Nursing homeActive
Complete Care At Inglemoor, LLC
333 Grand Ave, Englewood, NJ 07631201568090062 certified beds · 59 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
5
since 2021
Deficiencies
39
● 0● 39● 0
Penalties · 3 yrs
—
none on file
Last survey
2025-11-07
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 3
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · New Jersey Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-11-07 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2025-03-13 | Standard | 0160 | CMS-2567 (Care Compare) | — |
| 2024-12-03 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-01-26 | Standard | 0110 | CMS-2567 (Care Compare) | — |
| 2021-05-05 | Standard | 080 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · New Jersey Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-08Record 315349-20251107-F580
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-17Record 315349-20251107-F692
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-17Record 315349-20251107-F842
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-11Record 315349-20250313-F558
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-11Record 315349-20250313-F578
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-02Record 315349-20250313-F610
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-11Record 315349-20250313-F623
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-11Record 315349-20250313-F641
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-11Record 315349-20250313-F658
F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-11Record 315349-20250313-F661
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-11Record 315349-20250313-F684
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-11Record 315349-20250313-F692
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-11Record 315349-20250313-F695
F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-11Record 315349-20250313-F711
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-11Record 315349-20250313-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-04-11Record 315349-20250313-F812
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-11Record 315349-20250313-F842
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-11Record 315349-20250313-F883
F887Educate 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.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-11Record 315349-20250313-F887
F603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-04Record 315349-20241203-F603
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-03-15Record 315349-20230126-F656
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-15Record 315349-20230126-F726
F732Post nurse staffing information every day.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-15Record 315349-20230126-F732
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-15Record 315349-20230126-F755
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-03-15Record 315349-20230126-F756
F758Implement 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-03-15Record 315349-20230126-F758
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-15Record 315349-20230126-F759
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-15Record 315349-20230126-F812
F814Dispose of garbage and refuse properly.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-15Record 315349-20230126-F814
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-03-15Record 315349-20230126-F880
F886Perform COVID19 testing on residents and staff.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-03-15Record 315349-20230126-F886
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-06-11Record 315349-20210505-F658
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2021-06-11Record 315349-20210505-F756
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-06-11Record 315349-20210505-F761
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2021-06-11Record 315349-20210505-F801
F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2021-06-11Record 315349-20210505-F803
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2021-06-11Record 315349-20210505-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2021-07-27Record 315349-20210505-F880
F881Implement a program that monitors antibiotic use.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2021-06-11Record 315349-20210505-F881
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.64
Facility
New Jersey
National
New Jersey 0.68 · National 0.69
Total nurse hours per resident day3.59
Facility
New Jersey
National
New Jersey 3.85 · National 3.86
Weekend total nurse hours3.42
Facility
New Jersey
National
New Jersey 3.50 · National 3.42
Total nursing staff turnover39%
Facility
New Jersey
National
New Jersey 40% · National 46%
Registered nurse turnover44%
Facility
New Jersey
National
New Jersey 38% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | New Jersey | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 5.9% | 5.4% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 4.5% | 2.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 17.8% | 12.7% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.5% | 0.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 16.5% | 8.7% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 13.7% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 9.6% | 18.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| PC Nj1 Opcos LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| PC Wta Opco Holdco LLC Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Sms 2021 Trust Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Gross, Harvey Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Schwartz, Hershel Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Singer, Ian Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Zackai, Raanan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Aurora Guardian Holdco II Co-Borrower, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Aurora Guardian Holdco II Mezz Borrower, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Aurora Guardian Holdco II, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Aurora Guardian II Realty, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Aurora Guardian Partners II LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fiegle, Margaret Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gross, Harvey Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Inglemoor Center Realty, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| J & R Family Investments, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| L Friedman 2018 Family Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| L Friedman Family Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Landau Family Investment Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| M Friedman 2018 Family Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| PC Wta Acquisition LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| PC Wta Multi-State LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Peace Capital Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| R&J Family Investments LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Singer, Ian Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sms 2021 Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Stein, Shalom Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Stein, Shalom Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Stein, Shalom Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Stein, Shalom Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Welltower Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Welltower Inc Organization | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE | — | — |
Part of a chain
Complete Care — 85 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or New Jersey.
No county cost figures on file for Bergen.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Family Of Caring At Teaneck LLC Teaneck | 1.5 mi | 2025-12-02 | 0100 |
| Actors Fund Home Englewood | 2.0 mi | 2025-07-24 | 2100 |
| CareOne At Teaneck Teaneck | 1.8 mi | 2025-07-31 | 1150 |
| Family Of Caring Healthcare At Tenafly, LLC Tenafly | 3.3 mi | 2026-03-10 | 0180 |
| Fort Tryon Center for Rehabilitation and Nursing New York | 2.8 mi | 2025-12-18 | 060 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |