Mohawk Meadows

Location & what’s nearby

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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

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.

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.

32.0% 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 43 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 66.7% 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 84 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 0.21 therapist hours per resident per day in 2026Q1 — more than 26% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 9% 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.

Staffing

How full it usually is: this home is certified for 159 beds and averages 144.4 residents a day — about 91% occupied, or roughly 15 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 2.83 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.43 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.83 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 2.46 hrs/resident/day on weekends vs 2.98 on weekdays — 17% thinner on weekends. RN hours go from 0.48 to 0.30 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 18% 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

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.

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.

21 citations, most serious first. The 13 most serious are shown; the remaining 8 are one tap away and print in full.

• Immediate jeopardy · L2023-11-21 · tag F0835 — failed to run the facility competently — widespread
  Administer the facility in a manner that enables it to use its resources effectively and efficiently.
  What the surveyor found here — an excerpt from the official record, may be distressing

  PART A. Refer to F684 Based on observations, interviews, review of medical records and review of facility documents on 11/16/23, 11/17/23, 11/20/23, and 11/21/23, it was determined that the Administrator failed to ensure that the facility policies on Medication Shortages/Unavailable Medications and Outbreak Response Plan was initiated and implemented to ensure all residents received the care and service needed to maintain their quality of life. The facility's LNHA and administrative staff were notified of the IJ for 835 s/s L on 11/20/23 at 5:02 p.m. The facility provided and acceptable removal plan on 11/20/23. The survey team accepted the removal plan and verified the removal plan onsite on 11/21/23 during the survey. The non-compliance remained on 11/21/23 for F835, with no actual harm with the potential for more than minimum harm that is not immediate jeopardy. The evidence was as follows: The facility failed to clarify a physician's order for Paxlovid (an antiviral medication used to treat COVID-19, a highly contagious virus) for a vaccinated resident (Resident #4). 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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · L2023-11-21 · 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

  Based on observation, interview, record review and review of pertinent documentation on 11/16/23, 11/17/23, 11/20/23, and 11/21/23, it was determined that the facility failed to ensure that Centers for Disease Control and Prevention (CDC) and Centers for Medicare and Medicaid Services (CMS) guidance was implemented to limit the spread of infectious disease. The facility failed to initiate contact tracing for the following: a.) A Certified Nursing Assistant (CNA #1), who provided care to 7 residents on 9/11/23 and 9/12/2023 and then tested positive on 9/13/2023; CNA #2, who came to work and was symptomatic and provided care to 2 residents on 9/20/23 and tested positive for COVID-19 on the same day. The facility failed initiate a COVID-19 surveillance and monitoring process to identify signs and symptoms (s/s) of COVID-19 for the residents who were in the care of staff who tested positive on 9/12/13, 9/19/13, and 9/20/23. The facility failed to mitigate the transmission of the highly contagious virus by not initiating infection control guidance protocols and not implementing 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Jcited before2023-11-21 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  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, record review, and review of facility documentation, it was determined that the facility failed to clarify a physician's order for Paxlovid (an antiviral medication used to treat COVID-19, a deadly virus) for a vaccinated resident (Resident #4), for it to be administered within 24 hours for one of 14 residents reviewed for COVID-19 care. The original order was for Paxlovid to be administered for five days was faxed to the pharmacy on 10/22/23 but failed to include a dosage amount. This caused the pharmacy to contact the facility three additional times for clarification of the Paxlovid order. Resident #4 was provided a different antiviral medication on 10/25/23 (3 days later) and expired at the facility on 10/28/23. COVID-19 is known to be a highly infectious communicable disease which can lead to hospitalization and death. The facility had a positive confirmation of COVID-19 on 09/13/23, was currently still in an outbreak, and had been unable to mitigate the spread of the infection. 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-18 · 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 C39051/IQBased on interviews, medical record reviews, and review of other pertinent facility documentation on 08/14/25, 08/15/25, and 08/18/25, it was determined that the facility failed to report within two hours to the New Jersey Department of Health (NJDOH) allegations involving resident abuse for : a.) on 8/15/24 when facility was notified of an allegation of misappropriation of resident's funds by the Social Worker (SW) b.) an allegation of resident-to-resident verbal abuse involving Resident #11 and Resident #13; and C.) an allegation of resident-to-resident verbal abuse involving Resident #11 and Resident #14. This deficient practice was identified for 1 of 14 residents reviewed for abuse (Resident #11), and was evidenced by the following:A.) On 8/15/25 at 12:31 P.M., the surveyor notified the Licensed Nursing Home Administrator (LNHA) that the SW reported to them that the SW had taken Resident #11's debit card and used it to remove cash out of Resident #11's bank account.According to the admission Record…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-18 · 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

