Complete Care At Bayshore LLC
Holmdel, Monmouth County, New Jersey · CCN 315252 · For-profit (Corporation) · part of Complete Care (85 facilities, chain average 3.1 stars)
CMS rates Complete Care At Bayshore LLC 4 of 5 overall as of August 2026. 232 certified beds, 149 residents a day on average. 38 citations on record from the current inspection cycles, 1 involving actual harm; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★☆ 4 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 5 / 5 of 5 |
Staffing
| Total nurse staffing | 3.77607 hours per resident per day |
|---|---|
| Registered nurses | 0.37426 hours per resident per day |
| Weekend total | 3.51537 hours per resident per day |
| Nursing staff turnover | 37.8% (registered nurses 33.3%) |
| Administrators who left | 1 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-04-16 complaint survey |
Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-16 |
| 2025-12-29 complaint survey |
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · tag F0838 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-13 |
| 2024-10-30 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-11-12 |
| 2024-10-30 complaint survey |
Prepare residents for a safe transfer or discharge from the nursing home. Resident Rights Deficiencies · tag F0624 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-11-11 |
| 2024-10-30 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-11-11 |
| 2024-10-30 complaint survey |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-11-11 |
| 2024-10-30 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-11-11 |
| 2024-10-30 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-11-11 |
| 2024-10-30 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-11-11 |
| 2024-04-04 complaint survey |
Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-05-01 |
| 2024-02-14 complaint survey |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-12 |
| 2023-10-19 complaint survey |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-11-17 |
| 2023-10-19 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-11-17 |
| 2023-10-19 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-17 |
| 2023-10-19 complaint survey |
Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-17 |
| 2023-10-19 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · tag F0694 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-03 |
| 2023-10-19 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-17 |
| 2023-10-19 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0698 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-17 |
| 2023-10-19 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · tag F0757 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-17 |
| 2023-10-19 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-17 |
| 2023-10-19 complaint survey |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
B No actual harm, with potential for minimal harm; pattern | Deficient, Provider has date of correction 2023-11-17 |
| 2022-08-03 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2022-09-13 |
| 2022-08-03 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · tag F0679 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2022-09-13 |
| 2022-08-03 | Ensure the activities program is directed by a qualified professional. Quality of Life and Care Deficiencies · tag F0680 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2022-09-21 |
| 2022-08-03 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · tag F0809 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2022-09-13 |
| 2022-08-03 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2022-09-13 |
| 2022-08-03 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2022-10-03 |
| 2022-08-03 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-09-13 |
| 2022-08-03 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-09-13 |
| 2022-08-03 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-09-13 |
| 2022-08-03 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-09-13 |
| 2022-08-03 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-09-13 |
| 2022-08-03 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-09-13 |
| 2022-08-03 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · tag F0693 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-09-13 |
| 2022-08-03 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-09-13 |
| 2022-08-03 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-09-13 |
| 2022-08-03 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-09-13 |
| 2022-08-03 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · tag F0625 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2022-09-13 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| PC Hmh Opco Holdngs LLC Organization | 5% or greater direct ownership interest | 100% | 2023-03-16 |
| PC Hmh Holdings LLC Organization | 5% or greater indirect ownership interest | — | 2023-03-16 |
| Sms 2021 Trust Organization | 5% or greater indirect ownership interest | — | 2023-03-16 |
| Bayshore Propco Holdco LLC Organization | adp of the snf | — | 2023-03-16 |
| Bayshore Propco LLC Organization | adp of the snf | — | 2023-03-16 |
| Eef Capital LLC Organization | adp of the snf | — | 2023-03-16 |
| PC Hmh Holdings LLC Organization | adp of the snf | — | 2023-03-16 |
| PC Hmh Propco Intermediate 9 LLC Organization | adp of the snf | — | 2023-03-16 |
| PC Hmh Topco Propco Holdings LLC Organization | adp of the snf | — | 2023-03-16 |
| Peace Capital Holdings LLC Organization | adp of the snf | — | 2023-03-16 |
| Sms 2021 Trust Organization | adp of the snf | — | 2023-03-16 |
| Grewal, Baljinder Individual | adp of the snf | — | 2023-03-16 |
| Levovitz, Yitzchok Individual | adp of the snf | — | 2023-03-16 |
| Matzliah, Menachem Individual | adp of the snf | — | 2023-03-16 |
| Mercado, Wanda Individual | adp of the snf | — | 2023-03-16 |
| Nasra, Magdy Individual | adp of the snf | — | 2023-03-16 |
| Opoku, Constance Individual | adp of the snf | — | 2023-03-16 |
| Schlaff, Benny Individual | adp of the snf | — | 2023-03-16 |
| Schlaff, Nachum Individual | adp of the snf | — | 2023-03-16 |
| Stein, Shalom Individual | corporate officer | — | 2023-03-16 |
| Stein, Shalom Individual | indirect ownership interest | — | 2023-03-16 |
| Stein, Shalom Individual | managing control - governing body | — | 2023-03-16 |
| Grewal, Baljinder Individual | operational/managerial control | — | 2023-03-16 |
| Levovitz, Yitzchok Individual | operational/managerial control | — | 2023-03-16 |
| Matzliah, Menachem Individual | operational/managerial control | — | 2023-03-16 |
| Mercado, Wanda Individual | operational/managerial control | — | 2023-03-16 |
| Nasra, Magdy Individual | operational/managerial control | — | 2023-03-16 |
| Stein, Shalom Individual | trustee of the snf | — | 2023-03-16 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Complete Care At Bayshore LLC.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Monmouth County.