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 9 of 9 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).

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of October 30, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 13, 2020).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of October 30, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 13, 2020).

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.