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:
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.