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Complete Care at Inglemoor: Notification Failures - NJ

Healthcare Facility
Complete Care At Inglemoor, Llc
Englewood, NJ  ·  2/5 stars

Federal inspectors cited the facility in November 2025 after finding it failed to follow its own weight monitoring policy for residents returning after an absence. The inspection, triggered by a complaint, found the lapse affected a small number of residents.

The facility's own written policy, updated as recently as September 1, 2025, spelled out exactly what was required. Newly admitted residents were to be weighed on arrival and then weekly for four weeks. If a resident's condition warranted closer attention, daily weights were required. Everyone else was to be weighed monthly. The policy said nothing that exempted returning residents from these requirements.

Inspectors found the facility wasn't following it.

Weight tracking in nursing homes is a basic clinical tool. Unexplained weight loss can signal infection, depression, swallowing problems, or inadequate nutrition. A resident who loses significant weight without anyone noticing is a resident whose condition can quietly deteriorate before staff recognize something is wrong.

The deficiency was tagged at the lower end of the harm scale, meaning inspectors determined the lapse caused minimal harm or had the potential for actual harm rather than documented injury. That distinction matters legally and for Medicare star ratings. It doesn't change what happened: residents who came back to this facility did not get the weight monitoring their own care team had committed, in writing, to providing.

Complete Care at Inglemoor sits on Grand Avenue in Englewood, a Bergen County facility operating under a chain that runs nursing homes across New Jersey. The November inspection was a complaint visit, meaning someone, a resident, a family member, or a staff member, contacted regulators before inspectors ever walked through the door.

The facility's plan to correct the deficiency was not included in the inspection materials released by the Centers for Medicare and Medicaid Services.

Full Inspection Report

The details above represent a summary of key findings. View the complete inspection report for Complete Care At Inglemoor, LLC from 2025-11-07 including all violations, facility responses, and corrective action plans.

Additional Resources

Editorial Standards & Data Disclosure

Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.

Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.

Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.

Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.

Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.

Last verified: September 19, 2026  ·  Our methodology

Quick Answer

COMPLETE CARE AT INGLEMOOR, LLC in ENGLEWOOD, NJ was cited for violations during a health inspection on November 7, 2025.

The inspection, triggered by a complaint, found the lapse affected a small number of residents.

Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.

Frequently Asked Questions

What happened at COMPLETE CARE AT INGLEMOOR, LLC?
The inspection, triggered by a complaint, found the lapse affected a small number of residents.
How serious are these violations?
Violation severity varies from minor documentation issues to serious safety concerns. Review the inspection report for specific deficiency codes and scope. All violations must be corrected within required timeframes and are subject to follow-up verification inspections.
What should families do?
Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in ENGLEWOOD, NJ, (5) Report any new concerns directly to state authorities.
Where can I see the full inspection report?
The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from COMPLETE CARE AT INGLEMOOR, LLC or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 315349.
Has this facility had violations before?
To check COMPLETE CARE AT INGLEMOOR, LLC's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.