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COMPLETE CARE AT ORANGE PARK Inspection Report, Violations & Safety Grade (EAST ORANGE, New Jersey)

140 PARK AVE, EAST ORANGE, New Jersey 07017

Phone: 9736771500

CMS Overall:3/5

Overview & Bed Count

Certified Beds
215
Avg Residents/Day
203.7
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Essex
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall3/5
Health3/5
Staffing3/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityNew Jersey AvgDifference
RN Hours per Resident per Day0.380.70-0.32
Total Nurse Hours per Resident per Day3.213.90-0.70
CMS Staffing Rating3/53.2/5-
Nursing Staff Turnover18.1%39.3%-

Health Citation History

24 health citations on record

DateCategoryDescriptionSeverity
2025-09-24Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2025-09-24Nursing and Physician Services DeficienciesEnsure that the resident and his/her doctor meet face-to-face at all required visits.E – Moderate Harm Potential
2025-09-24Environmental DeficienciesMake sure that a working call system is available in each resident's bathroom and bathing area.E – Moderate Harm Potential
2025-09-24Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D – Moderate Harm Potential
2025-09-24Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.D – Moderate Harm Potential
2025-07-15Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2024-05-09Nursing and Physician Services DeficienciesEnsure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.E – Moderate Harm Potential
2024-05-09Nursing and Physician Services DeficienciesEnsure that the resident and his/her doctor meet face-to-face at all required visits.E – Moderate Harm Potential
2024-05-09Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.D – Moderate Harm Potential
2024-05-09Resident 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
2024-05-09Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2024-05-09Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2024-05-09Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.D – Moderate Harm Potential
2024-05-09Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D – Moderate Harm Potential
2024-05-09Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2022-02-09Nursing and Physician Services DeficienciesEnsure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.F – Moderate Harm Potential
2022-02-09Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E – Moderate Harm Potential
2022-02-09Environmental DeficienciesKeep all essential equipment working safely.E – Moderate Harm Potential
2022-02-09Environmental DeficienciesPut firmly secured handrails on each side of hallways.E – Moderate Harm Potential
2022-02-09Resident Rights DeficienciesEnsure that residents are fully informed and understand their health status, care and treatments.D – Moderate Harm Potential
2022-02-09Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2022-02-09Pharmacy 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
2022-02-09Administration DeficienciesEnsure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.D – Moderate Harm Potential
2022-02-09Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential

Fire Safety Citation History

22 fire safety citations on record

DateCategoryDescriptionSeverity
2025-09-24Egress 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
2025-09-24Egress 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
2025-09-24Smoke DeficienciesHave a complete alarm system manually initiated and initiated by fire sprinkler system connection.F – Moderate Harm Potential
2025-09-24Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2025-09-24Smoke DeficienciesInstall corridor and hallway doors that block smoke.F – Moderate Harm Potential
2025-09-24Services DeficienciesHave elevators that firefighters can control in the event of a fire.F – Moderate Harm Potential
2025-09-24Gas, Vacuum, and Electrical Systems DeficienciesEnsure gas and vacuum systems are inspected and tested as part of a maintenance program.F – Moderate Harm Potential
2025-09-24Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.D – Moderate Harm Potential
2024-05-09Smoke DeficienciesHave an enclosure around a vertical opening shaft.F – Moderate Harm Potential
2024-05-09Services DeficienciesInstall properly constructed and protected linen or trash chutes.F – Moderate Harm Potential
2022-02-09Egress DeficienciesProvide at least two remote exits on each floor or fire section of the building.F – Moderate Harm Potential
2022-02-09Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2022-02-09Services DeficienciesHave elevators that firefighters can control in the event of a fire.F – Moderate Harm Potential
2022-02-09Egress DeficienciesInstall proper backup exit lighting.D – Moderate Harm Potential
2022-02-09Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.D – Moderate Harm Potential
2022-02-09Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2022-02-09Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.D – Moderate Harm Potential
2022-02-09Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2022-02-09Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.D – Moderate Harm Potential
2022-02-09Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.D – Moderate Harm Potential
2022-02-09Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the installation and maintenance of electrical systems.D – Moderate Harm Potential
2022-02-09Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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