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C
Below Standard

COMPLETE CARE AT WEST CALDWELL LLC

165 FAIRFIELD AVE · WEST CALDWELL, NJ 07006

9732261100 · For profit - Limited Liability company

180 beds137.5 residents277 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

COMPLETE CARE AT WEST CALDWELL LLC receives an overall staffing grade of C (Below Standard). With 3.5393 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.532 HPRD, below the recommended 0.75. It is 0.36 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 16.07% compared to weekdays. The facility relies heavily on temporary agency staff (22.52% of hours), suggesting potential workforce instability.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

⚠️RN staffing (0.532 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️22.52% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.5393hrs/resident/day▼ 0.36
CMS benchmark: 3.48
RN HPRD
0.532hrs/resident/day▼ 0.15
Recommended: 0.75
Weekend Drop-off
16.07%
3.7077 weekday → 3.1117 weekend
Agency Staff
22.52%
0% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.2022hrs/resident/day
Direct care aides
LPN HPRD
0.805hrs/resident/day
Licensed practical nurses
Consistency
0.4208std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Essex County Average-0.26 HPRD
3.80
03.54 HPRD
vs. New Jersey State Average-0.33 HPRD
3.87
03.54 HPRD
vs. National Average-0.36 HPRD
3.90
03.54 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
COMPLETE CARE AT WEST CALDWELL LLC ★
WEST CALDWELL · This facility
—
C
3.53930.532★★★★☆
ARBOR GLEN CENTER
CEDAR GROVE
2.8 mi
C
3.3280.8497★☆☆☆☆
CANTERBURY AT CEDAR GROVE
CEDAR GROVE
3.1 mi
C
3.3990.5593★☆☆☆☆
COMPLETE CARE AT ST VINCENTS LLC
CEDAR GROVE
3.3 mi
C
3.3850.5485★★★★★
COMPLETE CARE AT CEDAR GROVE
CEDAR GROVE
3.6 mi
C
3.58720.4209★★★★☆
LINCOLN PARK CARE CENTER
LINCOLN PARK
4.1 mi
C
3.41110.4373★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
10
Total Deficiencies
$0
Fines Assessed
Nov 26, 2025Health
1 deficiency cited
▼
Mar 21, 2025Health
6 deficiencies cited
▼
Mar 30, 2023Health
1 deficiency cited
▼
Oct 30, 2020Health
2 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.