Deficiency timeline
COMPLETE CARE AT INGLEMOOR, LLC
Dated inspection findings, penalties, and correction notes for this nursing home in Englewood, NJ. Newest events first.
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0580: Resident Rights
Resident rights
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Dec 8, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0692: Quality of Life and Care
Quality of life & care
Provide enough food/fluids to maintain a resident's health.
Corrected Dec 17, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0842: Resident Assessment and Care Planning
Assessment & care planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Dec 17, 2025
- Class IIIPotential for more than minimal harm (F)cms
F0812: Nutrition and Dietary
Nutrition & dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Apr 11, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0658: Resident Assessment and Care Planning
Assessment & care planning
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected Apr 11, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0711: Nursing and Physician Services
Nursing & physician services
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected Apr 11, 2025
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0842: Resident Assessment and Care Planning
Assessment & care planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Apr 11, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0558: Resident Rights
Resident rights
Reasonably accommodate the needs and preferences of each resident.
Corrected Apr 11, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0578: Resident Rights
Resident rights
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.
Corrected Apr 11, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0610: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Respond appropriately to all alleged violations.
Corrected Apr 2, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0623: Resident Rights
Resident rights
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected Apr 11, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0641: Resident Assessment and Care Planning
Assessment & care planning
Ensure each resident receives an accurate assessment.
Corrected Apr 11, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0661: Resident Assessment and Care Planning
Assessment & care planning
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected Apr 11, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0684: Quality of Life and Care
Quality of life & care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Apr 11, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0692: Quality of Life and Care
Quality of life & care
Provide enough food/fluids to maintain a resident's health.
Corrected Apr 11, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0695: Quality of Life and Care
Quality of life & care
Provide safe and appropriate respiratory care for a resident when needed.
Corrected Apr 11, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0761: Pharmacy Service
Pharmacy services
Ensure 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.
Corrected Apr 11, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0883: Infection Control
Infection control
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected Apr 11, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0887: Infection Control
Infection control
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected Apr 11, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0603: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Corrected Dec 4, 2024
- Class IIIPotential for more than minimal harm (F)cms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Mar 15, 2023
- Class IIIPotential for more than minimal harm (E)cms
F0656: Resident Assessment and Care Planning
Assessment & care planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Mar 15, 2023
- Class IIIPotential for more than minimal harm (E)cms
F0756: Pharmacy Service
Pharmacy services
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected Mar 15, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0812: Nutrition and Dietary
Nutrition & dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Mar 15, 2023
- Class IIIPotential for more than minimal harm (E)cms
F0758: Pharmacy Service
Pharmacy services
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected Mar 15, 2023
- Class IIIPotential for more than minimal harm (E)cms
F0886: Infection Control
Infection control
Perform COVID19 testing on residents and staff.
Corrected Mar 15, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0726: Nursing and Physician Services
Nursing & physician services
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected Mar 15, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0732: Nursing and Physician Services
Nursing & physician services
Post nurse staffing information every day.
Corrected Mar 15, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0755: Pharmacy Service
Pharmacy services
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Mar 15, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0759: Pharmacy Service
Pharmacy services
Ensure medication error rates are not 5 percent or greater.
Corrected Mar 15, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0814: Nutrition and Dietary
Nutrition & dietary
Dispose of garbage and refuse properly.
Corrected Mar 15, 2023
- Class IIIPotential for more than minimal harm (F)cms
F0801: Nutrition and Dietary
Nutrition & dietary
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected Jun 11, 2021
- Class IIIPotential for more than minimal harm (F)cms
F0812: Nutrition and Dietary
Nutrition & dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Jun 11, 2021
- Class IIIPotential for more than minimal harm (E)cms
F0756: Pharmacy Service
Pharmacy services
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected Jun 11, 2021
- Class IIIPotential for more than minimal harm (E)cms
F0803: Nutrition and Dietary
Nutrition & dietary
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected Jun 11, 2021
- Class IIIPotential for more than minimal harm (E)cms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Jul 27, 2021
- Class IIIPotential for more than minimal harm (E)cms
F0881: Infection Control
Infection control
Implement a program that monitors antibiotic use.
Corrected Jun 11, 2021
- Class IIIPotential for more than minimal harm (D)cms
F0658: Resident Assessment and Care Planning
Assessment & care planning
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected Jun 11, 2021
- Class IIIPotential for more than minimal harm (D)cms
F0761: Pharmacy Service
Pharmacy services
Ensure 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.
Corrected Jun 11, 2021
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AHCA class rollups without individual citation dates appear as a single summary row. CMS nursing home deficiencies include survey date, tag, category, scope/severity, and fine amounts when published. Back to community profile