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Alameda Center for Rehabilitation and Healthcare

303 Elm Street, Perth Amboy, NJ 08861 · For profit - Limited Liability company · 250 certified beds · (732) 442-9540 Medicare & Medicaid certified

Call the home — (732) 442-9540 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Behavioral-health or dementia-care citation — no harm found (F0758)
Insights

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

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • a high number of inspection citations overall (27) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure score sits well above its independent inspection score
  • its payroll-based staffing rating is low (2/5)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 2 of 5
Quality measuresSelf-reported by the facility 5 of 5

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

Location & what’s nearby

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
252 Smith St · (732) 826-5400 · Call to confirm hours
Pharmacy
288 Smith St · (732) 324-4490 · Call to confirm hours
Grocery
272 Maple St · (732) 442-8809 · Call to confirm hours
Park
Cedar St · Typically dawn to dusk
Place of worship
214 Smith St · (732) 917-5059

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 5 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 5 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 3 to 4 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased12.8%8.7%15.4%better
Long-stay residents who lose too much weight6.0%4.6%5.4%worse
Long-stay residents with a catheter left in their bladder0.4%0.6%0.9%better
Long-stay residents with a urinary tract infection0.1%0.8%2.0%better than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms17.4%12.1%6.5%worse
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury0.5%2.3%3.3%better
Long-stay residents whose ability to walk worsened10.6%8.2%16.1%better
Long-stay residents on antianxiety or hypnotic medication14.0%18.8%18.9%better
Long-stay residents given the seasonal flu vaccine97.9%97.2%95.3%typical
Long-stay residents with pressure ulcers3.7%5.4%4.7%better
Long-stay residents with worsening bladder/bowel control9.3%15.6%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table13.6%12.7%17.1%better
Short-stay residents who newly got an antipsychotic medication0.7%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine100.0%80.1%79.4%better
Short-stay residents rehospitalized after admission20.7%24.9%22.6%typical
Short-stay residents with an outpatient ER visit3.4%8.1%12.0%better
Long-stay hospitalizations per 1,000 resident days2.312.071.67worse
Long-stay outpatient ER visits per 1,000 resident days1.181.111.80better

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

50.1% 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 41 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

50.1%U.S. median 51.5%
Got home and stayed home
9.3%U.S. median 10.7%
Went back to hospital
82.5%U.S. median 56.6%
Met the expected recovery
0.23U.S. median 0.31
Therapy hours / resident / day
0.09hours / resident / day
Physical therapy
0.12hours / resident / day
Occupational therapy
0.02hours / resident / day
Speech therapy

Met the expected recovery: 82.5% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 80 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.23 therapist hours per resident per day in 2026Q1 — more than 30% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 14% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF50.1%CMS range 37.4–64.551.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.3%CMS range 6.0–12.310.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge82.5%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge63.8%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge60.0%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened3.5%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization8.3%CMS range 5.4–12.67.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.331.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.16
RN hours/ resident / day
1.09
LPN hours/ resident / day
2.04
Aide hours/ resident / day
3.29
Total nurse hours/ resident / day
0.11
RN hoursweekends
42.5%
Total nursing turnover
53.3%
RN turnover

How full it usually is: this home is certified for 250 beds and averages 222.6 residents a day — about 89% occupied, or roughly 27 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 3.29 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.16 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.04 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 2.93 hrs/resident/day on weekends vs 3.44 on weekdays — 15% thinner on weekends. RN hours go from 0.18 to 0.11 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 42% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

9
deficiencies at the latest standard inspection (2025-07-03)
11
at the previous standard inspection (2023-12-21)

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

27 citations, most serious first. The 10 most serious are shown; the remaining 17 are one tap away and print in full.

  • Potential for harm · E2025-12-29 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Complaint: 2587228Based on interviews, medical record review, and review of other pertinent facility documents on 12/29/2025, it was determined that the facility failed to provide documented evidence of care provided to residents (Resident #1, Resident #2, Resident #3, and Resident #7). This deficient practice occurred for 4 of 4 residents reviewed.The deficient practice was evidenced by the following:1.According to the admission Record (AR), Resident #1 was admitted to the facility with diagnoses which included but were not limited to: dementia, diabetes, and muscle weakness.According to the most recent comprehensive Minimum Data Set (MDS), an assessment tool dated 10/4/2025, Resident #1 had a Brief Interview for Mental Status (BIMS) score of 3 out of 15, which indicated the resident's cognition was severely impaired. The MDS further revealed the resident was dependent on staff for activities of daily living (ADLs).A review of Resident #1's POC flowsheet, a form utilized for documentation of ADL care by the Certified Nursing Assistants (CNAs) for November 2025 revealed missing…

