D

COMPLETE CARE AT MILFORD MANOR LLC

69 MAPLE ROAD, WEST MILFORD, NJ 07480
Score: 41 / 100

CMS data shows Complete Care At Milford Manor Llc earning a D grade with a score of 41/100, placing it below most facilities in New Jersey. Prospective residents and families should carefully review the specific areas of concern detailed below.

Staffing at Complete Care At Milford Manor Llc is near the national average, with 3.45 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 26 deficiencies at Complete Care At Milford Manor Llc. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.45 3.8 Average
Registered Nurses (RN) 0.53 0.7 Below Average
Licensed Practical Nurses (LPN) 0.77 0.7 Above Average
Certified Nursing Assistants (CNA) 2.15 2.4 Below Average
Weekend Total Nursing 2.84 3.8 Below Average
Weekend RN Hours 0.27 0.7 Below Average

🔍 Inspection & Deficiency History

26
Total Deficiencies
Jun 24, 2025
Most Recent Inspection
🟠 26 Moderate
View recent deficiencies (5 shown)
  • Tag 0684 Severity D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Jun 24, 2025 · Quality of Life and Care Deficiencies
  • Tag 0697 Severity G
    Provide safe, appropriate pain management for a resident who requires such services.
    Mar 6, 2025 · Quality of Life and Care Deficiencies
  • Tag 0803 Severity E
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the nee
    Mar 6, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0883 Severity E
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    Mar 6, 2025 · Infection Control Deficiencies
  • Tag 0945 Severity E
    Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the
    Mar 6, 2025 · Infection Control 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 6.2% 4.5% Worse
Falls with major injury 3.2% 3.0% Average
On antipsychotic medication 16.2% 14.5% Worse
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 15.2% 14.0% Average
Excessive weight loss 3.9% 7.5% Better
New/worsened incontinence 19.4% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $3,595

How This Grade Was Calculated

This facility's grade of D is based on a score of 41 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -0 pts

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

Facility Details

Ownership
For profit - Corporation
Certified Beds
120
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Mar 6, 2025
Deficiencies (Cycle 1)
14