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Chatham Hills Subacute Care Center

415 Southern Blvd, Chatham, NJ 07928 · For profit - Limited Liability company · 108 certified beds · (973) 822-1500 Medicare & Medicaid certified

Call the home — (973) 822-1500 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0605) — cited Nov 2025
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0605) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (23) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure score sits well above its independent inspection score

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.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 5 of 5

Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
Urgent care / clinic
345 Main St · (973) 377-6700 · Call to confirm hours
Pharmacy
Hickory Wine Cellar, 641 Shunpike Rd · (973) 301-3232 · Call to confirm hours
Grocery
641 Shunpike Rd · (973) 377-4788 · Call to confirm hours
Park
310 Green Village Rd · (917) 596-7807 · Typically dawn to dusk
Place of worship
525 Shunpike Rd · (973) 377-2255

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 4 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.

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased18.2%8.7%15.4%worse
Long-stay residents who lose too much weight5.2%4.6%5.4%typical
Long-stay residents with a catheter left in their bladder0.2%0.6%0.9%better
Long-stay residents with a urinary tract infection0.4%0.8%2.0%better than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms13.0%12.1%6.5%worse
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury1.8%2.3%3.3%better
Long-stay residents whose ability to walk worsened14.0%8.2%16.1%better
Long-stay residents on antianxiety or hypnotic medication12.5%18.8%18.9%better
Long-stay residents given the seasonal flu vaccine98.6%97.2%95.3%typical
Long-stay residents with pressure ulcers8.7%5.4%4.7%worse
Long-stay residents with worsening bladder/bowel control27.9%15.6%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table13.0%12.7%17.1%better
Short-stay residents who newly got an antipsychotic medication0.3%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine71.4%80.1%79.4%worse
Short-stay residents rehospitalized after admission15.0%24.9%22.6%better
Short-stay residents with an outpatient ER visit5.3%8.1%12.0%better
Long-stay hospitalizations per 1,000 resident days1.622.071.67typical
Long-stay outpatient ER visits per 1,000 resident days0.431.111.80better

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.

59.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 215 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

59.6%U.S. median 51.5%
Got home and stayed home
9.6%U.S. median 10.7%
Went back to hospital
53.5%U.S. median 56.6%
Met the expected recovery
0.34U.S. median 0.31
Therapy hours / resident / day
0.15hours / resident / day
Physical therapy
0.13hours / resident / day
Occupational therapy
0.07hours / resident / day
Speech therapy

Met the expected recovery: 53.5% 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 127 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 0.34 therapist hours per resident per day in 2026Q1 — more than 58% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 28% 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
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF59.6%CMS range 50.7–66.051.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.6%CMS range 7.2–12.810.7%Oct 2022–Sep 2024no 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 discharge53.5%56.6%Oct 2024–Sep 2025CMS 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 discharge40.9%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge53.5%50.0%Oct 2024–Sep 2025CMS 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 identified98.7%98.7%Oct 2024–Sep 2025CMS 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 setting100.0%100.0%Oct 2024–Sep 2025CMS 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 discharge100.0%98.7%Oct 2024–Sep 2025CMS 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 stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened3.3%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.5%CMS range 5.2–10.57.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.121.02Oct 2022–Sep 2024CMS 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

0.78
RN hours/ resident / day
0.53
LPN hours/ resident / day
2.12
Aide hours/ resident / day
3.43
Total nurse hours/ resident / day
0.54
RN hoursweekends
40.7%
Total nursing turnover
23.1%
RN turnover

How full it usually is: this home is certified for 108 beds and averages 93.3 residents a day — about 86% occupied, or roughly 15 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 3.43 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.78 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.12 is below 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 3.25 hrs/resident/day on weekends vs 3.50 on weekdays — 7% thinner on weekends. RN hours go from 0.87 to 0.54 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 41% 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

9
deficiencies at the latest standard inspection (2025-11-18)
7
at the previous standard inspection (2024-05-31)

Deficiencies are more than at the previous inspection — worsening. 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.

ABCDEFGHIJKL

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.

23 citations, most serious first. The 10 most serious are shown; the remaining 13 are one tap away and print in full.

