Provider Name: COMPLETE CARE AT SHREWSBURY LLC
Address: 89 AVENUE AT THE COMMON, SHREWSBURY, NJ 07702
Phone: (732) 676-5800
County: Monmouth (290)
Ownership Type: Non profit - Corporation
Certified Beds: 140
Average Residents Per Day: 95.3 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: COMPLETE CARE AT SHREWSBURY LLC
First Approved Date: March 14, 1972
Affiliated Entity: COMPLETE CARE (157)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: Y
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 4 ()
QM Rating: 5 ()
Long Stay QM Rating: 5 ()
Short Stay QM Rating: 5 ()
Staffing Rating: 2 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 1.91234, LPN Staff Hours Per Day: 0.7915, RN Staff Hours Per Day: 0.8947, Licensed Staff Hours Per Day: 1.6862
Total Nurse Staff Hours Per Day, per resident: 3.59860
Weekend Nurse Staff Hours: 2.92764, Weekend RN Staff Hours: 0.6555
PT Staff Hours Per Day, per resident: 0.0847
Nurse Staff Turnover: 83.6, Nurse Turnover Note:
RN Turnover: 85.3, RN Turnover Note:
Admin Left Number: 2, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.0916, Case Mix LPN Hours Per Day: 0.7408, Case Mix RN Hours Per Day: 0.3808
Adjusted Nurse Aide Hours Per Day, per resident: 1.86261, Adjusted LPN Hours Per Day: 0.7884, Adjusted RN Hours Per Day: 0.8852
Total Adjusted Nurse Hours Per Day, per resident: 3.53000
Adjusted Weekend Nurse Hours Per Day, per resident: 2.87183
Health Survey Dates and Scores: Cycle 1: 2022-03-10 (Score: 20), Cycle 2: 2019-11-26 (Score: 0), Cycle 3: 2018-12-04 (Score: 12)
Total Weighted Health Score: 12.000
Reported Incidents: 0, Substantiated Complaints: 1
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 3145.35, Payment Denials Number: 0, Total Penalties Number: 1
Location and GPS: 89 AVENUE AT THE COMMON,SHREWSBURY,NJ,07702 (40.3469, -74.065)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Ensure each resident receives an accurate assessment.
Severity: B - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-04-10
Type: Health, Deficiency: Provide safe and appropriate respiratory care for a resident when needed.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-04-10
Type: Health, Deficiency: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-04-10
Type: Health, Deficiency: Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-04-10
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-04-10
Type: Health, Deficiency: Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-01-01
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-01-01
Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-02-15
Type: Health, Deficiency: Ensure that residents are free from significant medication errors.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-02-15
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0341, Version: New
Description: Install a fire alarm system that can be heard throughout the facility.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-04-15
Type: Fire Safety, Tag: 0920, Version: New
Description: Ensure proper usage of power strips and extension cords.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-01-15