Seacrest Rehabilitation And Healthcare Center
1001 Center St, Little Egg Harbor Tw, NJ 08087 · For profit - Limited Liability company · 171 certified beds · (609) 296-9292 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- it has 1 actual-harm citation
- a high number of inspection citations overall (29) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $11,175 in federal fines (most recent 2025-11-25)
- its facility-reported quality-measure score sits well above its independent inspection score
- its independent health-inspection rating is low (2/5)
- about 17% of its spending goes to commonly-owned related companies
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 2 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Worth a closer look. This home's quality-measure rating runs 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 4 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 held steady at 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.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 7.0% | 8.7% | 15.4% | better |
| Long-stay residents who lose too much weight | 6.1% | 4.6% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 0.2% | 0.6% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 0.5% | 0.8% | 2.0% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with depressive symptoms | 4.9% | 12.1% | 6.5% | better |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 1.5% | 2.3% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 8.2% | 8.2% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 23.0% | 18.8% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 81.7% | 97.2% | 95.3% | worse |
| Long-stay residents with pressure ulcers | 4.1% | 5.4% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 24.2% | 15.6% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 8.0% | 12.7% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 1.3% | 1.2% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 48.2% | 80.1% | 79.4% | worse |
| Short-stay residents rehospitalized after admission | 25.0% | 24.9% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 10.7% | 8.1% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.74 | 2.07 | 1.67 | typical |
| Long-stay outpatient ER visits per 1,000 resident days | 1.10 | 1.11 | 1.80 | better |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
62.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 494 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 67.4% 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 233 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 0.12 therapist hours per resident per day in 2026Q1 — more than 8% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 16% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 62.2%CMS range 57.7–65.6 | 51.5% | Oct 2022–Sep 2024 | better than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 9.4%CMS range 7.4–11.8 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 67.4% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 60.5% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 59.7% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 99.4% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 99.6% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 93.3% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.8% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 2.6% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 6.5%CMS range 4.6–8.9 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.19 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 171 beds and averages 149.8 residents a day — about 88% occupied, or roughly 21 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.38 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.548 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.82 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 3.15 hrs/resident/day on weekends vs 3.48 on weekdays — 9% thinner on weekends. RN hours go from 0.60 to 0.41 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 43% is about the same as the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are 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.
29 citations, most serious first. The 11 most serious are shown; the remaining 18 are one tap away and print in full.
- Actual harm · Gcited before2025-11-25 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Complaint #'s: NJ428767 and NJ428770Based on record review, interviews and document review, the facility failed to protect one of four residents Resident (R) #5 from an accident hazard. Specifically, Certified Nurse Aide (CNA) #1 pushed R5 in a wheelchair without leg rests causing R5's legs to become trapped underneath the wheelchair, which resulted in the fracture of R5's left femur. This failure caused unnecessary pain and resulted in R5 requiring surgery to repair the left femur fracture. Findings include:Review of R5's Face Sheet located under the Profile tab in the electronic medical record (EMR) indicated R5 was admitted to the facility in 06/2022 with diagnoses of Parkinson's Disease and Alzheimer's Disease. Review of R5's Care Plan Report initiated 07/11/2024 included under Focus: I have an ADL [Activity of Daily Living] Self Care Performance Deficit r/t [related to] Cognitive Impairment, [NAME] process, Impaired Balance. Under Goal' included I will be at reduced risk for complications of self care…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2025-12-19 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interviews, and record review, it was determined that the facility failed to maintain food service and hydration station equipment in a clean and sanitary manner. This deficient practice was evidenced by the following:On 12/15/25 at 9:35 AM, during a tour of the kitchen with the Food Service Director (FSD), the surveyor observed the following:The top of the steamer was visibly soiled with food debris and splashes. The FSD acknowledged the finding and stated that, per facility policy, the steamer top should be cleaned when visibly soiled. The gas oven was observed with splashes of grease and burnt food particles on interior surfaces. The FSD acknowledged the finding and stated that, per facility policy, the oven should be cleaned when visibly soiledOn 12/16/25 at 8:56 AM, during a tour of the third-floor's hydration station, and nourishment and dining rooms with the Activities Aide (AA), the surveyor observed the following:Review of the temperature log for the nourishment room refrigerator revealed a missing temperature entry and employee initials for the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-12-19 · tag F0641 — isolatedEnsure 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 interview, record review, and review of pertinent facility documents it was determined that the facility failed to accurately code the Minimum Data Set (MDS), an assessment tool used to guide the planning and management of care for all residents. This deficient practice was identified for 1 of 19 residents (Resident #9) reviewed for MDS accuracy and was evidenced by the following:A review of the admission Record (admission summary) reflected that Resident #9 was admitted to the facility with the diagnoses which included but was not limited to; depression and schizoaffective disorder (a serious mental illness blending symptoms of schizophrenia (hallucinations, delusions, disorganized thinking) with those of a mood disorder (depression or mania), where psychotic symptoms occur even without mood episodes)).A review of the quarterly Minimum Data Set (MDS; an assessment tool) dated 9/23/2025 indicated that the resident completed a Basic Interview for Mental Status (BIMS) with a score of 3 (three) out of 15,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-12-19 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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 initiate an individualized care plan (ICP) for residents a.) that was incontinent of bladder and bowel and b.) identified with contractures (a condition of shortening and hardening of muscles, tendons, or other tissue, often leading to deformity or rigidity of joints) and limited range of motion (ROM). This deficient practice was identified for 2 (two) of 30 residents (Resident #14 and #126) reviewed for comprehensive Individual Care Planning (ICP) and implementation and was evidenced by the following: 1. On 12/15/2025 at 09:40 AM during initial tour of the facility the surveyor observed Resident # 95 in bed and they asked if surveyor # 1 could find someone to change his/her brief. A review of Resident # 95's admissions record revealed that, Resident # 14 was admitted with but not limited to fracture of the lower end of right radius, (broken wrist) and rhabdomyolysis (a condition where muscle tissue breaks down rapidly and releases its contents into the bloodstream). A review of Resident…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-12-19 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide 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
Based on observation, interview, and record review, it was determined that the facility failed to ensure that 1.) Physician-ordered treatments were administered as scheduled and 2.) proper hand hygiene and infection control practices were maintained during wound care. This deficient practice was identified for 1 of 1 resident (Resident # 22) reviewed for wound care and skin integrity.The deficient practice was evidenced by the following:A review of the Electronic Medical Record (EMR) for Resident # 22 revealed a physician's order dated 11/24/2025 for wound care to clean skin tears on bilateral arms with wound cleanser and apply xeroform and an abdominal dressing with Kling wrap daily and PRN (as needed).A review of the admission 5-Day Minimum Data Set (MDS; an assessment tool) dated 12/15/2025 revealed Resident # 22 had a diagnoses including muscle wasting and atrophy, unspecified convulsions, and anxiety disorder.A review of the individualized care plan initiated on 11/24/2025 revealed a focus of I have impaired skin integrity [related to] poor skin integrity with an intervention…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-12-19 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, record review, and review of facility documents, it was determined that the facility failed to a.) obtain physician orders for oxygen (O2) therapy before administering continuous oxygen, b.) monitor and document O2 levels while administering continuous oxygen, and c.) ensure that a resident's Interdisciplinary Care Plan (ICP) accurately reflected and guided the Resident's respiratory care needs in accordance with professional standards of nursing practice.This deficient practice was identified for 1 (one) of 6 residents (Resident #25) reviewed for Oxygen and was evidenced by the following: During the initial tour of the facility on 12/15/2025 at 10:39 AM, the surveyor observed Resident #25 lying in bed in their room. The resident was receiving O2 a rate of two liters per minute (2 LPM) via nasal cannula (NC), [tubing that delivers oxygen through the nostrils] with humidification (a process that adds moisture to the air) in use.A review of the admission Record (admission summary) dated 6/1/25 reflected that Resident #25 was admitted to the facility…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-12-19 · tag F0697 — failed to manage pain — isolatedProvide safe, appropriate pain management for a resident who requires such services.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review it was determined that the facility failed to ensure a pain management regimen was followed in accordance with physician orders. This deficient practice was identified in 1 of 2 residents reviewed for pain (Resident #12).This deficient practice was evidenced by the following:On 12/15/25 at 11:22 AM, during the initial tour of the facility Resident #12 was observed in the room and said they feel good.On 12/16/2025 at 1:06 PM, Resident #12 was observed in the room and told the surveyor that he/she felt good, that they receive pain medication and said that their pain was controlled.A review of Resident #12's admission Record (an admission summary) reflected that Resident #12 was admitted to the facility with diagnoses which included but were not limited to arthritis and low back pain.A review of the Annual Minimum Data Set (MDS), an annual summary, dated 12/02/2025 indicated the resident had a Brief Interview of Mental Status (BIMS) score of 11 out of 15, which indicated the resident was moderately cognitively impaired. 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.
