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Phoenix Center for Rehabilitation and Pediatrics

1433 Ringwood Ave, Haskell, NJ 07420 · For profit - Individual · 227 certified beds · (973) 839-2119 Medicare & Medicaid certified

Call the home — (973) 839-2119 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0609) — cited May 20241 actual-harm citation$7,900 in federal fines
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • lower-than-typical staff turnover (32% vs 45% nationally) — better care continuity
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has 1 actual-harm citation
  • a high number of inspection citations overall (30) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $7,900 in federal fines (most recent 2023-10-06)

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.

3/5
CMS overall
3 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 3 of 5

Location & what’s nearby

Urgent care / clinic
1141 Ringwood Ave · (973) 835-6777 · Call to confirm hours
Pharmacy
1104 Ringwood Ave · (973) 831-3111 · Call to confirm hours
Grocery
4 Union Ave · (973) 616-1181 · Call to confirm hours
Park
Midland Ave · (973) 835-1500 · 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 5 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 2025-02 to 2026-06, this home’s CMS overall rating improved from 1 to 3 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 rating3★
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 increased5.5%8.7%15.4%better
Long-stay residents who lose too much weight6.0%4.6%5.4%worse
Long-stay residents with a catheter left in their bladder0.3%0.6%0.9%better
Long-stay residents with a urinary tract infection0.1%0.8%2.0%better than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms2.6%12.1%6.5%better
Long-stay residents who were physically restrained0.5%0.1%0.1%worse
Long-stay residents with falls causing major injury0.1%2.3%3.3%better
Long-stay residents whose ability to walk worsened3.2%8.2%16.1%better
Long-stay residents on antianxiety or hypnotic medication37.0%18.8%18.9%worse
Long-stay residents given the seasonal flu vaccine92.8%97.2%95.3%typical
Long-stay residents with pressure ulcers4.7%5.4%4.7%typical
Long-stay residents with worsening bladder/bowel control2.9%15.6%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table15.7%12.7%17.1%typical
Short-stay residents who newly got an antipsychotic medication3.8%1.2%1.4%worse
Short-stay residents given the seasonal flu vaccine41.4%80.1%79.4%worse
Short-stay residents rehospitalized after admission36.3%24.9%22.6%worse
Short-stay residents with an outpatient ER visit9.1%8.1%12.0%better
Long-stay hospitalizations per 1,000 resident days2.432.071.67worse
Long-stay outpatient ER visits per 1,000 resident days1.931.111.80typical

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.

30.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 42 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

30.6%U.S. median 51.5%
Got home and stayed home
10.9%U.S. median 10.7%
Went back to hospital
69.8%U.S. median 56.6%
Met the expected recovery
0.30U.S. median 0.31
Therapy hours / resident / day
0.18hours / resident / day
Physical therapy
0.09hours / resident / day
Occupational therapy
0.03hours / resident / day
Speech therapy

Met the expected recovery: 69.8% 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 43 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 0.30 therapist hours per resident per day in 2026Q1 — more than 48% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 4% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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 SNF30.6%CMS range 20.1–41.651.5%Oct 2022–Sep 2024worse than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.9%CMS range 7.0–17.410.7%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 discharge69.8%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 discharge67.4%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 discharge58.1%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 stay1.2%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 worsened1.2%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 hospitalization6.2%CMS range 3.2–11.47.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.621.02Oct 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

0.65
RN hours/ resident / day
1.37
LPN hours/ resident / day
2.38
Aide hours/ resident / day
4.39
Total nurse hours/ resident / day
0.39
RN hoursweekends
32.2%
Total nursing turnover
25.9%
RN turnover

How full it usually is: this home is certified for 227 beds and averages 207.0 residents a day — about 91% occupied, or roughly 20 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.39 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.65 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.38 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 3.81 hrs/resident/day on weekends vs 4.63 on weekdays — 18% thinner on weekends. RN hours go from 0.76 to 0.39 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 32% is below 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

8
deficiencies at the latest standard inspection (2025-01-28)
5
at the previous standard inspection (2023-10-25)

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.

30 citations, most serious first. The 11 most serious are shown; the remaining 19 are one tap away and print in full.

