Complete Care at Milford Manor LLC
69 Maple Road, West Milford, NJ 07480
Complete Care at Milford Manor LLC, a 120-bed for profit - corporation nursing facility in West Milford, NJ, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #330 of 346 rated homes in NJ on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding 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: 9736975640
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- 1 / 5
- Much below average · CMS overall · nat'l 3.0
- #330 of 346
- In-state rank among rated NJ homes
- 2.97
- Well below average · nurse hrs/day · nat'l 3.86
- 26
- Inspection findings · 1 serious
The verdict
Complete Care at Milford Manor LLC, a 120-bed for profit - corporation nursing facility in West Milford, NJ, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #330 of 346 rated homes in NJ on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
- 1 / 5
- CMS overall · national 3.0
- #330 of 346
- In-state rank among rated NJ homes
- 2.97
- Nurse hrs/resident-day · national 3.86
- 26
- Inspection findings · 1 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 - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 315276
- Ownership
- For profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 120
- Residents
- 112
- In Hospital
- No
- County
- Passaic
- Last Inspection
- Mar 7, 2025
Staffing Data
How the 2.97 total nursing hours per resident-day are staffed:
- RN Hours
- 0.42 (nat'l avg: 0.69)
- LPN Hours
- 0.73
- CNA Hours
- 1.82
- Total Nursing Hours
- 2.97 (nat'l avg: 3.86)
- PT Hours
- 0.05
- Nursing Turnover
- 53.6%
- RN Turnover
- 50.0%
What the CMS Record Reveals About Complete Care at Milford Manor LLC
According to CMS Nursing Home Compare, Complete Care at Milford Manor LLC ranks #330 of 346 rated nursing homes in NJ on overall stars (tie-broken by health+staffing+quality, then fewer fines). Complete Care at Milford Manor LLC operates 120 certified beds in West Milford, NJ with approximately 112 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 2★ · staffing 1★ · quality 4★).
The inspection file contains 26 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 1 time by CMS, for a combined $4K. Per resident day, this facility reports 2.97 total nursing hours (national average 3.86) and 0.42 RN hours.
Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Complete Care at Milford Manor LLC falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 53.6% (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 (26 most recent)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 25, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Mar 10, 2025
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: Mar 10, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Category: Pharmacy Service Deficiencies
Corrected: Mar 10, 2025
Provide enough food/fluids to maintain a resident's health.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 10, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 10, 2025
Keep residents' personal and medical records private and confidential.
Category: Resident Rights Deficiencies
Corrected: Mar 10, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Category: Resident Rights Deficiencies
Corrected: Mar 10, 2025
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Category: Administration Deficiencies
Corrected: Mar 10, 2025
Provide training in compliance and ethics.
Category: Administration Deficiencies
Corrected: Mar 10, 2025
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Category: Infection Control Deficiencies
Corrected: Mar 10, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Category: Infection Control Deficiencies
Corrected: Mar 10, 2025
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.
Category: Nutrition and Dietary Deficiencies
Corrected: Mar 10, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 10, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jan 26, 2024
Ensure medication error rates are not 5 percent or greater.
Category: Pharmacy Service Deficiencies
Corrected: Mar 31, 2023
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: Mar 31, 2023
Provide safe, appropriate pain management for a resident who requires such services.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 31, 2023
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: Mar 31, 2023
Plan the resident's discharge to meet the resident's goals and needs.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 31, 2023
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: Mar 31, 2023
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: Mar 31, 2023
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: Mar 31, 2023
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Apr 6, 2021
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: Mar 19, 2021
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: Mar 19, 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 | 14.0% | Yes |
| 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 | 0.6% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.9% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.0% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.6% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.9% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.8% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 3.6% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 22.3% | 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 | 86.1% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 17.8% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 92.9% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 20.3% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 67.0% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 38.2% | No |
Penalty History 1 penalties totaling $4K
| Date | Type | Amount |
|---|---|---|
| Mar 7, 2025 | Fine | $4K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Complete Care at Milford Manor LLC, both outside NJ so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside NJ (120 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside NJ (2.88 here).
Nearby Nursing Homes in NJ
347 other nursing homes are on record in NJ; 6 are shown here.
Abigail House for Nursing & Rehabilitation
Camden, NJ
Abingdon Care & Rehabilitation Center
Green Brook, NJ
Accela Post Acute Care at Hamilton
Hamilton, NJ
Accelerate Skilled Nursing and Rehab Piscataway
Piscataway, NJ
Acclaim Rehabilitation and Nursing Center
Jersey City, NJ
Actors Fund Home
Englewood, NJ
Understanding Nursing Home Data
What the CMS records show for Complete Care at Milford Manor 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 Milford Manor LLC?
Where does Complete Care at Milford Manor LLC rank among nursing homes in NJ?
What are the staffing levels at Complete Care at Milford Manor LLC?
How many beds does Complete Care at Milford Manor LLC have?
Does Complete Care at Milford Manor LLC have any deficiencies on record?
Has Complete Care at Milford Manor LLC received any fines or penalties?
Who owns Complete Care at Milford Manor LLC?
When was Complete Care at Milford Manor LLC last inspected?
What quality measures are tracked for Complete Care at Milford Manor LLC?
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.
Read our methodology - how this data is sourced, computed, and verified.
