Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Complete Care At Hamilton, Llc during CMS and state inspections, most recent first.
A resident with multiple medical conditions and a care plan indicating fall risk was found in bed without the call light within reach. The call light was attached to a bed rail out of reach, and the resident reported being unable to summon help. The CNA confirmed the call light should have been accessible, and facility policy requires call lights to be within reach.
Surveyors found multiple rooms with broken furniture, soiled surfaces, offensive odors, and insect infestations, along with overflowing trash and unaddressed maintenance issues. Several residents reported missing socks that had not been returned from laundry for over a month, with large bags of unpaired socks found in the laundry room. Staff acknowledged these deficiencies, which were not documented or addressed according to facility policy.
Multiple incidents occurred in which residents with cognitive and psychiatric disorders engaged in physical altercations, including one resident pulling another's sweater and being struck in the face, and another resident running over a peer's foot with a wheelchair and being punched in the head. These events were witnessed by staff and other residents, and the facility did not prevent the physical abuse, despite policies ensuring residents' rights to safety.
A resident with severe cognitive impairment and a prescribed dysphagia puree diet was given a piece of donut by the Director of Recreation during an outdoor activity, leading to choking and subsequent cardiac and respiratory arrest. The resident was dependent on staff for daily activities, and the incident occurred despite previous staff training on dietary orders. The resident was transferred to a hospital after emergency interventions were performed.
A facility failed to ensure that a physician conducted face-to-face visits and documented progress notes for a resident with end-stage renal disease and major depressive disorder at least once every sixty days. The absence of documentation for March through May 2024 was confirmed by staff interviews, and no additional records were provided to verify compliance.
Call Light Not Kept Within Reach of Resident
Penalty
Summary
A deficiency was identified when a resident was observed in bed without the call light pull cord within reach. The call light was affixed to the upper aspect of the right-side rail, making it inaccessible to the resident. When asked, the resident stated they could not find the string to call for help. The resident's medical record indicated diagnoses including diabetes mellitus, malignant neoplasm of the breast, and osteoarthritis of the right knee. The most recent Minimum Data Set (MDS) assessment showed the resident had intact cognition but required maximum assistance for activities of daily living. The resident's individualized care plan included interventions to ensure the call light was within reach due to a risk for falls. During the survey, the assigned CNA confirmed that the call light should have been placed within the resident's reach. Facility policy also required that call lights be positioned conveniently and within reach of residents. The failure to ensure the call light was accessible constituted a failure to reasonably accommodate the resident's needs and preferences.
Failure to Maintain Clean, Homelike Environment and Return Personal Items
Penalty
Summary
The facility failed to maintain a clean, safe, and homelike environment in several resident rooms, as evidenced by multiple observations of disrepair and unsanitary conditions. In three resident rooms, surveyors observed broken furniture such as dressers and armoires, peeling paint with exposed plaster and sheet rock, cracked and soiled walls, and heavily soiled bathroom floors and toilets. Additionally, portable oxygen tanks were found to be heavily soiled with rust and brown substances, and there were swarms of flying insects present in some rooms. Overflowing trash cans, scattered garbage, and sticky substances on bedside tables were also noted, contributing to an overall unpleasant and offensive smell in the affected areas. Maintenance and housekeeping staff acknowledged these issues, and it was confirmed that necessary repairs and cleaning had not been documented or addressed as required by facility policy. The facility also failed to ensure that residents' personal clothing items, specifically socks, were returned after laundering. Multiple residents reported missing socks, stating that they had informed both housekeeping and nursing staff on several occasions, but the items had not been returned for over a month. During a resident council meeting, all attending residents confirmed the ongoing issue of missing socks. The housekeeping staff responsible for laundry admitted to being too busy to pair or deliver socks for over a month, and the Housekeeping Director confirmed receiving several complaints from residents about missing items. Surveyors observed five large plastic bags full of residents' socks in the laundry room, which both the Housekeeping Director and staff acknowledged as unacceptable. A review of facility policies revealed requirements for laundry to be returned within 24-72 hours and for the environment to be maintained in a safe, clean, and homelike manner. Despite these policies, the facility did not meet the standards for cleanliness, maintenance, or the timely return of residents' personal belongings, as evidenced by the observations and interviews conducted during the survey.
