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COMPLETE CARE AT HARBORAGE LLC

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COMPLETE CARE AT HARBORAGE LLC is a for profit - limited liability company facility in NORTH BERGEN, NJ with 247 certified beds and a 5-star overall CMS rating. The facility has 20 deficiency records on file.

7600 RIVER RD, NORTH BERGEN, NJ 07047

Phone: 2018545400

Overall Rating

5/5

Health Inspection

4/5

Staffing

2/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
315307
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
247
Residents
226
In Hospital
No
County
Hudson
Last Inspection
Dec 6, 2024

Staffing Data

RN Hours
0.83 (nat'l avg: 0.68)
LPN Hours
0.51
CNA Hours
2.17
Total Nursing Hours
3.51 (nat'l avg: 3.89)
PT Hours
0.06
Nursing Turnover
51.2%
RN Turnover
44.2%

What the CMS Record Reveals About COMPLETE CARE AT HARBORAGE LLC

COMPLETE CARE AT HARBORAGE LLC operates 247 certified beds in NORTH BERGEN, NJ with approximately 226 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (2★), and quality measures (5★). 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.

The inspection file contains 20 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 3.51 total nursing hours per resident day (national average 3.89), with RN coverage at 0.83 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, COMPLETE CARE AT HARBORAGE LLC falls into a category where comparative context matters. 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. Reported nursing turnover at this facility is 51.2%, above the level where continuity of care typically begins to suffer. 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 details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (20 most recent)

D — Isolated - Minimal harm Dec 6, 2024 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 28, 2025

D — Isolated - Minimal harm Dec 6, 2024 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Dec 26, 2024

D — Isolated - Minimal harm Dec 6, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Jan 30, 2025

E — Pattern - Minimal harm Dec 6, 2024 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Jan 30, 2025

D — Isolated - Minimal harm Dec 6, 2024 Tag: 0698

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

Category: Quality of Life and Care Deficiencies

Corrected: Dec 26, 2024

D — Isolated - Minimal harm Dec 6, 2024 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 26, 2024

K — Pattern - Jeopardy Jan 8, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jan 30, 2024

D — Isolated - Minimal harm Jan 8, 2024 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Jan 30, 2024

D — Isolated - Minimal harm Apr 26, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 16, 2023

D — Isolated - Minimal harm Apr 26, 2023 Tag: 0836

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

Category: Administration Deficiencies

Corrected: Jun 16, 2023

D — Isolated - Minimal harm Apr 26, 2023 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Jun 16, 2023

D — Isolated - Minimal harm Apr 26, 2023 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Jun 16, 2023

D — Isolated - Minimal harm Apr 26, 2023 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Jun 16, 2023

D — Isolated - Minimal harm Apr 26, 2023 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 16, 2023

D — Isolated - Minimal harm Apr 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: Jun 16, 2023

D — Isolated - Minimal harm Apr 26, 2023 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 16, 2023

D — Isolated - Minimal harm Apr 26, 2023 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 16, 2023

D — Isolated - Minimal harm Apr 26, 2023 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 16, 2023

D — Isolated - Minimal harm Apr 26, 2023 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: Jun 16, 2023

D — Isolated - Minimal harm Apr 22, 2021 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 20, 2021

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 10.7% Yes
Percentage of long-stay residents who lose too much weight Long Stay 8.3% No
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 0.6% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 4.1% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.2% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 96.9% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 81.9% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.5% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 18.4% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 15.0% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 99.5% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 79.0% No
Percentage of long-stay residents with pressure ulcers Long Stay 5.2% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 17.2% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 13.5% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for COMPLETE CARE AT HARBORAGE LLC?
COMPLETE CARE AT HARBORAGE LLC has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (4★), staffing levels (2★), and quality measures (5★).
What are the staffing levels at COMPLETE CARE AT HARBORAGE LLC?
COMPLETE CARE AT HARBORAGE LLC reports 3.51 total nursing hours per resident day (national average: 3.89). RN hours are 0.83 per resident day (national average: 0.68). Nursing staff turnover is 51.2%.
How many beds does COMPLETE CARE AT HARBORAGE LLC have?
COMPLETE CARE AT HARBORAGE LLC has 247 certified beds with approximately 226 residents. The facility is located at 7600 RIVER RD, NORTH BERGEN, NJ 07047.
Does COMPLETE CARE AT HARBORAGE LLC have any deficiencies on record?
Yes, COMPLETE CARE AT HARBORAGE LLC has 20 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has COMPLETE CARE AT HARBORAGE LLC received any fines or penalties?
No, COMPLETE CARE AT HARBORAGE LLC has no fines or penalties on record.
Who owns COMPLETE CARE AT HARBORAGE LLC?
COMPLETE CARE AT HARBORAGE LLC is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was COMPLETE CARE AT HARBORAGE LLC last inspected?
The most recent health inspection for COMPLETE CARE AT HARBORAGE LLC was on Dec 6, 2024. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for COMPLETE CARE AT HARBORAGE LLC?
COMPLETE CARE AT HARBORAGE 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. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial