Preferred Care At Absecon
1020 Pitney Road, Absecon, NJ 08201 · For profit - Limited Liability company · 162 certified beds · (609) 646-5400 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- it has an abuse, neglect, or exploitation citation (F0600), cited Sep 2023
- it has 1 actual-harm citation
- a high number of inspection citations overall (22) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $25,753 in federal fines (most recent 2023-09-28)
- about 32% of its spending goes to commonly-owned related companies
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 4 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 5 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 3 to 5 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 4.9% | 8.7% | 15.4% | better |
| Long-stay residents who lose too much weight | 2.8% | 4.6% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.6% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 0.2% | 0.8% | 2.0% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with depressive symptoms | 24.8% | 12.1% | 6.5% | worse |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 2.3% | 2.3% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 4.5% | 8.2% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 31.4% | 18.8% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 97.2% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 2.5% | 5.4% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 5.0% | 15.6% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 18.3% | 12.7% | 17.1% | typical |
| Short-stay residents who newly got an antipsychotic medication | 0.2% | 1.2% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 86.7% | 80.1% | 79.4% | typical |
| Short-stay residents rehospitalized after admission | 22.7% | 24.9% | 22.6% | typical |
| Short-stay residents with an outpatient ER visit | 10.0% | 8.1% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 2.15 | 2.07 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 0.91 | 1.11 | 1.80 | better |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
49.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 273 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 85.1% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 174 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.
Therapy staffing: this home’s payroll records show 0.26 therapist hours per resident per day in 2026Q1 — more than 38% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 33% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 49.3%CMS range 41.9–57.4 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 9.2%CMS range 7.2–11.5 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 85.1% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 83.3% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 75.9% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.8% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 0.0% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 8.2%CMS range 6.0–11.2 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.35 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 162 beds and averages 151.5 residents a day — about 94% occupied, or roughly 10 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.09 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.35 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.60 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 3.53 hrs/resident/day on weekends vs 4.32 on weekdays — 18% thinner on weekends. RN hours go from 0.45 to 0.10 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 51% is about the same as the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
22 citations, most serious first. The 11 most serious are shown; the remaining 11 are one tap away and print in full.
- Actual harm · Gdisputed · IIDR2023-09-28 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, record review, and policy review, the facility failed to implement timely pressure reducing measures before and after the identification of a pressure ulcer and failed to consistently implement an air mattress at the proper setting, offload heels, and reposition for pressure ulcer prevention for one (Resident (R30) of four residents reviewed for pressure ulcers out of a total sample of 33 residents. This failure resulted in harm when R30 developed a pressure ulcer on the sacrum that worsened to unstageable before pressure relieving measures were put in place. Findings include: Review of R30's annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) date of 04/30/23, located in the MDS tab of the electronic medical record (EMR), revealed no score for a Brief Interview for Mental Status (BIMS), cognition was severely impaired, had diagnoses of; dementia, pressure ulcer of other sites, unstageable, and required extensive assistance for bed mobility. Review of R30's quarterly MDS with an ARD of 07/31/23, revealed an assessment of one…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2024-12-23 · tag F0584 — failed to keep a safe, clean, comfortable home — patternHonor 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.