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Silver Healthcare Center

1417 Brace Road, Cherry Hill, NJ 08034 · For profit - Limited Liability company · 256 certified beds · (856) 795-3131 Medicare & Medicaid certified

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1 immediate-jeopardy citation$81,247 in federal fines
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • a high payroll-based staffing rating (4/5)
Worth asking about
  • inspectors cited 1 immediate-jeopardy problem — the most serious level
  • 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 $81,247 in federal fines (most recent 2026-02-04)
  • its payroll- and facility-reported staffing and quality-measure scores sit well above its independent inspection score
  • its independent health-inspection rating is low (1/5)

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.

1/5
CMS overall
1 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 1 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 3 of 5

Worth a closer look. This home's staffing and quality-measure ratings run 3 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, and staffing on its payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
63 Kresson Road, Suite 103
Pharmacy
202 Kings Hwy E · (856) 428-3100 · Call to confirm hours
Grocery
225 Berlin Rd · (856) 429-0041 · Call to confirm hours
Park
Singleton Park · Typically dawn to dusk
Place of worship

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 3 of 5
Long-stay residentspeople who live here 4 of 5
Short-stay residentsrehab / post-hospital 2 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 2025-09 to 2026-06, this home’s CMS overall rating held steady at 2 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 rating2★
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 increased2.6%8.7%15.4%better
Long-stay residents who lose too much weight4.3%4.6%5.4%better
Long-stay residents with a catheter left in their bladder0.1%0.6%0.9%better
Long-stay residents with a urinary tract infection0.0%0.8%2.0%better than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms4.9%12.1%6.5%better
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury5.5%2.3%3.3%worse
Long-stay residents whose ability to walk worsened1.4%8.2%16.1%better
Long-stay residents on antianxiety or hypnotic medication44.2%18.8%18.9%worse
Long-stay residents given the seasonal flu vaccine98.5%97.2%95.3%typical
Long-stay residents with pressure ulcers4.2%5.4%4.7%better
Long-stay residents with worsening bladder/bowel control7.5%15.6%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table33.2%12.7%17.1%worse
Short-stay residents who newly got an antipsychotic medication1.0%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine88.5%80.1%79.4%better
Short-stay residents rehospitalized after admission31.2%24.9%22.6%worse
Short-stay residents with an outpatient ER visit15.6%8.1%12.0%worse
Long-stay hospitalizations per 1,000 resident days2.902.071.67worse
Long-stay outpatient ER visits per 1,000 resident days1.321.111.80better

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.

40.7% 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 49 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

40.7%U.S. median 51.5%
Got home and stayed home
11.4%U.S. median 10.7%
Went back to hospital
75.0%U.S. median 56.6%
Met the expected recovery
0.23U.S. median 0.31
Therapy hours / resident / day
0.12hours / resident / day
Physical therapy
0.08hours / resident / day
Occupational therapy
0.04hours / resident / day
Speech therapy

Met the expected recovery: 75.0% 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 36 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 0.23 therapist hours per resident per day in 2026Q1 — more than 30% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% 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 SNF40.7%CMS range 27.2–58.851.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.4%CMS range 7.8–16.110.7%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 discharge75.0%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 discharge66.7%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 discharge69.4%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 identified100.0%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 dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 worsened1.5%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 hospitalization8.1%CMS range 4.4–15.37.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.241.02Oct 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

0.79
RN hours/ resident / day
0.75
LPN hours/ resident / day
2.73
Aide hours/ resident / day
4.27
Total nurse hours/ resident / day
0.54
RN hoursweekends
46.0%
Total nursing turnover
25.9%
RN turnover

How full it usually is: this home is certified for 256 beds and averages 139.7 residents a day — about 55% occupied, or roughly 116 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 4.27 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.79 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.73 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 3.83 hrs/resident/day on weekends vs 4.45 on weekdays — 14% thinner on weekends. RN hours go from 0.89 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 46% 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

4
deficiencies at the latest standard inspection (2025-06-12)
3
at the previous standard inspection (2024-12-23)

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.

22 citations, most serious first. The 12 most serious are shown; the remaining 10 are one tap away and print in full.

