At a glance
Official CMS profileCMS overall rating
2 / 5
Certified beds
120
Residents / day
114.1
Ownership
For profit - Corporation
Facility information
- Certification
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- County
- Passaic
- Certified beds
- 120
- Average residents per day
- 114.1
- First certified
- June 1, 1989
CMS quality ratings
- Overall
- 2 / 5
- Health inspections
- 2 / 5
- Staffing
- 2 / 5
- Quality measures
- 4 / 5
These are CMS quality ratings, not customer reviews.
How this home compares locally
Other homes in Passaic, New Jersey. Missing values are excluded; this home is excluded from peer averages.
| Measure | This home | County peers | State peers |
|---|---|---|---|
| CMS overall rating / 5 | 2.00 | 3.44 (n=18) | 3.46 |
| Nurse hours / resident / day | 3.09 | 3.70 (n=18) | 3.91 (n=343) |
| Weekend nurse hours / resident / day | 2.34 | 3.30 (n=18) | 3.51 (n=343) |
| Nursing staff turnover (%) | 53.30 | 38.11 (n=17) | 39.30 (n=330) |
CMS overall rating / 5
- This home
- 2.00
- County peers
- 3.44
- n=18
- State peers
- 3.46
Nurse hours / resident / day
- This home
- 3.09
- County peers
- 3.70
- n=18
- State peers
- 3.91
- n=343
Weekend nurse hours / resident / day
- This home
- 2.34
- County peers
- 3.30
- n=18
- State peers
- 3.51
- n=343
Nursing staff turnover (%)
- This home
- 53.30
- County peers
- 38.11
- n=17
- State peers
- 39.30
- n=330
Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology
Questions for your visit
- Reported weekend staffing is 24.3% below the all-days average. How is weekend coverage maintained?
- What has changed since your latest health inspection?
- CMS reports 53.3% total nursing staff turnover. How do you retain staff and maintain continuity of care?
- Which services are included, what costs extra, and can you provide a written care and payment plan?
Published record coverage
- Hospital measures
- 4
- Fire safety citations
- 11
- Health citations
- 26
- Resident measures
- 17
- Ownership records
- 18
- Penalties
- 1
- SNF rehabilitation measures
- 57
- Inspection summaries
- 3
- Medicare performance records
- 1
Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.
Full CMS profile
Staffing & operations
Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.
- Reported Total Nurse Staffing Hours per Resident per Day
- 3.08655
- Reported RN Staffing Hours per Resident per Day
- 0.54949
- Reported LPN Staffing Hours per Resident per Day
- 0.68395
- Reported Nurse Aide Staffing Hours per Resident per Day
- 1.85311
- Total number of nurse staff hours per resident per day on the weekend
- 2.33788
- Registered Nurse hours per resident per day on the weekend
- 0.33662
- Reported Physical Therapist Staffing Hours per Resident Per Day
- 0.04620
- Total nursing staff turnover
- 53.3
- Registered Nurse turnover
- 50.0
- Number of administrators who have left the nursing home
- 1
- Chain Name
- COMPLETE CARE
- Number of Facilities in Chain
- 85
- Chain Average Overall 5-star Rating
- 3.3
- Special Focus Status
- Not reported
- Provider Changed Ownership in Last 12 Months
- N
- With a Resident and Family Council
- Resident
- Automatic Sprinkler Systems in All Required Areas
- Yes
All provider source fields
- State
- NJ
- Urban
- Y
- Chain ID
- 157
- Latitude
- 41.0652
- Location
- 69 MAPLE ROAD,WEST MILFORD,NJ,07480
- ZIP Code
- 07480
- City/Town
- WEST MILFORD
- Longitude
- -74.388
- QM Rating
- 4
- Abuse Icon
- N
- Chain Name
- COMPLETE CARE
- County/Parish
- Passaic
- Provider Name
- COMPLETE CARE AT MILFORD MANOR LLC
- Provider Type
- Medicare and Medicaid
- Overall Rating
- 2
- Ownership Type
- For profit - Corporation
- Number of Fines
- 1
- Processing Date
- 2026-10-01
- Staffing Rating
- 2
- Provider Address
- 69 MAPLE ROAD
- Telephone Number
- 9736975640
- Geocoding Footnote
- Not reported
- QM Rating Footnote
- Not reported
- Legal Business Name
- COMPLETE CARE AT MILFORD MANOR LLC
- Long-Stay QM Rating
- 5
- High Performing Icon
- N
- Short-Stay QM Rating
- 4
- Special Focus Status
- Not reported
- Nursing Case-Mix Index
- 1.40861
- Chain Average QM Rating
- 4.6
- Overall Rating Footnote
- Not reported
- Health Inspection Rating
