Complete Care At St Vincents Llc
Nursing Home, Hospice Care, Palliative Care, Respite Care & Skilled Nursing · Cedar Grove, NJ
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Complete Care At St Vincents Llc

Nursing Home, Hospice Care, Palliative Care, Respite Care & Skilled Nursing · Cedar Grove, NJ
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Complete Care At St Vincents Llc accepts Medicare, Medicaid, and private pay.

Inspection History

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.

Since 2020 · 6 years of data 23 deficiencies 12 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, 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.

Since 2020 vs. New Jersey state average
Overall vs. NJ average 2 Worse Metrics worse than New Jersey average:
• Total deficiencies (28% above)
• Deficiencies per year (27% above)
1 Better Metrics better than New Jersey average:
• Deficiencies per inspection (5% below)
Latest Inspection November 19, 2025

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityNJ Averagevs. NJ Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 2318 This facility has 28% more total deficiencies than a typical New Jersey assisted living residence (23 vs. NJ avg 18).↑ 28% worse
Deficiencies per year Info Average deficiencies per year since 2020. 3.83 This facility has 27% more deficiencies per year than a typical New Jersey assisted living residence (3.8 vs. NJ avg 3).↑ 27% worse
Deficiencies per inspection Info Average deficiencies per inspection. 1.92 This facility has 5% fewer deficiencies per inspection than a typical New Jersey assisted living residence (1.9 vs. NJ avg 2).↓ 5% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityNJ Averagevs. NJ Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 129 This facility has had 33% more total inspections than the New Jersey average (12 vs. NJ avg 9). More inspections can mean more regulatory scrutiny rather than worse care.↑ 33% more

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • The most recent inspection on July 24, 2025 found no health deficiencies.
  • The January 25, 2024 complaint investigation cited failures in medication orders, documentation, medication storage, and maintaining required direct care staffing ratios on 23 of 28 day shifts.
  • The September 28, 2021 complaint investigation found immediate jeopardy for failure to initiate CPR and multiple care and privacy deficiencies.

Health Inspection History

Inspections since 2021
Total health inspections 2

State average N/A


Last Health inspection on Jan 2024

Total health citations
9 Rank #32 / 296Health citations — State benchmarkedThis home is ranked 32nd out of 296 homes in New Jersey for Health Citations. Shows this facility's total health deficiency citations benchmarked to the New Jersey State average, with a ranking across all 296 NJ facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in New Jersey that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
4.5 Rank #124 / 296Citations per inspection — State benchmarkedThis home is ranked 124th out of 296 homes in New Jersey for Citations Per Inspection. Shows average deficiency citations per CMS inspection for this facility versus the New Jersey mean across 296 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in New Jersey that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

8 of 9 citations resulted from standard inspections; and 1 of 9 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 5 years)
Critical health citations
1
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

1 critical citation State average: N/A

0 serious citations State average: N/A

7 moderate citations State average: N/A

1 minor citation State average: N/A
Citations history (last 5 years)
Pharmacy moderate citation Jan 25, 2024
Corrected

Care Planning moderate citation Jan 25, 2024
Corrected

Quality of Care critical citation Sep 28, 2021
Corrected

Quality of Care moderate citation Sep 28, 2021
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 370
Employees 204
Contractors 166
Staff to resident ratio 2.74 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 74
Average shift 7.7 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 52,101

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 12 RN Staff are full-time employees. No contractors work on this role. 12
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 66 total: 29 full-time employees and 37 contractors. 66
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 189 total: 83 full-time employees and 106 contractors. 189
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

12.2%

6,350 contractor hours this quarter

Certified Nursing Assistant: 106 Licensed Practical Nurse: 37 Respiratory Therapy Technician: 8 Speech Language Pathologist: 5 Physical Therapy Aide: 4 Physical Therapy Assistant: 4 Qualified Social Worker: 2

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant8310618927,22592100%7.6
Licensed Practical Nurse2937668,48392100%8.1
Registered Nurse120123,34692100%7.9
Clinical Nurse Specialist210213,16992100%7.4
Other Dietary Services Staff100101,6978795%6.5
Dental Services Staff140141,1716368%7.8
Physical Therapy Assistant0441,0218289%7.8
RN Director of Nursing4049096773%8
Speech Language Pathologist0558977582%8.1
Dietitian9096926368%7.3
Occupational Therapy Aide180186571112%6.3
Respiratory Therapy Technician0885807582%6.7
Physical Therapy Aide0445436470%7.8
Nurse Practitioner1014806065%8
Mental Health Service Worker1014525762%7.9
Administrator1014325459%8
Qualified Social Worker0222984448%6.8
Other Social Services Staff1015067%8.3
189 Certified Nursing Assistant
% of Days 100%
66 Licensed Practical Nurse
% of Days 100%
12 Registered Nurse
% of Days 100%
21 Clinical Nurse Specialist
% of Days 100%
10 Other Dietary Services Staff
% of Days 95%
14 Dental Services Staff
% of Days 68%
4 Physical Therapy Assistant
% of Days 89%
4 RN Director of Nursing
% of Days 73%
5 Speech Language Pathologist
% of Days 82%
9 Dietitian
% of Days 68%
18 Occupational Therapy Aide
% of Days 12%
8 Respiratory Therapy Technician
% of Days 82%
4 Physical Therapy Aide
% of Days 70%
1 Nurse Practitioner
% of Days 65%
1 Mental Health Service Worker
% of Days 62%
1 Administrator
% of Days 59%
2 Qualified Social Worker
% of Days 48%
1 Other Social Services Staff
% of Days 7%

