 1.92% |
2.29%
0.4 pts better
|
Numerator 7 · Denominator 364 · Adjusted rate 1.89% |
| Healthcare-associated infections requiring hospitalization | 7.58% |
7.12%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 350 · Observed rate 8.29% · Lower 95% interval 5.58% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 143 |
| Staff flu vaccination coverage | 100% |
42%
58 pts better
|
Numerator 147 · Denominator 147 |
| Discharge function score | 71.63% |
56.45%
15.2 pts better
|
Numerator 149 · Denominator 208 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 115 · Denominator 115 |
| Transfer of health information to patient | 99.52% |
96.28%
3.2 pts better
|
Numerator 208 · Denominator 209 |
| Resident COVID-19 vaccinations up to date | 0% |
25.2%
25.2 pts worse
|
Numerator 0 · Denominator 161 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.7 |
2.1
0.4 pts better
|
1.9
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 4.2 · Expected 4.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.1
0.1 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.6 · Expected 2.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 88.8% |
93.0%
4.2 pts worse
|
93.4%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 79.3% · Q2 89.7% · Q3 89.5% · Q4 94.7% · 4Q avg 88.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.4% |
97.2%
5.8 pts worse
|
95.5%
4.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 91.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.7% |
2.4%
1.7 pts better
|
3.3%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 37.9% |
11.4%
26.5 pts worse
|
11.4%
26.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.1% · Q2 36.0% · Q3 52.8% · Q4 28.6% · 4Q avg 37.9% |
| Percentage of long-stay residents who lose too much weight | 2.6% |
4.6%
2 pts better
|
5.4%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 4.3% · Q3 0.0% · Q4 2.9% · 4Q avg 2.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.5% |
19.0%
5.5 pts better
|
19.6%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.7% · Q2 15.4% · Q3 11.4% · Q4 8.3% · 4Q avg 13.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 3.2% |
13.5%
10.3 pts better
|
16.7%
13.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q3 7.1% · Q4 0.0% · 4Q avg 3.2% · 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 | 6.3% |
9.8%
3.5 pts better
|
16.3%
10 pts better
|
Long Stay · 2024Q4-2025Q3 · Q4 14.0% · 4Q avg 6.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.5% |
9.7%
1.2 pts better
|
14.9%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 13.0% · Q3 6.2% · Q4 8.3% · 4Q avg 8.5% · 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 | 0.0% |
0.8%
0.8 pts better
|
1.7%
1.7 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 new or worsened bowel or bladder incontinence | 18.4% |
15.9%
2.5 pts worse
|
19.8%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.2% · Q2 14.2% · Q3 18.6% · Q4 20.2% · 4Q avg 18.4% |
| Percentage of long-stay residents with pressure ulcers | 7.8% |
6.0%
1.8 pts worse
|
5.1%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 11.3% · Q3 3.2% · Q4 7.4% · 4Q avg 7.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 74.8% |
78.7%
3.9 pts worse
|
81.7%
6.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 79.0% · Q2 76.7% · Q3 69.4% · Q4 72.9% · 4Q avg 74.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.4% |
8.2%
2.8 pts better
|
12.0%
6.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.4% · Observed 4.9% · Expected 10.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.2%
0.6 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.5% · Q3 0.0% · Q4 1.2% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 74.1% |
80.1%
6 pts worse
|
79.7%
5.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 74.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.5% |
25.4%
0.9 pts better
|
23.9%
0.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.5% · Observed 24.7% · Expected 24.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-03-17 · Fire 2023-03-17
0 health deficiencies
No concentrated health issue counts in this cycle.
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2021-01-08 · Fire 2021-01-08
0 health deficiencies
No concentrated health issue counts in this cycle.
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
2025-08-06
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2025-09-03
F · Potential for more than minimal harm
2025-08-06
K916 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2025-09-03
F · Potential for more than minimal harm
2025-08-06
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-09-03
F · Potential for more than minimal harm
2025-08-06
K929 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2025-09-03
F · Potential for more than minimal harm
2023-03-17
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-03-31
F · Potential for more than minimal harm
2023-03-17
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-03-27
F · Potential for more than minimal harm
2023-03-17
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-04-05
F · Potential for more than minimal harm
2023-03-17
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-04-06
F · Potential for more than minimal harm
2023-03-17
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-04-18
E · Potential for more than minimal harm
2023-03-17
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-04-05
E · Potential for more than minimal harm
2023-03-17
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-03-28
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-08-06
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 2025-09-18
F · Potential for more than minimal harm
2025-08-06
F865 · Administration Deficiencies
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2025-09-18
E · Potential for more than minimal harm
2025-08-06
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-09-18
E · Potential for more than minimal harm
2025-08-06
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-09-18
E · Potential for more than minimal harm
2025-08-06
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 2025-09-18
E · Potential for more than minimal harm
2025-08-06
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-09-18
E · Potential for more than minimal harm
2025-08-06
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-09-18
E · Potential for more than minimal harm
2025-08-06
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-09-18
E · Potential for more than minimal harm
2025-08-06
F745 · Quality of Life and Care Deficiencies
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2025-09-18
E · Potential for more than minimal harm
2025-08-06
F803 · Nutrition and Dietary Deficiencies
Health
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.
Corrected 2025-09-18
E · Potential for more than minimal harm
2025-08-06
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-09-18
E · Potential for more than minimal harm
2025-08-06
F919 · Environmental Deficiencies
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-09-18
D · Potential for more than minimal harm
2025-08-06
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-09-18
D · Potential for more than minimal harm
2025-08-06
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 2025-09-18
D · Potential for more than minimal harm
2025-08-06
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-09-18
J · Immediate jeopardy
2025-05-02
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-05-02
Penalties and ownership
What sits behind the stars
Ownership
Pc Hmh Opco Holdngs LLC
5% Or Greater Direct Ownership Interest · Organization
Hoch, Robert
Operational/Managerial Control · Individual
Mercado, Wanda
Operational/Managerial Control · Individual
Pass, Mark
Operational/Managerial Control · Individual
Pc Hmh Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Peace Capital Holdings LLC (De)
5% Or Greater Indirect Ownership Interest · Organization
Sabella, Sabrina
Operational/Managerial Control · Individual
Siegfried, Eliyahu
Operational/Managerial Control · Individual
Sms 2021 Trust
5% Or Greater Indirect Ownership Interest · Organization
Stein, Shalom
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Careone At Wall
Wall, NJ
3-star overall rating with 2-star inspections with $68,819 in total fines with 5 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#2
Tower Lodge Care Center
Wall, NJ
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Sunnyside Manor
Wall, NJ
5-star overall rating with 4-star inspections with 3 recent health deficiencies
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