  • Actual harm · G2023-10-06 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, medical records (MR), and other pertinent facility documentation on 10/4/2023,10/5/2023, 10/6/2023, and 10/11/23, it was determined that the facility failed to adequately supervise a resident with a known history of behaviors for self-harm and suicidal ideation and follow the facility policy titled Suicidal Residents for 1 of 1 resident (Resident #4) reviewed for incident and accident. This deficient practice was evidenced by: According to the admission Record (AR), Resident #4 was admitted to the facility on [DATE], with diagnoses that included but were not limited to Schizoaffective Disorder, Borderline Personality Disorder, Major Depressive Disorder, and Anxiety. The Minimum Data Set (MDS), an assessment tool dated 8/18/23, Resident #4 had a Brief Interview for Mental Status (BIMS) score of 15/15, which indicated the resident was cognitively intact. The MDS also indicated Resident #4 needed help in Activities of Daily Living (ADLs) and was able to feed herself/himself. A review of…

    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 · D2025-11-03 · tag F0732 — isolated
    Post nurse staffing information every day.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Complaint #2580072Based on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to ensure that the 24-hour staffing report was accurately posted within the facility for the residents and the visitors to view for 2 of 2 observations.This deficient practice was evidenced by the following: On 11/3/25 at 8:20 AM, the surveyor entered the facility and observed that the Nursing Home Resident Care Staffing Report (NHRCSR) that was posted on the receptionist desk was dated 11/2/25, day shift. The NHRCSR was not up to date. On 11/3/25 at 2:18 PM, both the surveyor and the Unit Clerk/Certified Nursing Aide (UC/CNA), observed the posted NHRCSR was dated 11/2/25 for day shift. The UC/CNA informed the surveyor that she was covering for the Receptionist. She stated that she was unsure if she can update the posted NHRCSR because it was the responsibility of the Receptionist to post updated NHRCSR. On 11/3/25 at 2:21 PM, the surveyor notified the Director of Nursing (DON) of the above findings and concerns with regard to NHRCSR posted dated…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-08-06 · 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

    Complaint #: NJ00186369Based on interviews, record review, and review of pertinent facility documents on 07/23/25, it was determined that the facility failed to ensure a ventilator tubing/circuit and tracheostomy tube were changed as deemed necessary and consistent with the professional standards of practice for Resident #7. This deficient practice was identified in 1 of 9 residents reviewed for tracheostomy care and services and was evidenced as follows: A review of Resident #7's admission Record (AR) revealed the resident was admitted to the facility with the following diagnoses which included but were not limited to: chronic respiratory failure, epilepsy (condition characterized by sudden, uncontrolled jerking or stiffening of the body), aphasia (an impairment in the ability to comprehend or formulate language because of a disorder in specific brain areas), Rett's syndrome (a genetic condition affecting the brain development in children), tracheostomy (a hole made by doctors through the front of neck which allows air to pass into the windpipe to help with breathing), gastrostomy…

    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 before2025-01-28 · 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, review of medical records, and other facility documentation, it was determined that the facility failed to complete post-dialysis assessments for residents on dialysis (a treatment that replicates the kidney's function and cleans the waste from blood for individuals with kidney disease or kidney failure). This deficient practice was identified for 2 of 2 residents (Resident # 127 and #179) reviewed for dialysis and was evidenced by the following: 1. On 1/21/25 at 11:00 AM, during the initial tour of the 4th floor unit, the surveyor observed that Resident #127 was not in his/her room. The Charge Nurse (CN) stated that the resident was at dialysis. The CN stated that the resident received renal dialysis three times a week. On 1/27/25 at 8:00 AM, the surveyor observed Resident #127 in bed on a specialty mattress. The resident did not respond to the surveyor's greeting. The surveyor reviewed the medical record for Resident #127. A review of the admission Record reflected Resident #127 was admitted to the facility with diagnoses that included but were 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 · D2025-01-28 · 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 observation, interview, and record review, it was determined that the facility failed to maintain a dignified living environment for 1 of 35 residents reviewed (Resident # 83). The deficient practice was evidenced by the following: On 1/21/25 at 12:55 PM, the surveyor observed Resident # 83 in bed which was in a low position, with a sheet covering the resident. There was a staff member in the room seated next to the resident and the staff member stated that he was an aide who provided one-to-one care for Resident # 83. There were no personal belongings in the resident's room, and the wall in the resident's room were bare and had nothing on them. There was brown colored cardboard and tape covering over the air conditioning unit in the resident's room. The floor tiles were discolored and mismatched and there was an approximately 8-inch hole in the wall. At 1:00 PM, the surveyor interviewed the aide, who could not explain what happened and why the hole was there. The aide stated that Resident # 83 gets one to one supervision, 24 hours a day because the resident has behaviors…