- Potential for harm · D2025-12-19 · tag F0760 — failed to prevent significant medication errors — isolatedEnsure that residents are free from significant medication errors.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, it was determined that the facility failed to ensure that medications were administered in accordance with prescriber orders by failing to administer an intravenous (IV) antibiotic within the required timeframe. This deficient practice was identified for 1 of 1 resident (Resident # 3) review for medication administration.The deficient practice was evidenced by the following:A review of Resident # 3's diagnoses revealed but were not limited to, acute osteomyelitis (a sudden and painful infection of the bone) of the left ankle and foot, bacteremia (the presence of harmful bacteria in the bloodstream), and a Methicillin-resistant Staphylococcus aureus (MRSA) infection (a type of staph bacteria that is very difficult to treat because it is resistant to many common antibiotics).A review of a physician's orders located in the Electronic Medical Record dated 12/2/2025 revealed an order for Daptomycin (an antibiotic) Intravenous Solution Reconstituted 430 milligram to be administered intravenously one time a day at 18:00 (6:00 PM) for osteomyelitis.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.
- Potential for harm · D2025-12-19 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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
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 all medications and medical supplied were stored safely, securely, and in accordance with professional standards. The facility failed to ensure that a resident did not self-administer medications without a physician's order, evaluation, and care plan, and failed to store medications in a locked area. Additionally, the facility failed to ensure medical supplies were maintained for use by having expired supplies in 1 of 2 medication storage rooms inspected under the Medication Storage task. The deficient practice was identified for 1 of 1 residents (Resident # 38) reviewed for medication storage and 1 of 2 medication storage rooms inspected. The deficient practice was evidenced by the following: A review of Resident # 38's diagnoses revealed a fracture of unspecified part of neck of left femur (a break in the upper part of the thigh bone), chronic obstructive pulmonary disease (a group of lung diseases…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-12-19 · tag F0839 — isolatedEmploy staff that are licensed, certified, or registered in accordance with state laws.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review, interview, and review of facility documentation, it was determined that the facility failed to ensure that 1 of 24 Registered Nurses (RN # 1) maintained a valid license or multistate privilege to practice in the State of New Jersey in accordance with the Nurse Licensure Compact (NLC) 60-day residency rule. The deficient practice was evidenced by the following: A review of the employee file for RN # 1 revealed that she was hired on 8/14/2025.The file included a New Jersey Driver's License issued on 01/17/2025, which listed a primary residential address in New Jersey.A review of RN # 1's employment application, signed on July 21, 2025, also listed a primary residential address in New Jersey.The licensure documentation in the file consisted of a multistate Registered Nurse license from the State of Florida, issued on 4/21/2025, with an expiration date of 4/30/2027. The address listed on the license revealed another New Jersey residential address that was different than the one on her New Jersey Driver's License. A review of Nurse Licensure Compact (NLC) rule…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-12-19 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, record review, and review of pertinent facility documents it was determined that the facility staff failed to ensure that respiratory equipment was stored in a manner that prevented contamination, in accordance with infection prevention and control standards for 1 of 6 residents reviewed for oxygen. (Resident # 57). The deficient practice was evidenced by the following: On 12/16/2025 at 09:32 AM during the initial tour the surveyor observed Resident # 57's continuous positive airway pressure (CPAP) machine (a machine that gently blows air throw a hose and mask to help a person breath while they sleep) mask laying on the night stand open to air.A review of Resident # 57's admission Record revealed the resident was admitted to the facility with but not limited to Chronic Respiratory Failure with Hypoxia (low levels of oxygen in your body), Chronic Obstructive Pulmonary Disease (a group of lung conditions that cause breathing difficulties), and Obstructive Sleep Apnea. (a sleep disorder where a person stops breathing repeatedly during sleep.)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.
