Complete Care at Clark: Care Plan Deficiencies - NJ
The resident at Complete Care at Clark pointed inspectors to sign-in sheets that confirmed their account. Multiple days showed blank entries where staff should have documented the required checks.
Resident #1 was admitted in September with type 2 diabetes, acute kidney failure, and acute respiratory failure. Despite intact mental function — scoring 13 out of 15 on a cognitive assessment — the resident was frequently incontinent of urine.
Their care plan, established September 11 and last reviewed October 8, specifically required two-hour checks to help with toileting.
But when a state inspector interviewed the resident on October 23, they revealed staff hadn't been following the schedule. The resident pointed to daily sign-in sheets as proof.
Inspectors reviewed those sheets from October 13 through October 23. Multiple checks were missing.
The resident's primary nursing assistant confirmed the protocol during an October 27 interview. The CNA explained that residents on two-hour checks needed their daily sheets completed when checks were performed.
"If there were blanks on the daily sheet, it is unknown if a CNA performed the two hour check on the resident," the nursing assistant told inspectors.
The Director of Nursing echoed this concern. Residents on hourly or two-hour checks needed their sign-in sheets completed by their CNA, she explained.
"If there was a blank section of the sign in sheet, they could not confirm if the resident had been seen per their care plan," she told inspectors.
The facility's own policy, revised in October 2022, states that each resident will "receive the services and/or items included in the plan of care."
For this resident, those services included regular assistance with toileting — a critical need for someone with diabetes and kidney problems who was frequently incontinent.
The inspection began as a complaint investigation. Someone had contacted state regulators about conditions at the facility.
When inspectors interviewed the resident on that October morning, they found someone who was cognitively intact and aware that their care wasn't meeting the written plan.
The resident's medical complexity made the missed checks particularly concerning. Type 2 diabetes can cause complications affecting the kidneys and bladder. Acute kidney failure affects the body's ability to filter waste and maintain fluid balance.
Combined with acute respiratory failure — which impairs gas exchange between the lungs and blood — the resident's condition required careful monitoring.
Regular toileting assistance helps prevent urinary tract infections, skin breakdown, and falls. For someone with multiple medical conditions, these complications can be serious.
The nursing assistant who worked the 7 AM to 3 PM shift was supposed to be the primary caregiver ensuring these checks happened. But the documentation showed gaps where no one could confirm the resident had been seen.
When inspectors met with the Licensed Nursing Home Administrator and Director of Nursing on October 27 to discuss their findings, the DON stated corrective actions would begin immediately.
At the exit conference later that day, facility staff provided no additional information.
The violation affected one of three residents whose care plans inspectors reviewed. State regulators classified it as causing minimal harm or potential for actual harm to few residents.
But for the resident involved, the impact was clear. They knew their care plan wasn't being followed. They had the documentation to prove it.
And they were left wondering when — or if — staff would show up for the next scheduled check.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Complete Care At Clark LLC from 2025-11-18 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 4, 2026 · Our methodology
COMPLETE CARE AT CLARK LLC in CLARK, NJ was cited for violations during a health inspection on November 18, 2025.
The resident at Complete Care at Clark pointed inspectors to sign-in sheets that confirmed their account.
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.