    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 · D2025-01-28 · 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

    Based on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to maintain the call bell within reach of residents. This deficient practice was identified for 1 of 35 residents reviewed for the accommodation of needs (Resident # 39), and was evidenced by the following: On 1/21/25 at 11:38 AM, the surveyor observed Resident #39 in bed on a specialty mattress. The resident responded to the surveyor's greeting with a thumbs up and a smile. Resident #39 did not respond verbally. The surveyor observed Resident #39 had a tracheostomy (a surgical procedure that creates an opening in the neck into the windpipe to help air and oxygen reach the lungs), with an oxygen concentrator in place infusing at 1.5 Liters per minute (lpm) via trach collar tubing. The surveyor observed that the resident's call bell (used to summon staff for assistance) was affixed to the left siderail, not within his/her reach. The surveyor reviewed the medical record for Resident #39. A review of Resident #39's admission Record reflected that the Resident 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-28 · 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 accurately develop and implement a person-centered comprehensive care plan for care and service needs. This deficient practice was observed for 1 of 35 residents reviewed, Resident # 28, as evidenced by the following: 1. On 1/21/25 at 1:16 PM, the surveyor observed Resident # 28, in the dayroom and the resident was unable to answer the surveyor's questions. The surveyor reviewed Resident #28's Electronic Medical Records. Resident #28's face sheet revealed that the resident was admitted to the facility with diagnoses which included but were not limited to; pulmonary embolism. The Quarterly Minimum Data Set (MDS) an assessment tool dated 10/11/24, which revealed that there was no Brief Interview for Mental Status, as the resident was assessed as rarely or never understood. A review of the Physician's Order Sheet (POS) revealed the resident had a physician's order for Apixaban 5 mg 1 tablet by mouth twice daily. The surveyor reviewed the resident's current care plans. There was no…

    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 before2025-01-28 · 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 record review, it was determined that the facility failed to maintain professional standards of nursing practice by not following a physician's order for 2 of 35 of the residents (Resident #39 and #50) reviewed. 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 or potential physical and emotional health problems, through such services as case finding, health teaching, health counseling and provision of care supportive to or restorative of life and wellbeing, and executing medical regimes 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 state: The practice of nursing as a licensed practical nurse is defined as performing tasks…

    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 · D2025-01-28 · 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

    NJ 175442 Based on observation, interview, record review, and review of other pertinent facility documentation, it was determined that the facility failed to maintain timely assistance with breakfast, and morning care (assistance with, but not limited to feeding, continence care, dressing, and grooming) for a resident who was totally dependent on staff for activities of daily living (ADL). This deficient practice was identified in 1 of 2 residents (Resident #169) reviewed for ADL and was evidenced by the following: On 1/21/25 at 11:07 AM, during the initial tour, the surveyor, from the hallway, observed Resident #169 in their room, seated in a wheelchair, well dressed, and was in the middle of a video conference call. The video conference device utilized by Resident #169 appeared mounted on a stand. The surveyor reviewed the medical record for Resident #169. According to the admission Record, (an admission summary), reflected that Resident #169 was admitted to the facility with diagnoses that included the following: unspecified injury of the cervical spinal cord (damage to spinal…

    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 · D2025-01-28 · 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

