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COMPLETE CARE AT ORANGE PARK

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COMPLETE CARE AT ORANGE PARK is a for profit - limited liability company facility in EAST ORANGE, NJ with 215 certified beds and a 3-star overall CMS rating. The facility has 22 deficiency records on file.

140 PARK AVE, EAST ORANGE, NJ 07017

Phone: 9736771500

Overall Rating

3/5

Health Inspection

3/5

Staffing

4/5

Quality Measures

4/5

Long-Stay Quality

5/5

Facility Information

Provider Number
315178
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
215
Residents
199
In Hospital
No
County
Essex
Last Inspection
Sep 24, 2025

Staffing Data

RN Hours
0.42 (nat'l avg: 0.68)
LPN Hours
0.76
CNA Hours
2.08
Total Nursing Hours
3.25 (nat'l avg: 3.89)
PT Hours
0.02
Nursing Turnover
18.2%
RN Turnover
11.1%

What the CMS Record Reveals About COMPLETE CARE AT ORANGE PARK

COMPLETE CARE AT ORANGE PARK operates 215 certified beds in EAST ORANGE, NJ with approximately 199 residents currently in care, and carries a CMS overall rating of 3 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 (4★), and quality measures (4★). 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 22 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 3.25 total nursing hours per resident day (national average 3.89), with RN coverage at 0.42 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 ORANGE PARK 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 18.2%, 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 (22 most recent)

E — Pattern - Minimal harm Sep 24, 2025 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: Nov 14, 2025

E — Pattern - Minimal harm Jul 15, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 20, 2025

D — Isolated - Minimal harm May 9, 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: May 28, 2024

D — Isolated - Minimal harm May 9, 2024 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: May 23, 2024

D — Isolated - Minimal harm May 9, 2024 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: May 28, 2024

E — Pattern - Minimal harm May 9, 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: May 28, 2024

E — Pattern - Minimal harm May 9, 2024 Tag: 0711

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Category: Nursing and Physician Services Deficiencies

Corrected: May 28, 2024

D — Isolated - Minimal harm May 9, 2024 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: May 28, 2024

D — Isolated - Minimal harm May 9, 2024 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 28, 2024

D — Isolated - Minimal harm May 9, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 30, 2024

D — Isolated - Minimal harm May 9, 2024 Tag: 0640

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 24, 2024

E — Pattern - Minimal harm Feb 9, 2022 Tag: 0924

Put firmly secured handrails on each side of hallways.

Category: Environmental Deficiencies

Corrected: Apr 18, 2022

E — Pattern - Minimal harm Feb 9, 2022 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Apr 8, 2022

D — Isolated - Minimal harm Feb 9, 2022 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 9, 2022

D — Isolated - Minimal harm Feb 9, 2022 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: May 12, 2022

D — Isolated - Minimal harm Feb 9, 2022 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: Feb 22, 2022

F — Widespread - Minimal harm Feb 9, 2022 Tag: 0711

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Category: Nursing and Physician Services Deficiencies

Corrected: Apr 8, 2022

D — Isolated - Minimal harm Feb 9, 2022 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: Apr 8, 2022

E — Pattern - Minimal harm Feb 9, 2022 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: Apr 18, 2022

D — Isolated - Minimal harm Feb 9, 2022 Tag: 0552

Ensure that residents are fully informed and understand their health status, care and treatments.

Category: Resident Rights Deficiencies

Corrected: Apr 13, 2022

D — Isolated - Minimal harm Feb 24, 2020 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 16, 2020

E — Pattern - Minimal harm Feb 24, 2020 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: Mar 16, 2020

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 3.4% Yes
Percentage of long-stay residents who lose too much weight Long Stay 1.8% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.1% 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 14.7% 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 0.7% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 76.6% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 60.2% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 2.4% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 1.8% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 11.3% 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 94.2% No
Percentage of long-stay residents with pressure ulcers Long Stay 7.6% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 5.0% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 17.4% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for COMPLETE CARE AT ORANGE PARK?
COMPLETE CARE AT ORANGE PARK has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (3★), staffing levels (4★), and quality measures (4★).
What are the staffing levels at COMPLETE CARE AT ORANGE PARK?
COMPLETE CARE AT ORANGE PARK reports 3.25 total nursing hours per resident day (national average: 3.89). RN hours are 0.42 per resident day (national average: 0.68). Nursing staff turnover is 18.2%.
How many beds does COMPLETE CARE AT ORANGE PARK have?
COMPLETE CARE AT ORANGE PARK has 215 certified beds with approximately 199 residents. The facility is located at 140 PARK AVE, EAST ORANGE, NJ 07017.
Does COMPLETE CARE AT ORANGE PARK have any deficiencies on record?
Yes, COMPLETE CARE AT ORANGE PARK has 22 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has COMPLETE CARE AT ORANGE PARK received any fines or penalties?
No, COMPLETE CARE AT ORANGE PARK has no fines or penalties on record.
Who owns COMPLETE CARE AT ORANGE PARK?
COMPLETE CARE AT ORANGE PARK is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was COMPLETE CARE AT ORANGE PARK last inspected?
The most recent health inspection for COMPLETE CARE AT ORANGE PARK was on Sep 24, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for COMPLETE CARE AT ORANGE PARK?
COMPLETE CARE AT ORANGE PARK 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