F

COMPLETE CARE AT PROSPECT HEIGHTS LLC

336 PROSPECT AVE, HACKENSACK, NJ 07601
Score: 19 / 100

With a score of 19/100, Complete Care At Prospect Heights 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 3.34 total nurse hours per resident per day, Complete Care At Prospect Heights 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 18 deficiencies at Complete Care At Prospect Heights Llc, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for d.

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 3.34 3.8 Below Average
Registered Nurses (RN) 0.82 0.7 Above Average
Licensed Practical Nurses (LPN) 1.08 0.7 Above Average
Certified Nursing Assistants (CNA) 1.44 2.4 Below Average
Weekend Total Nursing 2.68 3.8 Below Average
Weekend RN Hours 0.49 0.7 Below Average

🔍 Inspection & Deficiency History

18
Total Deficiencies
Jan 28, 2026
Most Recent Inspection
⚪ 1 Minor 🟠 15 Moderate 🔴 2 Serious
View recent deficiencies (5 shown)
  • Tag 0584 Severity E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for d
    Jan 28, 2026 · Resident Rights Deficiencies
  • Tag 0725 Severity D
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    Jan 28, 2026 · Nursing and Physician Services Deficiencies
  • Tag 0658 Severity D
    Ensure services provided by the nursing facility meet professional standards of quality.
    Mar 4, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0880 Severity D
    Provide and implement an infection prevention and control program.
    Feb 10, 2025 · Infection Control Deficiencies
  • Tag 0880 Severity K
    Provide and implement an infection prevention and control program.
    Sep 26, 2024 · 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 11.3% 4.5% Worse
Falls with major injury 0.4% 3.0% Better
On antipsychotic medication 6.8% 14.5% Better
Urinary tract infections 0.4% 2.5% Better
ADL decline (daily activities) 17.8% 14.0% Worse
Excessive weight loss 2.7% 7.5% Better
New/worsened incontinence 24.7% 45.0% Better

⚠️ Penalties & Fines

7 penalties recorded by CMS

Total fines: $118,483

How This Grade Was Calculated

This facility's grade of F is based on a score of 19 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: -15 pts
  • Fine deductions: -10 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
196
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Sep 26, 2024
Deficiencies (Cycle 1)
6