  • Immediate jeopardy · Jcited before2025-10-21 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure 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 interviews, and review of pertinent facility documents on 10/29/25, it was determined that the facility failed to provide adequate supervision for a cognitively impaired resident (Resident #2) with documented history of exit seeking behaviors; and who eloped from the facility on 10/16/2025. The deficient practice was identified for 1 of 5 residents reviewed (Resident #2).Review of facility document dated 10/16/2025 titled Incident-Elopement-Reference #2645660 revealed that on 10/16/2025 at approximately 10:20 a.m., staff went to invite the resident to join an activity program and noticed the resident was not in their room. Review of multiple staff statements revealed that staff saw Resident #2 pacing around the unit and hallways earlier in the morning prior to their elopement. According to statement from the staff member assigned to monitor the resident every 15 minutes, the last time she saw Resident #2 on the unit was at approximately 10:10 a.m. The nurse then started to search for the resident in the rooms and in the dayrooms but did not locate the resident. At 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Actual harm · Gcited before2026-02-04 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure 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

    Complaint #: 2734069 Based on interviews, record reviews, and review of facility documents, it was determined that the facility failed to provide adequate monitoring and supervision to prevent a fall that caused a skin tear, facial bruising, and admission to the hospital for subdural hematoma (collection of blood in the tissues of the body outside of the blood vessels) to a resident who was assessed as a high risk for falls, had two previous falls in the facility, and was on one-to-one monitoring. This deficient practice occurred for 1 of 4 residents (Resident #2) reviewed for accidents. This deficient practice was evidenced by the following:Resident #2 no longer resided at the facility. A closed record review was conducted. A review of the admission Record revealed that Resident #2 was admitted to the facility with diagnoses including but not limited to: multiple fractures of ribs, left side, subsequent encounter for fracture with routine healing; laceration without foreign body of other part of the head, subsequent encounter; unspecified fall, subsequent encounter; muscle…

    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 · Fcited before2025-06-12 · tag F0812 — failed to store, cook, and serve food safely — widespread
    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 record review, it was determined that the facility failed to maintain kitchen equipment in a clean and sanitary manner as evidenced by the following: On 6/5/25 at 9:35 AM, in the presence of the Food Service Director (FSD), the surveyor observed the following: 1. The microwave had multicolored dried stuck on debris on the interior ceiling of the unit. The FSD acknowledge it was not properly cleaned according to facility policy. 2. Two of two upper and lower convection ovens were soiled with baked on brown coloring on the glass doors making them opaque and not transparent. There were baked on debris on the interior corners of the units. The FSD acknowledged and stated, it was not cleaned according to facility policy. 3. The steamer unit had brown and crusted debris on the interior door and seal of door. The seal of the door was cracked and missing in some spots. The FSD acknowledged and stated, it was not cleaned according to facility policy. 4. The six-burner stove top and oven were not clean. The interior of the oven had food sediment and build…

    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 before2025-06-12 · 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, record review, and review of facility documents, it was determined that the facility failed to ensure that oxygen was administered in accordance with a physician's order. This deficient practice was identified for 1 of 2 residents (Resident #40) reviewed for respiratory care and was evidenced by the following: On 6/6/25 at 8:45 AM, the surveyor observed Resident #40 lying in bed with his/her eyes closed. Resident #40 had a tracheostomy tube [a surgical opening in the neck directly into the trachea (windpipe)] and a tracheostomy (trach) collar with oxygen tubing attached to an oxygen concentrator (a medical device that extracts and concentrates ambient air. The surveyor observed that the oxygen concentrator was set to three (3) liters. On 6/9/25 at 12:26 PM, the surveyor observed Resident #40 lying in bed with his/her eyes closed. The surveyor observed the resident had a tracheostomy tube and a trach collar attached to the oxygen concentrator set to three (3) liters of oxygen (instead of two (2) liters as ordered.) On 6/9/25 at 12:40 PM, the surveyor…

