Overall Score
CMS Five-Star Quality Rating- Much below average
- Below average
- Average
- Above average
- Much above average
Where it ranks
- New JerseyAbove only 11% of peers344 rated homes · average 3.3★
- Bergen CountyAbove only 11% of peers29 rated homes · average 3.3★
- United StatesAbove only 20% of peers14,574 rated homes · average 3.0★
How the rating is built
- Health inspectionsStarting point1★−1.8 vs NJ avg
- StaffingCan add or remove a star2★−1.0 vs NJ avg
- Quality measuresCan add or remove a star5★+0.6 vs NJ avg
CMS starts from the health inspection stars, then adds or subtracts a star for staffing and for quality measures. Stars are assigned relative to other facilities in the same state.
Ratings & measures
Tap a row to see what it meansHealth inspection ratingCMS stars from the last three on-site inspection cycles1★Lowest tier among peersNJ avg2.8★U.S. avg2.8★
Stars assigned from the last three standard surveys and every complaint investigation in that window, weighted toward the most recent and the most serious findings. CMS assigns these stars relative to other facilities in the same state.
It carries the most weight in the overall rating and is the only domain based on what trained inspectors saw on site rather than what the facility reported.
Staffing ratingCMS stars from payroll-reported hours and turnover2★Above only 7% of peersNJ avg3.0★U.S. avg2.9★
Nurse and aide hours per resident day from payroll records CMS collects every quarter, adjusted for how much care residents need, plus staff turnover and weekend coverage.
More hours and lower turnover are the strongest predictors of fewer falls, pressure sores, and avoidable hospital stays.
Quality measures ratingCMS stars from clinical outcomes and resident assessments5★Above only 42% of peersNJ avg4.4★U.S. avg3.6★
Clinical outcomes from resident assessments and Medicare claims: falls with injury, pressure ulcers, hospitalizations, antipsychotic use, and more, for both short-stay and long-stay residents.
It shows whether care is working, but part of it comes from the facility’s own assessments, so read it alongside the inspection results.
Total nurse hoursPer resident per day, all nursing staff3.34hrsAbove only 23% of peersNJ avg3.86Benchmark4.10
All licensed nurse and aide hours worked, divided by the number of residents, on an average day. Reported from payroll, not self-reported.
Federal research links 4.1 hours a day to fewer avoidable harms. Below about 3 hours, residents wait longer for help with basics like toileting and repositioning.
RN hoursPer resident per day, registered nurses only0.82hrsAbove 76% of peersNJ avg0.69Benchmark0.75
Registered nurse hours only. RNs assess residents, manage medications, and catch changes in condition; LPNs and aides deliver most hands-on care.
RN coverage is the staffing measure most tied to fewer hospital transfers and infections, and it is where thinly staffed facilities cut first.
Nursing staff turnoverShare of nursing staff who left within a year · lower is better50%Above only 24% of peersNJ avg41%RN turnover59%
The share of nursing staff who left within the past year, from the same payroll data.
High turnover means residents are cared for by people who do not know them, and it is one of the strongest predictors of inspection problems.
Fines in the last three yearsCivil money penalties imposed by CMS · lower is better$118,483Above only 8% of peersNJ avg$35,495Fines · denials7 · 0
Civil money penalties CMS imposed after serious or uncorrected deficiencies, and denials of Medicare payment for new admissions.
Penalties follow the worst inspection findings. A recent fine is the clearest sign that inspectors found real harm.
Inspection history
Last three inspection cyclesCitations by monthFeb 2020 – Mar 2025
- No actual harm (D–F)
- Actual harm (G–I)
- Immediate jeopardy (J–L)
- $Fine or payment denial
Showing
Click a month or a year to filter the findings below. Arrow keys move between months; Esc clears.