    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 · E2025-07-03 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and pertinent facility documentation, it was determined that the facility failed to maintain a homelike environment that was clean, safe, and sanitary. This deficient practice was identified for 3 of 5 unit pantries (Units 2, 3, and 4). This deficient practice was evidenced by the following: On 06/30/2025 at 10:32 AM, the surveyor inspected the Unit 3 pantry in the presence of the Licensed Practical Nurse and Unit Manager #1 (LPN/UM #1) and observed the following: white debris was present inside of the microwave, a cabinet drawer panel was not intact and slid back and forth, and an aluminum pan containing white debris was found inside the cabinet. On 06/30/2025 at 10:48 AM, the surveyor inspected the Unit 4 pantry in the presence of the Licensed Practical Nurse and Unit Manager #2 (LPN/UM #2) and observed the following: light brown debris on the wall next to the refrigerator. On 07/02/2025 at 10:34 AM, the surveyor inspected the Unit 2 pantry in the presence of the Licensed Practical Nurse and Unit Manager #3 (LPN/UM #3) and observed the following:…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-07-03 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and review of medical records and other facility documentation, it was determined that the facility failed to accurately complete the Minimum Data Set (MDS), an assessment tool, for 1 of 35 residents reviewed (Resident #120). This deficient practice was evidenced by the following: On 6/30/2025 at 12:09 AM, the surveyor observed Resident #120 in the dining with a palm guard on left hand. The surveyor reviewed the medical record for Resident #120. A review of the Resident Face Sheet (an admission summary) reflected that the resident was admitted to the facility with diagnosis that included Chronic Obstructive Pulmonary Disease and Generalized Muscle Weakness. A review of the resident's quarterly Minimum Data Set (MDS), an assessment tool used to facilitate the management of care, dated 3/28/25 included the resident had a Brief Interview for Mental Status (BIMS) score of 3 out of 15, which indicated the resident's cognition was severly impaired. Section GG identified that the resident was not coded for any upper extremity contractures. 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-07-03 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    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 revise a resident's comprehensive care plan to include a positioning device. This deficient practice was identified for 1 of 35 residents reviewed for resident-centered care plans (Resident #208), and was evidenced by the following: On 06/26/2025 at 09:48 AM, the surveyor observed Resident #208 ambulating using a cane, the left arm was observed in the sling. According to the admission Record, Resident #208 was admitted with diagnosis that included, but were not limited to, cerebral vascular accident (a stroke) and hemiplegia (weakness on one side of the body) A review of Resident #208's Quarterly Minimum Data Set, an assessment tool dated 05/06/2025, revealed that he/she was cognitively intact. A review of Resident #208's Care Plan with an effective date of 06/25/2025 reflected that this resident had limited physical mobility. The use of the sling was not included in the interventions. A review of Resident #208's Care Plan with an effective date of 01/28/2025 reflected that this…