    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 before2025-06-12 · 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, record review, and review of facility documents, it was determined that the facility failed to ensure that medications were administered timely and in accordance with the medication's cautionary statement, manufacturer specifications, and physician's orders. This deficient practice was identified for 1 of 2 nurses who administered medications to 1 of 3 residents (Resident #55) on 1 of 5 nursing units (Court One) during the medication administration pass observation. This deficient practice was evidenced by the following: On 6/9/25 at 9:28 AM, the surveyor met with Licensed Practical Nurse (LPN) #1 who stated that she needed to obtain vital signs for Resident #55 prior to medication administration. LPN #1 then proceeded to place an automated blood pressure cuff on Resident #55's left upper arm and then placed a pulse oximetry probe (device used to measure the amount of oxygen in the blood) on the resident's left index finger. LPN #1 stated that the resident's blood pressure was 173/85, pulse (heart rate) was 66, and the resident's pulse oximetry 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-06-12 · 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 observation, interview, record review, and review of facility documents, it was determined that the facility failed to maintain proper infection control practices during the medication administration pass observation. This deficient practice was identified for 1 of 2 nurses who administered medications to 2 of 3 residents (Resident #55 and Resident #123) on 1 of 5 nursing units (Court One) during the medication administration pass observation. This deficient practice was evidenced by the following: On 6/9/25 at 9:27 AM, the surveyor observed Licensed Practical Nurse (LPN) #1 sanitize her hands with alcohol based hand rub (ABHR) and donn (put on) gloves before she placed an automated blood pressure cuff on Resident #55's left upper extremity. LPN #1 then proceeded to place a pulse oximetry probe (a device used to measure the amount of oxygen in the blood) on the resident's left index finger. The resident's shirt was noted to be heavily soiled with a black substance. When finished, LPN #1 reviewed the resident's vital signs (blood pressure, pulse, and pulse oximetry 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-12-23 · 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 interview, record review, and review of facility documents, it was determined that the facility failed to ensure that all Drug Enforcement Administration (DEA) 222 forms were completed with sufficient detail to enable accurate accountability and reconciliation for controlled medications. This deficient practice was identified for 6 of 6 DEA 222 forms reviewed in 1 of 1 back up controlled medication storage area and was evidenced by the following: On 12/17/24 at 1:01 PM, the surveyor reviewed the facility's DEA-222 records for the back up controlled medication storage and noted that on 8/15/24, 9/4/24, 9/30/24, 11/1/24, 11/27/24, and 12/16/24, Part 5 of the forms that were required to be filled in by the purchaser failed to include the number of controlled medications received by the facility and the date that they were received. On 12/18/24 at 11:22 AM, the surveyor interviewed the Director of Nursing (DON) regarding the DEA 222 Forms. The DON stated that she did not know that she was supposed to fill in Part 5 of the DEA-222 form which indicated that it was to be filled in…

    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 · Dcited before2024-12-23 · 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, record review, and review of facility documents, it was determined that the facility failed to: a.) follow a physician's order and b.) adhere to professional standards of nursing practice during the medication administration observation. This deficient practice was identified for 2 of 2 nurses who administered medications to 2 residents (Residents #34 and #49) on 2 of 4 nursing units (Court 1 and Court 2) 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 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,…

    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 before2024-12-23 · 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 observation, interview, record review, and review of facility documents, it was determined that the facility failed to adhere to proper infection control practices during the medication administration observation. This deficient practice was identified for 1 of 2 nurses on 1 of 2 units (Court Two) observed for medication administration and was evidenced by the following: On 12/17/24 at 8:59 AM, the surveyor observed Licensed Practical Nurse (LPN) #1 as she prepared medications for Resident #33. LPN #1 donned (applied) gloves and obtained the resident's blood pressure (BP). LPN #1 then doffed (removed) her gloves before she returned to the computer to review the resident's physcians orders (PO) before she administered the medications to the resident. LPN #1 then proceeded to wash her hands for 15 seconds. LPN #1 stated that there was no paper towels available to dry her hands. LPN #1 then proceeded to turn the faucet off with her bare hands. LPN #1 returned to the medication cart and obtained a tissue to dry her hands. LPN #1 failed to sanitize her hands after she dried…

    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 · Fcited before2024-06-05 · tag F0812 — failed to store, cook, and serve food safely — widespread
    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 pertinent facility documents, 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 illness. This deficient practice was evidenced by the following: On 05/29/2024 from 09:32 to 10:06 AM, the surveyor, accompanied by the interim Food Service Director (FSD) observed the following in the kitchen: 1. In the dry storage area of the kitchen on a middle shelf an opened bag of rainbow pasta had no open or use by date. The bag had a hole in it and was exposed to contamination. The FSD removed the pasta from the dry storage. 2. In the rear of the walk-in freezer an opened box of frozen pancakes and an opened box of frozen French Toast slices were placed on top of milk crates. The boxes were opened, and the pancakes and French Toast were exposed to contamination. The FSD removed the exposed products from the walk-in freezer. 3. Upon entry to the walk-in refrigerator the surveyor observed an excessive amount of dust-like debris on the fan…