  Complaint #: 390051Based on interviews, medical record review, and review of other pertinent facility documentation on 8/18/2025, it was determined that the facility failed to consistently document on the Treatment Administration Record (TAR) according to the acceptable standards of nursing practice for 1 of 3 residents (Resident #11) reviewed for documentation. 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 licensed practical nurse is defined as performing tasks and responsibilities within the framework of case finding; reinforcing the patient and family teaching program through health teaching, health counseling and provision of supportive and restorative care, under the direction of a registered nurse or licensed or otherwise legally authorized physician or dentist.Reference: New Jersey Statutes Annotated Title 45. Chapter 11. New Jersey Board of Nursing Statutes 45:11-23. Definitions b. The practice 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-08-18 · 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

  C39051/IQBased on interviews, medical record review, and other pertinent facility documentation on 08/14/25, 08/15/25, and 08/18/25 it was determined that the facility failed to obtain a physician's order (PO) for the resident's (Resident #11) bilevel positive airway pressure (BiPAP) machine (a non-invasive ventilation therapy that uses a machine to deliver pressurized air to a patient through a mask). This deficient practice was identified for 1 of 14 residents reviewed (Resident #11).The deficient practice was evidenced by the following:A review of the Electronic Medical Record (EMR) was as follows:According to the admission Record (AR) face sheet, Resident #11 was admitted to the facility with diagnoses which included but were not limited to; acute and chronic respiratory failure with hypoxia (medical condition where a part of the body, or the entire body, is deprived of an adequate oxygen supply at the tissue level), benign neoplasm (an abnormal growth of tissue in some part of the body) of brain, acute and chronic respiratory failure with hypercapnia (excessively high levels 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 · E2024-11-19 · tag F0607 — failed to have anti-abuse policies — pattern
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and review of pertinent documentation provided by the facility, it was determined that the facility failed to a. ensure reference checks (RC) were completed to seven (7) out of ten (10) newly hired staff (NHS) b. ensure criminal background checks (CBC) were completed to four (4) out of ten (10) NHS and c. ensure a physical examination (PE) was performed to 2 (two) out of ten (10) NHS prior to their start date of employment. This deficient practice was evidenced by the following: The surveyor reviewed ten randomly selected new employee files. The review for reference checks for five of the eight new employees revealed the following: -Staff #1's file, a Business Office Manager who was hired on 9/23/24, revealed no RC in their file. -Staff #2's file, a Maintenance Director (MD) who was hired on 5/28/24, revealed no RC in their file. Further review of Staff #2's did not reveal that a PE was completed prior to date of hire. - Staff #3's file, a Registered Nurse #1 (RN #1) who was hired on 5/28/24, revealed no RC in their file. Further review of Staff #3's file revealed…

  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 · D2024-11-19 · 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 record review, it was determined that the facility failed to ensure the resident's call device was readily accessible. The deficient practice was identified for 1 (one) of 25 residents (Resident #46) reviewed for reasonable accommodations of needs/preferences. This deficient practice was evidenced by the following: On 11/12/24, at 9:30 AM and 1:32 PM, the same day, the surveyor observed Resident #46 lying in bed, awake and alert. The surveyor observed that the call bell was behind the resident's headboard, between the wall and the bed. On 11/12/24, at 1:35 PM, the surveyor interviewed the Licensed Practical Nurse (LPN) and the LPN/Supervisor, who stated that the call bell should be within the residents' reach. The LPN placed the call bell next to the resident's right hand. On 11/13/24 at 9:27 AM, the surveyor reviewed the hybrid medical record (paper and electronic) of Resident #46, which revealed the following: According to the admission Record (an admission summary) (AR), Resident #46 was admitted to the facility with diagnoses that included…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-11-19 · tag F0561 — failed to honor residents' choices — isolated
  Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
  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, record review, and review of pertinent facility documents, it was determined that the facility failed to ensure that residents' bathing choice of a day shower was provided for 1 of 1 resident (Resident #83) reviewed for choices. This deficient practice was evidenced as follows: On 11/12/24 at 10:38 AM, the surveyor interviewed Resident #83 in their room. The resident stated, I am supposed to and want to get two showers per week, but I have not received a shower in weeks. A review of Resident #83's admission Record reflected that the resident had diagnoses that included but were not limited to; major depression (persist depressed mood), type 2 diabetes mellitus(elevated blood sugar), and bipolar disorder(mood disorder with mood swings). A review of the Annual Minimum Data Set (MDS) dated [DATE], an assessment tool used to facilitate the management of care, reflected that the resident had a Brief Interview for Mental Status (BIMS) score of 11 out of 15 which indicated that the resident had 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-11-19 · tag F0604 — failed to not use physical restraints improperly — isolated
  Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
  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 a resident was free from a physical restraint (means of limiting or obstructing the freedom of a person's bodily movement). This deficient practice was identified in 1 of 2 residents reviewed for restraints, (Residents #99) and was evidenced by the following: On 11/12/24 at 10:20 AM, the surveyor observed Resident #99 awake and was seated in their wheelchair that had a seatbelt device around the resident's waist. The resident was unable to respond to the surveyors' inquiry. The surveyor further observed that Resident #99 had contractions (abnormal shortening of muscle tissue, rendering the muscle highly resistant to stretching) to bilateral arms. The surveyor in the presence of the Licensed Practical Nurse #1 (LPN #1) assessed Resident #99. LPN #1 acknowledged to the surveyor that the resident was wearing a seatbelt for safety and to prevent the resident from falling. On 11/13/24 at 11:49 PM, the surveyor interviewed the Registered Nurse who acknowledged that Resident #99 should…

