PlainNursing
CMS Nursing Home Compare · August 2026

Complete Care at Prospect Heights LLC

336 Prospect Ave, Hackensack, NJ 07601

Complete Care at Prospect Heights LLC, a 196-bed for profit - limited liability company nursing facility in Hackensack, NJ, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #300 of 346 rated homes in NJ on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 3 inspection findings 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: 2016781800

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2 / 5
Below average · CMS overall · nat'l 3.0
#300 of 346
In-state rank among rated NJ homes
3.09
Well below average · nurse hrs/day · nat'l 3.86
33
Inspection findings · 3 serious

The verdict

Complete Care at Prospect Heights LLC, a 196-bed for profit - limited liability company nursing facility in Hackensack, NJ, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #300 of 346 rated homes in NJ on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.

2 / 5
CMS overall · national 3.0
#300 of 346
In-state rank among rated NJ homes
3.09
Nurse hrs/resident-day · national 3.86
33
Inspection findings · 3 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 - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

1/5

Staffing

2/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
315460
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
196
Residents
122
In Hospital
No
County
Bergen
Last Inspection
Jan 29, 2026

Staffing Data

How the 3.09 total nursing hours per resident-day are staffed:

RN Hours
0.86 (nat'l avg: 0.69)
LPN Hours
0.99
CNA Hours
1.24
Total Nursing Hours
3.09 (nat'l avg: 3.86)
PT Hours
0.20
Nursing Turnover
45.9%
RN Turnover
42.1%

What the CMS Record Reveals About Complete Care at Prospect Heights LLC

According to CMS Nursing Home Compare, Complete Care at Prospect Heights LLC ranks #300 of 346 rated nursing homes in NJ on overall stars (tie-broken by health+staffing+quality, then fewer fines). Complete Care at Prospect Heights LLC operates 196 certified beds in Hackensack, NJ with approximately 122 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 1★ · staffing 2★ · quality 5★).

The inspection file contains 33 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 6 times by CMS, for a combined $59K. Per resident day, this facility reports 3.09 total nursing hours (national average 3.86) and 0.86 RN hours.

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. Reported nursing staff turnover at this facility is 45.9% (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 (33 most recent)

D - Isolated - Minimal harm Jan 29, 2026 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Feb 2, 2026

D - Isolated - Minimal harm Jan 29, 2026 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 2, 2026

D - Isolated - Minimal harm Jan 29, 2026 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Feb 2, 2026

D - Isolated - Minimal harm Jan 29, 2026 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Feb 2, 2026

D - Isolated - Minimal harm Jan 29, 2026 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Feb 2, 2026

D - Isolated - Minimal harm Jan 29, 2026 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: Feb 2, 2026

D - Isolated - Minimal harm Jan 29, 2026 Tag: 0698

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

Category: Quality of Life and Care Deficiencies

Corrected: Feb 2, 2026

D - Isolated - Minimal harm Jan 29, 2026 Tag: 0693

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: Feb 2, 2026

D - Isolated - Minimal harm Jan 29, 2026 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Feb 2, 2026

D - Isolated - Minimal harm Jan 29, 2026 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 2, 2026

D - Isolated - Minimal harm Jan 29, 2026 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 2, 2026

D - Isolated - Minimal harm Jan 29, 2026 Tag: 0657

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: Feb 2, 2026

D - Isolated - Minimal harm Jan 29, 2026 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 2, 2026

D - Isolated - Minimal harm Jan 29, 2026 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: Feb 2, 2026

D - Isolated - Minimal harm Jan 29, 2026 Tag: 0605

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Feb 2, 2026

E - Pattern - Minimal harm Jan 29, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 2, 2026

E - Pattern - Minimal harm Jan 29, 2026 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: Feb 2, 2026

F - Widespread - Minimal harm Jan 29, 2026 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: Feb 2, 2026

F - Widespread - Minimal harm Jan 29, 2026 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: Feb 2, 2026

D - Isolated - Minimal harm Mar 5, 2025 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 6, 2025

D - Isolated - Minimal harm Feb 11, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 12, 2025

C - Widespread - No harm Sep 27, 2024 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Nov 7, 2024

D - Isolated - Minimal harm Sep 27, 2024 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Nov 7, 2024

E - Pattern - Minimal harm Sep 27, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Nov 7, 2024

D - Isolated - Minimal harm Apr 16, 2024 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: May 8, 2024

D - Isolated - Minimal harm Apr 16, 2024 Tag: 0676

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

D - Isolated - Minimal harm Apr 16, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 8, 2024

G - Isolated - Actual harm Apr 16, 2024 Tag: 0697

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

Category: Quality of Life and Care Deficiencies

Corrected: May 8, 2024

G - Isolated - Actual harm Apr 16, 2024 Tag: 0657

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

J - Isolated - Jeopardy Feb 15, 2024 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: Dec 11, 2023

D - Isolated - Minimal harm Oct 3, 2022 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 14, 2022

D - Isolated - Minimal harm Oct 3, 2022 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Nov 1, 2022

D - Isolated - Minimal harm Oct 3, 2022 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 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 16.9% 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 0.4% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.4% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 11.7% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 7.9% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 8.7% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.2% Yes
Percentage of long-stay residents who lose too much weight Long Stay 2.3% No
Percentage of long-stay residents who have depressive symptoms Long Stay 14.4% 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 97.5% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 16.5% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 97.0% 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 92.7% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 87.2% No

Penalty History 6 penalties totaling $59K

Date Type Amount
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

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Complete Care at Prospect Heights LLC, both outside NJ so the neighborhoods are not the same-state geography list below.

What the CMS records show for Complete Care at Prospect Heights 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 196 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 Prospect Heights LLC?
Complete Care at Prospect Heights LLC has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (1★), staffing levels (2★), and quality measures (5★).
Where does Complete Care at Prospect Heights LLC rank among nursing homes in NJ?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Complete Care at Prospect Heights LLC ranks 300th among 346 rated nursing homes in NJ (#300 of 346). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Complete Care at Prospect Heights LLC?
Complete Care at Prospect Heights LLC reports 3.09 total nursing hours per resident day (national average: 3.86). RN hours are 0.86 per resident day (national average: 0.69). Nursing staff turnover is 45.9%.
How many beds does Complete Care at Prospect Heights LLC have?
Complete Care at Prospect Heights LLC has 196 certified beds with approximately 122 residents. The facility is located at 336 Prospect Ave, Hackensack, NJ 07601.
Does Complete Care at Prospect Heights LLC have any deficiencies on record?
Yes, Complete Care at Prospect Heights LLC has 33 deficiencies on record from recent inspections. Of these, 3 are classified as causing actual harm or jeopardy.
Has Complete Care at Prospect Heights LLC received any fines or penalties?
Yes, Complete Care at Prospect Heights LLC has received 6 penalties totaling $59K.
Who owns Complete Care at Prospect Heights LLC?
Complete Care at Prospect Heights LLC is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Complete Care at Prospect Heights LLC last inspected?
The most recent health inspection for Complete Care at Prospect Heights LLC was on Jan 29, 2026. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Complete Care at Prospect Heights LLC?
Complete Care at Prospect Heights 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. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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