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Complaint Investigation

Complete Care At Bayshore Llc

December 29, 2025 · Holmdel, NJ · 715 North Beers Street
Citations 1
CMS Rating 4/5
Beds 232
Provider ID 315252
Healthcare Facility
Complete Care At Bayshore Llc
Holmdel, NJ  ·  View full profile →
Inspection Summary

Complete Care at Bayshore LLC in HOLMDEL, NJ — inspection on December 29, 2025.

Found 1 citation. 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.

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Inspection Findings

FF0838
Administration Deficiencies
Potential for More Than Minimal Harm

present but that the FA could elaborate more.On 12/29/25 at 1:08 PM, in an interview at the exit conference that included the LNHA, RDO, VPC, Director of Nursing (DON), Regional Clinical Director (RCD) and [NAME] President of Operations (VPO), the surveyor informed the facility that there were concerns related to the FA.

The VPO stated that federal regulations require one facility assessment and that there is nothing stating specifics regarding vents.

She further stated that the facility would tighten up their FA but that they are not required to according to regulations.NJAC 8:39-5.1(a)

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in HOLMDEL, NJ, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Complete Care at Bayshore LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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