COMPLETE CARE AT PROSPECT HEIGHTS LLC
Open-data reference.
COMPLETE CARE AT PROSPECT HEIGHTS LLC is a for profit - limited liability company facility in HACKENSACK, NJ with 196 certified beds and a 2-star overall CMS rating. The facility has 16 deficiency records on file. Total penalties: $118K.
336 PROSPECT AVE, HACKENSACK, NJ 07601
Phone: 2016781800
Overall Rating
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 315460
- Ownership
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Beds
- 196
- Residents
- 120
- In Hospital
- No
- County
- Bergen
- Last Inspection
- Sep 27, 2024
Staffing Data
- RN Hours
- 0.82 (nat'l avg: 0.68)
- LPN Hours
- 1.08
- CNA Hours
- 1.44
- Total Nursing Hours
- 3.34 (nat'l avg: 3.89)
- PT Hours
- 0.18
- Nursing Turnover
- 50.4%
- RN Turnover
- 59.1%
What the CMS Record Reveals About COMPLETE CARE AT PROSPECT HEIGHTS LLC
COMPLETE CARE AT PROSPECT HEIGHTS LLC operates 196 certified beds in HACKENSACK, NJ with approximately 120 residents currently in care, and carries a CMS overall rating of 2 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 (1★), 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 16 deficiency records from recent surveys, of which 4 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 7 penalties totaling $118K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.34 total nursing hours per resident day (national average 3.89), with RN coverage at 0.82 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 PROSPECT HEIGHTS 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 50.4%, 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 (16 most recent)
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 6, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Feb 12, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Nov 7, 2024
Post nurse staffing information every day.
Category: Nursing and Physician Services Deficiencies
Corrected: Nov 7, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 7, 2024
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: May 8, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Category: Quality of Life and Care Deficiencies
Corrected: May 8, 2024
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Category: Quality of Life and Care Deficiencies
Corrected: May 8, 2024
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 8, 2024
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 8, 2024
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: Dec 11, 2023
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Dec 14, 2022
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 1, 2022
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Nov 1, 2022
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 20, 2020
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 20, 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 | 17.8% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 2.7% | No |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.6% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | Yes |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 12.1% | 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 | 0.4% | Yes |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 95.5% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 92.4% | No |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.7% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.4% | Yes |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 13.6% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 97.0% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 87.2% | No |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 11.3% | Yes |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 24.7% | No |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 6.8% | Yes |
Penalty History 7 penalties totaling $118K
| Date | Type | Amount |
|---|---|---|
| Sep 27, 2024 | Fine | $59K |
| Apr 16, 2024 | Fine | $25K |
| Feb 20, 2024 | Fine | $4K |
| Feb 15, 2024 | Fine | $16K |
| Feb 12, 2024 | Fine | $3K |
| Jan 22, 2024 | Fine | $8K |
| Dec 18, 2023 | Fine | $3K |
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Frequently Asked Questions
What is the overall CMS rating for COMPLETE CARE AT PROSPECT HEIGHTS LLC?
What are the staffing levels at COMPLETE CARE AT PROSPECT HEIGHTS LLC?
How many beds does COMPLETE CARE AT PROSPECT HEIGHTS LLC have?
Does COMPLETE CARE AT PROSPECT HEIGHTS LLC have any deficiencies on record?
Has COMPLETE CARE AT PROSPECT HEIGHTS LLC received any fines or penalties?
Who owns COMPLETE CARE AT PROSPECT HEIGHTS LLC?
When was COMPLETE CARE AT PROSPECT HEIGHTS LLC last inspected?
What quality measures are tracked for COMPLETE CARE AT PROSPECT HEIGHTS 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. Always verify information directly with the facility or your state health department.
Read our methodology — how this data is sourced, computed, and verified.