Show the remaining 18 citations
- Potential for harm · F2025-11-25 · tag F0887 — widespreadEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
What the surveyor found here — an excerpt from the official record, may be distressing
Complaint #: NJ2666455Based on interview and policy review, the facility failed to provide educational materials to residents and/or resident representatives so that they could make an informed decision in regard to be administered the Coronavirus Disease (COVID-19) vaccine. This failure had the potential for all 145 residents in the facility who are the vulnerable population to be exposed to and have a greater chance of these residents contracting COVID-19.Interview with Health Department (HD)1 on 11/24/25 at 2:50 PM to discuss the COVID outbreak at the facility. HD1 confirmed during the call that the facility had kept the local Health Department (LHD) updated daily identifying which residents were positive for COVID and whether residents had received the COVID vaccine. During the conversation, it was discussed that the facility had a 9% COVID vaccination rate. HD1 did not explain during the call how this percentage was calculated.During an interview on 11/24/25 at 12:30 PM, the Infection Preventionist (IP) stated, . I haven't been able to give residents the COVID-19 vaccine…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-11-25 · tag F0658 — failed to meet professional standards of care — isolatedEnsure services provided by the nursing facility meet professional standards of quality.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Complaint #: NJ428748Based on interview, record review, and review of the facility's policy, the facility failed to ensure nurses completed narcotic mediation counts to maintain accountability for three of four residents' narcotic medications (Resident (R) 7, R8, and R9) out of 13 sampled residents. This failure had the potential for R7, R8, and R9's narcotic medications being diverted.Findings include:Review of the facility's undated policy titled, Documenting Controlled Substances revealed, I. c. Sign the appropriate area when removing from the count. II.d. Each liquid narcotic must be entered on a separate page. Description of liquid must be documented.V. Shift Count. a. Performed by an oncoming and off going [sic] nurse. b. Examine both front and back of the card and page to verify count.Review of the facility's policy titled, Controlled Substance Prescriptions, dated 11/2021 revealed, Medications included in the Drug Enforcement Administration (DEA) classification as controlled substances, and medications…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2024-08-02 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and review of other facility documentation, it was determined that the facility failed to handle potentially hazardous foods and maintain sanitation in a safe and consistent manner to prevent food borne illness. This deficient practice was evidenced by the following: On 7/29/2024 from 09:28 AM to 09:48 AM the surveyor accompanied by the Regional Food Service Director (RFSD), observed the following in the kitchen: 1. In the walk-in refrigerator there was raw fish wrapped in plastic wrap with a use by date of 7/28/2024. The RFSD removed the fish and stated, That should have been removed. 2. In the walk-in freezer there was a bag of frozen pork with a use by date of 7/10/2024 and three bags of frozen corned beef with a use by date of 5/6/2024. The RFSD removed the items and stated, They should have all been removed. 3. In the prep refrigerator there were 11 salad plates on two trays wrapped in plastic wrap with no label or date, and 2 pitchers of what the RFSD identified as iced tea with no label and no date. The RFSD removed the items and stated, They…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-08-02 · tag F0636 — isolatedAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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, and review of pertinent facility documentation, it was determined that the facility failed to identify, document, and transmit on the Minimum Data Set (MDS) an assessment tool used to facility resident care, a resident's diagnosis of skin cancer. This deficient practice was identified for 1 of 27 residents (Resident # 72) reviewed for MDS. This deficient practice was evidenced as follows: On 07/29/2024 at 9:47 AM, the surveyor observed Resident #72 self-propelling in their wheelchair (w/c) around the third-floor unit. The surveyor observed the resident had multiple red sores on their face. On 07/31/2024 at 12:52 PM, the Licensed Practical Nurse (LPN) stated that Resident # 72's sores were skin cancer lesions. The LPN further stated that the resident had this diagnosis and sores for three years. A review of the admission Record documented diagnoses which included but were not limited to; dementia, rosacea (chronic skin condition that causes