Failure to Prevent Resident-to-Resident Physical Abuse
Penalty
Summary
The facility failed to protect residents from resident-to-resident physical abuse, as evidenced by multiple incidents involving four residents. In one incident, a resident with severe cognitive impairment and a history of dementia, depression, and anxiety pulled on another resident's sweater, prompting the second resident, who was moderately cognitively impaired and had schizoaffective and mood disorders, to swing and hit the first resident in the face. Staff responded to the altercation after hearing yelling, and it was noted that the first resident was known to wander and enter other residents' rooms. In another incident, a resident with paranoid schizophrenia, bipolar depression, and moderate cognitive impairment ran over another resident's foot with a wheelchair while heading to a smoking area. The second resident, who was severely cognitively impaired and had schizophrenia and mood disorders, reacted by punching the first resident in the head. This altercation was witnessed by staff and other residents, and it was confirmed that the two residents had a confrontation due to proximity and a rush to access the smoking area. The facility's policy states that residents have the right to be free from abuse, neglect, and exploitation, including freedom from physical abuse. Despite this, the incidents described show that the facility did not prevent resident-to-resident physical abuse, as altercations occurred resulting in physical contact and potential for injury. The events were substantiated through interviews, record reviews, and self-reports, indicating a failure to ensure residents' rights to safety and protection from abuse.
Failure to Adhere to Prescribed Diet Leads to Choking Incident
Penalty
Summary
The facility failed to ensure a safe environment for a resident who had a physician's order for a dysphagia puree diet with nectar-thickened liquids. During an outdoor activity program, the Director of Recreation provided the resident with a bite-sized piece of a soft donut, which was not consistent with the prescribed diet. The resident, who had severe cognitive impairment and was dependent on staff for daily activities, began coughing and showed signs of choking. The activity staff wheeled the resident back into the facility, where nursing staff performed the Heimlich maneuver and removed food particles. The resident became unresponsive, and cardiopulmonary resuscitation (CPR) was initiated. Emergency Medical Services (EMS) were notified, and the resident was transferred to an acute care hospital emergency room. The resident was admitted with cardiac arrest, respiratory arrest, and choking due to food in the larynx. The incident highlighted a failure in the facility's supervision and adherence to dietary orders, as the staff member involved had previously been in-serviced about resident diets and verification with nursing staff. The deficient practice created an immediate jeopardy to the health and well-being of the resident, as the food provided was not of the prescribed consistency. This incident had the potential to impact all residents on pureed diets and other consistencies. The facility's failure to follow the prescribed diet and ensure proper supervision led to a serious health event for the resident.
Removal Plan
- The staff member was suspended pending investigation and subsequently terminated.
- All residents on puree diets were identified and verified that plan of care was in place and being followed.
- Staff was immediately educated on identification of resident diets and ensured only food consistent with the diet is provided.
- Residents on altered diets identification procedure updated to include utilization of a colored dot on the resident door tag as well as on the resident bracelet. All staff were educated on the new process. Resident diet list will be printed by reception daily and provided to all nursing units and the recreation program. The procedure will be audited by the Director of Nursing/Designee.
- Staff was immediately educated on resident diet consistencies. Understanding will be audited by Director of Nursing/Designee.
- Staff was immediately educated on how to identify residents' diet. Understanding will be audited by Director of Nursing/Designee.
Failure to Conduct Timely Physician Visits and Documentation
Penalty
Summary
The facility failed to ensure that the responsible physician supervising the care of residents conducted face-to-face visits and wrote progress notes at least once every sixty days. This deficiency was identified for one resident, who was admitted with diagnoses including end-stage renal disease, dependence on dialysis, and major depressive disorder. The resident had a Brief Interview for Mental Status score indicating moderately impaired cognition. A review of the physician's progress notes revealed no documented evidence of visits or examinations by the physician from March 2024 through May 2024. Interviews with facility staff, including the Unit Manager and the Director of Nursing, confirmed the absence of progress notes for the specified period. The Unit Manager noted that the last progress note from the primary doctor was in February 2024, with no notes found for March, April, and May 2024. The Director of Nursing acknowledged the lack of documentation and stated that the physician had recently started documenting in the computer. Despite requests, the facility did not provide additional documentation to support that the required visits and notes were completed.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Passaic
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Complete Care At Chestnut Hill Llc | 0.6 mi | — | 0 | 0 |
| Atlas Rehabilitation Healthcare At Daughters Of Mo | 2.3 mi | — | 2 | 0 |
| Alaris Health At The Chateau | 3.4 mi | — | 4 | 0 |
| Complete Care At Regent Llc | 3.7 mi | — | 0 | 0 |
| Complete Care At Fair Lawn Edge | 3.8 mi | — | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.