- 2
- Number of Certified Beds
- 120
- Provider SSA County Code
- 320
- Staffing Rating Footnote
- Not reported
- Number of Payment Denials
- 0
- Registered Nurse turnover
- 50.0
- Total Number of Penalties
- 1
- Reported Staffing Footnote
- Not reported
- Long-Stay QM Rating Footnote
- Not reported
- Nursing Case-Mix Index Ratio
- 0.99884
- Provider Resides in Hospital
- N
- Total nursing staff turnover
- 53.3
- Chain Average Staffing Rating
- 2.4
- Number of Facilities in Chain
- 85
- Short-Stay QM Rating Footnote
- Not reported
- CMS Certification Number (CCN)
- 315276
- Administrator turnover footnote
- Not reported
- Total Amount of Fines in Dollars
- 3595.00
- Health Inspection Rating Footnote
- Not reported
- Rating Cycle 1 Total Health Score
- 88
- Registered Nurse turnover footnote
- Not reported
- Total Weighted Health Survey Score
- 79.000
- With a Resident and Family Council
- Resident
- Average Number of Residents per Day
- 114.1
- Chain Average Overall 5-star Rating
- 3.3
- Rating Cycle 1 Health Revisit Score
- 0
- Rating Cycle 2/3 Total Health Score
- 52
- Continuing Care Retirement Community
- N
- Physical Therapist Staffing Footnote
- Not reported
- Rating Cycle 2/3 Health Revisit Score
- 0
- Total nursing staff turnover footnote
- Not reported
- Chain Average Health Inspection Rating
- 2.7
- Rating Cycle 1 Health Deficiency Score
- 88
- Rating Cycle 1 Standard Survey Footnote
- Not reported
- Rating Cycle 2 Standard Survey Footnote
- Not reported
- Rating Cycle 1 Number of Health Revisits
- 1
- Rating Cycle 2/3 Health Deficiency Score
- 52
- Rating Cycle 1 Standard Survey Health Date
- 2025-03-07
- Rating Cycle 2 Standard Health Survey Date
- 2023-02-18
- Rating Cycle 2/3 Number of Health Revisits
- 1
- Average Number of Residents per Day Footnote
- Not reported
- Provider Changed Ownership in Last 12 Months
- N
- Adjusted RN Staffing Hours per Resident per Day
- 0.54581
- Case-Mix RN Staffing Hours per Resident per Day
- 0.69083
- Reported RN Staffing Hours per Resident per Day
- 0.54949
- Adjusted LPN Staffing Hours per Resident per Day
- 0.67937
- Case-Mix LPN Staffing Hours per Resident per Day
- 0.86086
- Reported LPN Staffing Hours per Resident per Day
- 0.68395
- Automatic Sprinkler Systems in All Required Areas
- Yes
- Rating Cycle 1 Total Number of Health Deficiencies
- 13
- Most Recent Health Inspection More Than 2 Years Ago
- N
- Rating Cycle 2/3 Total Number of Health Deficiencies
- 10
- Rating Cycle 1 Number of Standard Health Deficiencies
- 13
- Rating Cycle 2 Number of Standard Health Deficiencies
- 8
- Reported Licensed Staffing Hours per Resident per Day
- 1.23343
- Number of Citations from Infection Control Inspections
- 0
- Rating Cycle 1 Number of Complaint Health Deficiencies
- 0
- Adjusted Nurse Aide Staffing Hours per Resident per Day
- 1.84071
- Case-Mix Nurse Aide Staffing Hours per Resident per Day
- 2.34463
- Number of administrators who have left the nursing home
- 1
- Reported Nurse Aide Staffing Hours per Resident per Day
- 1.85311
- Adjusted Total Nurse Staffing Hours per Resident per Day
- 3.06589
- Case-Mix Total Nurse Staffing Hours per Resident per Day
- 3.89632
- Rating Cycle 2/3 Number of Complaint Health Deficiencies
- 2
- Reported Total Nurse Staffing Hours per Resident per Day
- 3.08655
- Registered Nurse hours per resident per day on the weekend
- 0.33662
- Date First Approved to Provide Medicare and Medicaid Services
- 1989-06-01
- Reported Physical Therapist Staffing Hours per Resident Per Day
- 0.04620
- Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
- 2.32223
- Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
- 3.42904
- Total number of nurse staff hours per resident per day on the weekend
- 2.33788
COMMUNITY EXPERIENCE
Reviews of COMPLETE CARE AT MILFORD MANOR LLC
Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.
No published community reviews yet.
Community reviews & discussions
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Third-party opinions are not verified CMS findings. Reviews have not been imported or combined into the CMS rating.
Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026