For profit - Limited Liability company ·
111 certified beds ·
Medicare and Medicaid
· Part of Complete Care (85 facilities)
2
Overall CMS Rating
★★☆☆☆
Complete Care At Chestnut Hill Llc is a Medicare-certified nursing home in Passaic, New Jersey. CMS rates it 2 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.19 hours per resident per day, below the New Jersey average of 3.86. Its most recent inspection on Dec 5, 2024 cited 14 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight.
Special Focus Facility: SFF Candidate. CMS has identified this facility for enhanced oversight.
1 fine totaling $41,688 in CMS records.
1 total penalty
Not SLA EnrolledThis facility hasn't enrolled in resident survey verification. Learn about enrollment →
CMS Quality Ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars = highest quality.
Overall Rating
★★☆☆☆ 2/5
Health Inspections
★☆☆☆☆ 1/5
Staffing
★★☆☆☆ 2/5
Quality Measures
★★★★★ 5/5
Long-Stay QM
★★★★★ 5/5
Short-Stay QM
★★★☆☆ 3/5
How Complete Care At Chestnut Hill Llc compares
This facility vs. the New Jersey and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
Metric
This facility
New Jersey avg
National avg
Total nurse staffing (hrs/resident/day)
3.19
3.86
3.89
below avg
RN staffing (hrs/resident/day)
0.51
0.69
0.68
below avg
Aide staffing (hrs/resident/day)
1.90
2.23
2.34
below avg
Nursing staff turnover
54.5%
40.9%
46.4%
above avg
Deficiencies cited, last inspection
14.0
8.5
9.5
above avg
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
3.19
Total Nurse Hrs/Resident/Day
0.51
RN Hrs/Resident/Day
0.78
LPN Hrs/Resident/Day
1.90
Aide Hrs/Resident/Day
2.64
Weekend Nurse Hrs/Resident/Day
Staff Turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is ~60%.
Total Nursing Staff
54.5%
Registered Nurses
42.9%
Administrator Changes1 in last year
Recent Health Inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Dec 5, 2024
Most Recent Inspection Date
14
Total Deficiencies Found
402
Health Inspection Score
1
Number of Fines
What inspectors found at Complete Care At Chestnut Hill Llc
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
Immediate jeopardy
Administer the facility in a manner that enables it to use its resources effectively and efficiently.Administration Deficiencies · Dec 5, 2024
Immediate jeopardy
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.Resident Rights Deficiencies · Dec 5, 2024
Potential for harm
Have a plan that describes the process for conducting QAPI and QAA activities.Administration Deficiencies · Dec 5, 2024
Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.Quality of Life and Care Deficiencies · Dec 5, 2024
Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Resident Assessment and Care Planning Deficiencies · Dec 5, 2024
Potential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Quality of Life and Care Deficiencies · Dec 5, 2024
Potential for harm
Respond appropriately to all alleged violations.Freedom from Abuse, Neglect, and Exploitation Deficiencies · Dec 5, 2024
Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and Exploitation Deficiencies · Dec 5, 2024
Potential for harm
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.Quality of Life and Care Deficiencies · Dec 5, 2024
Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and Care Deficiencies · Dec 5, 2024
Potential for harm
PASARR screening for Mental disorders or Intellectual DisabilitiesResident Assessment and Care Planning Deficiencies · Dec 5, 2024
Potential for harm
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.Resident Rights Deficiencies · Dec 5, 2024
About This Facility
Address
360 Chestnut Street Passaic, NJ 07055
CMS Certification #
315085
Ownership
For profit - Limited Liability company
Certified Beds
111
Avg Residents/Day
104.4
Provider Type
Medicare and Medicaid
First Certified
1968-04-01
Chain
Complete Care (85 facilities)
Setting
Urban
Part of Complete Care
85
Facilities Nationwide
Complete Care operates 85 nursing facilities across the United States.
CMS gives Complete Care At Chestnut Hill Llc an overall rating of 2 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
Complete Care At Chestnut Hill Llc reports 3.19 total nurse hours per resident per day, compared with the New Jersey average of 3.86.
Its most recent CMS inspection cited 14 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
Complete Care At Chestnut Hill Llc is certified for 111 beds.
Admissions at Complete Care At Chestnut Hill Llc
For admissions, availability and rehab questions, call (973) 777-7800. If a parent is leaving the hospital, the hospital discharge planner can also check which nursing homes have a bed.
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