    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 ensure that urinary drainage bags were stored and secured in a manner to prevent contamination and infection control. This deficient practice was identified for 2 of 3 residents reviewed (Resident # 39 and #70), and was evidenced by the following: 1.On 1/21/25 at 11:10 AM, the surveyor observed Resident #70 in bed. The surveyor observed the resident had a tracheostomy with a large portable oxygen tank infusing at 6 Liters per minute (lpm) via trach collar tubing and two urinary drainage bags lying on top of the resident ' s bed, one on each side of the resident. The surveyor observed there were two privacy bags affixed to the lower aspect of the upper left and right-side rails. The surveyor reviewed the medical record for Resident #70. A review of Resident # 70 ' s admission Record reflected that the resident was admitted to the facility with diagnoses that included but were not limited to;…

    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 before2025-01-28 · 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 store 1 of 35 residents (Resident # 83) personal clothing in a sanitary manner. This deficient practice was as evidenced by the following: On 1/21/25 at 12:55 PM, the surveyor observed Resident # 83 in bed which was in a low position, with a sheet covering the resident. There was a staff member in the room seated next to the resident and the staff member stated that he was an aide who provided one-to-one care for Resident # 83. The surveyor observed that inside the resident's bathroom, the resident's clothing was on hangers and located hanging on the shower curtain rod, which was approximately 5 feet from the resident's toilet. At 1:00 PM, the aide stated that Resident # 83 gets one to one supervision, 24 hours a day because the resident has behaviors of aggression, pulling things off the wall and has a history of knocking furniture over. The aide stated that the resident is blind in both eyes and cannot have furniture or belongings in the room as Resident # 83 will feel around the room…

    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 19 citations
  • Potential for harm · Dcited before2024-05-15 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Complaint# NJ00173746 Based on interview, document review, and review of facility policy, the facility failed to ensure it reported the results of their findings for an injury of unknown origin to the State Survey Agency that ruled out abuse and neglect for 1 (Resident #2) of 3 sampled residents. This deficient practice is evidenced by the following According to the admission Record (AR), Resident #2 was admitted to the facility with diagnoses which included but were not limited to: Cerebral Palsy, Disorders of Psychological Development, Hypothyroidism, and Aphasia. A review of the Resident #2 Physician Progress Notes (PPN), dated 05/08/2024 at 11:50, indicated Resident #2, was .Awake, alert, nonverbal, baseline. The PPN further revealed, Pt [resident] noted with discoloration to forehead and A/P [assessment/plan]: Head injury to frontal lobe of unknown cause without LOC [loss of consciousness] . A review of the document presented to the surveyor by facility staff revealed the following: Resident #2's Incident Report (IR) #1185 Skin Injury dated 05/08/24 at 12:01p.m., documented by…

    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 · Dcited before2023-12-15 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY C#: NJ00169635 Based on interviews and record review, as well as a review of pertinent facility documents on 12/14/23 and 12/15/23, it was determined that the facility staff failed to immediately report an allegation of abuse to New Jersey Department of Health (NJDOH) and follow the facility policy titled Abuse Prevention for 1 of 3 residents (Resident #1) reviewed for reporting. This deficient practice is evidenced by the following: According to the admission Record (AR), Resident #1 was admitted to the facility with diagnoses which included but were not limited to: Cerebral Palsy and Convulsions. A Minimum Data Set (MDS), an assessment tool, dated 11/17/23, revealed that Brief Interview for Mental Status (BIMS) for Resident #1 was unable to be conducted due to resident was resident is rarely/never understood and the resident required assistance with activities of daily living (ADLs). A review of the facility's Grievance Form (GF) dated 11/30/23 at 4:55 p.m. and signed on 12/8/23 by the Social Worker (SW), 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 · E2023-10-25 · tag F0711 — pattern
    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview it was determined that the facility failed to ensure that the physician responsible for supervising the care of residents signed and dated monthly physician's orders. This deficient practice continued over several months for 13 of 35 residents (#110, 182, 87, 129, 58, 101, 141, 37, 158, 113, 32, 24, and #51) reviewed and was evidenced by the following: 1. Resident #110's hybrid medical record revealed the resident's physician had not hand signed or electronically signed the monthly physician's orders for July 2023, August 2023, and September 2023. 2. Resident #182's hybrid medical record revealed the resident's physician had not hand signed or electronically signed the monthly physician's orders for July 2023, August 2023, and September 2023. 3. Resident #87's hybrid medical record revealed the resident's physician had not hand signed or electronically signed the monthly physician's orders for August 2023, and September 2023. 4. Resident #129's hybrid medical record revealed the resident's physician had not hand signed or electronically signed…