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and review of other facility documentation, it was determined that the facility failed to maintain a clean, safe, and sanitary environment for 2 of 3 units (2nd floor and [NAME] Hall). This deficient practice was evidenced by the following: On 12/17/2024 at 12:17 PM, Surveyor #1 observed the following on [NAME] Hall: Medication Cart #2 had hair tangled in the wheels, and a mechanical lift also had hair wrapped around its wheels. A clean linen cart on the low hall showed a blue stain on the top shelf, along with tan and brown stains on the left side of the vertical support. Additionally, the covers for the clean linen carts on both the low and high halls were in poor condition with rips. On 12/17/2024 at 10:30 AM, Surveyor #2 observed the following on the 2nd floor: Team #2's Medication and Treatment Carts had hair tangled in the wheels, and the medication cart had a yellow substance on the wheels along with brown stains on the front. Additionally, the mechanical lift's wheels had…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-12-23 · tag F0577 — isolatedAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, it was determined that the facility failed to make survey results readily accessible to residents and visitors. This deficient practice was evidenced by the following: 1. On 12/18/0224 from 10:07 to 10:49 AM the surveyor conducted the resident council task with five (5) facility long-term resident's, with 4 of 5 residents that regularly attend resident council meetings. When asked if the residents were made aware of the location of the most recent state survey results, 5 out 5 residents (Resident #33, #35, #51, #113, and #127) responded that they were not aware of where the most recent survey results were located. 2. On 12/18/2024 at 10:57 AM, the surveyor interviewed the Licensed Nursing Home Administrator (LNHA) and the Regional Nurse (RN) at the receptionist desk in the LNHA survey results. When asked where the survey results were located the LNHA told the surveyor that the survey results were located behind the receptionist desk and on the table in the lobby. The LNHA also…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-12-23 · tag F0812 — failed to store, cook, and serve food safely — isolatedProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and review of other facility documentation, it was determined that the facility failed to maintain kitchen sanitation in a safe and consistent manner to prevent food borne illness. This deficient practice was evidenced by the following: On 12/17/2024 at 11:09 AM, the surveyor, accompanied by the Licensed Practical Nurse/Unit Manager (LPN/UM #1), observed the following on the 2nd Floor resident pantry: Upon entry to the pantry the surveyor reviewed the temperature log for the resident refrigerator and freezer. A review of the resident refrigerator and freezer temperature log revealed that temperatures had not been recorded for the refrigerator or freezer for 12/17/2024 at the time of observation. A review of freezer temperatures for 12/1/through 12/16/2024 revealed a temperature range of -1 to 5 degrees Fahrenheit (F). A review of the refrigerator temperatures from 12/1 to 12/16/2024 revealed a temperature range of 32 to 40 degrees F. The surveyor then proceeded to open the freezer door and observed that the internal temperature of the freezer was 42…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2023-09-28 · tag F0804 — failed to serve food at safe, palatable temperature — patternEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and policy review, the facility failed to serve food that was palatable, at the appropriate temperature, and nonrepetitive for five (Resident (R)93, R116, R51, R111, and R187) of seven residents reviewed for food palatability out of a total sample of 33 residents. Findings include: Review of the facility policy titled Food and Nutrition Services, revised 10/2017, revealed Each resident is provided with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs, taking into consideration the preferences of each resident. Review of the menus for the week of 09/24/23 revealed eggs were planned five out of seven breakfasts and green beans, carrots or a mixture of carrots and green beans were planned six out of 14 lunches and/or dinners. 1. Review of R93's quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) date of 07/17/23, located in the MDS tab of the electronic medical record (EMR), revealed an admission date of 04/11/22, a Brief Interview for Mental Status (BIMS) score of 15 out…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-09-28 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor 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.
What the surveyor found here — an excerpt from the official record, may be distressing
Complaint#: NJ164242 Based on observation, interview, and policy review, the facility failed to provide a clean and sanitary environment for one of six residents (Resident (R)14) reviewed room disrepair out of a total sample of 33 residents. On 09/25/23 at 3:33 PM, an interview was attempted with R14. She did not respond to questions asked about her room. During an interview on 09/26/23 at 10:15 AM, family Member (FM)25 was asked about R14's room. FM25 stated, The room is not sanitary. The window screen is bent up in the window. There are white patches on the wall near the bathroom and above the toilet paper holder in the bathroom. The floor is dirty. Plaster is missing around the air conditioner, and it looks like mold. The rooms are disgusting. During an observation on 09/27/23 at 11:57 AM, R14's room revealed a patch of white was seen on the wall next to the bathroom door at eye level. From the doorway brown colored stains on the privacy curtains could be seen. Walking into the room revealed plaster was missing around the air conditioning unit exposing