Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Complete Care At St Vincents Llc during CMS and state inspections, most recent first.
A facility failed to report an alleged sexual abuse incident involving a hospice CNA to NJDOH within 2 hours and did not notify law enforcement. A resident with intact cognition reported inappropriate touching during care, and the UM, DON, LNHA, and SW were informed right away. The LNHA later stated the allegation was not reported to police because the facility investigation found it invalid, despite the facility abuse policy requiring immediate reporting of alleged abuse and law enforcement notification when applicable.
Care Plans Not Updated for Wound Care and Sexual Assault Allegation: The facility failed to include a resident’s right heel wound and related treatments in the CP, even though the resident had an admission pressure injury and later required changing wound orders and debridements. The facility also failed to reflect in another resident’s CP a sexual assault allegation and the reported two-caregiver intervention for bathing and changing, despite the resident’s intact cognition and the event being documented in the FRE and SOI.
Failure to timely report alleged resident sexual abuse to state agency and law enforcement
Penalty
Summary
The facility failed to report within two hours to the New Jersey Department of Health and failed to notify law enforcement of an allegation of resident sexual abuse involving a hospice CNA. Resident #4 reported that a female hospice aide touched them inappropriately during care at approximately 10:50 AM, and the facility initiated an investigation after the allegation was made. The facility reportable event form identified the event as a significant event and documented that it was called in later that day at 4:00 PM. Resident #4 had diagnoses including encounter for surgical aftercare following surgery on the skin and subcutaneous tissue, adjustment disorder with mixed anxiety and depressed mood, and unspecified mood disorder. The resident’s MDS showed a BIMS score of 14 out of 15, indicating intact cognition. The record also showed a care plan focus that Resident #4 was lethargic, with interventions including that staff and hospice would provide a safe environment. During interviews, the Unit Manager stated she was informed by the hospice nurse that Resident #4 alleged inappropriate touching during care and that she notified the DON, LNHA, and SW right away. The LNHA stated that CNA #1 was told to leave the building and that the allegation was not reported to police because the facility’s investigation found it invalid and determined the resident was not sexually assaulted. The facility’s abuse policy stated that alleged violations involving abuse must be reported immediately, but not later than 2 hours after the allegation is made, and that law enforcement is included among the required reporting agencies when applicable.
Care Plans Not Updated for Wound Care and Sexual Assault Allegation
Penalty
Summary
The facility failed to develop a wound care care plan for a resident who was admitted with a right heel wound and received ongoing wound treatment in the facility. The resident had diagnoses including aftercare following joint replacement surgery, hemiplegia and hemiparesis following cerebral infarction affecting the right dominant side, generalized muscle weakness, and need for assistance with personal care. The resident’s MDS showed intact cognition with a BIMS score of 15 out of 15 and identified an unstageable pressure injury on admission. Progress notes documented that the resident’s right heel had discoloration on admission and a pre-existing ulcer. Wound care notes later described the heel wound as boggy with an opened blood-filled blister, and subsequent notes documented surgical debridements of the right heel wound. Treatment recommendations changed over time and included cleansing with soap and water, skin prep, calcium alginate and medical grade honey, bordered foam, normal saline cleansing, Dakins-moistened gauze, skin prep to surrounding tissue, and bordered gauze. The resident’s care plan included a focus for enhanced barrier precautions related to any skin opening requiring a dressing, but it did not include a focus, goal, or interventions for the right heel wound or its treatments. The facility also failed to update the care plan for a resident who alleged sexual assault in the facility. The resident had diagnoses including encounter for surgical aftercare following surgery on the skin and subcutaneous tissue, adjustment disorder with mixed anxiety and depressed mood, and unspecified mood disorder, and had a BIMS score of 14 out of 15. A facility reportable event and summary of investigation documented that the resident reported a female hospice aide touched them inappropriately during care, and the investigation stated that the care plan was updated to include two caregivers present during bathing and changing activities. However, the resident’s care plan did not contain any focus, goal, or intervention related to the sexual assault allegation or the two-caregiver intervention.
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What surveyors actually found near you
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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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Illustrative
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Nursing homes near Cedar Grove
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Arbor Glen Center | 0.7 mi | ★★★★★ | 29 | 0 |
| Complete Care At Cedar Grove | 1.3 mi | ★★★★★ | 1 | 0 |
| Alaris Health At Cedar Grove | 1.3 mi | ★★★★★ | 2 | 0 |
| Canterbury At Cedar Grove | 1.7 mi | ★★★★★ | 13 | 0 |
| Complete Care At West Caldwell Llc | 3.3 mi | ★★★★★ | 1 | 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 October 2026) and official state health department websites.