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COMPLETE CARE AT ST VINCENTS LLC

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COMPLETE CARE AT ST VINCENTS LLC is a for profit - limited liability company facility in CEDAR GROVE, NJ with 151 certified beds and a 5-star overall CMS rating. The facility has 9 deficiency records on file.

315 EAST LINDSLEY ROAD, CEDAR GROVE, NJ 07009

Phone: 9737544800

Overall Rating

5/5

Health Inspection

5/5

Staffing

3/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
315194
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
151
Residents
137
In Hospital
No
County
Essex
Last Inspection
Jul 24, 2025

Staffing Data

RN Hours
0.55 (nat'l avg: 0.68)
LPN Hours
0.75
CNA Hours
2.09
Total Nursing Hours
3.38 (nat'l avg: 3.89)
PT Hours
0.04
Nursing Turnover
41.3%
RN Turnover
30.4%

What the CMS Record Reveals About COMPLETE CARE AT ST VINCENTS LLC

COMPLETE CARE AT ST VINCENTS LLC operates 151 certified beds in CEDAR GROVE, NJ with approximately 137 residents currently in care, and carries a CMS overall rating of 5 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 (5★), 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 9 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on 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 3.38 total nursing hours per resident day (national average 3.89), with RN coverage at 0.55 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 ST VINCENTS 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 41.3%, 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 (9 most recent)

E — Pattern - Minimal harm Jan 25, 2024 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 5, 2024

E — Pattern - Minimal harm Jan 25, 2024 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 5, 2024

D — Isolated - Minimal harm Sep 28, 2021 Tag: 0698

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 11, 2021

D — Isolated - Minimal harm Sep 28, 2021 Tag: 0691

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 11, 2021

D — Isolated - Minimal harm Sep 28, 2021 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 11, 2021

J — Isolated - Jeopardy Sep 28, 2021 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: Oct 5, 2021

E — Pattern - Minimal harm Sep 28, 2021 Tag: 0656

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: Oct 11, 2021

B — Pattern - No harm Sep 28, 2021 Tag: 0636

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 11, 2021

D — Isolated - Minimal harm Sep 28, 2021 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Oct 11, 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 7.1% Yes
Percentage of long-stay residents who lose too much weight Long Stay 0.8% 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 10.4% 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 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 99.6% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 8.6% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 13.9% 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 94.3% No
Percentage of long-stay residents with pressure ulcers Long Stay 1.9% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 20.1% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 14.8% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for COMPLETE CARE AT ST VINCENTS LLC?
COMPLETE CARE AT ST VINCENTS LLC has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (5★), staffing levels (3★), and quality measures (5★).
What are the staffing levels at COMPLETE CARE AT ST VINCENTS LLC?
COMPLETE CARE AT ST VINCENTS LLC reports 3.38 total nursing hours per resident day (national average: 3.89). RN hours are 0.55 per resident day (national average: 0.68). Nursing staff turnover is 41.3%.
How many beds does COMPLETE CARE AT ST VINCENTS LLC have?
COMPLETE CARE AT ST VINCENTS LLC has 151 certified beds with approximately 137 residents. The facility is located at 315 EAST LINDSLEY ROAD, CEDAR GROVE, NJ 07009.
Does COMPLETE CARE AT ST VINCENTS LLC have any deficiencies on record?
Yes, COMPLETE CARE AT ST VINCENTS LLC has 9 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has COMPLETE CARE AT ST VINCENTS LLC received any fines or penalties?
No, COMPLETE CARE AT ST VINCENTS LLC has no fines or penalties on record.
Who owns COMPLETE CARE AT ST VINCENTS LLC?
COMPLETE CARE AT ST VINCENTS LLC is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was COMPLETE CARE AT ST VINCENTS LLC last inspected?
The most recent health inspection for COMPLETE CARE AT ST VINCENTS LLC was on Jul 24, 2025. The facility received a health inspection rating of 5 out of 5 stars.
What quality measures are tracked for COMPLETE CARE AT ST VINCENTS LLC?
COMPLETE CARE AT ST VINCENTS 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