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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.
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 129th out of 274 homes in New Jersey. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | 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.
| 32m per day | ▼ 22% 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.
| 46m per day | ▼ 18% 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 9m per day | ▼ 4% State avg: 2h 14m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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 28m 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.
| 3m per day | ▼ 50% State avg: 6m per day · National avg: 4m per day |
|
Weekend RN
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.
| 16m per day | ▼ 45% State avg: 29m per day · National avg: 28m per day |
Higher than the New Jersey average: 77%Complete Care At Milford Manor Llc is administrated by Ms. Grace Reyes.
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
| This Facility | NJ Average | vs. NJ Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 51 | 18 | This facility has 183% more total deficiencies than a typical New Jersey nursing home (51 vs. NJ avg 18).↑ 183% worse |
|
Deficiencies per year
Average deficiencies per year since 2021.
| 10.2 | 3.6 | This facility has 183% more deficiencies per year than a typical New Jersey nursing home (10.2 vs. NJ avg 3.6).↑ 183% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 3.9 | 2 | This facility has 95% more deficiencies per inspection than a typical New Jersey nursing home (3.9 vs. NJ avg 2).↑ 95% worse |
Inspections
| 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 |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on November 20, 2025, did not identify any deficiencies. Earlier inspections showed a pattern of issues primarily related to staffing ratios and infection control practices, with some reports also noting deficiencies in medication management, care planning, and life safety code compliance. Complaint investigations found some substantiated deficiencies in staffing levels and infection prevention, while most complaints were unsubstantiated. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s record suggests some improvement over time, with recent inspections showing fewer deficiencies compared to earlier years.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsNew Jersey average 4
Last Health inspection on Jun 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.
24 of 26 citations resulted from standard inspections; and 2 of 26 resulted from complaint investigations.
100% better than New Jersey averageNew Jersey average: 0.7
150% worse than New Jersey averageNew Jersey average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
27% worse than New Jersey average
10% better than New Jersey average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 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.
8.6 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.
10 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,257 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 44 | 0 | 44 | 18,797 | 92 | 100% | 10 |
| Licensed Practical Nurse | 20 | 0 | 20 | 5,825 | 92 | 100% | 8.6 |
| Registered Nurse | 11 | 0 | 11 | 2,091 | 91 | 99% | 7 |
| RN Director of Nursing | 6 | 0 | 6 | 1,743 | 72 | 78% | 8.3 |
| Other Dietary Services Staff | 6 | 0 | 6 | 1,707 | 81 | 88% | 6.4 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,588 | 74 | 80% | 7.9 |
| Occupational Therapy Aide | 15 | 0 | 15 | 1,096 | 69 | 75% | 7.3 |
| Physical Therapy Aide | 0 | 2 | 2 | 982 | 70 | 76% | 7.7 |
| Speech Language Pathologist | 0 | 2 | 2 | 893 | 73 | 79% | 7.6 |
| Dietitian | 7 | 0 | 7 | 683 | 70 | 76% | 7.3 |
| Dental Services Staff | 10 | 0 | 10 | 678 | 36 | 39% | 7.8 |
| Mental Health Service Worker | 2 | 0 | 2 | 519 | 63 | 68% | 7.8 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 496 | 68 | 74% | 7.2 |
| Physical Therapy Assistant | 0 | 1 | 1 | 477 | 65 | 71% | 7.3 |
| Qualified Social Worker | 0 | 3 | 3 | 410 | 61 | 66% | 6.7 |
| Administrator | 1 | 0 | 1 | 368 | 46 | 50% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 280 | 35 | 38% | 8 |
| Other Social Services Staff | 1 | 0 | 1 | 110 | 8 | 9% | 13.7 |
Includes penalties issued in 2025
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)
95% lower than New Jersey averageNew Jersey average: $77K
50% 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.
0
100% fewer 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
Mar 7, 2025 · $4K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 7, 2025Last updated: Jan 2026
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.
