PlainNursing
CMS Nursing Home Compare · August 2026

Complete Care at Hamilton, LLC

56 Hamilton Avenue, Passaic, NJ 07055

Complete Care at Hamilton, LLC, a 120-bed for profit - limited liability company nursing facility in Passaic, NJ, holds a 5-star CMS overall rating - well above the 3.0-star national average, ranking #64 of 346 rated homes in NJ on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 9737737070

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5 / 5
Much above average · CMS overall · nat'l 3.0
#64 of 346
In-state rank among rated NJ homes
3.50
Below average · nurse hrs/day · nat'l 3.86
24
Inspection findings · 2 serious

The verdict

Complete Care at Hamilton, LLC, a 120-bed for profit - limited liability company nursing facility in Passaic, NJ, holds a 5-star CMS overall rating - well above the 3.0-star national average, ranking #64 of 346 rated homes in NJ on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

5 / 5
CMS overall · national 3.0
#64 of 346
In-state rank among rated NJ homes
3.50
Nurse hrs/resident-day · national 3.86
24
Inspection findings · 2 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 348 NJ nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

4/5

Staffing

5/5

Quality Measures

3/5

Long-Stay Quality

4/5

Facility Information

Provider Number
315221
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
120
Residents
103
In Hospital
No
County
Passaic
Last Inspection
Sep 9, 2025

Staffing Data

How the 3.50 total nursing hours per resident-day are staffed:

RN Hours
0.59 (nat'l avg: 0.69)
LPN Hours
0.71
CNA Hours
2.20
Total Nursing Hours
3.50 (nat'l avg: 3.86)
PT Hours
0.03
Nursing Turnover
28.0%
RN Turnover
12.5%

What the CMS Record Reveals About Complete Care at Hamilton, LLC

According to CMS Nursing Home Compare, Complete Care at Hamilton, LLC ranks #64 of 346 rated nursing homes in NJ on overall stars (tie-broken by health+staffing+quality, then fewer fines). Complete Care at Hamilton, LLC operates 120 certified beds in Passaic, NJ with approximately 103 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars (health inspection 4★ · staffing 5★ · quality 3★).

The inspection file contains 24 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 2 times by CMS, for a combined $25K. Reported nurse staffing runs 3.50 total hours per resident day (national average 3.86); RN hours specifically are 0.59 per resident day.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Complete Care at Hamilton, LLC falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 28.0% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (24 most recent)

D - Isolated - Minimal harm Sep 9, 2025 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Nov 3, 2025

D - Isolated - Minimal harm Sep 9, 2025 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 3, 2025

D - Isolated - Minimal harm Sep 9, 2025 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Nov 3, 2025

D - Isolated - Minimal harm Sep 9, 2025 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Nov 3, 2025

F - Widespread - Minimal harm Sep 9, 2025 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 3, 2025

D - Isolated - Minimal harm Jan 28, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Feb 21, 2025

J - Isolated - Jeopardy Oct 15, 2024 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 10, 2024

D - Isolated - Minimal harm Jun 27, 2024 Tag: 0712

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 14, 2024

G - Isolated - Actual harm Jan 30, 2024 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Feb 21, 2024

D - Isolated - Minimal harm May 26, 2023 Tag: 0700

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 21, 2023

D - Isolated - Minimal harm May 26, 2023 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 21, 2023

D - Isolated - Minimal harm May 26, 2023 Tag: 0657

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 26, 2023

D - Isolated - Minimal harm May 26, 2023 Tag: 0644

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 21, 2023

D - Isolated - Minimal harm May 26, 2023 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 21, 2023

D - Isolated - Minimal harm May 26, 2023 Tag: 0604

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 21, 2023

D - Isolated - Minimal harm May 26, 2023 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 21, 2023

D - Isolated - Minimal harm May 26, 2023 Tag: 0578

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.

Category: Resident Rights Deficiencies

Corrected: Jul 21, 2023

E - Pattern - Minimal harm May 26, 2023 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Jul 21, 2023

E - Pattern - Minimal harm May 26, 2023 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Jul 21, 2023

E - Pattern - Minimal harm May 26, 2023 Tag: 0625

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Category: Resident Rights Deficiencies

Corrected: Jul 21, 2023

E - Pattern - Minimal harm May 26, 2023 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Jul 21, 2023

E - Pattern - Minimal harm May 26, 2023 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 21, 2023

F - Widespread - Minimal harm May 26, 2023 Tag: 0881

Implement a program that monitors antibiotic use.

Category: Infection Control Deficiencies

Corrected: Jul 21, 2023

F - Widespread - Minimal harm May 26, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jul 21, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 5.4% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.2% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.8% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.5% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 5.4% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 6.7% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 7.2% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 6.0% No
Percentage of long-stay residents who have depressive symptoms Long Stay 4.9% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 34.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 99.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 26.2% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 95.1% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 93.2% No

Penalty History 2 penalties totaling $25K

Date Type Amount
Oct 15, 2024 Fine $17K
Jan 30, 2024 Fine $9K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Complete Care at Hamilton, LLC, both outside NJ so the neighborhoods are not the same-state geography list below.

What the CMS records show for Complete Care at Hamilton, LLC

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The NJ registry aggregates state averages and the highest-rated homes in this cohort. View NJ registry
  • Peer homes near 120 beds show how CMS stars vary at a similar scale in NJ. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Complete Care at Hamilton, LLC?
Complete Care at Hamilton, LLC has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (4★), staffing levels (5★), and quality measures (3★).
Where does Complete Care at Hamilton, LLC rank among nursing homes in NJ?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Complete Care at Hamilton, LLC ranks 64th among 346 rated nursing homes in NJ (#64 of 346). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Complete Care at Hamilton, LLC?
Complete Care at Hamilton, LLC reports 3.50 total nursing hours per resident day (national average: 3.86). RN hours are 0.59 per resident day (national average: 0.69). Nursing staff turnover is 28.0%.
How many beds does Complete Care at Hamilton, LLC have?
Complete Care at Hamilton, LLC has 120 certified beds with approximately 103 residents. The facility is located at 56 Hamilton Avenue, Passaic, NJ 07055.
Does Complete Care at Hamilton, LLC have any deficiencies on record?
Yes, Complete Care at Hamilton, LLC has 24 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has Complete Care at Hamilton, LLC received any fines or penalties?
Yes, Complete Care at Hamilton, LLC has received 2 penalties totaling $25K.
Who owns Complete Care at Hamilton, LLC?
Complete Care at Hamilton, LLC is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Complete Care at Hamilton, LLC last inspected?
The most recent health inspection for Complete Care at Hamilton, LLC was on Sep 9, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Complete Care at Hamilton, LLC?
Complete Care at Hamilton, LLC is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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