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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Situated in the peaceful neighborhood of Plainfield, NJ, Complete Care at Woodlands is an award-winning senior living community that offers short-term rehabilitation, skilled nursing, and long-term care. The community provides its residents a team of highly qualified and skilled care experts to assist them with their daily living activities and deliver individualized care plans based on their interests, needs, and preferences. Residents here have access to certified physical, speech, and therapists to help them maintain their overall well-being and functionality
Dedicated to improving its residents’ quality of life and living experience, the community also offers an array of cultural, education, social and recreational activities to keep them active and engaged. Restaurant-style meals are also offered to keep residents nourished and energized throughout the day. Various amenities like a salon, cozy lounge, and relaxing courtyard are offered to make residents’ living experience more enjoyable.
Michael Bahooshian serves as the Administrator at Complete Care at Woodlands. He leads the community with a focus on establishing strong relationships with residents, supported by a dedicated and long-tenured staff committed to excellence and thoughtful care beyond traditional standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 104th out of 258 homes in New Jersey.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 43m per day | ▲ 5% State avg: 41m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 43m per day | ▼ 23% State avg: 56m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 17m per day | ■ Avg State avg: 2h 14m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 29m per day | ■ Avg State avg: 3h 27m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 4m per day | ▼ 33% State avg: 6m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 27m per day | ▼ 7% State avg: 29m per day · National avg: 29m per day |
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
35% of new residents, usually for short-term rehab.
53% of new residents, often for short stays.
12% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #140 / 256Payroll — state benchmarkedThis home is ranked 140th out of 256 homes in New Jersey.Shows total annual staff payroll benchmarked to the New Jersey average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Lower than the New Jersey average: 77%Complete Care at Woodlands is legally operated by Complete Care At Woodlands Llc, and administrated by Mr. Michael Bahooshian.
Officers are individuals or entities with formal legal or financial responsibility for the organization that owns this facility
Eef Capital, LLC, Peace Capital, LLC
Housing Options: Private / Semi-Private Room
Building Type: Two-story
Fitness and Recreation
Parking Available
In New Jersey, the Department of Health, Health Facilities Evaluation and Licensing conducts mandatory unannounced surveys to ensure facilities provide safe and effective resident care.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the New Jersey state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | NJ Average | vs. NJ Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 40 | 18 | This facility has 122% more total deficiencies than a typical New Jersey nursing home (40 vs. NJ avg 18).↑ 122% worse |
|
Deficiencies per year
Average deficiencies per year since 2021.
| 8 | 3.6 | This facility has 122% more deficiencies per year than a typical New Jersey nursing home (8 vs. NJ avg 3.6).↑ 122% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 3.1 | 2 | This facility has 55% more deficiencies per inspection than a typical New Jersey nursing home (3.1 vs. NJ avg 2).↑ 55% worse |
Per-category split of the 14 deficiencies recorded across all inspections. Counts are compared against the New Jersey state average for each category. A green dot means this facility is below the state average for that category; an amber dot means it is above.
State inspections evaluate whether the facility meets health and safety standards.
| Metric | This Facility | NJ Average | vs. NJ Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 13 | 9 | This facility has 44% more total inspections than a typical New Jersey nursing home (13 vs. NJ avg 9).↑ 44% worse |
|
Complaint investigations
On-site investigations triggered by complaints filed with New Jersey regulators.
| 4 | 3 | This facility has 33% more complaint investigations than a typical New Jersey nursing home (4 vs. NJ avg 3).↑ 33% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on November 21, 2025, identified deficiencies related to failure to change an arterial ulcer dressing as ordered, inadequate documentation, and failure to notify a physician of treatment refusals. Earlier inspections showed a pattern of issues with staffing ratios, medication management, and documentation, including substantiated complaints about inaccurate medical records and insufficient Certified Nursing Assistant staffing. Prior reports also noted deficiencies in infection control practices, wound care, and food handling, though some inspections found no deficiencies, particularly in infection control surveys. Complaint investigations were mostly substantiated when deficiencies were found, with no enforcement actions or fines listed in the available reports. The facility’s inspection history shows ongoing challenges in staffing and documentation, with no clear trend of overall improvement or worsening.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsNew Jersey average 4
Last Health inspection on Jul 2025
New Jersey average 20.9
New Jersey average 5.35
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
11 of 15 citations resulted from standard inspections; and 4 of 15 resulted from complaint investigations.
100% better than New Jersey averageNew Jersey average: 0.7
0
100% better than New Jersey averageNew Jersey average: 0.4
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jul 24, 2025
Corrected
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Sep 25, 2024
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Feb 01, 2024
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Feb 01, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Complete Care at Woodlands is located in Plainfield, New Jersey.
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2.6 miles from city center
Estimated distance in miles from Plainfield's city center to Complete Care at Woodlands's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
0% compared with New Jersey averageNew Jersey average ratio: 1.77:1
0% compared with New Jersey averageNew Jersey average: 8 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursThis role is partially covered by contractors.