Penalties and fines

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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 3.9
42% better than State average

State average: 6.8

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 13.6
9% worse than State average

State average: 12.4

Long-stay resident measures
Significantly above average State avg: 4.5 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 6.9%
31% better than State average

State average: 10.1%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 9.2%
17% better than State average

State average: 11.0%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 24.7%
55% worse than State average

State average: 16.0%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.4%
82% better than State average

State average: 2.4%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.3%
62% better than State average

State average: 6.1%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than State average

State average: 1.0%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 0.8%
83% better than State average

State average: 4.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 8.7%
23% better than State average

State average: 11.3%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 14.3%
29% worse than State average

State average: 11.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
8% better than State average

State average: 93.0%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with State average

State average: 97.2%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.86
11% better than State average

State average: 2.08

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.09
In line with State average

State average: 1.12

Short-stay resident measures
Above average State avg: 3.8 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.6%
26% better than State average

State average: 78.9%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than State average

State average: 1.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 94.3%
18% better than State average

State average: 80.1%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 20.0%
21% better than State average

State average: 25.4%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 16.5%
101% worse than State average

State average: 8.2%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than State average

State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 68.3%
27% better than State average

State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 45.3%
10% worse than State average

State average: 50.6%

Breakdown by payment type

Medicare

18% of new residents, usually for short-term rehab.

Typical stay 3 months

Private pay

72% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

10% of new residents, often for long-term daily care.

Typical stay 2 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 135
Medicare
26
19.3% of residents
Medicaid
52
38.5% of residents
Private pay or other
57
42.2% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on the home's most recent complete CMS SNF Cost Report — fiscal year ending in 12/2022. This is an older period than most facilities report, so compare with that in mind.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$8.8M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$9.9M
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$8.8M Rank #152 / 292Revenue — State benchmarkedThis home is ranked 152nd out of 292 homes in New Jersey for Revenue. Shows this facility's annual revenue compared to the New Jersey average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in New Jersey that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$9.9M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #98 / 292Payroll — State benchmarkedThis home is ranked 98th out of 292 homes in New Jersey for Payroll. 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in New Jersey that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$10.6M 121.3% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #42 / 292Payroll % — State benchmarkedThis home is ranked 42nd out of 292 homes in New Jersey for Payroll %. Shows payroll as a percentage of revenue versus the New Jersey average. Well-run New Jersey facilities typically land around 55–66% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in New Jersey that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$8.0M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$18.7M

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Most new residents arrive under private pay (72% of admissions), and a typical private pay stay runs around 2 - 3 months.

Admissions
329 total

Coverage residents most often arrive under.

Medicare 18%
Private pay 72%
Medicaid 10%
Discharges
320 total

Coverage residents most often leave under.

Medicare 44%
Private pay 53%
Medicaid 3%

Places of interest near Complete Care At St Vincents Llc

Address 0.3 miles from city center Info Estimated distance in miles from Cedar Grove's city center to Complete Care At St Vincents Llc's address, calculated via Google Maps.

Calculate Travel Distance to Complete Care At St Vincents Llc

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Address

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Frequently Asked Questions about Complete Care At St Vincents Llc

Is Complete Care At St Vincents Llc in a walkable area?

Complete Care At St Vincents Llc has a walk score of 56. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Complete Care At St Vincents Llc?

According to NJ state health department records, Complete Care At St Vincents Llc's license number is 060737.

When does Complete Care At St Vincents Llc's license expire?

According to NJ state health department records, Complete Care At St Vincents Llc's license expires on December 31, 2026.

What is the occupancy rate at Complete Care At St Vincents Llc?

Complete Care At St Vincents Llc's occupancy is 74%.

Are pets allowed at Complete Care At St Vincents Llc?

No, Complete Care At St Vincents Llc has a no-pet policy.

Does Complete Care At St Vincents Llc operate as a for-profit or non-profit?

Complete Care At St Vincents Llc is registered as a for-profit in NJ.

Who is the administrator of Complete Care At St Vincents Llc?

Ms. TIFFANY ROMANO is the administrator of Complete Care At St Vincents Llc.

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