All citations for Complete Care at West Caldwell LLC

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Complete Care at West Caldwell LLC

Last standard health inspection on record

March 21, 2025

Showing 1 to 7 of 7 citations

  1. No harm, with potential for more than minimal harm

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Widespread (many residents). CMS level F.

    Health citation F-0835, Administration Deficiencies. Inspection of March 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2025).

  2. No harm, with potential for more than minimal harm

    Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

    Widespread (many residents). CMS level F.

    Health citation F-0837, Administration Deficiencies. Inspection of March 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2025).

  3. No harm, with potential for more than minimal harm

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of March 21, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 10, 2025).

  4. No harm, with potential for more than minimal harm

    Respond appropriately to all alleged violations.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 26, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 18, 2025).

  5. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of March 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2025).

  6. No harm, with potential for more than minimal harm

    Provide safe, appropriate pain management for a resident who requires such services.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of March 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2025).

  7. No harm, with potential for more than minimal harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of March 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.