  • Potential for harm · E2025-11-18 · tag F0698 — failed to provide proper dialysis care — pattern
    Provide 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 provide care and services in accordance with professional standards by adjusting medication times of administration for a medication (Gabapentin) (used to treat nerve pain) to accommodate for dialysis (a medical treatment that removes waste products and excess fluid from the blood when the kidneys are unable to do so) scheduled times and was not administered 41 times from June 2025 until surveyor inquiry September 2025. Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. The Nurse Practice Act for the State of New Jersey states: The practice of nursing as a registered professional nurse is defined as diagnosing and treating human responses to actual and 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 dentist.…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-11-18 · tag F0755 — failed to provide safe pharmacy services — pattern
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, and review of other facility documentation, it was determined that the facility failed to ensure that a Licensed Practical Nurse followed the PO to notify physician when blood sugar was less than 70 or above 250 for 1 of 1 resident's reviewed for medication administration, (Resident #15).This deficient practice was evidenced as follows:Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. The Nurse Practice Act for the State of New Jersey states: The practice of nursing as a registered professional nurse is defined as diagnosing and treating human responses to actual and 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 dentist.Reference: New Jersey Statutes Annotated, Title 45, Chapter 11. Nursing Board. The Nurse Practice Act for the State of New Jersey…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-11-18 · tag F0756 — failed to review each resident's drug regimen — pattern
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    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 pertinent facility documents, it was determined that the facility's Consultant Pharmacist's (CP) failed to identify and address irregularities for a.) a medication prescribed for neuropathy (damage, disease, or dysfunction of one or more nerves that can cause burning or shooting pain, numbness, and tingling) was not administered 41 times from 6/7/25 through 9/15/25 when the resident was consistently out of the facility to attend dialysis treatments at 1 PM. This was identified for 1 of 1 residents reviewed for dialysis (Resident #2); and b.) inadequate monitoring and documentation for the reason an as needed anti-anxiety medication (Xanax) was administered. This was identified for 1 of 5 residents, (Resident #6), reviewed for unnecessary medications. The deficient practice was evidenced as follows; REFER to F698 1. On 9/15/2025 at 9:50 AM, the surveyor observed Resident #2 in their room seated in a wheelchair, dressed and groomed. The resident stated…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-11-18 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure 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 observations, interviews and review of pertinent facility documents, it was determined that the facility failed to maintain proper food service sanitation practices and properly store potentially hazardous foods to prevent the development of food borne illness. This deficient practice was evidenced by the following: On 9/11/25 at 10:20 AM, the surveyor toured the kitchen with the Food Service Director (FSD) and another surveyor and observed the following: The walk-in freezer had a solid piece of ice on the floor on the right side of a rack under the fan. The FSD stated that during the defrosting stage ice seemed to build up. An opened cardboard box labeled puff pastry was observed with ice buildup on top. The box was removed from the freezer by the FSD to further inspect. When opened, the sheets of puff pastry were observed to be half covered by clear plastic packaging and two solid pieces of ice were in direct contact with the exposed puff pastry. The FSD stated, this is not safe practice. I apologize. There was a hard plastic rack with pots and pans that were air drying.…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-11-18 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    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.
    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 the resident's environment, equipment, and living area in a safe, sanitary, and homelike manner. This deficient practice was identified in 1 of 2 nursing units (South Unit room [ROOM NUMBER]) observed for environment, and was evidenced by the following:On 9/11/25 at 11:50 AM, the surveyor observed in room [ROOM NUMBER], a tube feeding pump (moves the formula through the feeding tube into the stomach at a controlled rate) soiled with a yellow and brown substance. The surveyor also observed two floor mats that were heavily soiled with black and brown substances. On 9/15/25 at 12:58 PM, the surveyor observed the tube feeding pump was no longer in room [ROOM NUMBER]. The surveyor observed that the floor mats were still heavily soiled with a brown and black substance. On 9/15/25 at 1:15 PM, the surveyor showed the Licensed Practical Nurse (LPN) the soiled mats. The LPN confirmed the mats…