Mar 5, 2025Cycle 1worst D · no actual harm
- F658Ensure services provided by the nursing facility meet professional standards of quality.Resident Assessment and Care PlanningD · isolatedCorrected Mar 6, 2025
Feb 11, 2025Cycle 1worst D · no actual harm
- F880Provide and implement an infection prevention and control program.Infection ControlD · isolatedCorrected Feb 12, 2025
Sep 27, 2024Cycle 1worst K · immediate jeopardy$59,171
- F695Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and CareD · isolatedCorrected Nov 7, 2024
- F732Post nurse staffing information every day.Nursing and Physician ServicesC · widespreadCorrected Nov 7, 2024
- F880Provide and implement an infection prevention and control program.Infection ControlK · patternCorrected Nov 7, 2024
Apr 16, 2024Cycle 2worst G · actual harm$25,300
- F697Provide safe, appropriate pain management for a resident who requires such services.Quality of Life and CareG · isolatedCorrected May 8, 2024
- F641Ensure each resident receives an accurate assessment.Resident Assessment and Care PlanningD · isolatedCorrected May 8, 2024
- F657Develop 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 PlanningG · isolatedCorrected May 8, 2024
- F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.Quality of Life and CareD · isolatedCorrected May 8, 2024
- F725Provide 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 ServicesD · isolatedCorrected May 8, 2024
Feb 15, 2024Cycle 2worst J · immediate jeopardy$3,798, $15,646, $3,418
- F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and CareJ · isolatedCorrected Dec 11, 2023
Oct 3, 2022Cycle 2worst D · no actual harm
- F658Ensure services provided by the nursing facility meet professional standards of quality.Resident Assessment and Care PlanningD · isolatedCorrected Nov 1, 2022
- F695Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and CareD · isolatedCorrected Nov 1, 2022
- F880Provide and implement an infection prevention and control program.Infection ControlD · isolatedCorrected Dec 14, 2022
Feb 25, 2020Cycle 3worst E · no actual harm
- F658Ensure services provided by the nursing facility meet professional standards of quality.Resident Assessment and Care PlanningE · patternCorrected Mar 20, 2020
- F693Ensure 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 CareE · patternCorrected Mar 20, 2020
Staffing
From quarterly payroll reportsHours per resident per day
- All nursing staffRNs, LPNs and aides combined3.34hrs
- Registered nursesRN hours only0.82hrs
- Licensed practical nursesLPN hours1.08hrs
- Nurse aidesCNA hours1.44hrs
- Weekend nursingAll staff on Saturdays and Sundays2.68hrs
- New Jersey average
- Research benchmark (4.10 total, 0.75 RN)
Turnover & capacity
- Nursing staff turnoverShare who left within a year · lower is better50%Above only 24% of peersNJ avg 41%
- RN turnoverRegistered nurses only59%Not ranked by CMS
- Administrators who leftIn the past year0Stable leadership
- Occupancy196 certified beds · ~120 residents a day61%Above only 8% of peersNJ avg 82%
Fines & penalties
Roughly the past three yearsEnforcement summary
- $118,483In fines
- 7Fines
- 0Payment denials
- $35,495NJ avg in fines
Actions on record
- Sep 27, 2024Civil money penalty$59,171
- Apr 16, 2024Civil money penalty$25,300
- Feb 20, 2024Civil money penalty$3,798
- Feb 15, 2024Civil money penalty$15,646
- Feb 12, 2024Civil money penalty$3,418
- Jan 22, 2024Civil money penalty$7,976
- Dec 18, 2023Civil money penalty$3,174
Ownership
As filed with CMSStructure
- Ownership type
- For profit - Limited Liability company
- Chain
- Complete Care85 facilities in the chain3.2★ chain average
- Certification
- Medicare and Medicaid
- Location type
- Urban
- Ownership change
- None in the last 12 months
People and entities on file
- Pc Hmh Opco Holdings 2 LLC
- Pc Hmh Holdings 2 LLC
- Peace Capital Holdings LLC (De)
- Sms 2021 Trust
- Vilma Aspril
- Shalom Stein
Person Organization
Sources & notes
Public data, updated quarterlyData sources
- CMS Care Compare · Provider InformationStar ratings, staffing hours, turnover, penalties and flags · processed February 2026.
- CMS Health CitationsEvery deficiency from the last three inspection cycles, with scope, severity and inspection cycle.
- CMS Penalties and Ownership filesCivil money penalties, payment denials, and the owners and managers on file.
Notes
- CMS Certification Number 315460 · 336 PROSPECT AVE, HACKENSACK, NJ, 07601.
- Percentiles compare this facility with every rated nursing home in New Jersey and Bergen County. Turnover and fines are inverted so a high percentile is always good.
- This is an informational summary of public data, not medical, legal, or placement advice. Facilities cannot pay to change it; a facility that believes a record is wrong can dispute it with CMS.
