West Caldwell Care Center

    165 Fairfield Ave, West Caldwell, NJ 07006
    • Independent Living
    • Assisted Living
    • Skilled Nursing
    4.1ยท250 reviews

    Excellent care and attentive staff

    I felt very well cared for - nursing and PT were excellent, CNAs and aides (Maggie, Xiaver, Musa, Linda) were attentive, and concierge Kimberly and the front desk team were extremely helpful. The facility was clean, housekeeping reliable, and activities (weekend events and the Sunday singer) kept days lively. Overall a very positive experience that I would recommend.

    Current/former resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.12ยท(250)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.5
    • Staff

      3.8
    • Meals

      2.5
    • Amenities

      2.9
    • Value

      1.0

    Pros

    • Compassionate and attentive caregivers
    • Dedicated recreation leadership (Esther Sylvestri)
    • Strong rehabilitation and physical-therapy program
    • Effective short-term rehab outcomes
    • Regular room cleaning and linen changes
    • Three daily meals with menu choices
    • Outdoor walking and socialization opportunities
    • Supportive hospice-capable services
    • Knowledgeable therapy instructors
    • Responsive administrators in some periods
    • Individualized attention from certain nurses and aides
    • Clean, well-kept resident rooms in several units

    Cons

    • Inconsistent staffing levels across shifts
    • Slow or unreliable call-light responsiveness
    • Gaps in wound-care and moisture-management processes
    • Medication-timing errors and delayed medication administration
    • Inconsistent infection-control and sanitation practices
    • Insufficient overnight and weekend clinical coverage
    • Variable competency among aides and float staff
    • Maintenance and physical-plant upkeep deficiencies
    • Inconsistent meal quality and meal-timing reliability
    • Weak family communication and care coordination
    • Unreliable delivery of promised therapy schedules
    • High staff turnover and low employee morale
    • Allegations of missing personal belongings
    • Resource-allocation pressures associated with for-profit operation

    Summary of reviews

    Reviewers describe a facility with sharply mixed experiences: several families and patients praise strong rehabilitation outcomes, active recreation programming, and individual staff members who provide attentive, personalized care, while an equal number raise consistent operational concerns. The pattern is one of variability โ€” certain units, shifts, and staff deliver very good care, whereas other areas of operation show persistent weaknesses.

    Care quality and clinical management: Multiple accounts indicate inconsistent clinical practices when resident acuity increases. Wound care, moisture-management, and pressure-injury prevention are recurring areas of concern, with families noting gaps in turning schedules and wound follow-up. Medication administration timing and alarm responsiveness are also problematic in some shifts, and there are descriptions of delayed or missed medications and slow responses to IV or device alarms. Several reviewers linked these operational gaps to rehospitalizations or deteriorations in condition; conversely, some residents experienced measurable improvement under the facilityโ€™s rehabilitation program.

    Staffing and conduct: The workforce is described as a mix of dedicated, knowledgeable clinicians (therapists, some nurses, and aides) and staff who appear overextended or inexperienced. Night and weekend staffing shortages, high turnover, and low morale are recurring themes; these contribute to long call-light response times, delayed assistance, and inconsistent continuity of care. Families highlight particular personnel who provided exceptional support, and some reviewers noted improved responsiveness after management changes.

    Dining and activities: Activity programming and recreation leadership receive frequent praise, including organized events, daily visits, outdoor walks, and an engaged recreation director. The therapy staff and rehab offerings are often described as effective. Dining reports are mixed: some residents gained weight and appreciated menu choices and three meals daily, while others experienced late meals, inconsistent meal quality, and complaints about food temperature and variety.

    Facilities and maintenance: Physical plant impressions vary by unit. Positive comments reference clean, well-serviced rooms and attractive common areas, whereas negative comments cite outdated rooms, odor concerns, stained carpeting, broken light switches, and inconsistent maintenance. These inconsistencies appear to affect resident comfort and the overall atmosphere.