6.9
In line with New Jersey averageNew Jersey average: 6.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.1
11% 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
12.5%
25% worse than New Jersey averageNew Jersey average: 10.1%
Percent of long-stay residents whose ability to move independently worsened
5.8%
47% better than New Jersey averageNew Jersey average: 11.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.9%
6% better than New Jersey averageNew Jersey average: 16.0%
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
28% worse than New Jersey averageNew Jersey average: 2.4%
Percent of long-stay high risk residents with pressure ulcers
8.3%
35% worse than New Jersey averageNew Jersey average: 6.1%
Percent of long-stay residents with a urinary tract infection
0.3%
69% better than New Jersey averageNew Jersey average: 1.0%
Percent of long-stay residents who lose too much weight
4.8%
In line with New Jersey averageNew Jersey average: 4.6%
Percent of long-stay residents who have depressive symptoms
5.9%
48% better than New Jersey averageNew Jersey average: 11.3%
Percent of long-stay residents who received an antipsychotic medication
12.1%
9% worse than New Jersey averageNew Jersey average: 11.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
72.0%
23% worse than New Jersey averageNew Jersey average: 93.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
92.9%
In line with New Jersey averageNew Jersey average: 97.2%
Number of hospitalizations per 1,000 long-stay resident days.
2.96
42% worse than New Jersey averageNew Jersey average: 2.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.56
39% 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
41.9%
47% worse than New Jersey averageNew Jersey average: 78.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than New Jersey averageNew Jersey average: 1.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
38.2%
52% worse than New Jersey averageNew Jersey average: 80.1%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
28.4%
12% worse than New Jersey averageNew Jersey average: 25.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.5%
16% worse than New Jersey averageNew Jersey average: 8.2%
Percentage of SNF residents who experience falls with major injury during their stay.
1.3%
62% worse than New Jersey averageNew Jersey average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
61.0%
14% better than New Jersey averageNew Jersey average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
54.1%
7% 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.
44% of new residents, usually for short-term rehab.
45% of new residents, often for short stays.
11% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
107Residents 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.
Historical financial and operational data for Complete Care At Milford Manor Llc based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #183 / 272Payroll — State benchmarkedThis home is ranked 183rd out of 272 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
51.8 miles from city center
Estimated distance in miles from West Milford's city center to Complete Care At Milford Manor Llc's address, calculated via Google Maps.
Add your location
Complete Care At Milford Manor Llc is located in West Milford, New Jersey.
Here are the financial assistance programs available to residents in New Jersey.
The information below is reported by the New Jersey Department of Health, Health Facilities Evaluation and Licensing.
| Fellowship Village |
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. | Basking Ridge | 67 | 88.6% | +15% | 5.83 | +57% | +50% | $0 | 2 | 1.0 | - | 58 | 25 | Brian Lawrence | $67.1M | $22.8M | 34% | 315356 | ||||
| Broadway House for Continuing Care |
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. | Newark (Mount Pleasant/Lower Broadway) | 78 | 85.2% | +11% | 4.60 | -55% | +19% | $0 | 12 | 3.0 | - | 70 | 86 | Anthony Ammiano | $13.6M | $5.3M | 39.1% | 315343 | ||||
| CareOne at Livingston |
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. | Livingston (Passaic Avenue) | 76 | 54.9% | -29% | 3.96 | -21% | +2% | $0 | 17 | 3.4 | - | 63 | 12 | Care Two, LLC | $19.7M | $7.9M | 40% | 315479 | ||||
| Preferred Care at Mercer |
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.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary. | Ewing Township (Fernwood) | 100 | 87.0% | +13% | 3.37 | -35% | -13% | $0 | 14 | 3.5 | - | 90 | 64 | Preferred Care At Mercer LLC | $15.5M | $8.1M | 52.3% | 315487 | ||||
| Complete Care At Milford Manor Llc |
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. | West Milford | 120 | 87.6% | +14% | 3.66 | -15% | -6% | $3.6k | 26 | 5.2 | 1 | 103 | 1 | Milford Manor Holdco LLC | $15.4M | $7.9M | 51.1% | 315276 |
Complete Care At Milford Manor Llc has a walk score of 1. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to NJ state health department records, Complete Care At Milford Manor Llc's license number is 061612.
Complete Care At Milford Manor Llc's occupancy is 86%.
Ms. GRACE REYES is the administrator of Complete Care At Milford Manor Llc.
Complete Care At Milford Manor Llc has 120 beds.
Yes — there are 10 photos of Complete Care At Milford Manor Llc in the photo gallery on this page.
Complete Care At Milford Manor Llc is located at 69 Maple Road.
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