redness, flushing, bumps,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-08-02 · tag F0640 — isolatedEncode 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 interview, record review, and review of facility documentation, it was determined that the facility failed to complete and transmit a death in facility Minimum Data Set (MDS) an assessment tool, for 1 of 1 resident (Resident # 16) reviewed for MDS record over 120 days old. The deficient practice was evidenced by the following: A review of the admission Record revealed Resident # 16 was admitted with diagnoses which included but were not limited to; hypertension (elevated blood pressure) and atherosclerotic heart disease (a build up of fats in the walls of the arteries causing narrowing). A review of the progress notes revealed a note dated 05/21/2024 at 16:24 (4:24 PM), the resident was noted sitting in their wheelchair and was nonresponsive. The resident was taken to their room and was noted without a pulse and no respirations. Resident # 16's code status request was for no resuscitation and no hospitalization. The resident was pronounced dead at 4:15 PM. A review of the MDS' revealed that there was no MDS completed or transmitted to depict Resident # 16's death in the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-08-02 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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, record review, and review of pertinent facility documentation it was determined that the facility failed to provide treatment and care to address the resident's positioning needs that were in accordance with professional standards of practice that were based on the comprehensive assessment, person-centered care plan and the resident's choice. The deficient practice was identified for 1 of 4 residents reviewed for Position and Mobility. The deficient practice was evidenced by the following: On 07/29/2024 at 10:30 AM during the initial tour, the surveyor observed Resident # 115 in the hallway in his/her wheelchair. He/she had a white, leg splint observed on his/her left leg. The splint was located outside of his/her pants. On 07/30/2024 at 11:57 AM, the surveyor observed Resident # 115 in the hallway in his/her wheelchair. He/she had a white, leg splint observed on his/her left leg. The splint was located outside of his/her pants. On the same date at 12:45 PM, the surveyor observed Resident # 115 in his/her wheelchair in the day room eating lunch.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-08-02 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, record review and review of pertinent facility documentation it was determined that the facility failed to provide appropriate and sufficient care based upon current standards of practice and the resident's care plan by specifically having a urinary catheter drainage bag in contact with the floor and unsecured to the bed frame and failing to document urinary outputs on the treatment administration record (TAR) as ordered. The deficient practice was identified for 1 of 1 residents (Resident #73) investigated for Urinary Catheter or UTI (Urinary Tract Infection). The deficient practice was evidenced by the following: A review of Resident # 73's Minimum Data Set, an assessment tool dated 7/12/2024 located in the Electronic Medical Record revealed he/she had an indwelling urinary catheter. A review of Resident # 73's Electronic Medical Record (EMR) revealed that he/she was diagnosed with but not limited to muscle wasting and atrophy and urinary tract infection. A review of Resident # 73's physician's orders located in the EMR revealed that he/she had…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-08-02 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, record review and review of facility documentation, it was determined that the facility failed to ensure a resident's oxygen delivery system was stored to protect it from the environment. This deficient practice was identified for 1 of 2 residents (Resident #118) reviewed for oxygen use and was evidenced as follows. On 07/29/2024 at 10:29 AM, the surveyor observed Resident #118 in a high back wheelchair (w/c) in the third-floor unit day room. Resident #118 had a portable oxygen tank on the back of the w/c and was wearing a nasal cannula (n/c) as an oxygen delivery system. On 07/30/2024 at 12:49 PM, the surveyor observed Resident #118 again in the third-floor unit day room. Resident #118 was not wearing a n/c. The surveyor observed the back of the w/c with the portable oxygen tank. The oxygen tubing and n/c delivery system were wrapped around the top of the portable oxygen tank. The n/c was exposed to the environment and not in any protective container. A review of the electronic medical record (EMR) for Resident #118 revealed an admission Record with…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-08-02 · tag F0740 — failed to provide behavioral / mental-health care — isolatedEnsure each resident must receive and the facility must provide necessary behavioral health care and services.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and review of pertinent facility documentation, it was determined that the facility failed to consistently monitor and document behaviors of residents on psychotropic medications per the physician's orders and the resident-centered Care Plan. This deficient practice was identified for 2 of 7 residents (Resident # 105 and # 117) reviewed for behaviors and was evidenced by the following: 1.) On 07/29/24 at 10:13 AM, the surveyor observed Resident # 105 in the third-floor unit day room. Resident # 105 was holding a blanket; their eyes were closed, and the resident did not respond to the surveyor when the surveyor greeted the resident. On 08/01/24 at 8:12 AM, the Certified Nursing Assistant (CNA) stated she did care for Resident # 105 too often and was not sure of the resident's behaviors. On 08/01/24 at 8:18 AM, the Registered Nurse Unit Manager (RN UM) stated Resident #105 had behaviors of verbally yelling at staff during care. She stated the resident would have behavior charting documented every shift and was seen by psychiatry. The RN UM stated…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-08-02 · tag F0758 — failed to limit and justify psychotropic drugs — isolatedImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
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 monitor and document potential side effects of psychotropic medications per physician's orders and the resident-centered Care Plan. This deficient practice was identified for 2 of 5 residents (Resident # 105 and # 117) reviewed for unnecessary medications and was evidenced by the following: 1.) On 07/29/24 at 10:13 AM, the surveyor observed Resident # 105 in the third-floor unit day room. Resident # 105 was holding a blanket; their eyes were closed, and the resident did not respond to the surveyor when the surveyor greeted the resident. A review of the admission Record revealed that Resident # 105 was admitted with diagnoses which included but were not limited to; delusional disorders, depression, unspecified mood disorder, and dementia. A review of the Order Summary Report active orders as of 08/01/2024, included but were not limited to; an order dated 03/06/2024, for Depakote Sprinkles 125 mg (milligram) give 2 capsules by mouth two times 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.
- Potential for harm · Ecited before2022-12-06 · tag F0812 — failed to store, cook, and serve food safely — patternProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and review of other facility documentation, it was determined that the facility failed to maintain the kitchen sanitation in a safe and consistent manner to prevent food borne illness. This deficient practice was evidenced by the following: On 11/16/2022 from 9:03 to 9:43 AM the surveyor's, accompanied by the facility Food Service Director (FSD) and Registered Dietitian (RD) observed the following in the kitchen: 1. On a lower shelf, a plastic container contained bags of individually opened pasta. (3) individual bags of opened pasta wrapped in plastic wrap had no open or use by dates. (1) bag of pasta was opened and exposed to the air. On interview the FSD stated They should be labeled with an opened and use by date. 2. On a middle shelf in the designated dry storage room, an opened cardboard box of plastic forks used to serve resident's meals was opened and the plastic bag that contained the forks on the interior of the box was also open. The forks were exposed to the air and contamination. When interviewed the FSD was unaware that the opened and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-12-06 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and review of other facility documentation, it was determined that the facility failed to ensure that the residents' dining experience was provided in a manner to promote the dignity and respect of the residents, by a) staff not sitting while feeding a resident and b) residents who were not served their meal at the same time while seated at the same table. This deficient practice was observed for 7 of 27 residents reviewed for dining (Resident # 56, Resident #91 and 5 unsampled Residents). This deficient practice was evidenced by the following: On 11/16/2022 at 12:45 PM, during the initial lunch meal observation on the 3rd floor dining room, the surveyor observed the following: 1. A staff member who identified herself as a Registered Nurse (RN) #1, was observed standing over an unsampled resident while assisting him/her to eat. The RN was not at eye level with the resident while assisting him/her to eat. RN #1 was also overheard to call the resident honey while assisting with eating. 2. The surveyor observed a table of four residents in 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.