    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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-10-25 · tag F0712 — pattern
    Ensure that the resident and his/her doctor meet face-to-face at all required visits.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, it was determined that the facility failed to ensure that the physician responsible for supervising the care of residents conducted face to face visits and wrote progress notes at least every 60 days. This deficient practice continued over several months for 9 of 35 residents (Resident #58, 101, 141, 37, 158, 32, 24, 51, and #113) reviewed and was evidenced by the following: 1. On 10/17/23 at 11:06 AM, the surveyor observed Resident # 58 in bed. The surveyor interviewed the resident who was able to respond verbally using yes and no answers while nodding head. The surveyor reviewed Resident #58's hybrid medical records. The resident was admitted to the facility with diagnoses which included but not limited to Spinal Muscular Atrophy, Dependence on respirator and Chronic Respiratory Failure. A review of the Physician Progress Notes revealed that from July 2023 through 2023, the Nurse Practitioner (NP) documented that she had seen and examined the resident. There was no documentation that Resident #22's primary physician had conducted…

    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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-10-25 · tag F0640 — isolated
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on the interview and record review, it was determined that the facility failed to electronically transmit the Minimum Data Set (MDS), an assessment tool used to facilitate the management of care of all residents, within 14 days of completing the resident's assessment for 1 of 38 residents, (Resident #149) reviewed for resident assessment. The deficient practice was evidenced by the following: 1. Resident #149 was observed to have a Quarterly MDS of 6/06/23 and was due to betransmitted no later than 6/19/23. The Quarterly MDS was not transmitted until 8/28/23. 2. Resident #149 was observed to have a Quarterly MDS of 3/06/23 and was due to be transmitted no later than 3/19/23. The Quarterly MDS was not transmitted until 4/04/23. 3. Resident #149 was observed to have an admission MDS of 12/6/22 and was due to be transmitted no later than 12/19/23. The admission MDS was not transmitted until 1/17/23. 4. Resident #81 was observed to have an Annual MDS of 6/14/23 and was due to be transmitted no later than 6/27/23. The Annual MDS was not transmitted until 8/02/23. On 10/19/23 at…

    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 before2023-10-25 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    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 record review, it was determined that the facility failed to accurately code the Minimum Data Set (MDS), an assessment tool utilized to facilitate the management of care, in accordance with federal guidelines. This deficient practice was identified for 2 of the 38 residents reviewed for resident assessment (Resident#81 and Resident#171). The deficient practice was evidenced by the following: 1. On 10/17/23 at 10:50 AM, the surveyor observed the resident sleeping in bed, covered with a blanket, with an aide sitting in the chair beside the resident's bed. The aide stated the resident was on 1:1 observation since Feb. 2023. The surveyor reviewed the hybrid medical record for Resident #81. The admission Record reflected that the resident was admitted to the facility with diagnoses that included but were not limited to unspecified intellectual disabilities. A review of the quarterly MDS dated [DATE] reflected that the resident had a brief interview for mental status (BIMS) score…

    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 before2023-10-25 · tag F0698 — failed to provide proper dialysis care — isolated
    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, record review, it was determined that the facility failed to ensure a resident's medication times were adjusted to accommodate their dialysis (a clinical purification of blood as a substitute for the normal function of the kidneys) schedule for 1 of 2 residents (Resident #39) reviewed for dialysis. This deficient practice was evidenced by the following: On 10/17/23 at 11:09 AM, the surveyor observed the resident was not in their room. The assigned LPN for Resident #39 stated the resident was currently at dialysis and was scheduled for dialysis every Tuesday, Thursday, and Saturday. A review of Resident #39's electronic health record (EHR) revealed the following: According to the admission Record (an admission summary), Resident #39 was admitted with diagnoses that included but were not limited to, End Stage Renal Disease, and Dependence on Renal [kidney] Dialysis. An Annual Minimum Data Set (MDS) assessment, a tool used to facilitate management of care, dated 7/27/23, indicated the facility assessed the resident's cognition using a Brief Interview…