  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 before2024-11-19 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  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, record review, it was determined that the facility failed to ensure a resident received a medication according to the physician's order (PO) that was indicated for breast cancer (CA) (a disease in which body cells grow uncontrollably and spread to other parts of the body) in accordance with professional standards of practice and facility policies and procedures for one (1) of 25 residents, (Resident #131), reviewed for medication administration. This deficient practice was evidenced by the following: On 11/14/24 at 8:45 AM, during the medication administration observation with Licensed Practical Nurse (LPN #2), the surveyor observed Resident #131 in their room seated in a wheelchair. LPN #2 prepared the eight (8) medications for Resident #131 and stated that one of the medications was Abemaciclib which was indicated for the resident's diagnosis of breast CA were not available because the facility's pharmacy had not yet delivered the medication. On 11/14/24 at 9:20 AM, 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-11-19 · 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 and record review, it was determined that the facility failed to record and document the urinary output of resident's with an indwelling urinary catheters per Physician Orders (PO). This deficient practice was noted in 1 of 2 resident's reviewed with an indwelling urinary catheter (Resident #68). This deficient practice was evidenced by the following: On 11/12/24 at 10:18 AM, the surveyor observed Resident #68 awake in their bed. Resident stated they have a catheter for urinary problems. The resident had a urinary privacy bag on side of their bed. The surveyor reviewed Resident #68's hybrid (combination of paper and electronic) medical records. The resident was admitted to the facility with diagnoses that included but were not limited to, urinary tract infection (an infection in any part of the urinary system), sepsis (body's reaction to an infection), and retention of urine (a condition where the bladder does not fully empty). A review of the quarterly Minimum Data Set (MDS), an assessment tool used to facilitate the management of care, dated…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-11-19 · 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

  Based on observation, interview, and record review, it was determined that the facility failed to maintain complete and readily accessible medical records. This deficient practice was identified for 1 of 28 residents reviewed (Resident # 86). This deficient practice was evidenced by the following: The surveyor reviewed the hybrid (paper and electronic) medical records of Resident #86. According to the admission Record (a summary of important information about the resident), Resident #86 had diagnoses that included but were not limited to: dementia, schizoaffective disorder (a mental health condition with symptoms of schizophrenia and mood disorders that causes a person to experience dramatic changes in their thoughts, moods, and behaviors), and major depressive disorder. A quarterly Minimum Data Set (MDS) assessment, dated 8/20/24, indicated the facility assessed the resident's cognition using a Brief Interview Mental Status (BIMS) test. Resident #86 scored a 4 out of 15, which indicated the resident had severe cognitive impairment. A physician's order dated 3/20/24 documented…

  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

“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.

Fines & penalties

$713,795 in federal fines across 1 penalty. 1 Medicare payment denial on record.

• $713,795 — penalty dated 2023-11-21
• Medicare payment denial — starting 2024-01-03 for 8 days

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.

Who owns this facility

CMS files one row per role, so the 13 rows in the source record cover these 6 parties — each is shown once here with every role it holds. Nothing is omitted.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 80% 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 $436K paid to related parties (affiliated landlords or management companies) in its most recent cost report. 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 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2024). 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