D69

COMPLETE CARE AT VOORHEES, LLC

Grade D 69/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
3/5
Health Insp.
2/5
Quality
5/5
Staffing
2/5
RN Staffing
Not rated

Certified Beds

190

Ownership

For profit - Limited Liability company

Total Fines

$41,098

Last Survey

N/A

3001 EVESHAM ROAD, VOORHEES, NJ 08043
8567511600

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.28h
LPN
1.06h
CNA
2.38h
Total
3.72h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

PC NJ2 OPCOS LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jul 2021

100%

PEACE CAPITAL HOLDINGS LLC (DE)

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jul 2021

SMS 2021 TRUST

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jul 2021

HOCH, ROBERT

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2021

LOVE, SUSAN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2021

MERCADO, WANDA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2021

PECORA, ANDREW

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2021

SOLARZ, JEFFREY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2021

STEIN, SHALOM

IndividualCORPORATE OFFICERSince Jul 2021

WELLTOWER OP LLC

Organization5% OR GREATER SECURITY INTERESTSince Jul 2021

Penalties & Fines (2)

$41,098total fines
DateTypeDescriptionAmount
Sep 29, 2023Fine$41,098
Sep 29, 2023Payment Denial

Health Inspection Deficiencies (34)

August 29, 2025Health1 deficiency
0755DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected Oct 17, 2025
May 2, 2025Health1 deficiency
0755DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected Jul 11, 2025
January 13, 2025Health9 deficiencies
0550EMinimal harm, Pattern

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Feb 21, 2025
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Feb 21, 2025
0698EMinimal harm, Pattern

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Feb 21, 2025
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Feb 21, 2025
0658EMinimal harm, Pattern

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

Resident Assessment and Care Planning Deficiencies

Corrected Feb 21, 2025
0687EMinimal harm, Pattern

Provide appropriate foot care.

Quality of Life and Care Deficiencies

Corrected Feb 21, 2025
0804EMinimal harm, Pattern

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nutrition and Dietary Deficiencies

Corrected Feb 21, 2025
0806DMinimal harm, Isolated

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Nutrition and Dietary Deficiencies

Corrected Feb 21, 2025
0584EMinimal harm, Pattern

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.

Resident Rights Deficiencies

Corrected Feb 21, 2025
September 29, 2023Health16 deficiencies1 severe
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Oct 28, 2023
0686DMinimal harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Oct 28, 2023
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Oct 28, 2023
0693DMinimal harm, Isolated

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Quality of Life and Care Deficiencies

Corrected Oct 28, 2023
0700DMinimal harm, Isolated

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Quality of Life and Care Deficiencies

Corrected Oct 28, 2023
0804EMinimal harm, Pattern

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nutrition and Dietary Deficiencies

Corrected Oct 28, 2023
0809EMinimal harm, Pattern

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Nutrition and Dietary Deficiencies

Corrected Oct 28, 2023
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Oct 28, 2023
0842DMinimal harm, Isolated

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Oct 28, 2023
0880JImmediate jeopardy, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Nov 30, 2023
0881EMinimal harm, Pattern

Implement a program that monitors antibiotic use.

Infection Control Deficiencies

Corrected Oct 28, 2023
0909EMinimal harm, Pattern

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Environmental Deficiencies

Corrected Oct 28, 2023
0600DMinimal harm, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Oct 28, 2023
0607DMinimal harm, Isolated

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Oct 28, 2023
0578DMinimal harm, Isolated

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Resident Rights Deficiencies

Corrected Oct 28, 2023
0582EMinimal harm, Pattern

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Resident Rights Deficiencies

Corrected Oct 28, 2023
June 7, 2022Health7 deficiencies
0686DMinimal harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Jul 11, 2022
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Jul 11, 2022
0756EMinimal harm, Pattern

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies

Corrected Jul 11, 2022
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Jul 11, 2022
0658DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Jul 11, 2022
0688DMinimal harm, Isolated

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Quality of Life and Care Deficiencies

Corrected Jul 11, 2022
0760EMinimal harm, Pattern

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Jul 11, 2022

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Frequently Asked Questions

What is the CareGrader rating for COMPLETE CARE AT VOORHEES, LLC?

COMPLETE CARE AT VOORHEES, LLC in VOORHEES, New Jersey has a CareGrader grade of D (Below Average), with a composite score of 68.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for COMPLETE CARE AT VOORHEES, LLC?

COMPLETE CARE AT VOORHEES, LLC has an overall CMS star rating of 3 out of 5, a health inspection rating of 2/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does COMPLETE CARE AT VOORHEES, LLC have?

COMPLETE CARE AT VOORHEES, LLC has 34 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has COMPLETE CARE AT VOORHEES, LLC been fined?

Yes. COMPLETE CARE AT VOORHEES, LLC has $41,098 in total fines from CMS enforcement actions across 2 penalties.

How many beds does COMPLETE CARE AT VOORHEES, LLC have?

COMPLETE CARE AT VOORHEES, LLC has 190 certified beds with approximately 175 current residents (92% occupancy). The facility is located at 3001 EVESHAM ROAD, VOORHEES, New Jersey 08043. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.