    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 before2023-10-06 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    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 interviews and record review, as well as a review of pertinent facility documents on 10/4/23, 10/4/23, 10/6/23, and 10/11/23, it was determined that the facility staff failed to report an allegation of verbal abuse to the New Jersey Department of Health (NJDOH) and follow their policy titled Abuse Prevention for 1 of 3 residents (Resident #4) reviewed for incident and accident. This deficient practice is evidenced by the following: On 10/4/23 at 9:16 a.m., during the entrance conference with the Administrator and the Director of Nursing (DON), the facility provided the Resident's Scabies Case Line Listing which included Resident #4. During an interview with the surveyor on 10/4/23 at 12:01 p.m. Resident # 4 made an allegation of verbal abuse. Resident #4 reported that About a month ago I asked [CNA #1] to take me out of bed and she said 'NO' then I started yelling at her. Resident #4 stated that the CNA called her/him homeless b*t*h, nobody wants to work with you, nobody wants you, and that she/he was 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-10-06 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY C #: 167992 Based on interviews, medical record review, and review of other pertinent facility documents on 10/4/23, 10/5/23, 10/6/23 and 10/11/23, it was determined that the facility staff failed to accurately document in the Treatment Administration Record (TAR) that the care was provided to the resident according to the facility protocol for 1 of 3 residents (Resident #1) reviewed for documentation. This deficient practice was evidenced by the following: 1. According to the facility admission Record (AR), Resident #1 was admitted on [DATE], with diagnosis that included but were not limited to: End Stage Renal Disease. The Minimum Data Set (MDS), an assessment tool, dated 8/22/23, revealed a Brief Interview of Mental Status (BIMS) of 99 which indicated the resident's cognition was rarely never understood and the resident needed assistance with activities of daily living (ADLs). Review of Resident #2's Order Summary Report reflected an order for Right Upper Chest Wall Porta Catheter site dressing change every…

    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 · Fcited before2022-08-31 · tag F0880 — failed to prevent and control infections — widespread
    Provide and implement an infection prevention and control program.
    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 record review, it was determined that the facility failed to ensure that: a.) appropriate hand hygiene was performed by 2 of 16 staff observed during recreation activity and care, b.) PPE (personal protective equipment) is properly disposed of for 1 of 7 receptacles in accordance with the Centers for Disease Control and Prevention (CDC) guidelines for infection control and facility policies, c.) the Covid-19 testing wait time was followed according to the facility's posted instructions and the manufacturer's Covid-19 instruction card for COVID-19 testing for 1 of 10 visitors, d.) staff performed daily COVID-19 screening and monitoring for 3 of 5 staff reviewed, e.) residents received daily COVID-19 Screening and Monitoring every shift for 6 out of 12 residents reviewed (Resident #7, #23, #80, #153, #629, and #630) to mitigate the spread of infection and COVID-19. This deficient practice was evidenced by the following: According to the U.S. CDC guidelines Hand Hygiene…

    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 before2022-08-31 · tag F0658 — failed to meet professional standards of care — pattern
    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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, it was determined that the facility failed to a.) follow acceptable professional standards of clinical practice by discontinuing a duplicate physician's order to flush a gastrostomy tube from March 2022 until the surveyor's inquiry in August 2022 and discontinuing a duplicate physician's order for enteral tube feeding formula from 6/7/22 until surveyor's inquiry August 2022, b.) not following physician's order for the correct enteral tube feeding formula for 2 of 8 residents (Resident #153 and #91), and c.) follow through with the Registered Dietitian's (RD's) recommendations for 1 of 8 residents (Resident #174) reviewed for enteral feed physicians' orders, 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…