holes and cracks along with…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ddisputed · IIDR2023-09-28 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY COMPLAINT# NJ167015 Based on observation, interview, record review, and policy review, the facility failed to protect a resident's right to be free of physical abuse for one of (Resident (R)72) of seven residents reviewed for abuse out of a total sample of 33 residents. Findings include: 1. Review of R72's admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) date of 06/28/23, located in the MDS tab of the electronic medical record (EMR), revealed an admission date of 06/22/23, a Brief Interview for Mental Status (BIMS) score of 10 out of 15 indicating moderate cognitive impairment, diagnoses of Alzheimer's disease, cerebral infarction (stroke), and hemiplegia and hemiparesis (paralysis and weakness) following nontraumatic intracerebral hemorrhage affecting left non-dominant side, and had verbal behavioral symptoms directed towards others. These behaviors were documented as not interfering with other residents' care. Review of R72's 06/23/23 care plan, located in the EMR under the Care Plan…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-09-28 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, medical record review, and policy review, the facility failed to ensure the staff assessed the resident, notified the nursing supervisor, and/or complete an incident report to determine the cause of a fall for one of three (Resident (R)46) residents reviewed for falls out of a total sample of 33 residents. This deficient practice increased the potential for additional falls to not be reported and/or investigated thoroughly. Findings include: Review of R46's electronic medical record (EMR) revealed an admission Record under the Profile tab which indicated R46 was admitted to the facility on [DATE] with diagnoses of schizophrenia, dementia, and glaucoma. Review of R46's EMR revealed a quarterly Minimum Data Set (MDS) assessment located under the MDS tab. The Assessment Reference Date (ARD) was 08/07/23. The MDS revealed R46 had a Brief Interview for Mental Status (BIMS) score of 15 out of 15 indicating intact cognitive abilities. R46 was also assessed with hallucinations and delusions and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-09-28 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, record review, and review of facility policy, the facility failed to properly secure indwelling catheter drainage tubing to prevent harm to the bladder for two of two residents (Residents (R)1 and R18) reviewed for urinary catheters out of a total sample of 33 residents. This failure had the potential to cause reoccurring urinary tract infections (UTI) and/or harm to the bladder if the catheter becomes dislodged. Findings include: 1. Review of the Face Sheet located in R1's electronic medical records (EMR) revealed the resident was admitted to the facility on [DATE], with diagnoses that included Right Staghorn Calculus (kidney stone), Recurrent Complicated UTI, and Chronic Indwelling Foley Catheter. Review of R1's Care Plan, dated 07/26/23 and located in the EMR Care Planning tab, revealed the resident had a foley catheter to drainage and to provide catheter care according to facility policy. Review of the R1's Physician Orders, dated 07/26/23 and located in the EMR Orders tab,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-09-28 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide enough food/fluids to maintain a resident's health.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interview, record review, and policy review, the facility failed to provide prescribed nutrition interventions to address significant weight loss for one (Resident (R)72) of six residents reviewed for nutritional status out of a total sample of 33 residents. Findings include: Review of R72's admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) date of 06/28/23, located in the MDS tab of the electronic medical record (EMR), revealed an admission date of 06/22/23, a Brief Interview for Mental Status (BIMS) score of 10 out of 15 indicating moderate cognition impairment, had diagnoses of Alzheimer's disease, cerebral infarction (stroke), unspecified, malnutrition, dysphagia-oropharyngeal phase (difficulty swallowing), and hemiplegia and hemiparesis (paralysis and weakness) following nontraumatic intracerebral hemorrhage affecting left non-dominant side. Review of R72's revised 08/10/23 care plan located in the EMR under the Care Plan tab revealed [R72] Has nutritional problem or potential nutritional problem related to mechanically altered…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-08-18 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Complaint #: NJ00166465 Based on observation, interviews, review of the medical record, and other pertinent facility documentation on , , it was determined that the facility failed to consistently document Activities of Daily Living (ADL) care as being provided in the Documentation Survey Report (DSR) resident's Activities of Daily Living (ADL) status and follow the facility policy for ADL Documentation. This deficient practice was evidenced for 2 of 2 residents (Residents #4 and #3) reviewed for ADL care. This deficient practice was evidenced by the following: On 08/16/23 at 12:23 PM, the surveyor observed Resident #4 in bed and checked the resident for incontinence with the Licensed Practical Nurse/Unit Manager (LPN/UM) and CNA #2. The surveyor reviewed the medical record for Resident #4: The admission Record revealed that Resident #4 was admitted to the facility on [DATE] and was readmitted on [DATE] with medical diagnoses which included but were not limited to Unspecified Dementia, Schizoaffective Disorder…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 11 citations