Total hours from contractors
3,794 contractor hours this quarter
| Certified Nursing Assistant | 55 | 51 | 106 | 22,136 | 91 | 100% | 8 |
| Licensed Practical Nurse | 22 | 0 | 22 | 6,359 | 91 | 100% | 7.8 |
| Registered Nurse | 11 | 0 | 11 | 3,878 | 91 | 100% | 7.8 |
| Clinical Nurse Specialist | 8 | 0 | 8 | 2,604 | 91 | 100% | 7.5 |
| Other Dietary Services Staff | 8 | 0 | 8 | 1,155 | 91 | 100% | 6.3 |
| Mental Health Service Worker | 2 | 0 | 2 | 960 | 64 | 70% | 8 |
| Physical Therapy Assistant | 0 | 8 | 8 | 942 | 78 | 86% | 6.8 |
| Respiratory Therapy Technician | 0 | 8 | 8 | 608 | 75 | 82% | 6.8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Speech Language Pathologist | 0 | 2 | 2 | 500 | 66 | 73% | 7.6 |
| Dietitian | 1 | 0 | 1 | 487 | 61 | 67% | 8 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 319 | 39 | 43% | 8.2 |
| Physical Therapy Aide | 0 | 4 | 4 | 219 | 32 | 35% | 6.5 |
| Qualified Social Worker | 0 | 7 | 7 | 179 | 43 | 47% | 4.2 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
106Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
2.2
67% better than New Jersey averageNew Jersey average: 6.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
5.7
54% better than New Jersey averageNew Jersey average: 12.4
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
3.5%
66% better than New Jersey averageNew Jersey average: 10.1%
Percent of long-stay residents whose ability to move independently worsened
2.6%
77% better than New Jersey averageNew Jersey average: 11.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
11.2%
30% better than New Jersey averageNew Jersey average: 16.0%
Percent of long-stay residents experiencing one or more falls with major injury
1.2%
51% better than New Jersey averageNew Jersey average: 2.4%
Percent of long-stay high risk residents with pressure ulcers
3.6%
41% better than New Jersey averageNew Jersey average: 6.1%
Percent of long-stay residents with a urinary tract infection
0.6%
38% better than New Jersey averageNew Jersey average: 1.0%
Percent of long-stay residents who lose too much weight
0.3%
93% better than New Jersey averageNew Jersey average: 4.6%
Percent of long-stay residents who have depressive symptoms
29.2%
158% worse than New Jersey averageNew Jersey average: 11.3%
Percent of long-stay residents who received an antipsychotic medication
9.3%
16% better than New Jersey averageNew Jersey average: 11.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
8% better than New Jersey averageNew Jersey average: 93.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with New Jersey averageNew Jersey average: 97.2%
Number of hospitalizations per 1,000 long-stay resident days.
2.39
15% worse than New Jersey averageNew Jersey average: 2.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.69
51% worse than New Jersey averageNew Jersey average: 1.12
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.6%
26% better than New Jersey averageNew Jersey average: 78.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.2%
82% better than New Jersey averageNew Jersey average: 1.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.5%
24% better than New Jersey averageNew Jersey average: 80.1%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.7%
11% better than New Jersey averageNew Jersey average: 25.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
6.4%
22% better than New Jersey averageNew Jersey average: 8.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than New Jersey averageNew Jersey average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
65.8%
22% better than New Jersey averageNew Jersey average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
67.7%
34% better than New Jersey averageNew Jersey average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
100% lower than New Jersey averageNew Jersey average: $77K
100% fewer fines than New Jersey averageNew Jersey average: 2.0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
1581% more payment denials than New Jersey averageNew Jersey average: 0.1
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Feb 1, 2024 · 5 days
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Feb 1, 2024Last updated: Jan 2026
The information below is reported by the New Jersey Department of Health, Health Facilities Evaluation and Licensing.
| Complete Care at Woodlands |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Plainfield (Woodland Avenue) | 120 | 91.5% | +19% | 3.79 | -39% | -2% | 0 | 15 | 3.0 | - | 106 | 39 | Pc Holdings 2 LLC | $14.9M | $6.2M | 41.3% | 315273 | ||||
| Autumn Lake Healthcare at Berkeley Heights |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Berkeley Heights (Cottage Street) | 130 | 68.3% | -11% | 3.83 | -64% | -1% | 1 | 22 | 5.5 | 1 | 105 | 50 | Bheights Associates LLC | $12.5M | $5.3M | 41.9% | 315195 |
Historical financial and operational data for Complete Care at Woodlands based on CMS SNF Cost Reports.
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Complete Care at Woodlands is in the Woodland Avenue neighborhood of Plainfield.
Complete Care at Woodlands has a walk score of 39. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to NJ state health department records, Complete Care at Woodlands's license number is 62022.
According to NJ state health department records, Complete Care at Woodlands's license expires on January 31, 2026.
Complete Care at Woodlands's occupancy is 6%.
Mr. MICHAEL BAHOOSHIAN is the administrator of Complete Care at Woodlands.
Complete Care at Woodlands has 120 beds.
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