    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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-11-18 · tag F0605 — failed to not use drugs as a restraint — isolated
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Refer to F756Based on observation, interview and record review, it was determined that the facility failed to ensure a resident was free from unnecessary administration of an as needed psychotropic medication, (Xanax) (an anti-anxiety medication), by adequately documenting and monitoring non-drug interventions that were attempted and failed prior to administration and exhibited targeted behaviors identified for the need for medication use. The deficient practice was identified for one (1) of five (5) residents, (Resident #6), reviewed for unnecessary medications and was evidenced by the following:On [DATE] at 11:06 AM, the surveyor interviewed the certified Nursing Aide (CNA #1) who stated that she had been working at the facility for approximately one month and was assigned to Resident #6. CNA #1 stated that the resident required total care (meaning that the resident required help with hygiene and dressing), could follow cues, require assistance when standing and pivoting but was not [NAME]. She explained 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-11-18 · tag F0628 — isolated
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    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 #403805Based on observation, interview, record review, and review of facility-provided documentation, it was determined that the facility failed to ensure that written notice of a resident's transfer to a hospital was provided to a family member or guardian for 1 of 4 residents (Resident #102) reviewed for hospitalization.This deficient practice was evidenced by the following: A review of Resident #102's admission Record reflected the resident was admitted to the facility on [DATE] with diagnoses that included but were not limited to; post operative care of a surgical wound of the right buttock, an antibiotic-resistant infection of the surgical wound site and a history of a ruptured aneurysm (a rupture of a weakened area of a blood vessel) in the brain. The admission Record further reflected the resident's mother was listed as his/her emergency contact and court appointed guardian. A review of Resident #102's admission Minimum Data Set (MDS), an assessment tool, dated 3/14/2025 reflected the resident…

    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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-11-18 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    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 develop and implement a comprehensive person-centered care plan (CP) that included the use of antipsychotic medication for a diagnosis of schizoaffective disorder (a mental health condition that is marked by a mix of schizophrenia symptoms, changing how people think, feel and act ). The deficient practice was identified for 1 of 20 residents (Resident #3) reviewed for Care Plans.This deficient practice was evidenced by the following: On 9/12/25 at 11:57 AM, the surveyor observed Resident #3 in the common area, in a wheelchair, waiting for lunch.The surveyor reviewed the admission Record (or face sheet, an admission summary) which revealed that the resident had been admitted to the facility with diagnoses that included schizoaffective disorder.A review of the Comprehensive admission Minimum Data Set (MDS), an assessment tool used to facilitate the management of care, with an assessment reference date (ADR) of 8/23/25, revealed the resident had a score of 12 out of 15 on the Brief…

    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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-11-18 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide 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 # NJ403814Based on observation, interview, record review, and review of facility-provided documentation, it was determined that the facility failed to ensure that incontinence care was provided to dependent residents in a timely manner for 4 of 5 residents (Resident #4, 10, 43, and 64) observed for incontinence care on 1 of 2 Nursing units (South unit).This deficient practice was evidenced by the following:On 9/16/25 at 7:40 AM, the surveyor completed an incontinence tour on the South Nursing Unit and observed the following:1.) On 9/16/25 at 7:40 AM, the surveyor, accompanied by the Certified Nursing Assistant (CNA #1), observed Resident #10 in bed. CNA #1 exposed Resident #10's incontinence brief, and the surveyor observed that it was saturated with urine and feces. The surveyor observed that the bladder pad that was inserted in the brief was also saturated with urine and feces. CNA #1 confirmed that the brief and bladder pad were saturated with urine and feces. Resident #10 stated that she had not…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-02-13 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, observation, interview, and review of facility policy, the facility failed to ensure staff followed enhanced barrier precautions (EBP) while providing Activities of Daily Living (ADLs) care for one resident out of 24 facility residents (Resident (R) 1) on EBP. This failure increased the risk of the spread of infections in the facility. Findings include: Review of the facility list of residents on EBP provided by the facility and titled, Enhanced Barrier, undated, revealed 24 residents were on EBP. The list documented R1 was on EBP. Review of R1's ''Care Plan,'' located in the electronic medical record (EMR) under the Care Plan tab, revealed an admission date of 01/22/24 with diagnoses including encounter for surgical aftercare following surgery on the digestive system. Review of R1's Physicians Order, located in the EMR under the Orders tab, dated 02/13/25 revealed R1 was on EBP. Observation on 02/13/25 at 11:20 AM, revealed an EBP sign posted at the entrance of R1's room. The sign directed providers and staff to wear gloves and a gown for high contact cares…