- Potential for harm · D2022-12-06 · tag F0554 — isolatedAllow residents to self-administer drugs if determined clinically appropriate.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, review of the medical record and other facility documentation, it was determined that the facility failed to: a.) obtain a physician's order for a resident to self-administer medication, and b.) periodically assess the resident's ability to safely self-administer medication. This deficient practice was identified for 1 of 27 sampled residents, (Resident #69) and was evidenced by the following: On 11/16/2022 at 10:10 AM, the surveyor observed Resident #69 sitting on the edge of the bed. The surveyor observed an inhaler on the resident's bed. Resident #69 confirmed that the they are permitted to keep the inhaler with them at all times. On 11/21/2022 at 11:57 AM, the surveyor interviewed Resident #69 regarding the inhaler usage. When asked if the facility completed any assessment for determine if she was able to keep the medication, Resident #69 responded, I don't remember if they did any type of an assessment. On 11/23/2022 at 10:12 AM, the surveyor observed Resident #69 seated at the edge of the bed with inhaler in hand. According to the admission…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2022-12-06 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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, record review, and review of other facility documentation, it was determined that the facility failed to develop a person-centered comprehensive care plan to address the use of Insulin for Diabetes (medication used to treat high blood sugar levels) for 1 of 5 Residents (Resident #102) reviewed for unnecessary medication. This deficient practice was evidenced by the following: On 11/17/2022 at 12:51 PM, Resident # 102 was observed in his/her room sitting in a chair and was non-verbal. A review of the admission Record revealed Resident # 102 was admitted to the facility with diagnoses including but not limited to; Diabetes Mellitus (a disease in which the body's ability to produce or respond to the hormone insulin is impaired). A review of the most recent Minimum Data Set (MDS), an assessment tool used to facilitate care dated 10/27/2022, revealed Resident # 102 had a Brief Interview for Mental Status score of 00/15 indicating Resident # 102 had severe cognitive impairment. Further review revealed Resident # 102 received Insulin injections 6 of the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2022-12-06 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, review of the medical record and other facility documentation, it was determined that the facility failed to promote an accident free environment by not conducting quarterly smoking assessments. This deficient practice was identified for 1 of 1 resident reviewed for smoking, (Residents #50). This deficient practice was evidenced by the following: On 11/16/2022 at 12:27 PM, the surveyor observed Resident #50 sitting outside on the second floor balcony smoking area with staff nearby observing. On 11/17/2022 at 12:14 PM, the surveyor observed Resident #50 standing outside with cigarette. Resident independently extinguished cigarette and placed in proper receptacle. According to the admission Record, Resident # 50 was admitted to the facility with diagnoses which included but were not limited to; Apraxia (inability to perform particular purposive actions as a result of brain damage), Cerebral Infarction (stroke), and Hemiplegia/Hemiparesis following Cerebral Infarction affecting right dominant side. A review of the most recent Minimum Data Set (MDS), an…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2022-12-06 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, record review and review of other facility documentation, it was determined that the facility failed to to ensure the catheter collection bag (bag that collects urine from a urinary drainage device) did not come into contact of the floor. The deficient practice was observed for 1 (Resident #7) of 2 residents reviewed for Catheters. This deficient practice was evidenced by the following: On 11/16/2022 at 9:50 AM during the initial tour of the facility, the surveyor observed Resident #7 in their wheelchair. Underneath the wheelchair was a urinary catheter drainage tube and drainage collection bag attached to the wheelchair. The drainage collection bag was in contact with the floor as Resident #7 propelled themselves in the wheelchair. On 11/17/2022 at 12:38 PM, during an interview with the surveyor, Resident #7 confirmed they had a urinary catheter. At that time, the surveyor observed the drainage tube and collection bag in contact with the floor. On 11/18/22 at 8:57 AM, the surveyor observed Resident #7's catheter collection bag in contact with the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-12-06 · tag F0881 — failed to use antibiotics responsibly — isolatedImplement a program that monitors antibiotic use.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, it was determined that the facility failed to monitor antibiotic use for 1 of 2 residents (Resident #59) reviewed for antibiotic use and Antibiotic Stewardship. This deficient practice was evidenced by the following: According to the admission record, Resident #59 was admitted to the facility with diagnoses that included but were not limited to: mild cognitive impairment, iron deficiency anemia, major depressive disorder, vitamin deficiency, and Alzheimer's disease. A review of Resident #59's Order Summary Report revealed that Resident #59 had the following order: NITROFURANTOIN (an antibacterial medication used to treat urinary tract infections.) 50MG (milligrams) CAPS (capsule) Give 1 capsule orally in the evening every Tue, Thu, Sat related to CYSTITIS (inflammation of the urinary bladder. It is often caused by infection and is usually accompanied by frequent painful urination) with an order date of (12/9/2021). According to the Significant Change in Status Minimum Data Set (MDS), an assessment tool, dated 11/7/2022 Resident #59 had a Brief…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- No harm found · C2022-12-06 · tag F0623 — widespreadProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and review of other facility documentation, it was determined that the facility failed to notify in writing the representative of the New Jersey Long-Term Care Ombudsman's office of emergency transfers to the hospital, when practicable, as mandated by Federal law. This deficient practice was evidenced by the following: During an interview with the surveyor on 11/28/2022 at 9:41 AM, the Director of admission when asked who is responsible for notifying the ombudsman of a facility-initiated emergency transfer to the hospital stated, not sure, I would think the social worker. During an interview with the surveyor on 11/28/2022 at 9:46 AM, the social worker when asked who is responsible for notifying the ombudsman of a facility-initiated emergency transfer to the hospital, stated, I'm not sure. I have to double check on that. During an interview with the surveyor on 11/28/2022 1:01 PM, the Administrator stated, It should have been done, there may have been a gap. He further stated, I do not know how long it has not been done. During a follow up interview with 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.
“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.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
$11,175 in federal fines across 1 penalty.
- $11,175 — penalty dated 2025-11-25
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 MARQUIS HEALTH SERVICES — 87 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 3 of 5 | 3.0 | ≈ chain avg |
| Health inspection | 2 of 5 | 2.6 | -0.6 vs chain |
| Staffing | 3 of 5 | 2.3 | +0.7 vs chain |
| Quality measures | 5 of 5 | 4.3 | +0.7 vs chain |
The other 86 homes this chain runs (chain average 3.0★, per CMS)
Showing 40 of 86; lowest-rated first.
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| TRUIST BANK | Organization | 5% OR GREATER MORTGAGE INTEREST | since 12/01/2021 |
| TRUIST | Organization | 5% OR GREATER SECURITY INTEREST | since 12/01/2021 |
| HARMAN, DINA | Individual | MANAGING CONTROL - GOVERNING BODY; ADP OF THE SNF | since 12/01/2021 |
| NEUMAN, REFOEL | Individual | MANAGING CONTROL - GOVERNING BODY; ADP OF THE SNF | since 12/01/2021 |
| SULLIVAN, LAWRENCE | Individual | MANAGING CONTROL - GOVERNING BODY; CORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 10/07/2024 |
| VIROJA, YOGESH | Individual | MANAGING CONTROL - GOVERNING BODY; ADP OF THE SNF | since 12/01/2021 |
| POSEN, MINDEE | Individual | CORPORATE OFFICER; ADP OF THE SNF | since 12/01/2021 |
| MARQUIS LIMITED LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 05/07/2025 |
| NUTRACO LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 05/07/2025 |
| RELIANT PRO REHAB LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 05/07/2025 |
| RAO, ANUPAMA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 12/01/2021 |
| NFR 2020 IRRV TR | Organization | ADP OF THE SNF | since 12/01/2021 |
| QUINTO NEXGEN LLC | Organization | ADP OF THE SNF | since 12/01/2021 |
| RSBRMK HOLDINGS LLC | Organization | ADP OF THE SNF | since 12/01/2021 |
| SEACREST PROPERTY SNF LLC | Organization | ADP OF THE SNF | since 12/01/2021 |
| SK NEXGEN TR | Organization | ADP OF THE SNF | since 12/01/2021 |
| TRYKO NEXGEN HOLDINGS LLC | Organization | ADP OF THE SNF | since 12/01/2021 |
| UAK 2020 IRRV TR | Organization | ADP OF THE SNF | since 12/01/2021 |
| UKR NEXGEN LLC | Organization | ADP OF THE SNF | since 12/01/2021 |
| YK NEXGEN TR | Organization | ADP OF THE SNF | since 12/01/2021 |
| YR NEXGEN TR | Organization | ADP OF THE SNF | since 12/01/2021 |
CMS files one row per role, so the 32 rows in the source record cover these 21 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.
15 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $3.1M paid to related parties — landlords or management companies under common ownership — equal to about 17% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in NJ
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the New Jersey Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 315218. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-12-19, 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.