    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 before2024-06-05 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    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 pertinent facility documents, it was determined that the facility failed to keep all areas clean and safe. The deficient practice was identified on 4 of 4 Units (Court 1, Court 2, Pavilion, and Vent). The deficient practice was evidenced by the following: On 05/29/2024 at 10:37 AM during the initial tour of the facility on Court 1, the surveyor visited Resident # 5 in their room. At that time, the surveyor observed a trash receptacle. There was not a bag liner in the receptacle. On the other side of the room, a clear trash bag was left on the floor. There was various items of trash within the bag. On the same date at 10:48 AM during the initial tour of the facility on Court 1, surveyor # 1 visited Resident # 24 in their room. At that time, the surveyor observed food debris such as crumbs on the floor. The surveyor also observed the bathroom. The surveyor observed that the trash receptacle did not have a bag liner. At that time, Resident # 24 informed the surveyor…

    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 · E2024-06-05 · tag F0656 — failed to write and follow a full care plan — pattern
    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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Repeat deficiency from the recertification survey of 12/12/2023. Based on observation, interview, review of the medical record and review of other facility documentation, it was determined that the facility failed to develop a comprehensive resident centered care plan for 2 of 35 sampled residents (Resident #28 and Resident #116). This deficient practice was evidenced by the following: 1. During the initial tour on 05/29/2024 at 11:07 AM, Resident #28 was observed lying in bed with the head of the bed elevated. Resident #28 had a tracheostomy (trach) (an incision in the windpipe made to relieve an obstruction to breathing) to the ventilator (a machine or device used medically to support or replace the breathing of a person who is ill, injured, or anesthetized). A review of the admission Record revealed Resident #28 was admitted to the facility with diagnoses including but not limited to: Acute Respiratory Failure with Hypoxia (low levels of oxygen in your body tissues), and Dependence on Respirator (Ventilator).…

    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
Show the remaining 10 citations
  • Potential for harm · D2024-06-05 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    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 observations, interviews, and review of pertinent facility documents, it was determined that the facility failed to promote resident dignity and ensure a safe, clean, comfortable, homelike, environment when a resident was transferred into a private room without a functional bathroom or accessible handwashing sink. This deficient practice was identified on 1 of 4 Units (Pavilion) and for 1 of 1 resident (Resident #37) observed for accommodation of needs. This deficient practice was evidenced by the following: On 05/29/2024 at 10:07 AM, the surveyor entered Resident #37's room and noted that the room smelled of dampness and the resident's bathroom had a sign posted on the door that depicted a toilet and the door was bolted shut from the outside. The resident was not in the room at the time of the observation. The surveyor observed Maintenance outside of the room in the hallway. When interviewed, Maintenance stated that the resident's bathroom was closed off after the sheet rock buckled due to water damage…

    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 before2024-06-05 · 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, interviews, review of medical records and other facility documentation, it was determined that the facility failed to follow physician's orders following hospitalization to ensure that a resident who was readmitted to the facility with a closed fracture of the fourth metacarpal bone (the bones that form the intermediate part of the hand between the fingers and wrist bones) was scheduled for a follow-up appointment with an Orthopedic Surgeon (treats muscoskeletal injuries) and resident usage of a prescribed splint. This deficient practice was identified for 1 of 1 resident (Resident #108) reviewed for a change in condition. This 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,…

    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 · D2024-06-05 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide 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 pertinent facility documents, it was determined that the facility failed to ensure that a resident received appropriate care and sufficient services based upon current standards of practice for a urinary catheter. The deficient practice was identified for 1 of 1 residents (Resident # 64) investigated under the Urinary Catheter investigation. This deficient practice was evidenced by the following: On 05/29/2024 at 10:21 AM, during the initial tour of the facility, the surveyor observed Resident # 64 in bed in their room. At that time, the surveyor observed a catheter drainage bag (collection bag for urine from an indwelling catheter) inside a blue, privacy bag in contact with the floor. The catheter drainage bag plastic hook was not secured to the bed frame. On 05/30/2024 at 11:28 AM, the surveyor observed Resident # 64 in bed in their room. At that time, the surveyor observed the catheter drainage bag maintained outside of the privacy bag exposing the collection bag and it's contents. The privacy bag was located further…

