Complete Care At Inglemoor, Llc
COMPLETE CARE AT INGLEMOOR, LLC in ENGLEWOOD, NJ — inspection on November 7, 2025.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
The surveyor also asked for the facility's policy with regard to notification of change in condition. A review of the facility's Notification of Changes Policy that was provided by the DON, with a date reviewed/revised of 9/1/25, revealed that the facility promptly informs the resident, consults the resident's physician; and notifies, consistent with his or her authority, the RR when there is a change requiring notification.
Definitions:. clinical complications, examples.recurrent episodes of delirium. need to alter treatment significantly, means a need to stop a form of treatment because of adverse consequences, or commence a new form of treatment to deal with a problem.
Compliance Guidelines: The facility must inform the resident, consult with the resident's physician and/or notify the RR when there is a change requiring such notification.
Circumstances requiring notification include:.2.
Significant change in the resident's physical, mental, or psychological condition such as deterioration in health, mental or psychosocial status.3.
Circumstances that require a need to alter treatment.
This may include:a.
New treatment.b.
Discontinuation of current treatment due to adverse consequences, acute condition. On 11/7/25 at 2:51 PM, the surveyors met with the DON and the [NAME] President of Clinical Services, and there were no additional information provided by the DON. NJAC 8:39-4.1(a)2; 13.1 (c), (d)
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/07/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Complete Care at Inglemoor, LLC
333 Grand Ave Englewood, NJ 07631
SUMMARY STATEMENT OF DEFICIENCIES
the resident's re-admission to the facility. A review of the facility's Weight Monitoring Policy, dated 9/1/25, revealed under Compliance Guidelines: .5. A weight monitoring schedule will be developed upon admission for all residents: a.
Newly admitted residents- Weight on admission and monitor weight weekly for four weeks b. If clinically indicated- monitor weight daily c.
All others- monitor weight monthly . NJAC 8:39-11.2(b); 27.1(a)
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/07/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Complete Care at Inglemoor, LLC
333 Grand Ave Englewood, NJ 07631
SUMMARY STATEMENT OF DEFICIENCIES
information provided by the DON.
The DON acknowledged that the resident's medical records of resident should be complete.
There was no policy provided with regard to medical records. NJAC 8:39-35.2 (d)(5)(6)(e)(f)(k)
Facility ID: