COMPLETE CARE AT PROSPECT HEIGHTS LLC

336 PROSPECT AVE, HACKENSACK, NJ 07601 · CCN 315460 · 196 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections1 of 5CMS staffing2 of 5CMS quality5 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

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Serious inspection findings

2024-04-16 — ACTUAL HARM (tag F0657, severity G)

Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2024-04-16 — ACTUAL HARM (tag F0697, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

2024-02-15 — IMMEDIATE JEOPARDY (tag F0689, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Staffing, from payroll records

Nursing hours / resident / day

2.68

state median 3.29

Weekend staffing gap

−6%

fewer nursing hours on weekends · state median −5%

RN hours / resident / day

0.50

registered nurses only

Contract (agency) staff

share of all nursing hours

Nursing staff turnover

46%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

6 enforcement action(s), totaling $59,312 in fines.

Date	Type	Amount
2024-04-16	Fine	$25,300
2024-02-20	Fine	$3,798
2024-02-15	Fine	$15,646
2024-02-12	Fine	$3,418
2024-01-22	Fine	$7,976
2023-12-18	Fine	$3,174

Ownership

Ownership type: For profit - Limited Liability company. Part of the COMPLETE CARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

COMPLETE CARE AT MIDDLEBURY (MIDDLEBURY, CT) — CMS overall5 of 5
COMPLETE CARE AT FOX HILL (VERNON, CT) — CMS overall2 of 5
COMPLETE CARE AT MERIDEN (MERIDEN, CT) — CMS overall4 of 5
COMPLETE CARE AT KIMBERLY HALL-SOUTH (WINDSOR, CT) — CMS overall4 of 5
COMPLETE CARE AT GLENDALE (NAUGATUCK, CT) — CMS overall4 of 5
COMPLETE CARE AT HARRINGTON COURT (COLCHESTER, CT) — CMS overall2 of 5
COMPLETE CARE AT GROTON REGENCY (GROTON, CT) — CMS overall5 of 5
COMPLETE CARE AT KIMBERLY HALL NORTH (WINDSOR, CT) — CMS overall1 of 5

Full citation history

By severity: No harm, potential for minimal harm: 1 · Actual harm: 2 · Potential for more than minimal harm: 29 · Immediate jeopardy: 1

Survey date	Tag	Category	Severity	Corrected
2026-01-29	F0584	Resident Rights Deficiencies	E	not recorded
2026-01-29	F0605	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2026-01-29	F0640	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-01-29	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-01-29	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-01-29	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-01-29	F0684	Quality of Life and Care Deficiencies	D	not recorded
2026-01-29	F0686	Quality of Life and Care Deficiencies	D	not recorded
2026-01-29	F0693	Quality of Life and Care Deficiencies	D	not recorded
2026-01-29	F0698	Quality of Life and Care Deficiencies	D	not recorded
2026-01-29	F0725	Nursing and Physician Services Deficiencies	D	not recorded
2026-01-29	F0732	Nursing and Physician Services Deficiencies	D	not recorded
2026-01-29	F0756	Pharmacy Service Deficiencies	D	not recorded
2026-01-29	F0757	Pharmacy Service Deficiencies	D	not recorded
2026-01-29	F0761	Pharmacy Service Deficiencies	D	not recorded
2026-01-29	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2026-01-29	F0838	Administration Deficiencies	F	not recorded
2026-01-29	F0880	Infection Control Deficiencies	E	not recorded
2026-01-29	F0908	Environmental Deficiencies	D	not recorded
2025-03-05	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-02-11	F0880	Infection Control Deficiencies	D	not recorded
2024-09-27	F0695	Quality of Life and Care Deficiencies	D	not recorded
2024-09-27	F0732	Nursing and Physician Services Deficiencies	C	not recorded
2024-09-27	F0880	Infection Control Deficiencies	E	not recorded
2024-04-16	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-04-16	F0657	Resident Assessment and Care Planning Deficiencies	G	not recorded
2024-04-16	F0676	Quality of Life and Care Deficiencies	D	not recorded
2024-04-16	F0697	Quality of Life and Care Deficiencies	G	not recorded
2024-04-16	F0725	Nursing and Physician Services Deficiencies	D	not recorded
2024-02-15	F0689	Quality of Life and Care Deficiencies	J	not recorded
2022-10-03	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2022-10-03	F0695	Quality of Life and Care Deficiencies	D	not recorded
2022-10-03	F0880	Infection Control Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “COMPLETE CARE AT PROSPECT HEIGHTS LLC, HACKENSACK” at medicare.gov/care-compare.