Data / Nursing homes / New Jersey / Complete Care at Milford Manor LLC
Complete Care at Milford Manor LLC, West Milford, NJ: 2 star rating, fined $3,595 across 1 fine
Complete Care at Milford Manor LLC in West Milford, NJ is owned by Milford Manor HOLDCO LLC, is rated 2 of 5 stars by Medicare, and was fined $3,595 across 1 fine in the three years to October 1, 2026. CMS lists 15 health citations from inspections in that time, the latest survey on June 25, 2025, and 1 of them found actual harm or immediate jeopardy.
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- Address
- 69 Maple Road, West Milford, NJ 07480
- Overall rating
- 2 of 5 stars
- Health inspection rating
- 2 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 4 of 5
- Certified beds
- 120
- Residents per day
- 114 on average
- Ownership type
- For profit, corporation
- Legal business name
- Complete Care at Milford Manor LLC
- Chain
- Complete Care, 85 facilities
- Fines
- $3,595 across 1 fine, three years to October 1, 2026
- Payment denials
- 0
- Health citations
- 15, of which 1 with actual harm or immediate jeopardy
- Latest survey
- June 25, 2025
- CMS Certification Number
- 315276
- On Care Compare
- Medicare Care Compare
Fines and payment denials
Every fine and payment denial CMS lists for this facility in the three years, newest first.
| Date | Type | Fine amount | Denial starts | Denial days | Source |
|---|---|---|---|---|---|
| March 7, 2025 | Fine | $3,595 | Not listed | data.cms.gov |
Recent health citations
Citations from health inspections, newest first.
| Survey date | Tag | What CMS cited | Scope and severity | Status | Corrected on | Source |
|---|---|---|---|---|---|---|
| June 25, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 25, 2025 | data.cms.gov |
| March 7, 2025 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | G: isolated, actual harm | Corrected | March 10, 2025 | data.cms.gov |
| March 7, 2025 | F949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | March 10, 2025 | data.cms.gov |
| March 7, 2025 | F946 | Provide training in compliance and ethics. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | March 10, 2025 | data.cms.gov |
| March 7, 2025 | F945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | March 10, 2025 | data.cms.gov |
| March 7, 2025 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | March 10, 2025 | data.cms.gov |
| March 7, 2025 | F880 | Provide and implement an infection prevention and control program. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 10, 2025 | data.cms.gov |
| March 7, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 10, 2025 | data.cms.gov |
| March 7, 2025 | F803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | March 10, 2025 | data.cms.gov |
| March 7, 2025 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 10, 2025 | data.cms.gov |
| March 7, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 10, 2025 | data.cms.gov |
| March 7, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 10, 2025 | data.cms.gov |
| March 7, 2025 | F583 | Keep residents' personal and medical records private and confidential. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 10, 2025 | data.cms.gov |
| March 7, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 10, 2025 | data.cms.gov |
| January 5, 2024 | F880 | Provide and implement an infection prevention and control program. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | January 26, 2024 | data.cms.gov |
Owners and managers
Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 10 individual or personal trusts (1 owners, 4 managers, 2 officers, directors or trustees, 3 other disclosable parties). Their names are not shown on this page.
| Organization | Role | Share | Since | Source |
|---|---|---|---|---|
| Milford Manor HOLDCO LLC | Direct owner | 100% | December 27, 2021 | data.cms.gov |
| PC GC HOLDCO LLC | Indirect owner | Not listed | December 27, 2021 | data.cms.gov |
| SMS 2021 Trust | Indirect owner | Not listed | December 27, 2021 | data.cms.gov |
| Milford Manor HOLDCO LLC | Additional disclosable party | Not listed | December 27, 2021 | data.cms.gov |
| Milford Manor PROPCO LLC | Additional disclosable party | Not listed | December 27, 2021 | data.cms.gov |
| PC GC HOLDCO LLC | Additional disclosable party | Not listed | December 27, 2021 | data.cms.gov |
| Peace Capital Holdings LLC | Additional disclosable party | Not listed | December 27, 2021 | data.cms.gov |
| SMS 2021 Trust | Additional disclosable party | Not listed | December 27, 2021 | data.cms.gov |
Also on SpecStream
- All nursing homes in New Jersey
- Every nursing home SMS 2021 Trust owns or manages
- This facility on Medicare Care Compare
Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.