    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 before2022-08-31 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    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 record review, it was determined that the facility failed to accurately assess a resident's status in the Minimum Data Set (MDS), an assessment tool used to facilitate the management of care. This deficient practice was identified for 2 of 3 residents, Residents #66, and #67 reviewed for falls. This deficient practice was evidenced by: 1. On 8/9/22 at 10:46 AM, the surveyor observed Resident #66 laying in bed awake with his head at the foot of the bed watching TV (television). The resident told the surveyor that the staff is very nice and helps them when they call for assistance. The surveyor reviewed the medical records of Resident #66: The admission Record (face sheet/admission summary) showed that the resident was admitted to the facility with diagnoses including, but not limited to, chronic systolic congestive heart failure (which occurs when the heart muscle doesn't pump blood as well as it should), atherosclerotic heart disease (a build-up of fats in and on artery…

    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 · D2022-08-31 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, record review, and review of pertinent facility documentation, it was determined that the facility failed to: a.) follow a Physician's Order (PO) for the treatment of a facility-acquired pressure ulcer in accordance with professional standards of practice and b.) ensure a resident received treatment and services to promote healing of a chronic stage two (Stage II) facility acquired pressure ulcer. This deficient practice was identified during the wound treatment observation for one of four residents, (Resident #153) reviewed for pressure ulcers. The deficient practice was identified by the following: On 8/03/22 at 01:10 PM, the surveyor observed Resident #153 laying in bed on an air mattress in their room. The surveyor further observed that the resident had physical deformities (limitations on both extremities and other parts of the body) and was non-verbal. On 8/17/22 at 12:20 PM, the surveyor interviewed the resident's Licensed Practical Nurse (LPN) prior to the wound treatment observation. The LPN stated the resident had a wound on the back of…

    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 · D2022-08-31 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    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 record review, it was determined that the facility failed to a.) provide an appropriate services to a resident with a Passive Range of Motion (PROM) order and recommendations for 2 of 8 residents (Resident #40 and #174) and b.) ensure that the bilateral ankle/foot splints for Resident #80 and bilateral hand splints for Resident # 86 and were consistently applied for contracture management for 2 of 8 residents reviewed for a limited range of motion (ROM). This deficient practice was evidenced by the following: 1. On 8/3/22 at 10:49 AM, the surveyor observed Resident #40 in bed with their eyes closed. The resident was on a ventilator and was breathing easily. The surveyor reviewed the medical records of Resident #40. The admission Record (face sheet/admission summary) indicated that the resident was admitted to the facility with diagnoses that included Acute hematogenous osteomyelitis right humerus ((infection in the growth in the upper arm between the shoulder and elbow),…

    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 before2022-08-31 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review it was determined that the facility failed to clarify physician orders for oxygen therapy and develop a personalized care plan for 1 of 7 residents (Resident #86) reviewed for respiratory care. This deficient practice was evidenced by the following: On 8/03/22 at 11:15 AM, during the initial tour of the facility, Resident #86 was observed in the room. The resident was not wearing oxygen (O2) at the time of the observation. There was an O2 concentrator (oxygen delivery system) in the resident's room that was not in use. The O2 tubing was inside a bag on top of the concentrator. The surveyor reviewed Resident #86's medical records. According to the admission Record (face sheet/admission summary), Resident #86 was admitted to the facility with medical diagnoses including, but not limited to cerebral palsy (congenital disorder of movement, muscle tone, or posture), convulsions (uncontrollable muscle contraction), and asthma (inflamed airways causing breathing…

