Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

COMPLETE CARE AT COURT HOUSE, LLC

CAPE MAY COURT HOUSE, NJ · 120 certified beds · Last Life Safety survey March 13, 2025

CMS Certification Number 315228 · first certified January 1986

Ownership

Operated by COMPLETE CARE · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

6
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
3
Inspection & testing records
Of the citations on file

Position within NJ

6 citations — more than 9% of the 348 certified nursing homes in NJ. Compared within NJ rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 2. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: July 2026 to November 2026. This facility’s last Life Safety survey was March 2025. Facilities in NJ are typically surveyed 16–20 months after the last one (median 17), measured over 431 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Physical environment (health survey)

5 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 6 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0584 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.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.

How that compares

Citations on file over three years

Compared with the median facility in NJ, and nationally. Surveyors differ markedly between states, so the NJ figure is the meaningful one.

This facility6NJ median15National median11
Citations on file over three years, compared
MeasureCitations
This facility6
Median facility in NJ15
Median facility nationally11

Survey history

Citations at each Life Safety survey
12021-0232023-0222025-03
Citations at each Life Safety survey
Survey dateCitations
February 10, 20211
February 2, 20233
March 13, 20252

Most-cited tags

Most-cited tags at this facility
K-09181K-03451K-03111K-03241K-02811K-03511
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0918Have generator or other power source capable of supplying service within 10 seconds.12023-02-02
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12023-02-02
K-0311Have an enclosure around a vertical opening shaft.12025-03-13
K-0324Provide properly protected cooking facilities.12021-02-10
K-0281Install proper backup exit lighting.12025-03-13
K-0351Install an approved automatic sprinkler system.12023-02-02

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 4
  • Egress Deficiencies 1
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies4
Egress Deficiencies1
Gas, Vacuum, and Electrical Systems Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

March 13, 2025 — 2 citations

Citations issued on March 13, 2025
TagWhat the surveyor checksStatus
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (April 25, 2025)
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (April 25, 2025)

February 2, 2023 — 3 citations

Citations issued on February 2, 2023
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (March 17, 2023)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (March 17, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (March 17, 2023)

February 10, 2021 — 1 citation

Citations issued on February 10, 2021
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (March 11, 2021)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.