About Complete Care at Milford Manor LLC
Complete Care At Milford Manor Llc, located in WEST MILFORD, NJ, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Complete Care at Milford Manor LLC
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours 3.07 hrs
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the COMPLETE CARE network. This chain operates 85 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Below Average Staffing
Complete Care at Milford Manor LLC provides less care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 1 |
|
| Health Inspection | 2 |
|
| Quality Measures | 4 |
|
| Staffing | 1 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 92 | Mar 07, 2025 |
| Weighted Average | 81 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 28.2% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 8.1% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 2.7% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 1.8% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 17.8% |
| Percentage of long-stay residents who lose too much weight (QM404) | 5.0% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.5% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 0.3% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 16.1% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 3.4% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 78.5% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 54.4% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 1.1% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 9.6% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 18.5% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 92.9% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 38.2% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 4.1% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 20.2% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 15.9% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2024: 1 complaint
- 2025: 1 complaint
- Total: 2 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Jul 25, 2025 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Jan 26, 2024 | Provide and implement an infection prevention and control program. |
Nearby Hospitals
CAREWELL HEALTH MEDICAL CENTER
EAST ORANGE, NJ
THE UNIVERSITY HOSPITAL
NEWARK, NJ
BON SECOURS COMMUNITY HOSPITAL
PORT JERVIS, NY
NEWARK BETH ISRAEL MEDICAL CENTER
NEWARK, NJ
HEIGHTS UNIVERSITY HOSPITAL
JERSEY CITY, NJ
WYCKOFF HEIGHTS MEDICAL CENTER
BROOKLYN, NY
HARLEM HOSPITAL CENTER
NEW YORK, NY
NYACK HOSPITAL
NYACK, NY
LINCOLN MEDICAL & MENTAL HEALTH CENTER
BRONX, NY
VA NEW JERSEY HEALTH CARE SYSTEM
EAST ORANGE, NJ
SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS
DENVILLE, NJ
BELLEVUE HOSPITAL CENTER
NEW YORK, NY
HUDSON REGIONAL HOSPITAL
SECAUCUS, NJ
PALISADES MEDICAL CENTER
NORTH BERGEN, NJ
JERSEY CITY MEDICAL CENTER
JERSEY CITY, NJ
ST MARY'S GENERAL HOSPITAL
PASSAIC, NJ
GOOD SAMARITAN HOSPITAL OF SUFFERN
SUFFERN, NY
ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC
PATERSON, NJ
COOPERMAN BARNABAS MEDICAL CENTER
LIVINGSTON, NJ
Owner & Operator Information
Business Entity
COMPLETE CARE AT MILFORD MANOR LLC
Ownership Structure
- MILFORD MANOR HOLDCO LLC Direct: 100%
- PC GC HOLDCO LLC Indirect
- SMS 2021 TRUST Indirect
Management & Direction
- EMMANUEL AYDIN ADP OF THE SNF
- EMMANUEL AYDIN OPERATIONAL/MANAGERIAL CONTROL
- MILFORD MANOR HOLDCO LLC ADP OF THE SNF
- MILFORD MANOR PROPCO LLC ADP OF THE SNF
- PC GC HOLDCO LLC ADP OF THE SNF
- PEACE CAPITAL HOLDINGS LLC (DE) ADP OF THE SNF
- GRACE REYES ADP OF THE SNF
- GRACE REYES OPERATIONAL/MANAGERIAL CONTROL
- RIZZA RUAYA ADP OF THE SNF
- SMS 2021 TRUST ADP OF THE SNF
- SHALOM STEIN TRUSTEE OF THE SNF
- SHALOM STEIN CORPORATE OFFICER
- SHALOM STEIN MANAGING CONTROL - GOVERNING BODY
- RAANAN ZACKAI OPERATIONAL/MANAGERIAL CONTROL
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Helen Hayes Hospital T C U | N/A | 5 |
| Inglemoor Rehabilitation and Care Center | N/A | 5 |
| Emerson Health Care Center | N/A | 5 |
| Helen Hayes Hospital R H C F | N/A | 5 |
| Florham Park Rehabilitation and Healthcare Center | N/A | 5 |
| Job Haines Home For Aged People | N/A | 5 |
| Complete Care at St Vincents LLC | N/A | 5 |
| New East Side Nursing Home | N/A | 5 |
| Hebrew Home For The Aged at Riverdale | N/A | 5 |
| New York Center For Rehabilitation and Nursing | N/A | 4 |
Related Analysis
Best Nursing Homes in WEST MILFORD, NJ
Compare Complete Care at Milford Manor LLC to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Complete Care at Milford Manor LLC directly at 9736975640. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.