B
76/100

COMPLETE CARE AT CLARK LLC Inspection Report, Violations & Safety Grade (CLARK, New Jersey)

1213 WESTFIELD AVENUE, CLARK, New Jersey 07066

Phone: 7323967100

CMS Overall:4/5

Overview & Bed Count

Certified Beds
140
Avg Residents/Day
130.2
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Union
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health4/5
Staffing1/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityNew Jersey AvgDifference
RN Hours per Resident per Day0.310.70-0.39
Total Nurse Hours per Resident per Day3.583.90-0.32
CMS Staffing Rating1/53.2/5-
Nursing Staff Turnover44.8%39.3%-

Health Citation History

15 health citations on record

DateCategoryDescriptionSeverity
2025-11-18Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2025-05-15Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.E – Moderate Harm Potential
2025-05-15Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E – Moderate Harm Potential
2025-05-15Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.D – Moderate Harm Potential
2023-11-06Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.G – Actual Harm
2023-11-06Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.E – Moderate Harm Potential
2023-11-06Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.E – Moderate Harm Potential
2023-11-06Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E – Moderate Harm Potential
2023-11-06Resident Assessment and Care Planning DeficienciesAssess the resident when there is a significant change in conditionD – Moderate Harm Potential
2023-11-06Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.D – Moderate Harm Potential
2023-11-06Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2023-11-06Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential
2022-01-05Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2022-01-05Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2022-01-05Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential

Fire Safety Citation History

19 fire safety citations on record

DateCategoryDescriptionSeverity
2025-05-15Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.F – Moderate Harm Potential
2025-05-15Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.F – Moderate Harm Potential
2025-05-15Egress DeficienciesProvide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.F – Moderate Harm Potential
2025-05-15Egress DeficienciesHave properly located and lighted "Exit" signs.F – Moderate Harm Potential
2025-05-15Smoke DeficienciesInstall a fire alarm system that can be heard throughout the facility.F – Moderate Harm Potential
2025-05-15Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2025-05-15Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2025-05-15Smoke DeficienciesInstall corridor and hallway doors that block smoke.F – Moderate Harm Potential
2025-05-15Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.F – Moderate Harm Potential
2025-05-15Services DeficienciesHave elevators that firefighters can control in the event of a fire.F – Moderate Harm Potential
2025-05-15Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the installation and maintenance of electrical systems.F – Moderate Harm Potential
2025-05-15Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2023-11-06Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2023-11-06Gas, Vacuum, and Electrical Systems DeficienciesEnsure gas and vacuum systems are inspected and tested as part of a maintenance program.F – Moderate Harm Potential
2023-11-06Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2023-11-06Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.F – Moderate Harm Potential
2023-11-06Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2022-01-05Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.D – Moderate Harm Potential
2022-01-05Smoke DeficienciesInstall an approved automatic sprinkler system.D – Moderate Harm Potential

Total Penalties & Fines

$25,753
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2023-11-06Fine$25,753-

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