    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 before2024-06-05 · 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 observations, interviews, review of medical records and other facility documentation, it was determined that the facility failed to ensure: a) continuous oxygen was administered to an oxygen dependent resident in accordance with physician's orders in a safe and sanitary manner b) residents who were dependent upon oxygen via a tracheostomy tube (a surgically created hole (stoma) in the windpipe (trachea), received oxygen in accordance with professional standards of practice, ensured respiratory equipment was properly dated and obtained a physician order for oxygen delivery. This deficient practice was identified for 2 of 4 residents (Resident #37 and Resident #33) reviewed for respiratory care. This deficient practice was evidenced by the following: 1. During the initial tour of the facility on 05/29/24 at 10:17 AM, the surveyor observed Resident #37 seated in a wheelchair in the dining area. The resident had a portable oxygen tank on the back of their wheelchair and no oxygen tubing was noted on or around the resident's face to indicate that oxygen was actively being…

    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 before2024-06-05 · 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 pertinent record review, it was determined that the facility failed to ensure the accountability of the narcotic Shift Count logs were completed in accordance with facility policy. This deficient practice was identified for 2 of 4 medication carts reviewed and was evidenced by the following: On 5/30/24 at 9:29 AM, the surveyor, in the presence of the Licensed Practical Nurse (LPN #1), reviewed the Pavilion nursing unit's medication cart #1 and the narcotic logbook for that cart. The following was observed: May 2024 Narcotic Book Shift to Shift Signature Sheet missing a nursing signature for 5/5 3-11 Out column and 5/30 pre-signed nursing signatures in the 7-3 Out and 3-11 In columns. May 2024 Shift to Shift Count/Sign in Sheet 5/13 column for Out 7A-3P was missing documentation for Initials Cards # Bottles # and Patches # At that time LPN #1 confirmed to the surveyor that there should be no pre-signed sections, nor should there be any missing nursing signatures or count documentation for past nursing shift. She stated that the incoming 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-06-05 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and review of pertinent facility documentation, it was determined that the facility failed to properly store and properly label opened multidose medications. This deficient practice was identified in 1 of 4 medication carts and 1 of 2 medication storage rooms reviewed for medication storage and labeling and was evidenced by the following: On 5/30/24 at 10:51 AM, the surveyor, in the presence of Licensed Practical Nurse (LPN #2), observed the Vent nursing unit's medication cart #2. The following was observed: Three (3) opened prescription fluticasone propionate nasal spray bottles (medication used to treat seasonal allergies), which were not dated with opened date or labeled with resident identifying information on the medication container. At that time LPN #2 stated once multi-dose medications are opened, the nurses are to date the medication container and ensure the resident's name is on it as well as on the outside box or bag it came in. LPN #2 stated this is to ensure proper identification of when the medication was opened and the resident for…

    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 · Dcited before2024-06-05 · 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 observation, interview, and record review, it was determined that the facility failed to a) adhere to accepted standards of infection control practices for the proper storage of respiratory tubing after use, and b) perform proper hand hygiene during respiratory care treatment. This deficient practice was observed for 2 of 4 residents (Resident #33 and Resident #42) reviewed for respiratory care. This deficient practice was evidenced by the following: a.) During the initial tour of the facility on 05/29/2024 at 10:07 AM, the Surveyor #1 observed Resident #33 in his/her bedroom, lying in bed. Surveyor #1 observed a portable suction machine on the bedside table with tubing leading to the bottom drawer of the table. The suction catheter (Yankauer) used to orally suction secretions from the mouth, was found lying exposed, open to air, touching the contents of the drawer. The Yankauer was not dated. On 05/30/2024 at 09:07 AM, Surveyor #1 observed Resident #33's suction catheter lying in the bottom drawer of the bedside table, uncovered, directly touching the inside of the bottom…

    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 · D2024-06-05 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, it was determined that the facility failed to ensure that the pneumococcal vaccination was offered to all residents upon admission to the facility to prevent incidence of pneumonia for 1 of 5 residents (Resident #100) reviewed for immunization administration. This deficient practice was evidenced by the following: On 05/29/2024 at 10:44 AM, during the initial tour of the facility, the surveyor observed Resident #100 lying in bed with stitches noted over their left eyebrow. When interviewed, the resident was unable to state how the injury occurred. A review of Resident #100's admission record revealed that the resident was admitted to the facility with diagnosis which included but were not limited to: Alzheimer's Disease, unspecified, altered mental status, unspecified, and a personal history of COVID-19. A further review of the admission Record revealed that the resident had no known allergies. A review of Resident #100's immunization status within the Electronic Health Record (EHR), revealed an undated entry for Pneumovax 20 (an active…