- Potential for harm · Ecited before2022-07-26 · tag F0812 — failed to store, cook, and serve food safely — patternProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and review of other facility documentation, it was determined that the facility failed to handle potentially hazardous foods and maintain sanitation in a safe and consistent manner designed to prevent food borne illness. This deficient practice was evidenced by the following: On 7/12/2022 from 9:17 AM to 10:17 AM, the surveyor, accompanied by the Regional Food Service Director (RFSD), observed the following in the kitchen: 1. In the dry storage room on a lower shelf an opened bulk bag of rice had no dates and was exposed to the air. The FSD stated, That's going in the garbage. 2. A stand up mixer was on top of a metal counter adjacent to the dietary office wall and was uncovered and exposed to dust and splash contamination. The surveyor asked the cook if he had used the mixer at any time since he had arrived to work. The cook replied, No. The surveyor then asked the RFSD if the standup mixer was cleaned and sanitized. The RFSD then asked the cook if he had used the mixer. The…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-07-26 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and review of other facility documentation, it was determined that the facility failed to ensure residents were assisted to eat their meals once delivered in a timely manner and ensure that the residents' dining experience was provided in a manner to promote the dignity and respect of the residents, who were not served their meal at the same time while seated at the same table, for 5 of 32 residents reviewed for dining, Resident # 108, #22, #582, #107, and #1. This deficient practice was evidenced by the following: On 7/13/22 at 8:55 AM, upon entering the room for Resident #108, he/she was observed lying in bed, head of bed elevated 30 degrees. A meal tray with breakfast was observed on top of bedside table untouched. Certified Nursing Assistant #2 came into the room and said I need to get the bed fixed before I can feed him/her. She then left the room and went across the hall. On 7/13/22 at 8:56 AM, CNA #2 reentered the room and upon interview with CNA #2, who is the assigned CNA…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-07-26 · tag F0658 — failed to meet professional standards of care — isolatedEnsure services provided by the nursing facility meet professional standards of quality.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, review of the medical record and other facility documentation, it was determined that the facility failed to 1) ensure that a resident who had a weight loss was assessed consistently by the Dietician and 2) failed to obtain a physician order for dietary supplements. This deficient practice was identified for 2 of 2 residents reviewed for Nutrition (Resident # 113 and Resident #108), and was evidenced by the following: Reference: New Jersey Statutes, Annotated Title 45, Chapter 11. Nursing Board The Nurse Practice Act for the State of New Jersey stated, The practice of nursing as a registered professional nurse is defined as diagnosing and treating human responses to actual or potential physical and emotional health problems, through such services as case finding, health teaching, health counseling, and provision of care supportive to or restorative of life and wellbeing, and executing medical regimens as prescribed by a licensed or otherwise legally authorized physician or…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2022-07-26 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, it was determined that the facility failed to ensure that a resident was not in possession of smoking supplies for 1 of 1 resident (Resident #88) reviewed for smoking. This deficient practice was evidenced by the following: During the tour of 1st Floor unit on 07/12/22 at 10:41 AM, the surveyor observed Resident #88 lying in bed watching television. The surveyor also observed an open pack of cigarettes and a lighter on the overbed table next to the resident's bed. When interviewed, Resident #88 was unable to provide information about the open pack of cigarettes and lighter. The surveyor did not observe any residents walking about the unit. According to the admission Record, Resident #88 was admitted with medical diagnoses that included: dementia, cerebral infarction (stroke), aphasia (language disorder that affects a person's ability to communicate) and muscle weakness. Review of the admission Minimum Data Set (MDS), an assessment tool used to facilitate the management of care, dated 06/03/22, reflected that staff assessed the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2022-07-26 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, record review, and review of other facility documentation, it was determined that the facility failed to a.) maintain a urinary catheter drainage bag in a manner to promote dignity, b.) ensure the urinary catheter drainage bag did not come into contact with the floor, and c.) ensure the urinary catheter drainage bag was kept below the level of the bladder for 1 of 6 residents (Resident #100) reviewed for urinary catheter. This deficient practice was evidenced by the following: On 07/12/22 at 10:39 AM, the surveyor observed Resident #100 lying in bed. The resident's urinary catheter drainage bag did not have a privacy cover and the urine inside the bag was visible. The drainage bag was not secured to the resident's bed and was lying flat on the floor. On 07/14/22 at 11:46 AM, the surveyor observed Resident #100 sitting up in a geri-chair (recliner chair) in his/her room. The urinary catheter drainage bag was resting directly on the resident's lower legs which were elevated by the geri-chair and was not secured to the resident's chair below the level…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-07-26 · tag F0698 — failed to provide proper dialysis care — isolatedProvide safe, appropriate dialysis care/services for a resident who requires such services.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, it was determined that the facility failed to maintain a current physician order for dialysis for 1 of 1 resident (Resident #128) reviewed for dialysis. This deficient practice was evidenced by the following: During the tour of the facility on 07/12/22 at 10:59 AM, the surveyor interviewed Resident #128 who stated that he/she goes to dialysis on Monday, Wednesday, and Friday every week. According to the admission Record, Resident #128 was admitted to the facility with diagnoses that included, but were not limited to, end stage renal disease and dependence on renal dialysis. Review of the Annual Minimum Data Set, an assessment tool utilized to facilitate the management of care, dated 06/16/22, reflected that Resident #128 was cognitively intact and was receiving dialysis. Review of the Care Plan revealed a focus that Resident #128 received dialysis weekly on Monday, Wednesday, and Friday. Review of the Order Summary Report for Active Orders, as of 07/01/22, did not reflect a current order for dialysis for Resident #128. During an…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-07-26 · tag F0814 — failed to dispose of garbage properly — isolatedDispose of garbage and refuse properly.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and review of other facility documentation, it was determined that the facility failed to provide a sanitary environment for residents, staff, and the public by failing to keep the garbage container area free of garbage and debris and to have a cover over the opening of 1 of 1 garbage compactors. This deficient practice was evidenced by the following: On 7/15/2022 at approximately 9:30 AM the surveyor, accompanied by the Regional Food Service Director (RFSD) observed a green trash/garbage compactor at the end of the facility loading dock. The compactor had (2) green metal doors in the open position and were secured in the open position with a bolt type latch on either side. The contents of the compactor were exposed and accessible. The contents consisted of garbage in clear plastic bags, loose surgical masks, and what appeared to be a blue mattress cover. On interview the RFSD stated, Whoever dumps trash is responsible for closing the doors. Our staff is not trained on the compactor, so they don't go near it. 2. On the loading dock and opposite the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-07-26 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, record review and review of other pertinent facility documentation, it was determined that the facility failed to ensure staff members wore the appropriate personal protective equipment (PPE; protective items or garments worn to protect the body) in a resident's room under contact precautions (measures that are intended to prevent transmission of infectious agents which are spread by direct or indirect contact with the resident or the resident's environment) for 1 of 9 residents investigated under the Infection Control task. This deficient practice was evidenced by the following: On 7/13/22 at 8:58 AM, the surveyor observed two, Certified Nursing Assistants (CNA) and a housekeeping (HK) staff member in Resident #83's room. The CNAs were performing care on Resident #83 while he/she was in bed. The CNAs did not have gowns on. At that time, the surveyor observed a Contact Precaution sign. The Contact Precaution sign revealed, Put on gown before room entry, discard gown before room exit. The surveyor also observed a bin outside of the door containing…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-07-26 · tag F0881 — failed to use antibiotics responsibly — isolatedImplement a program that monitors antibiotic use.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview, record review and review of other pertinent facility documentation, it was determined the facility failed to implement antibiotic use protocols to prevent the use of unnecessary antibiotics (medications used to inhibit growth of microorganisms) by continuing a prescribed antibiotic found to be ineffective against a specific bacteria for 1 of 9 residents (Resident #83) investigated under the Infection Control task. This deficient practice was evidenced by the following: On 7/13/22 at 9:06 AM, the surveyor observed Resident #83's room had a Contact Precaution (measures that are intended to prevent transmission of infectious agents which are spread by direct or indirect contact with the resident or the resident's environment) sign in the doorway. At this time, during an interview with the surveyor, Certified Nursing Assistant (CNA) #1 stated that