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COMPLETE CARE AT MERCERVILLE LLC

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COMPLETE CARE AT MERCERVILLE LLC is a for profit - corporation facility in HAMILTON TOWNSHIP, NJ with 114 certified beds and a 4-star overall CMS rating. The facility has 21 deficiency records on file.

2240 WHITEHORSE-MERCERVILLE ROAD, HAMILTON TOWNSHIP, NJ 08619

Phone: 6095867500

Overall Rating

4/5

Health Inspection

3/5

Staffing

3/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
315094
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
114
Residents
102
In Hospital
No
County
Mercer
Last Inspection
May 2, 2025

Staffing Data

RN Hours
0.53 (nat'l avg: 0.68)
LPN Hours
0.82
CNA Hours
2.10
Total Nursing Hours
3.45 (nat'l avg: 3.89)
PT Hours
0.05
Nursing Turnover
37.9%
RN Turnover
16.7%

What the CMS Record Reveals About COMPLETE CARE AT MERCERVILLE LLC

COMPLETE CARE AT MERCERVILLE LLC operates 114 certified beds in HAMILTON TOWNSHIP, NJ with approximately 102 residents currently in care, and carries a CMS overall rating of 4 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 (3★), staffing levels (3★), 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 21 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of 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 3.45 total nursing hours per resident day (national average 3.89), with RN coverage at 0.53 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, COMPLETE CARE AT MERCERVILLE 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 37.9%, within a range generally associated with stable care teams. 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 (21 most recent)

D — Isolated - Minimal harm May 2, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 6, 2025

D — Isolated - Minimal harm May 2, 2025 Tag: 0838

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Category: Administration Deficiencies

Corrected: Jun 6, 2025

F — Widespread - Minimal harm May 2, 2025 Tag: 0809

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 6, 2025

D — Isolated - Minimal harm May 2, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 6, 2025

D — Isolated - Minimal harm May 2, 2025 Tag: 0637

Assess the resident when there is a significant change in condition

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 6, 2025

D — Isolated - Minimal harm May 2, 2025 Tag: 0565

Honor the resident's right to organize and participate in resident/family groups in the facility.

Category: Resident Rights Deficiencies

Corrected: Jun 6, 2025

B — Pattern - No harm Mar 11, 2025 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: Apr 16, 2025

D — Isolated - Minimal harm Oct 16, 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: Nov 30, 2023

E — Pattern - Minimal harm Oct 16, 2023 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: Dec 15, 2023

B — Pattern - No harm Oct 16, 2023 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Nov 30, 2023

E — Pattern - Minimal harm Oct 16, 2023 Tag: 0698

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

Category: Quality of Life and Care Deficiencies

Corrected: Nov 30, 2023

D — Isolated - Minimal harm Oct 16, 2023 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 30, 2023

D — Isolated - Minimal harm Oct 16, 2023 Tag: 0678

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 30, 2023

D — Isolated - Minimal harm Oct 16, 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: Nov 30, 2023

D — Isolated - Minimal harm Oct 16, 2023 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 30, 2023

D — Isolated - Minimal harm Oct 16, 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: Nov 30, 2023

D — Isolated - Minimal harm Jun 6, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jul 15, 2023

D — Isolated - Minimal harm Jun 6, 2023 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 15, 2023

D — Isolated - Minimal harm May 10, 2022 Tag: 0888

Ensure staff are vaccinated for COVID-19

Category: Infection Control Deficiencies

Corrected: Jun 1, 2022

D — Isolated - Minimal harm May 10, 2022 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 8, 2022

F — Widespread - Minimal harm May 10, 2022 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: Jun 1, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 2.1% Yes
Percentage of long-stay residents who lose too much weight Long Stay 2.0% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 5.7% 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 1.8% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 99.8% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.6% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 2.4% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 9.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 100.0% No
Percentage of long-stay residents with pressure ulcers Long Stay 1.7% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 3.4% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 11.8% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for COMPLETE CARE AT MERCERVILLE LLC?
COMPLETE CARE AT MERCERVILLE LLC has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (3★), staffing levels (3★), and quality measures (5★).
What are the staffing levels at COMPLETE CARE AT MERCERVILLE LLC?
COMPLETE CARE AT MERCERVILLE LLC reports 3.45 total nursing hours per resident day (national average: 3.89). RN hours are 0.53 per resident day (national average: 0.68). Nursing staff turnover is 37.9%.
How many beds does COMPLETE CARE AT MERCERVILLE LLC have?
COMPLETE CARE AT MERCERVILLE LLC has 114 certified beds with approximately 102 residents. The facility is located at 2240 WHITEHORSE-MERCERVILLE ROAD, HAMILTON TOWNSHIP, NJ 08619.
Does COMPLETE CARE AT MERCERVILLE LLC have any deficiencies on record?
Yes, COMPLETE CARE AT MERCERVILLE LLC has 21 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has COMPLETE CARE AT MERCERVILLE LLC received any fines or penalties?
No, COMPLETE CARE AT MERCERVILLE LLC has no fines or penalties on record.
Who owns COMPLETE CARE AT MERCERVILLE LLC?
COMPLETE CARE AT MERCERVILLE LLC is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was COMPLETE CARE AT MERCERVILLE LLC last inspected?
The most recent health inspection for COMPLETE CARE AT MERCERVILLE LLC was on May 2, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for COMPLETE CARE AT MERCERVILLE LLC?
COMPLETE CARE AT MERCERVILLE 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