    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 · D2022-08-31 · 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 observations, interviews, and record review, it was determined that the facility failed to a.) secure 1 of 4 medication rooms, b). properly dispose of expired medications in 1 of 4 medication storage rooms, and c). disposed of expired medications in 2 of 7 medication storage carts inspected. This deficient practice was evidenced by the following: 1. On 8/17/22 at 10:30 AM, two surveyors entered the Central Supply Room (CSR) in the presence of the Head of Central Supplies (HCS). The surveyor observed that the CSR door was unlocked and they were no staff inside. The CSR contained the facility supply of over-the-counter (OTC) medications (which are non-prescription medications) and two bags of expired OTC medications which were in the process of being disposed of per facility policy. They were no residents observed in the vicinity of the central supply room which was in an employee only section of the facility. At that time, the surveyor interviewed the HCS who stated that the Central Supply Room should be locked when they are no employees present. The Director of 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 · D2022-08-31 · tag F0886 — failed to test for COVID-19 as required — isolated
    Perform COVID19 testing on residents and staff.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review it was determined that the facility failed to provide biweekly COVID-19 rapid antigen testing from July 2022 through August 15, 2022 for two (2) of three (3) staff who are not up to date (up to date means a person has received all recommended vaccines & boosters when eligible) with COVID-19 vaccinations (Certified Nursing Assistant#1 (CNA#1) and CNA#2), in accordance with the Centers for Disease Control and Prevention (CDC) guidelines and when the community transmission level was high. This deficient practice was evidenced by the following: According to the US CDC COVID-19, Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic, updated 02/02/22, showed .1. Recommended routine infection prevention and control (IPC) practices during the COVID-19 pandemic .Options could include (but are not limited to): individual screening on arrival at the facility; or implementing an electronic monitoring…

    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 · D2022-08-31 · tag F0921 — failed to keep a safe, functional, sanitary building — isolated
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Complaint # NJ 00155798 Based on observation, interview, and review of pertinent facility documents it was determined that the facility failed to a.) maintain a safe and sanitary environment by ensuring that a full sharps container (a puncture-resistant, leak-proof container that can be closed for handling, storage, transportation and disposal of medical waste and sharp materials labeled as biohazard) was replaced with an empty one in a timely manner for 1 out of 2 treatment carts on the first floor (Cart R) and b.) maintain a safe and sanitary environment in 1 of 1 laundry rooms in accordance with the facility policy and procedures. This deficient practice was evidenced by the following: 1. On 8/9/22 at 12:15 PM, the surveyor observed a full and closed sharps container on treatment cart R on the first floor. There were no residents or visitors in the vicinity of the treatment cart and were no needles sticking out. On 8/17/22 at 12:11 PM, the surveyor had a second observation of a full and closed sharps container on treatment cart R on the first floor. There were no residents or…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • No harm found · C2022-08-31 · tag F0888 — widespread
    Ensure staff are vaccinated for COVID-19
    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 that additional precautions for COVID-19 testing were implemented for 2 of 3 staff whose vaccinations were not up-to-date for COVID-19, b.) include the most up-to-date (Up to date means a person has received all recommended vaccines & boosters when eligible) COVID-19 Vaccine for Staff guidance in the facility Policy, and c.) ensure that the facility's COVID-19 Vaccine for Staff Policy included contingency plans to mitigate the spread of COVID-19 according to Centers for Disease Control and Prevention (CDC) and facility policies. According to the US CDC Interim Infection Prevention and Control Recommendations to Prevent SARS-CoV-2 Spread in Nursing Homes, updated 2/2/22, included .Testing: Create a Plan for Testing Residents and HCP (Health Care Personnel) for SARS-CoV-2 . In nursing homes, HCP who are not up to date with all recommended COVID-19 vaccine doses should continue expanded screening testing based on the level of community transmission as follows: In nursing homes…

    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

“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

$7,900 in federal fines across 1 penalty.

  • $7,900 — penalty dated 2023-10-06

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 PHILOSOPHY CARE CENTERS — 3 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 3 of 53.0≈ chain avg
Health inspection 3 of 52.7+0.3 vs chain
Staffing 3 of 52.7+0.3 vs chain
Quality measures 3 of 54.0-1.0 vs chain
The other 2 homes this chain runs (chain average 3.0★, per CMS)

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleShareSince
KRAUS, ABRAHAMIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST50%since 01/01/2020
PHILIPSON, BENTIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST50%since 01/01/2020
ISLAM, NATASHAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2020

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.

$34.4M
Net patient revenuemost recent cost report
-14.3%
Operating marginrevenue minus expenses
$4.5M
Related-party expense12% of expenses
Who pays — share of resident-days
Medicaid 86%Medicare 3%Other / private 11%

About 86% 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 $4.5M paid to related parties — landlords or management companies under common ownership — equal to about 12% 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

$566per resident / day
operating cost
$17,199per month
≈ monthly operating cost
$495per 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 315229. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-01-28, 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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