Resident #83 had a Urinary Tract Infection (UTI). A review of Resident #83's Electronic Medical Record (EMR) under Prog (progress) Note revealed a Nursing/Clinical note dated 6/28/22 at 7:37 AM, that revealed an order was…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- No harm found · B2023-08-18 · tag F0695 — failed to provide proper breathing / tracheostomy care — patternProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Complaint #: NJ00166465 Based on observation, interview, and review of facility documentation on 08/16/23 and 08/18/23 it was determined that the facility failed to obtain a physician's order for the use of oxygen and failed to follow their facility's policy for Oxygen Administration for 1 of 2 residents (Resident #2) reviewed for respiratory care. The deficient practice was evidenced by the following: On 08/16/23 at 12:48 PM, the surveyor observed Resident #2 in bed wearing a nasal cannula (a device used to provide supplemental oxygen therapy) which was connected to an oxygen concentrator. The surveyor observed that the oxygen concentrator was set to 3 liters per minute (LPM). The surveyor interviewed Resident #2 at this time who stated that she used the oxygen continuously for COPD [Chronic Obstructive Pulmonary Disease] (diseases that cause airflow blockage and breathing related problems) and that they usually received 2 LPM but that they recently had pneumonia and required 3 LPM. The surveyor reviewed the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- No harm found · B2023-08-18 · tag F0842 — failed to keep accurate, complete medical records — patternSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Complaint #: NJ00166465 Based on observation, interview, and review of facility documentation on [DATE], [DATE] and [DATE] it was determined that the facility failed to document in the resident's medical record lifesaving measures when the resident was found unresponsive and follow the facility policies for Procedure for CPR- Cardiopulmonary Resuscitation and Documentation in Medical Record. This deficient practice was evidenced for 1 of 2 residents reviewed for death (Resident #1). The deficient practice was evidenced by the following: 1. The surveyor reviewed the closed medical record for Resident #1: Resident #1 was admitted to the facility on [DATE] and was readmitted to the facility on [DATE] with medical diagnoses which included but were not limited to Chronic Kidney Disease, Unspecified Protein-Calorie Malnutrition, Secondary Malignant Neoplasm of Bone (cancer), and Dysphagia (swallowing difficulties). The quarterly Minimum Data Set (MDS), an assessment tool used to facilitate the management of care dated…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
“Disputed” is CMS’s own flag, not our reading: the CMS deficiency file records whether the home has formally contested a citation, and we reproduce that. IDR is Informal Dispute Resolution, run by the state survey agency that wrote the citation; IIDR is Independent Informal Dispute Resolution, a separate process before an outside entity, available when CMS has proposed a civil money penalty. They are different processes and we mark them differently. Two things to hold at once. A disputed citation is still a citation — it was written by a surveyor, it stands on the record unless and until it is changed, and we neither hide it nor discount it. And we cannot tell you how the dispute came out: CMS publishes that a citation is under dispute, not the outcome, so a tag marked here may since have been upheld, reduced, or deleted, and an unmarked tag may have been disputed and resolved before this file was cut. Ask the home what it disputed and why — it is entitled to tell you, and the answer is often the most informative thing on this page.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
$25,753 in federal fines across 1 penalty.
- $25,753 — penalty dated 2023-09-28
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
Part of a chain
This home belongs to PREFERRED CARE — 13 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 5 of 5 | 3.7 | +1.3 vs chain |
| Health inspection | 4 of 5 | 3.2 | +0.8 vs chain |
| Staffing | 3 of 5 | 2.8 | +0.2 vs chain |
| Quality measures | 5 of 5 | 4.5 | +0.5 vs chain |
The other 12 homes this chain runs (chain average 3.7★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| ABSECON HOLDCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 06/01/2019 |
| ABSECON INVESTORS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | since 06/01/2019 |
| GREEN, DOV | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 36% | since 06/01/2019 |
| MERMELSTEIN, BORUCH | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 36% | since 06/01/2019 |
| SCHNELL, DAVID | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | since 06/01/2019 |
| AMOYELLE, YECHEZKEL | Individual | W-2 MANAGING EMPLOYEE | — | since 06/01/2019 |
| STERN, SAMUEL | Individual | CORPORATE OFFICER | — | since 06/01/2019 |
2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
About 70% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $7.9M paid to related parties — landlords or management companies under common ownership — equal to about 32% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in NJ
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the New Jersey Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 315244. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-12-23, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.