Nursing homes › New Jersey › Complete Care at Milford Manor LLC
69 Maple Road, West Milford, NJ 07480 · 9736975640 · 120 certified beds
Per CMS filings, this facility is affiliated with Complete Care, a group operating 85 facilities in 8 states. Group record: average rating 3.1/5, 7 abuse citation icons, 0 facilities on the Special Focus list, $2,308,934 in federal fines. This facility rates below its group average (3.1/5).
Total nurse staffing: 2.97 (New Jersey median: 3.60). RN hours: 0.42. Weekend total: 2.44. Nursing staff turnover: 54%.
All-time on record: 26 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-06-25 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-07-25 |
| 2025-03-07 | Provide safe, appropriate pain management for a resident who requires such services. | G | Health | corrected 2025-03-10 |
| 2025-03-07 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Health | corrected 2025-03-10 |
| 2025-03-07 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Health | corrected 2025-03-10 |
| 2025-03-07 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | E | Health | corrected 2025-03-10 |
| 2025-03-07 | Provide training in compliance and ethics. | E | Health | corrected 2025-03-10 |
| 2025-03-07 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | Health | corrected 2025-03-10 |
| 2025-03-07 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2025-03-10 |
| 2025-03-07 | Keep residents' personal and medical records private and confidential. | D | Health | corrected 2025-03-10 |
| 2025-03-07 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2025-03-10 |
| 2025-03-07 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2025-03-10 |
| 2025-03-07 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2025-03-10 |
| 2025-03-07 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2025-03-10 |
| 2025-03-07 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-03-10 |
| 2024-01-05 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2024-01-26 |
| 2023-02-18 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2023-03-31 |
| 2023-02-18 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Health | corrected 2023-03-31 |
| 2023-02-18 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2023-03-31 |
| 2023-02-18 | Plan the resident's discharge to meet the resident's goals and needs. | D | Health | corrected 2023-03-31 |
| 2023-02-18 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2023-03-31 |
| 2023-02-18 | Provide safe, appropriate pain management for a resident who requires such services. | D | Health | corrected 2023-03-31 |
| 2023-02-18 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2023-03-31 |
| 2023-02-18 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2023-03-31 |
| Date | Type | Amount |
|---|---|---|
| 2025-03-07 | Fine | $3,595 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| MILFORD MANOR HOLDCO LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 12/27/2021 |
| PC GC HOLDCO LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 12/27/2021 |
| SMS 2021 TRUST | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 12/27/2021 |
| STEIN, SHALOM | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 12/27/2021 |
| STEIN, SHALOM | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 12/27/2021 |
| STEIN, SHALOM | Corporate Officer | Individual | NOT APPLICABLE | since 12/27/2021 |
| AYDIN, EMMANUEL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/27/2021 |
| REYES, GRACE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/13/2023 |
| ZACKAI, RAANAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/27/2021 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 315276. Corrections: data@carerecords.org.