| Complete Care at Westfield, LLC | |
| 1515 Lamberts Mill Road, Westfield, New Jersey 07090 | |
| (908) 233-9700 | |
| Name | Complete Care at Westfield, LLC |
|---|---|
| Location | 1515 Lamberts Mill Road, Westfield, New Jersey |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 227 |
| Occupancy Rate | 85.46% |
| Medicare ID (CCN) | 315122 |
| Legal Business Name | Complete Care at Westfield LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Complete Care (85 nursing homes) |
| Chain Average Overall Rating | 3.1 out of 5 |
| NPI Number | 1356923288 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Complete Care at Westfield LLC |
| Address | 1515 Lamberts Mill Rd, Westfield, NJ 07090 |
| Phone Number | 908-233-9700 |
| NPI Number | 1851337323 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Meridian Healthcare, Inc. |
| Doing Business As | Westfield Center |
| Address | 1515 Lamberts Mill Rd, Westfield, NJ 07090 |
| Phone Number | 908-233-9700 |
| NPI Number | 1518133578 |
| Match | Possible same name, address or phone number |
| Organization Name | Meridian Healthcare Inc |
| Doing Business As | Westfield Center |
| Address | 1515 Lamberts Mill Rd, Westfield, NJ 07090 |
| Phone Number | 908-233-9700 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.36 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.39 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.91 | 0.86 |
| Nurse aide hours per resident per day | 2.06 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.15 | 3.42 |
| RN hours per resident per day on the weekend | 0.25 | 0.48 |
| Physical therapist hours per resident per day | 0.07 | 0.07 |
| Total nursing staff turnover | 45.9% | 45.8% |
| Registered nurse turnover | 26.3% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Mar 10, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Mar 28, 2025 |
| Mar 10, 2025 | Provide 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. F0688, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 21, 2025 |
| Mar 10, 2025 | Provide safe, appropriate pain management for a resident who requires such services. F0697, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 21, 2025 |
| Mar 10, 2025 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804, Nutrition and Dietary, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Mar 28, 2025 |
| Mar 10, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Mar 21, 2025 |
| Jan 24, 2025 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Complaint inspection | Potential for harm, pattern | Corrected by Feb 7, 2025 |
| Jan 24, 2025 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. F0559, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Feb 7, 2025 |
| Jan 24, 2025 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Feb 7, 2025 |
| Jan 24, 2025 | Provide safe, appropriate pain management for a resident who requires such services. F0697, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Feb 7, 2025 |
| Jan 24, 2025 | 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, Complaint inspection | Potential for harm, isolated | Corrected by Feb 7, 2025 |
| Feb 13, 2023 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Immediate jeopardy, isolated | Corrected by Feb 15, 2023 |
| Feb 13, 2023 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Feb 17, 2023 |
| Feb 13, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Mar 15, 2023 |
| Feb 13, 2023 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Feb 17, 2023 |
| Feb 13, 2023 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 17, 2023 |
| Feb 13, 2023 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Feb 17, 2023 |
| May 6, 2021 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by May 21, 2021 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 2.31 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 2.29 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 10.06 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.33 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.41 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.36 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 2.16 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.63 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.62 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 4.48 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 2.1 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 21.14 | 15.38 |