Deficiency Index

Complete Care at Fair Lawn Edge

Paterson, New Jersey · CCN 315331

21 surveys since 2011, 3 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
93
Surveys
21
Harm or worse
3
Immediate jeopardy
3
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy3

Findings at the most serious level CMS records.

Beyond CMS’s monthly file17/21

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
180
Ownership
For profit - Limited Liability company
Chain
COMPLETE CARE
County
Passaic
Medicare-certified since
1994

CMS ratings

Overall
3
Health inspection
3
Staffing
3
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 168 for-profit facilities with 128 or more beds in New Jersey.

Last survey on record

Dec 29, 2025

315 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.023.47
Registered-nurse hours per resident day0.30—
Annual nurse turnover40.0%41.8%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$10,036 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ13.8%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD2284.6%E311.5%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 26 of the 93 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6583×

    Ensure services provided by the nursing facility meet professional standards of quality.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F5842×

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  • F6842×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F7552×

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

In the surveyor’s words

From the most serious findings on record at Complete Care at Fair Lawn Edge, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF689Apr 23, 2024

    Complaint #NJ 165064 Complaint #NJ 166666 Based on interviews, record review, and review of other pertinent facility documentation, it was determined that the facility failed to 1.) provide adequate supervision for a cognitively impaired, exit seeking resident and ensure exit doors were securely locked which resulted in Resident # 353 eloping from the facility on 06/15/2023 and 2.) follow facility elopement policy which resulted in Resident # 355 eloping from the facility on 08/17/2023. This deficient practice was identified for 2 of 3 residents (Resident # 353 and Resident # 355) reviewed for elopement. The facility failed to monitor and supervise a cognitively impaired, exit seeking resident from being able to exit the facility through an unsecured exit door. […]

  • No harm, potential for more than minimal, widespreadF812Jan 13, 2022

    Based on observations, interviews, facility policy review, and New Jersey Administrative Code (NJAC) 8:24, it was determined that the facility failed to prepare, distribute, and serve food under sanitary conditions, Specifically, the facility failed to: -Ensure dietary staff utilized the three compartments sink to wash and disinfect food preparation and food serving utensils when their dishwasher was broken for one (Dietary Aide #1) of one dietary staff observed; -Ensure that dietary staff performed hand hygiene in between tasks and between glove changes for one (Cook #1) of three dietary staff observed in the kitchen; and -Ensure dietary staff did not clean food preparation surfaces in the kitchen (counter tops) with plain water for one (Cook #1) of three dietary staff observed in the… […]

  • No harm, potential for more than minimal, widespreadF812Apr 8, 2021

    Based on observation, interview and review of documentation provided by the facility, it was determined that the facility failed to maintain proper kitchen sanitation practices and properly label, date and store potentially hazardous foods in a safe and sanitary environment to prevent the development of food borne illness. This deficient practice was evidenced by the following: On 3/30/21 at 9:36 AM, during a tour with the Food Service Director (FSD) the surveyor observed the following: The diamond plate (a steel or stainless steel non porous metal of industrial strength) was pulled away from the wall behind the handwashing sink which exposed the damaged wall. […]

  • No harm, potential for more than minimal, patternF584Aug 18, 2025

    Based on observation, interview, and review of other facility documentation, the facility failed to ensure the facility was maintained in a safe, clean, and homelike environment. This deficient practice was identified for 2 of 2 units (3rd and 4th floors) and 2 of 2 shower rooms.This deficient practice was evidenced by the following:On 8/13/25 at 9:55 AM, the surveyor with the Housekeeping Director (HD) toured the 3rd floor and observed the following inside the shower room:-Upon entry, toward the right side of the shower room in the 1st cubicle, there was a shower chair with ripped chair cover, and across the 1st cubicle was a plastic tray. The 1st cubicle wall tiles and moldings with yellowish stain. […]

  • No harm, potential for more than minimal, patternF658Feb 23, 2022

    Based on observation, interview, record review, and review of pertinent facility documentation, it was determined that the facility failed to 1) follow acceptable standards of practice for the administration of a controlled medication and 2) failed to maintain accurate accountability and documentation of a controlled medication for 1 of 23 Residents reviewed, Resident # 76, 3) clarifying a physician's medication order for 1 of 9 residents reviewed for medication administration Resident #37; 4) sign for the administration of medication that was not administered for 1 of 9 residents reviewed for medication administration Resident #37, 5) sign for behavior monitoring that was not completed for 3 of 9 residents (Resident #89, #84,and #39) reviewed for behavior logs, 6) use a facility approved… […]

Read 22 findings in full →The most serious and the most recent: 22 of 93 on record.

Every survey on record

FindingsAt actual harm or above

  • Dec 29, 2025Complaint1 finding
  • Aug 18, 2025Standard5 findings
  • Apr 23, 2024Standard8 findings · 1 harm
  • Feb 23, 2022Standard12 findings
  • Jan 13, 2022Complaint1 finding
  • Apr 8, 2021Standard8 findings
  • Jan 5, 2021Infection control1 finding
  • Jun 5, 2020Infection control1 finding
Show the 13 earlier surveys
  • Jun 17, 2019Standard6 findings
  • Jun 4, 2018Standard8 findings
  • Apr 11, 2017Standard7 findings
  • May 24, 2016Standard7 findings
  • Jun 5, 2015Standard2 findings
  • May 9, 2014Standard4 findings
  • Apr 17, 2014Complaint1 finding
  • Jun 13, 2013—11 findings
  • May 2, 2013—1 finding
  • May 15, 2012—3 findings
  • Mar 2, 2012—2 findings · 2 harm
  • Aug 24, 2011—1 finding
  • Apr 19, 2011—3 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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