B

COMPLETE CARE AT WEST CALDWELL LLC

165 FAIRFIELD AVE, WEST CALDWELL, NJ 07006
Score: 70 / 100

With a score of 70/100 and a B grade, Complete Care At West Caldwell Llc is a well-regarded option in West Caldwell, New Jersey. The facility performs above average in most CMS categories, placing it in the 60th percentile statewide.

Staffing at Complete Care At West Caldwell Llc is near the national average, with 3.53 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 10 deficiencies at Complete Care At West Caldwell Llc. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 32 / 40 pts
4 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ 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 3.53 3.8 Average
Registered Nurses (RN) 0.53 0.7 Below Average
Licensed Practical Nurses (LPN) 0.80 0.7 Above Average
Certified Nursing Assistants (CNA) 2.20 2.4 Average
Weekend Total Nursing 3.11 3.8 Below Average
Weekend RN Hours 0.30 0.7 Below Average

🔍 Inspection & Deficiency History

10
Total Deficiencies
Nov 25, 2025
Most Recent Inspection
🟠 10 Moderate
View recent deficiencies (5 shown)
  • Tag 0610 Severity D
    Respond appropriately to all alleged violations.
    Nov 25, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0835 Severity F
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    Mar 20, 2025 · Administration Deficiencies
  • Tag 0837 Severity F
    Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints
    Mar 20, 2025 · Administration Deficiencies
  • Tag 0698 Severity E
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    Mar 20, 2025 · Quality of Life and Care Deficiencies
  • Tag 0641 Severity D
    Ensure each resident receives an accurate assessment.
    Mar 20, 2025 · Resident Assessment and Care Planning 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 4.9% 4.5% Average
Falls with major injury 1.4% 3.0% Better
On antipsychotic medication 15.4% 14.5% Average
Urinary tract infections 0.2% 2.5% Better
ADL decline (daily activities) 4.3% 14.0% Better
Excessive weight loss 2.2% 7.5% Better
New/worsened incontinence 18.2% 45.0% Better

How This Grade Was Calculated

This facility's grade of B is based on a score of 70 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 4★ → 32 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)

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
180
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Mar 20, 2025
Deficiencies (Cycle 1)
7