    Management, communication, and oversight: Communication with families is uneven. Many reviewers describe poor care coordination and delayed or insufficient communication about clinical changes, while others report helpful, responsive administrators and social workers. There are mentions of for-profit operational pressures shaping resource allocation decisions. Allegations of missing personal items and concerns about supervision quality were raised; reviewers recommended close family involvement and oversight, particularly during higher-acuity stays.

    Notable patterns and takeaways: The dominant pattern is variability โ€” positive outcomes and compassionate individual staff coexist with operational weaknesses that are most evident during nights, weekends, and periods of higher resident acuity. Prospective families should weigh the facilityโ€™s strengths in rehabilitation and recreation against documented inconsistency in clinical oversight, maintenance, and communication. Practical steps for families include asking about staffing ratios by shift, written wound-care and turning protocols, documented therapy schedules, local inspection reports, and arranging regular in-person check-ins during a loved oneโ€™s stay.

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    Medicare Ratings

    4ยท/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of West Caldwell Care Center

    West Caldwell Care Center is located at 165 Fairfield Ave, West Caldwell, NJ, 07006.

    About West Caldwell Care Center

    West Caldwell Care Center sits on Fairfield Avenue over there in West Caldwell, New Jersey, and you'll find that the place does tours for visitors, so you can meet the staff and residents and get a feel for it yourself, which a lot of folks appreciate because you like to know what you're getting into, and as far as payment, they take Medicaid only, which matters if you're sorting out finances. The facility has nurses on staff, along with folks trained specially in mental health care, so they're ready if someone has more than general medical needs, and all of the staff go through a training and qualifications program, because you want people who know what they're doing, and you'll notice the staff speak English but also come from different backgrounds, which some families see as welcoming.

    You'll find a full list of amenities, including meals planned with diet and nutrition in mind, various therapies, a dining room, fitness and wellness programs, a salon, and all sorts of games, recreation, hobbies, social and spiritual activities, so there's usually something going on whichever day you come by, even if sometimes people say the food isn't always the best. Nursing home services are available along with clinical care, and if you need home care, you can even book appointments with them, and they've got things like My Adult Foster Care, My Adult Home Care, My Senior Care Hub, and My Adult Behavior, which are their own programs. There's even technical features like electronic visit verification (EVV) that help keep track of visits and care, and they encourage family engagement, so families stay involved. Activities and transportation are part of the mix, and the place stays pretty clean-people mention that a lot.

    For medical needs, the Center offers everything from acute care to long-term care, subacute and orthopedic rehab, stroke recovery, wound care, hospice, renal and even on-site dialysis using new technology, so people don't have to travel for treatments. They also offer memory care for dementia or Alzheimer's, plus cardiac and respiratory care for folks dealing with heart or lung problems, and therapy staff get mentioned for being helpful and knowledgeable, which is important when you need extra assistance, and you'll find social workers and aides who do their best to be accommodating even when things get busy. There are physical therapy, recovery, and rehabilitation services, and the general feeling is the staff try hard to make everyone feel like part of a family, with leadership taking a hands-on approach and trying to build real relationships, and even though there are complaints now and then, most say the center does what it can to support seniors in need.

    The hours run from Monday through Saturday, 8 in the morning until 5 in the evening-they're closed on Sundays though-and visiting hours go from 8 in the morning to 8 at night, so families have a fair bit of time to stop in. There's a food program (CACFP) too, and remote patient monitoring through tele-health, along with care management, so people get help staying on top of their health. Altogether, West Caldwell Care Center provides a range of care and clinical services, and while no place is perfect, for families looking for Medicaid-only options and various therapy and medical programs, it covers a lot of ground and aims to make things as supportive as it can.

    People often ask...

    West Caldwell Care Center offers independent living, assisted living, and skilled nursing.

    The full address for this community is 165 Fairfield Ave, West Caldwell, NJ 07006.

    No, West Caldwell Care Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of West Caldwell Care Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact West Caldwell Care Center directly. There is no cost for this service. We are compensated by the community you select.

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