Complete Care at Chestnut Hill LLC

Nursing Home · Passaic, NJ

CMS overall rating 1/5 For profit - Limited Liability company

CMS certification number315085

Contact & location

360 Chestnut Street
Passaic, NJ 07055
Passaic County
Phone
(973) 777-7800
ZIP code
07055 – all care providers

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Facility details

Certified beds
111
Residents per day
106.5 (96% occupied)
Ownership
For profit - Limited Liability company
Chain
Complete Care (85 facilities, avg 3.1★)
Medicare certified since
April 1, 1968
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.3
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 3.0
Quality measures★★★★★ 4/5
State avg 4.4
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.23 (state 3.85 · U.S. 3.86)
Registered nurses (RN)
0.38 (state 0.68 · U.S. 0.69)
Licensed practical nurses
0.91 (state 0.93 · U.S. 0.86)
Nurse aides
1.94 (state 2.23 · U.S. 2.32)
Weekend total
2.78 (state 3.50 · U.S. 3.42)
Nursing staff turnover
41.8 (state 39.7 · U.S. 45.8)%
RN turnover
50.0 (state 37.7 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
December 5, 2024
Health deficiencies (last cycle)
14.0 (state 8.8 · U.S. 9.3)
From complaints
3
Citations on record (3 years)
27 health · 11 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2024-12-05 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
F0578 · Resident Rights Deficiencies
K
Immediate jeopardy to resident health or safety
Corrected 2024-12-06
2024-12-05 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F0835 · Administration Deficiencies
K
Immediate jeopardy to resident health or safety
Corrected 2024-12-06
2024-12-05 Have a plan that describes the process for conducting QAPI and QAA activities.
F0865 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-12-27
2024-12-05 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-12-27
2024-12-05 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-12-27
2024-12-05 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-27
2024-12-05 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-27
2024-12-05 Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
F0568 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-27
2024-12-05 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-27
2024-12-05 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-27
2024-12-05 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-27
2024-12-05 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-27
2024-12-05 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-27
2024-12-05 Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
F0700 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-27
2022-08-18 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies
G
Actual harm
Corrected 2022-09-30
2022-08-18 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
F0578 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-09-30
2022-08-18 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-09-30
2022-08-18 Honor 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.
F0584 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-09-30
2022-08-18 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-09-30
2022-08-18 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-09-30
2022-08-18 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-09-30
2022-08-18 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-09-30
2022-08-18 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-09-30
2022-08-18 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-09-30
2022-08-18 Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
F0909 · Environmental Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-09-30
2020-02-11 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2020-02-21
2020-02-11 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2020-02-21

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $41,688 in fines.

DateTypeAmount
2024-12-05Fine$41,688

Ownership & management

NameRoleSince
Chestnut Hill Holdco LLC (organization)5%+ Direct Ownership Interest · 100%
Eef Capital LLC (organization)5%+ Indirect Ownership Interest
PC Chestnut Hill Holdco LLC (organization)5%+ Indirect Ownership Interest
Schlaff, Benny (individual)5%+ Indirect Ownership Interest
Schlaff, Nachum (individual)5%+ Indirect Ownership Interest
Stein, Shalom (individual)Corporate Officer · NOT APPLICABLE
Schwartz, Hershel (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Complete Care at Chestnut Hill LLC?

Complete Care at Chestnut Hill LLC has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.3-star average in New Jersey.

How many beds does Complete Care at Chestnut Hill LLC have?

It has 111 certified beds and cares for about 107 residents per day.

Has Complete Care at Chestnut Hill LLC been fined?

Yes. CMS lists 1 penalty totaling $41,688 in the last three years.

Who owns Complete Care at Chestnut Hill LLC?

It is part of Complete Care and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Complete Care at Chestnut Hill LLC?

(973) 777-7800. The facility is located at 360 Chestnut Street, Passaic, NJ 07055.

Other nursing homes in Passaic

Compare all nursing homes in Passaic, NJ →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.