    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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
Show the remaining 13 citations
  • Potential for harm · Ecited before2024-05-31 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure 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 handle potentially hazardous foods and maintain sanitation in a safe and consistent manner to prevent food borne illnesses. This deficient practice was evidenced by the following: On 05/22/2024 from 10:10 AM to 10:42 AM, the surveyor, accompanied by the Food Service Director (FSD), toured the kitchen, and observed the following: In the walk-in freezer, the surveyor observed a box of hamburger patties and a box of hot dogs with no labels or dates and both boxes with the inner plastic bags open to the air. The FSD stated that there should be a received date and opened dates. She also stated that the inner bags should be closed. The surveyor also observed the fry basket with an item that resembled a french fry. The FSD stated that nothing was fried for breakfast on this day. On 05/23/2024 in the South unit pantry, the surveyor observed 2 boxes of cereal that were outdated as follows: A box of corn flakes with a date of May0123 and a box of rolled oat cereal with a…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-05-31 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NJ #167099 Based on observations, interviews, and record review it was determined that the facility failed to ensure that staff wear the appropriate personal protective equipment (PPE) for residents on Enhanced Barrier Precautions (designed to reduce transmission of multidrug-resistant organisms (MDROs) in nursing homes) to address the risk for infection transmission, in accordance with the facility policy and acceptable standards of infection control practice. This was observed for 2 of 3 residents (Resident #41 and #18) reviewed for Enhanced Barrier Precautions on 2 of 2 units (North and South Unit) and was evidenced by the following: 1. On 05/24/24 at 7:45 AM, during incontinence rounds with the Infection Preventionist on the South Unit, the surveyor observed an Enhanced Barrier Precautions sign outside of unsampled Resident #41's door. There was a PPE bin located under the sign. The IP entered the room with the surveyor and asked the resident for permission to conduct an incontinence check. The resident granted permission. The IP performed hand hygiene and removed gloves from a…

    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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-31 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor 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

    Based on observations, interview and record review, it was determined that the facility failed to ensure that residents were served their meals in a dignified manner during meal service. This deficient practice was observed for 3 of 3 meals in 1 of 2 dining rooms. The deficient practice was evidenced by the following: On 05/22/2024 at 12:24 PM, the surveyor observed in the South unit dining area during mealtime that at one table, a staff member sat and fed a resident while the other resident at the same table was not eating or being fed. A second table was observed with three residents that were served their trays and eating, while one resident at the same table did not have their meal. A third table was observed with two residents that were served their trays and eating while two other residents at the same table did not have their meals. A fourth table was observed with one resident who was served their tray and was eating while two other residents at the same table were not served their trays. It was observed by the surveyor that the trays of residents eating at the same table…

    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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-31 · tag F0576 — isolated
    Ensure residents have reasonable access to and privacy in their use of communication methods.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews it was determined that the facility failed to provide daily delivery of mail, to include Saturdays. This deficient practice was identified for 1 of 5 residents interviewed during the resident council group meeting (Resident #61), and was evidenced by the following: On 05/24/24 at 10:03 AM, the surveyor attended a resident council group meeting with Residents #38, #45, #48, #61 and #64. The surveyor interviewed the residents regarding mail delivery and Resident #61 stated that they did not received mail from November 2023 until mid-March of 2024. The resident stated that he/she was expecting a letter from Social Security and when they brought the concern to the social worker, she returned with a pile of mail including a letter that informed the resident was disqualified because the date had passed. The resident stated that the facility had to write a letter in order to get their (the resident) services. On 5/30/24 at 10:11 AM, the surveyor interviewed the Director of Social Services (DSS) regarding the process of delivering mail at the facility. The DSS stated…

