Complete Care at Wall LLC

In the surveyor’s words

From the most serious findings on record at Complete Care at Wall LLC, in the surveyor’s own words.

• Immediate jeopardy, isolatedF760May 8, 2026

  Complaint #: 2993624 Based on interviews, medical record reviews, and review of other pertinent facility documents on 04/29/2026, it was determined that the facility failed to ensure a nurse (Licensed Practical Nurse #1) identified a resident prior to administering medication to the resident. Resident #2 was given methadone by mouth that was prescribed for another resident (Resident #1).On 12/25/2025, LPN #1 administered 110 milligrams (MG) of methadone (opioid medication used for addiction treatment and pain management) liquid by mouth to Resident #2. The medication was prescribed for Resident #1. LPN #1 realized the error and immediately administered Narcan to Resident #2. Narcan is a medication designed to reverse opioid overdose rapidly. […]

• Immediate jeopardy, isolatedF760May 2, 2025

  Complaint #: NJ184446 Based on interviews, medical records reviews, and review of other pertinent facility documentation on 03/24/2025, it was determined that the facility failed to protect a resident (Resident #2) from significant medication error and follow the physician's order when the Licensed Practical Nurse (LPN #2) administered an incorrect dose of Methadone and failed to follow its policy titled Medication Administration and follow the Licensed Practical Nurse Job Description. On 03/14/2025 at approximately 6:04 A.M., LPN #2 administered 105 MG [milligram] of liquid Methadone ordered for Resident #6 for opioid dependence to Resident #2 instead of the Methadone 10MG tablet ordered for the Resident for pain. Resident #2 was found by LPN #1 at approximately 8:15 A.M. […]

• No harm, potential for more than minimal, widespreadF812Aug 6, 2025

  Based on observation and interview, it was determined that the facility failed to maintain the food preparation, storage area, kitchen equipment and food transport equipment in a clean and sanitary manner, and ensure staff had access to clean hand washing facilities and covered all facial hair appropriately to prevent contamination from foreign substances and limit the potential for food borne illness. This deficient practice effected all residents who resided at the facility and was evidenced by the following:On 07/29/2025 at 8:48 AM, in the presence of the Food Service Director (FSD) the surveyor conducted an initital tour of the kitchen and additional food storage areas and observed the following: The white ceiling tiles throughout the entire kitchen had various spatter type debris and… […]

• No harm, potential for more than minimal, widespreadF865Aug 6, 2025

  Based on observation, interview and document review it was determined that the facility failed to ensure a comprehensive Quality Assurance Performance Improvement (QAPI) program self-identified areas for improvement which included to ensure all staff were knowledgeable and a consistent abuse process was in place to ensure residents were protected from abuse, investigations were initiated and appropriate staff participated in the investigations per their Job Description. This deficient practice affected all residents who resided in the facility and was evidenced by the following:On 08/06/2025 8:42 AM, the surveyor interviewed the Licensed Nursing Home Administrator (LNHA) in the presence of the survey team, about the facility QAPI program. […]

• No harm, potential for more than minimal, patternF609Aug 6, 2025

  Based on observation, interview, record review, and review of other facility documentation, it was determined that the facility failed to report to the New Jersey Department of Health (NJDOH) within 2 hours, an allegation of abuse for 2 of 4 residents reviewed for abuse, (Resident #110 and #109), and the deficient practice was evidenced by the following: A. On 7/29/25 at 9:01 AM, during the initial tour of the facility, Resident #110 informed the surveyor that Certified Nurse Aides (CNA #1) and (CNA #2) rough handled them during care, they pressed on their incision line, they pushed them and would not stop although they were screaming. Resident #110 stated that they reported the incident to RR #1 who had made the facility aware of what happened on Monday 7/28/25. […]