    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 · Dcited before2023-12-12 · 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

    Based observation, interview, and pertinent facility documents it was determined that the facility failed to maintain services necessary to maintain a sanitary, orderly, and comfortable interior specifically by but not limited to leaving stains on the floor and wall, wrappers, and a soiled brief in a resident bathroom. The deficient practice was observed for 1 of 3 residents (Resident #48) during the Environmental Task. The deficient practice was evidenced by the following: On 11/28/2023 at 10:45 AM during the initial tour of the facility, the surveyor observed the bathroom in Resident 48's room. At that time, the surveyor observed a brown substance on the floor adjacent to the toilet. On 11/29/2023 at 10:38 AM, the surveyor observed the bathroom in Resident 48's room. At that time, the surveyor observed a brown substance on the floor adjacent to the toilet. On 11/30/2023 at 10:12 AM, the surveyor observed the bathroom in Resident 48's room. At that time the surveyor observed the same brown stain on the floor adjacent to the toilet. In addition, the surveyor also observed a wrapper…

    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
  • No harm found · C2024-06-05 · tag F0836 — widespread
    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview, and review of other facility documentation, it was determined that the facility failed to notify CMS (Centers for Medicare & Medicaid Services) and apply for a change in name to include Doing Business As in accordance with 42 CFR (Code of Federal Regulations) 424.516. This deficient practice was evidenced by the following: According to 42 CFR 424.516 Additional provider and supplier requirements for enrolling and maintaining active enrollment status in the Medicare Program: (a) Certifying compliance. CMS enrolls and maintains an active enrollment status for a provider or supplier when that provider or supplier certifies that it meets, and continues to meet, and CMS verifies that it meets, and continues to meet, all of the following requirements: (1) Compliance with title XVIII of the Act and applicable Medicare regulations. (2) Compliance with Federal and State licensure, certification, and regulatory requirements, as required, based on the type of services, or supplies the provider or supplier type will furnish and bill Medicare. (3) Not employing or contracting…

    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.

    Administration 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

$81,247 in federal fines across 2 penalties.