    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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-05-31 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide 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 # 157599 Based on observations, interview, record review and review of pertinent facility documentation, it was determined that the facility failed to ensure a resident who was dependent on staff for activities of daily living (ADL) was consistently provided meal assistance as needed. This deficient practice was identified for 2 of 5 residents (Resident #10 and #32) reviewed for ADLs and was evidence by the following: 1. On 05/22/24 at 12:03 PM, during the initial tour of the South Unit, the surveyor observed Resident #32 lying in bed. The resident's eyes were closed. On 05/23/24 at 11:07 AM, the surveyor observed the resident dressed, lying in bed. There was staff in the room assisting the resident's roommate. The surveyor reviewed the electronic medical record (EMR) for Resident #32. A review of the Resident's admission Record (AR) (an admission summary) revealed that the resident was admitted to the facility with diagnoses which included but were not limited to: Cerebral Infarction due to Embolism…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-05-31 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    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 #: NJ00167644 Based on observation, interview, and record review, it was determined that the facility failed to provide pharmaceutical services in accordance with professional standards to a.) clarify duplicate physician's orders for an over-the-counter medication, Ferrous Sulfate and b). failed to obtain a medication for pain. This deficient practice occurred for 2 of 7 residents, (Resident #63 and #133) reviewed for medication review. The deficient practice 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 states: The practice of nursing as a registered professional nurse is defined as diagnosing and treating human responses to actual and 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…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-31 · tag F0814 — failed to dispose of garbage properly — isolated
    Dispose of garbage and refuse properly.
    What the surveyor found here — the official record, unedited, 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. This deficient practice was evidenced by the following: On 05/22/2024 at 10:31 AM, during the initial kitchen tour with the Food Service Director (FSD), the surveyor observed debris and trash around the dumpster area, including cardboard and paper. The FSD stated that housekeeping was responsible for this area. On 05/29/2024 at 01:17 PM, the surveyor interviewed the Administrator, who stated the dumpster area was cleaned up immediately after the debris was identified by the surveyor. Review of facility provided policy Waste Management Policy, dated 01/03/24, included: #3. The area around the container shall be kept clean and clear at all times. N.J.A.C. 8:39-19.3(c)

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2022-03-24 · tag F0880 — failed to prevent and control infections — pattern
    Provide 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 and record review, it was determined that the facility failed to: a. ensure the infection control practices for residents on transmission-based precautions were implemented in accordance with accepted national standards, and b. perform hand hygiene while caring for facility residents and c. disinfect equipment prior to and after use, d.) follow appropriate infection control procedure during wound treatment. These deficient practices were observed on 11 of 20 residents reviewed for infection control practices, Resident #252, #253, #19, #97, #11, #6, #69, #35, #57, #35, #100. The deficiency is evidenced by the following: 1. On 3/14/21 at 11:04 AM, during the initial tour, the surveyor observed the Certified Nursing Assistant (CNA) #1 wearing a disposable gown, gloves and N-95 mask, enter Resident #252's room. The surveyor observed a sign posted on Resident #252's door indicating that Resident #252 was on contact and droplet precautions. An additional sign posted on the resident's door indicated that the proper Personal Protective Equipment (PPE) that…

    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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-03-24 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure 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

    Based on observation, interview, and facility documentation review, it was determined that the facility failed to document a. ordered behavioral monitoring and b. ordered urinary outputs on 2 of 20 residents whose care was reviewed for its accordance with professional standards of practice. The deficiency is evidenced by the following: Reference: New Jersey Statues, Annotated Title 45, Chapter 11 Nursing Board, The Nurse Practice Act for the State of New Jersey states; 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 a medical regimens as prescribed by a licensed or otherwise legally authorized physician or dentist. Reference: New Jersey Statutes Annotated, Title 45, Chapter 11. Nursing Board. The Nurse Practice Act for the State of New Jersey states: The practice of nursing as a licensed practical…

