Complete Care At Prospect Heights LLC
Hackensack, Bergen County, New Jersey · CCN 315460 · For-profit (LLC) · part of Complete Care (85 facilities, chain average 3.1 stars)
CMS rates Complete Care At Prospect Heights LLC 2 of 5 overall as of August 2026. 196 certified beds, 122 residents a day on average. 33 citations on record from the current inspection cycles, 1 at immediate jeopardy; 6 fines totalling $59,312.
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 | ★★☆☆☆ 2 of 5 |
|---|---|
| Health inspections | ★☆☆☆☆ 1 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 5 / 5 of 5 |
Staffing
| Total nurse staffing | 3.0893 hours per resident per day |
|---|---|
| Registered nurses | 0.86186 hours per resident per day |
| Weekend total | 2.61479 hours per resident per day |
| Nursing staff turnover | 45.9% (registered nurses 42.1%) |
| 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 |
|---|---|---|---|
| 2026-01-29 | 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 2026-02-02 |
| 2026-01-29 | 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 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2026-02-02 |
| 2026-01-29 complaint survey |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · tag F0584 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-02-02 |
| 2026-01-29 | 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 2026-02-02 |
| 2026-01-29 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0605 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-02 |
| 2026-01-29 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · tag F0640 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-02 |
| 2026-01-29 | 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 2026-02-02 |
| 2026-01-29 | 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 2026-02-02 |
| 2026-01-29 | 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 2026-02-02 |
| 2026-01-29 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-02 |
| 2026-01-29 | 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 2026-02-02 |
| 2026-01-29 | 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 2026-02-02 |
| 2026-01-29 | 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 2026-02-02 |
| 2026-01-29 complaint survey |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · tag F0725 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-02 |
| 2026-01-29 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · tag F0732 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-02 |
| 2026-01-29 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · tag F0756 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-02 |
| 2026-01-29 | 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 2026-02-02 |
| 2026-01-29 | 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 2026-02-02 |
| 2026-01-29 | Keep all essential equipment working safely. Environmental Deficiencies · tag F0908 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-02 |
| 2025-03-05 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 2025-03-06 |
| 2025-02-11 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-12 |
| 2024-09-27 complaint survey |
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 2024-11-07 |
| 2024-09-27 | 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 2024-11-07 |
| 2024-09-27 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · tag F0732 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2024-11-07 |
| 2024-04-16 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 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-05-08 |
| 2024-04-16 complaint survey |
Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-05-08 |
| 2024-04-16 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 2024-05-08 |
| 2024-04-16 complaint survey |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · tag F0676 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-08 |
| 2024-04-16 complaint survey |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · tag F0725 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-08 |
| 2024-02-15 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance 2023-12-11 |
| 2022-10-03 | 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 2022-11-01 |
| 2022-10-03 | 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 2022-11-01 |
| 2022-10-03 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-12-14 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-04-16 | Fine | $25,300 |
| 2024-02-20 | Fine | $3,798 |
| 2024-02-15 | Fine | $15,646 |
| 2024-02-12 | Fine | $3,418 |
| 2024-01-22 | Fine | $7,976 |
| 2023-12-18 | Fine | $3,174 |
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 Holdings 2 LLC Organization | 5% or greater indirect ownership interest | — | 2023-09-28 |
| Sms 2021 Trust Organization | 5% or greater indirect ownership interest | — | 2023-09-28 |
| Des Capital LLC Organization | adp of the snf | — | 2023-09-28 |
| Jrk Investments LLC Organization | adp of the snf | — | 2023-09-28 |
| PC Hmh Holdings 2 LLC Organization | adp of the snf | — | 2023-09-28 |
| PC Hmh Propco Holdings 2 LLC Organization | adp of the snf | — | 2023-09-28 |
| Peace Capital Holdings LLC Organization | adp of the snf | — | 2023-09-28 |
| Prospect Heights Propco LLC Organization | adp of the snf | — | 2023-09-28 |
| Sms 2021 Trust Organization | adp of the snf | — | 2023-09-28 |
| Des Capital LLC Organization | indirect ownership interest | — | 2023-09-28 |
| Jrk Investments LLC Organization | indirect ownership interest | — | 2023-09-28 |
| Aspril, Vilma Individual | adp of the snf | — | 2024-10-21 |
| Clemor, Rj Individual | adp of the snf | — | 2024-06-07 |
| Elsebai, Karina Individual | adp of the snf | — | 2023-09-28 |
| Klugman, Jacob Individual | adp of the snf | — | 2023-09-28 |
| Mina, Joseph Individual | adp of the snf | — | 2024-11-18 |
| Schwartz, Hershel Individual | adp of the snf | — | 2023-09-28 |
| Sowma, Nikita Individual | adp of the snf | — | 2025-02-10 |
| Sternbuch, Daniel Individual | adp of the snf | — | 2023-09-28 |
| Elsebai, Karina Individual | corporate director | — | 2023-09-28 |
| Mina, Joseph Individual | corporate director | — | 2024-11-18 |
| Stein, Shalom Individual | corporate officer | — | 2023-09-28 |
| Klugman, Jacob Individual | indirect ownership interest | — | 2023-09-28 |
| Stein, Shalom Individual | indirect ownership interest | — | 2023-09-28 |
| Sternbuch, Daniel Individual | indirect ownership interest | — | 2023-09-28 |
| Stein, Shalom Individual | managing control - governing body | — | 2023-09-28 |
| Aspril, Vilma Individual | operational/managerial control | — | 2024-10-21 |
| Clemor, Rj Individual | operational/managerial control | — | 2024-06-07 |
| Elsebai, Karina Individual | operational/managerial control | — | 2023-09-28 |
| Mina, Joseph Individual | operational/managerial control | — | 2024-11-18 |
| Schwartz, Hershel Individual | operational/managerial control | — | 2023-09-28 |
| Sowma, Nikita Individual | operational/managerial control | — | 2025-02-10 |
| Stein, Shalom Individual | trustee of the snf | — | 2023-09-28 |
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 Prospect Heights 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 Bergen County.