  • $71,995 — penalty dated 2026-02-04
  • $9,252 — penalty dated 2025-10-21

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 BENJAMIN LANDA — 48 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 1 of 53.4-2.4 vs chain
Health inspection 1 of 53.3-2.3 vs chain
Staffing 4 of 52.3+1.7 vs chain
Quality measures 3 of 53.5-0.5 vs chain
The other 47 homes this chain runs (chain average 3.4★, per CMS)
1 of 5Christian Heights Nursing and Rehabilitation CentePembroke, KY 1 of 5Golden Gate Rehabilitation & Health Care CenterStaten Island, NY 1 of 5River Haven Nursing And Rehabilitation CenterPaducah, KY 1 of 5Salyersville Nursing and Rehabilitation CenterSalyersville, KY 2 of 5Brookwood Gardens Rehabilitation And Nursing CenteHomestead, FL 2 of 5Cumberland Nursing and Rehabilitation CenterSomerset, KY 2 of 5Elizabethtown Nursing and Rehabilitation CenterElizabethtown, KY 2 of 5Golfview Nursing CenterSaint Petersburg, FL 2 of 5Homestead Rehabilitation & Health Care CenterNewton, NJ 2 of 5Southern Pines Nursing CenterNew Port Richey, FL 2 of 5The Five Towns Premier Rehabilitation & Nursing CeWoodmere, NY 2 of 5Westside Oaks Rehabilitation & Nursing CenterJacksonville, FL 3 of 5Bay Breeze Rehabilitation By HarborviewGulf Breeze, FL 3 of 5Brookhaven Rehab & Health Care Center L L CFar Rockaway, NY 3 of 5Franklin-Simpson Nursing and Rehabilitation CenterFranklin, KY 3 of 5Golfcrest Nursing CenterHollywood, FL 3 of 5Hardinsburg Nursing and Rehabilitation CenterHardinsburg, KY 3 of 5Henderson Nursing and Rehabilitation CenterHenderson, KY 3 of 5Ormond Rehabilitation And Nursing CenterOrmond Beach, FL 3 of 5Pinnacle Multicare Nursing and Rehabilitation CentBronx, NY 3 of 5Premier Nursing and Rehab Center of Far RockawayFar Rockaway, NY 3 of 5Stanton Nursing and Rehabilitation CenterStanton, KY 4 of 5Campbellsville Nursing and Rehabilitation CenterCampbellsville, KY 4 of 5Fordsville Nursing and Rehabilitation CenterFordsville, KY 4 of 5Graceville Rehabilitation By HarborviewGraceville, FL 4 of 5Grand Boulevard Health And Rehabilitation CenterMiramar Beach, FL 4 of 5Gulf Valor Rehabilitation By HarborviewPensacola, FL 4 of 5Irvine Nursing and Rehabilitation CenterIrvine, KY 4 of 5Marianna Nursing And Care CenterMarianna, FL 4 of 5Middleburg Rehabilitation And Nursing CenterMiddleburg, FL 4 of 5Orange Park Rehabilitation And Nursing CenterOrange Park, FL 4 of 5Specialty Health And Rehabilitation CenterPensacola, FL 4 of 5Spring Creek Rehabilitation & Nursing Care CenterBrooklyn, NY 4 of 5Surrey Place Nursing CenterLive Oak, FL 4 of 5The Grandview Nursing and Rehabilitation FacilityCampbellsville, KY 4 of 5Woodcrest Nursing and Rehabilitation CenterElsmere, KY 5 of 5Arcadia Health And Rehabilitation CenterPensacola, FL 5 of 5Bayside Health And Rehabilitation CenterPensacola, FL 5 of 5Chautauqua Springs Health CenterDefuniak Springs, FL 5 of 5Eastchester Rehabilitation And Health Care CenterBronx, NY

Showing 40 of 47; lowest-rated first.

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 / managerTypeRoleSince
MARINA CH, LLCOrganizationDIRECT OWNERSHIP INTERESTsince 01/01/2017
MTC FAMILY, LLCOrganizationDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 01/01/2017
PHILIPSON FAMILY LIMITED LIABILITY COMPANY, LLCOrganizationDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 01/01/2017
GOTTLIEB, ANNEIndividualDIRECT OWNERSHIP INTERESTsince 01/01/2017
KLAHR, MOSHEIndividualDIRECT OWNERSHIP INTERESTsince 01/01/2017
LANDA, BENJAMINIndividualDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 01/01/2017
LOWY, BRENDAIndividualDIRECT OWNERSHIP INTERESTsince 01/01/2017
LOWY, JERRYIndividualDIRECT OWNERSHIP INTERESTsince 01/01/2017
STRAUSS, JOSEPHIndividualDIRECT OWNERSHIP INTERESTsince 01/01/2017
TREFF, ESTHERIndividualDIRECT OWNERSHIP INTERESTsince 01/01/2017
TREFF, MINDYIndividualDIRECT OWNERSHIP INTERESTsince 01/01/2017
TREFF, SHAINDYIndividualDIRECT OWNERSHIP INTERESTsince 01/01/2017
PHILIPSON, BENTIndividualINDIRECT OWNERSHIP INTERESTsince 01/01/2017
SHTERN, SHARONIndividualINDIRECT OWNERSHIP INTERESTsince 01/01/2017
TREFF, MORDECHAIIndividualINDIRECT OWNERSHIP INTERESTsince 01/01/2017
STERN, SAMUELIndividualMANAGING CONTROL - GOVERNING BODY; CORPORATE OFFICERsince 01/01/2017
CONTI, JOSEPHIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2017
FOX, DARRENIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/20/2024

CMS files one row per role, so the 24 rows in the source record cover these 18 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

3 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.

$19.9M
Net patient revenuemost recent cost report
-16.8%
Operating marginrevenue minus expenses
$3.6M
Related-party expense16% of expenses
Who pays — share of resident-days
Medicaid 87%Medicare 6%Other / private 7%

About 87% 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 $3.6M paid to related parties — landlords or management companies under common ownership — equal to about 16% 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. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

$510per resident / day
operating cost
$15,506per month
≈ monthly operating cost
$437per 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 315280. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-06-12, 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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