    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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-03-24 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    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 properly secure an oxygen cylinder and failed to ensure that oxygen was delivered at a rate consistent with the physician orders for 2 of 3 residents reviewed for respiratory care, Resident #35 and Resident #97. The deficiency is evidenced by the following: 1. On 3/14/22 at 10:07 AM, the surveyor observed Resident #35 seated in a chair in their room with a walker in front of them. The surveyor observed an oxygen cylinder (an oxygen storage vessel) propped sideways inside the open seat of the walker which had a basket inside. The oxygen cylinder was not securely fastened to a caddy or holder. The surveyor interviewed Resident #35 who stated that this is how they, always store their oxygen because this is the way that it works best for them to walk with the oxygen cylinder. On 3/14/22 at 10:09 AM, the surveyor observed the Director of Rehabilitation (DOR) enter Resident #35's room and take the oxygen cylinder out of the seat of the walker and place the oxygen cylinder into a caddy. The DOR…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-03-24 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    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 accurately document required information on the shift to shift narcotic accountability log and the Consultant Pharmacist failed to inform the facility of this discrepancy for 1 of 2 units inspected. This deficient practice was evidenced by the following: On 3/14/22 at 11:30 AM, the surveyor in the presence of the Licensed Practical Nurse #1 (LPN #1) assigned to the Low North Unit medication cart. reviewed the Shift to Shift Narcotic Accountability Log for February 2022 and March 2022 on the Low North Unit. Review of the North Low Unit Shift to Shift Narcotic Accountability Log dated February 2022, presented many missing signatures by nursing staff that were outgoing (ending their shift) and incoming (starting their shift). There were 12 missing signatures of nursing staff outgoing and 13 incoming missing signatures for February 2022 on the North Low Unit. Review of the North Low Unit Shift to Shift Narcotic Accountability Log dated March 2022, presented many missing signatures by nursing…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-03-24 · tag F0804 — failed to serve food at safe, palatable temperature — isolated
    Ensure 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 record review the facility failed to ensure that the safe and appetizing temperatures of food and drink were appropriately served to facility residents. This deficient practice was identified during the lunch time meal service on 3/17/22 on 2 of 2 nursing units tested for food temperatures (North and South units), and was evidenced by the following: On 3/16/22 at 11:29 AM, two surveyors conducted a group meeting with six residents who were part of the facility's resident council. All six residents indicated that their breakfast and lunch meals are frequently late and the food is cold. The residents informed the surveyors that sometimes they do not get breakfast until 9 AM and lunch until 1 PM. On 3/17/22 at 9:35 AM, the surveyor calibrated the thermometer in accordance with manufacturer instructions in the presence of two other surveyors. On 3/17/22 at 11:55 AM, in the presence of the Food Service Director (FSD), the first set of insulated food trucks arrived in the dayroom area on the South unit. The surveyor identified and labeled a tray in 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-03-24 · tag F0812 — failed to store, cook, and serve food safely — isolated
    Procure 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

    F812 - Food Safety Requirements Based on observation, interview, and record review the facility failed to maintain proper kitchen sanitation practices. This deficient practice was identified by the following: On 3/14/22 at 10:50 AM, this surveyor conducted the kitchen inspection. Surveyor observed the following: 1. Two dietary aides without hairnets while on the tray line. Surveyor interviewed both dietary aides (DA#1 and DA#2). Surveyor asked DA#1 while in the kitchen what should be worn? DA#1 stated, While serving the tray line we wear disposable gloves and hairnets. DA#1 realized she was not wearing her hairnet and went to put one on. Surveyor interviewed DA#2. DA#2 put on a hairnet while DA#1 was being interviewed but had hair sticking out the front. Surveyor asked why she did not have her hairnet on prior. DA#2 stated, Well, I had my sweatshirt hood on. Surveyor stated, but your hair was sticking out in front, is the considering safe for handling? DA#2 stated, No, my hair should be tied back. 2. While in the presence of the Regional Dietary Manager (RDM), the surveyor observed…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction

“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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • 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.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to CARERITE CENTERS — 34 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 →

