• CMS rates this facility 2/5 stars (below average)
• Has 62 certified beds with an average of 57.9 residents per day (93% occupancy)
• Last health inspection found 19 deficiencies (inspected Mar 13, 2025)
• No fines on record
• Total nursing staff: 3.36 hours per resident per day
• Staff turnover rate: 40.0%
• Part of the Complete Care chain (85 facilities)
Complete Care at Inglemoor, LLC is a 2-star Medicare and Medicaid certified nursing home in Englewood, New Jersey with 62 certified beds. It has been operating since 1996. The facility scored below average compared to New Jersey facilities.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Provide enough food/fluids to maintain a resident's health.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Reasonably accommodate the needs and preferences of each resident.
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Ensure each resident receives an accurate assessment.
Ensure services provided by the nursing facility meet professional standards of quality.
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide enough food/fluids to maintain a resident's health.
Provide safe and appropriate respiratory care for a resident when needed.
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Respond appropriately to all alleged violations.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Post nurse staffing information every day.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Ensure medication error rates are not 5 percent or greater.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Dispose of garbage and refuse properly.
Provide and implement an infection prevention and control program.
+ 9 more deficiencies
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| PC NJ1 OPCOS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Jul 1, 2021 |
| PC WTA OPCO HOLDCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Jul 1, 2021 |
| PEACE CAPITAL HOLDINGS LLC (DE) | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Jul 1, 2021 |
| SMS 2021 TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Jul 1, 2021 |
| GROSS, HARVEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jul 21, 2021 |
| SCHWARTZ, HERSHEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jul 30, 2021 |
| SINGER, IAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Mar 3, 2025 |
| ZACKAI, RAANAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jul 1, 2021 |
| STEIN, SHALOM | CORPORATE OFFICER | Individual | N/A | Jul 1, 2021 |
| WELLTOWER OP LLC | 5% OR GREATER SECURITY INTEREST | Organization | N/A | Jul 1, 2021 |
This chain operates 85 facilities. View all →