F

COMPLETE CARE AT CHESTNUT HILL LLC

360 CHESTNUT STREET, PASSAIC, NJ 07055
Score: 35 / 100
⚠️ SFF Candidate

With a score of 35/100, Complete Care At Chestnut Hill Llc ranks in the bottom tier of New Jersey nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

With 3.19 total nurse hours per resident per day, Complete Care At Chestnut Hill Llc falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent CMS inspections identified 27 deficiencies at Complete Care At Chestnut Hill Llc, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and .

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.19 3.8 Below Average
Registered Nurses (RN) 0.51 0.7 Below Average
Licensed Practical Nurses (LPN) 0.78 0.7 Above Average
Certified Nursing Assistants (CNA) 1.90 2.4 Below Average
Weekend Total Nursing 2.64 3.8 Below Average
Weekend RN Hours 0.36 0.7 Below Average

🔍 Inspection & Deficiency History

27
Total Deficiencies
Dec 4, 2024
Most Recent Inspection
🟠 25 Moderate 🔴 2 Serious
View recent deficiencies (5 shown)
  • Tag 0578 Severity K
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and
    Dec 4, 2024 · Resident Rights Deficiencies
  • Tag 0835 Severity K
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    Dec 4, 2024 · Administration Deficiencies
  • Tag 0865 Severity F
    Have a plan that describes the process for conducting QAPI and QAA activities.
    Dec 4, 2024 · Administration Deficiencies
  • Tag 0657 Severity E
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    Dec 4, 2024 · Resident Assessment and Care Planning Deficiencies
  • Tag 0686 Severity E
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    Dec 4, 2024 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 7.4% 4.5% Worse
Falls with major injury 0.9% 3.0% Better
On antipsychotic medication 7.9% 14.5% Better
Urinary tract infections 0.3% 2.5% Better
ADL decline (daily activities) 13.1% 14.0% Average
Excessive weight loss 5.4% 7.5% Better
New/worsened incontinence 23.3% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $41,688

How This Grade Was Calculated

This facility's grade of F is based on a score of 35 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -4 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
111
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Dec 4, 2024
Deficiencies (Cycle 1)
14