Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 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 Wall Llc during CMS and state inspections, most recent first.
An LPN administered the wrong dose and form of Methadone to a resident, giving 105 mg of liquid Methadone intended for another patient instead of the prescribed 10 mg tablet. The nurse did not verify the order or follow the six rights of medication administration, leading to the resident becoming lethargic and requiring emergency intervention for Methadone overdose.
Significant Medication Error Due to Failure to Follow Medication Administration Protocols
Penalty
Summary
A significant medication error occurred when a Licensed Practical Nurse (LPN) administered an incorrect dose and form of Methadone to a resident. The LPN gave 105 mg of liquid Methadone, which was prescribed for another resident for opioid dependence, instead of the 10 mg Methadone tablet ordered for pain management. The LPN did not verify the physician's order prior to administration and failed to follow the facility's medication administration policy, specifically neglecting to ensure the six rights of medication administration. The error was not recognized by the LPN at the time of administration, and the nurse only became aware of the mistake after being contacted by another staff member regarding a missing bottle of Methadone. The affected resident had a history of unspecified pain, hypertension, and depression, with a moderately impaired cognitive status as indicated by a Brief Interview of Mental Status (BIMS) score of 11 out of 15. After receiving the incorrect medication, the resident was initially found alert but later became lethargic and semi-responsive. The resident required emergency intervention, including administration of Narcan, oxygen therapy, and transfer to a hospital, where they were admitted with a diagnosis of Methadone overdose. Interviews with staff and review of facility documentation confirmed that the LPN did not follow established protocols for medication administration, including verifying the correct medication, dose, and form against the medication administration record (MAR) and physician's order. The Director of Nursing (DON) and the LPN both acknowledged that the facility's policy was not followed during the incident. The failure to adhere to these protocols resulted in a significant medication error that required emergency medical intervention.
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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 Wall
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Careone At Wall | 0.5 mi | — | 3 | 0 |
| Tower Lodge Care Center | 1.7 mi | — | 0 | 0 |
| Sunnyside Manor | 1.8 mi | — | 3 | 0 |
| Jersey Shore Post Acute Rehabilitation And Nursing | 3.2 mi | — | 0 | 0 |
| Coral Harbor Rehabilitation And Healthcare Center | 3.3 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.