Above average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Complete Care At Clark Llc during CMS and state inspections, most recent first.
A resident with multiple medical conditions and frequent urinary incontinence did not consistently receive two-hour toileting checks as required by their care plan. Facility documentation and staff interviews confirmed that these checks were not always performed or documented, resulting in a failure to meet the resident's assessed needs.
The facility did not meet New Jersey's required CNA-to-resident ratios on numerous day shifts, with staffing records showing multiple instances where fewer CNAs were scheduled than mandated for the census. The staffing coordinator acknowledged knowledge of the ratios and cited last-minute call outs as a reason for shortfalls, despite the facility's policy requiring sufficient staff to ensure resident safety and well-being.
Failure to Implement and Document Two-Hour Toileting Checks per Care Plan
Penalty
Summary
The facility failed to implement a comprehensive, person-centered care plan for a resident who required two-hour checks for toileting assistance. Despite the care plan specifying these checks, both the resident and facility documentation confirmed that staff did not consistently perform or document the required checks. The resident reported that staff were not checking on them every two hours as required, and a review of the daily sign-in sheets over a ten-day period showed multiple missing entries, indicating that the checks were not completed as planned. Further review of the resident's records revealed that the individual had diagnoses including type 2 diabetes mellitus, acute kidney failure, and acute respiratory failure, and was frequently incontinent of urine. The resident's cognitive status was intact, as indicated by a BIMS score of 13 out of 15. Interviews with the CNA and DON confirmed that the two-hour checks were required and that documentation was necessary to verify completion. However, both acknowledged that blank sections on the sign-in sheets meant there was no way to confirm if the checks had been performed, directly leading to the deficiency.
Failure to Meet Minimum CNA Staffing Ratios on Day Shifts
Penalty
Summary
The facility failed to maintain the required minimum direct care staff-to-shift ratios as mandated by the state of New Jersey for 48 out of 63 day shifts reviewed. This deficiency was identified through interviews and a review of facility documentation, including staffing schedules for multiple periods. The state law requires one Certified Nurse Aide (CNA) for every eight residents during the day shift, but the facility consistently scheduled fewer CNAs than required for the number of residents present. Specific staffing shortfalls were documented across several weeks, with multiple day shifts where the number of CNAs on duty did not meet the minimum ratio. For example, on several occasions, there were only 13 to 15 CNAs scheduled for over 120 residents, when at least 15 or 16 were required. These deficiencies were present in all reviewed periods, including weeks in October, December, February, and April-May, with some periods showing every day shift falling below the required staffing level. During an interview, the staffing coordinator acknowledged awareness of the New Jersey staffing ratios and attributed short staffing primarily to last-minute call outs, though she stated it was rare for the facility to be short-staffed. The facility's own policy, revised in January, emphasized the need to provide sufficient staff to ensure resident safety and well-being, but the documented staffing levels did not align with these requirements during the reviewed periods.
Plan Of Correction
1. The daily staffing schedule was reviewed by the Human Resources Director to assure the facility is in compliance with the required minimum direct care staff-to-shift ratios. 2. All residents have the potential to be affected by the deficient practice. 3. The Human Resources Director will continue to post the vacancies on all 3 shifts. The Human Resources Director will continue to recruit through online platforms as well as a job fair. The Administrator will boost the rate when there is emergency staffing coverage. The facility is contracted with multiple staffing agencies for temporary and permanent staffing assistance. Employee Referral Bonus Program is in place. Bi-weekly meetings are held including the Administrator, Director of Nursing, Human Resources, staffing coordinator, and recruiter to review direct care staffing and develop strategies for recruitment and retention of direct care staff. In the event that we do not have the adequate ratio of staff on schedule or have call outs, the staff on shift are asked to stay for another shift as well as available coverage is requested from the facility's contracted staffing agencies at a boosted rate. 4. The Human Resources Director or designee will report the findings of completed direct care staff to resident ratio weekly audits to the Nursing Home Administrator as well as at the quarterly Quality Assurance and Performance Improvement meetings. The Quality Assurance Performance Improvement Committee will determine whether the audit needs to be continued or discontinued.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Clark
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Complete Care At Westfield, Llc | 0.6 mi | ★★★★★ | 0 | 0 |
| Care Connection Rahway | 1.8 mi | ★★★★★ | 12 | 0 |
| Cranford Park Care | 2.1 mi | ★★★★★ | 12 | 0 |
| Ashbrook Care & Rehabilitation Center | 2.4 mi | ★★★★★ | 0 | 0 |
| Adroit Care Rehabilitation And Nursing Center | 2.9 mi | ★★★★★ | 13 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.