RatingThis homeChain avg
Overall 4 of 53.6+0.4 vs chain
Health inspection 3 of 52.8+0.2 vs chain
Staffing 3 of 52.2+0.8 vs chain
Quality measures 5 of 54.8+0.2 vs chain
The other 33 homes this chain runs (chain average 3.6★, per CMS)
1 of 5Bethany Center For Rehabilitation And Healing LLCNashville, TN 1 of 5Quality Center For Rehabilitation And Healing LLCLebanon, TN 2 of 5Nashville Center For Rehabilitation And Healing LlNashville, TN 2 of 5Sans Souci Rehabilitation And Nursing CenterYonkers, NY 2 of 5The Grove At Valhalla Rehab And Nursing CenterValhalla, NY 2 of 5The Paramount At Somers Rehab And Nursing CenterSomers, NY 2 of 5Waters Edge at Port Jefferson for Rehabilitation aPort Jefferson, NY 3 of 5Coral Reef Subacute Care Center LLCMiami, FL 3 of 5Encore At Boca Raton Rehabilitation And Nursing CeBoca Raton, FL 3 of 5Glengariff Health Care CenterGlen Cove, NY 3 of 5Green Hills Center For Rehabilitation And HealingNashville, TN 3 of 5Pearl At Fort Lauderdale Rehabilitation And NursinFort Lauderdale, FL 3 of 5Savoy At Fort Lauderdale Rehabilitation And NursinFort Lauderdale, FL 3 of 5The Emerald Peek Rehabilitation And Nursing CenterPeekskill, NY 3 of 5The Grand Pavilion For Rehab & Nursing at RockvillRockville Centre, NY 3 of 5The Willows At Ramapo Rehab And Nursing CenterSuffern, NY 3 of 5Trevecca Center For Rehabilitation And Healing LLCNashville, TN 4 of 5Creekside Center For Rehabilitation And HealingMadison, TN 4 of 5Gallatin Center For Rehabilitation And HealingGallatin, TN 4 of 5Legacy At Boca Raton Rehabilitation And Nursing CeBoca Raton, FL 4 of 5Manchester Center For Rehabilitation And Healing LManchester, TN 4 of 5St James Rehabilitation & Healthcare CenterSt James, NY 5 of 5Cortlandt HealthcareCortlandt Manor, NY 5 of 5Lebanon Center For Rehabilitation And Healing, LLCLebanon, TN 5 of 5Luxor Nursing & Rehabilitation at Mills PondSt James, NY 5 of 5Palmetto Subacute Care CenterMiami, FL 5 of 5Sayville Nursing And Rehabilitation CenterSayville, NY 5 of 5The Chateau At Brooklyn Rehabilitation and NursingBrooklyn, NY 5 of 5The Enclave At Rye Rehab And Nursing CtrPort Chester, NY 5 of 5The Hamlet Rehabilitation and Healthcare Center atNesconset, NY 5 of 5The Monarch at Brooklyn Rehabilitation and NursingBrooklyn, NY 5 of 5The Phoenix Rehabilitation and Nursing CenterBrooklyn, NY 5 of 5The RiversideNew York, NY

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 / managerTypeRoleShareSince
CHATHAM VENTURES LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 02/01/2015
EINHORN, NEALIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; MANAGING CONTROL - GOVERNING BODY48%since 12/31/2014
FRIEDMAN, MARKIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; MANAGING CONTROL - GOVERNING BODY48%since 12/31/2014
BOSHULTE, JANELLEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/03/2022
PRAGER, JASONIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/13/2015
PREIMESBERGER, JAMESIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/26/2024
CHATHAM HILLS REALTY, LLCOrganizationADP OF THE SNFsince 12/31/2014

CMS files one row per role, so the 12 rows in the source record cover these 7 parties — each is shown once here with every role it holds. Nothing is omitted.

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.

$13.3M
Net patient revenuemost recent cost report
+0.7%
Operating marginrevenue minus expenses
$1.5M
Related-party expense11% of expenses
Who pays — share of resident-days
Medicaid 41%Medicare 18%Other / private 41%

This home reported $1.5M paid to related parties — landlords or management companies under common ownership — equal to about 11% 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

$391per resident / day
operating cost
$11,872per month
≈ monthly operating cost
$393per day
avg. revenue, all payers

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

Paying with Medicaid

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.

Typical monthly cost in New Jersey
$12,775/mo
Nursing home (semi-private)
$14,448/mo
Nursing home (private)
$8,710/mo
Assisted living

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 315120. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-11-18, 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.

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