    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 before2025-07-03 · 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 # NJ00172928 Based on observation, interview, and record review, it was determined that the facility failed to follow acceptable standards of clinical practice with following physician orders for the application of a treatment. This deficient practice was identified for 1 of 38 residents (Residents #378) reviewed for professional standards, and was evidenced by the following: Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. The Nurse Practice Act for the State of New Jersey states: The practice of nursing as a registered professional nurse is defined as diagnosing and treating human responses to actual and potential physical and emotional health problems, through such services as casefinding, health teaching, health counseling, and provision of care supportive to or restorative of life and wellbeing, and executing medical regimens as prescribed by a licensed or otherwise legally authorized physician or dentist. A review of the admission Record for Resident #378 reflected that the resident was admitted to the facility with diagnoses which…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-07-03 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, record review and review of other facility documentation, it was determined that the facility failed to obtain a Physician's Order (PO) for an orthotic device for 1 of 2 residents (Resident#208) reviewed for positioning and mobility. On 06/26/2025 at 09:48 AM, the surveyor observed Resident #208 ambulating using a cane, the left arm was observed in the sling (an orthotic device). According to the admission Record, Resident #208 was admitted with diagnosis that included, but were not limited to, cerebral vascular accident (a stroke) and hemiplegia (weakness on one side of the body) A review of Resident #208's Quarterly Minimum Data Set, an assessment tool dated 05/06/2025, revealed that he/she was cognitively intact. Review of the Order Summary Report with active orders as of 06/30/2025 did not reveal an order for Resident #208's sling. On 07/01/2025 at 09:10 AM, the Licensed Practical Nurse/ Nurse Manager LPN/NM stated the Resident #208 utilized a sling. The LPN/NM stated that there should be a physician order for the use of the sling. On 07/02/2025…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-07-03 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to provide specialized care needs for the provision of respiratory care in accordance with professional standards of practice specifically by A.) leaving a nasal cannula out of a bag, exposed to air and B.) not having a physician's order for oxygen administration. The deficient practice was identified for 2 of 4 (Residents # 22, 215) residents reviewed for Respiratory Care. The deficient practice was evidenced by the following: On 06/26/2025 at 10:23 AM during the initial tour, the surveyor observed Resident # 215 in their room. At that time, the surveyor observed a nasal cannula (tube that delivers oxygen through the nares) wrapped and resting on top of an oxygen concentrator. The nasal cannula was not in a bag and it was exposed to air. At that time, Resident # 215 said he/she wears the nasal cannula only at night. On 6/27/2025 at 9:11 AM while in Resident # 215's room, the surveyor observed the nasal cannula left on top of the concentrator not in…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-07-03 · tag F0760 — failed to prevent significant medication errors — isolated
    Ensure that residents are free from significant medication errors.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to administer medication in accordance with prescriber orders, specifically administering an intravenous antibiotic outside of the prescribed time of administration. The deficient practice was identified for 1 of 1 resident (Resident # 328) reviewed for Antibiotics. The deficient practice was evidenced by the following: A review of Resident # 328's physician's orders located in the Electronic Medical Record (EMR) revealed an orders for daptomycin intravenous solution reconstituted 500mg (milligram) and ceftaroline fosamil intravenous solution reconstituted 600 mg (Both antibiotics, medications used to treat infections) A review of Resident # 328's Care Plan located in the EMR revealed a focus that the resident is on IV (intravenous) medications related to bacteremia (bacterial infection of the blood). A review of the Medication Audit Report located in the EMR revealed the following administrations for daptomycin intravenous solution outside 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-07-03 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interview, and review of facility policy, it was determined that the facility failed to appropriately dispose of medication in accordance with currently accepted professional principles. The deficient practice was identified for 1 of 5 nurses observed during the Medication Administration task. The deficient practice was evidenced by the following: On 07/01/2025 at 8:57 AM during medication pass on the second floor, Licensed Practical Nurse (LPN) # 1 poured one tablet of aspirin 81 milligrams (mg) and one tablet of clopidogrel 75mg (blood thinner medication). As LPN # 1 continued, the cup of tablets spilled and the tablets came to rest on top of the medication cart. At that time, LPN # 1 picked up the tablets with her gloved hand, turned the glove inside-out and threw it in the trash can. After LPN # 1 completed the medication administration, the surveyor asked LPN # 1 how should she dispose of medications that are not being administered. She replied, They have a jug for it in the cart. At that time, LPN # 1 showed the surveyor the bottle of Drug-Buster…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-07-03 · tag F0812 — failed to store, cook, and serve food safely — isolated
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to handle potentially hazardous food and maintain sanitation in a safe and consistent manner to prevent food borne illness. This deficient practice was evidenced by the following: On 06/30/2025 at 10:48 AM, the surveyor inspected the pantry refrigerator on Unit 4 in the presence of the Licensed Practical Nurse and Unit Manager #2 (LPN/UM #2) and observed the following: a 14-ounce container of sour cream with an expiration date of 03/19/2025, and a quart of half and half with an expiration date of 06/20/2025. Additionally, six containers of food brought in from outside the facility were found without any labels or dates. A plastic bag containing an unidentified whitish edible substance lacked both a label and a use-by date, and a 15-ounce open plastic container of soup was found without an open date or use-by date. On 06/30/2025 at 10:50 AM, On 06/30/2025 at 10:48 AM, during an interview with the surveyor, the LPN/UM #2 said that expired food should not be stored in…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
Show the remaining 17 citations
  • Potential for harm · Fcited before2023-12-21 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and review of other facility documentation, it was determined that the facility failed to handle potentially hazardous foods and maintain kitchen sanitation in a manner intended to prevent the spread of food borne illness. This deficient practice was evidenced by the following: On 12/12/23 from 9:26 AM to 11:25 AM, the surveyor conducted a tour of the main kitchen in the presence the Food Service Director (FSD) and observed the following: At 10:11 AM, the surveyor observed a dish machine temperature log which was filled out for the afternoon (for lunch time). The FSD stated, They signed this early, I don't know why. At 10:24 AM, the surveyor observed orzo pasta wrapped in clear plastic with a use by date of 12/3. This was stored on a metal rack in the dry storeroom. The FSD stated, It's Orzo, maybe ten pounds and stated, I am not sure why they put it there and he removed it from the storage room. The surveyor observed an opened five pounds (lbs) container of Honey with no open…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2023-12-21 · tag F0922 — failed to maintain the building's systems — widespread
    Have enough backup water supply for essential areas of the nursing home.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, it was determined that the facility failed to maintain the designated emergency supply of water needed for residents in the event of a loss of normal water supply. This deficient practice was evidenced by the following: On 12/12/23 at 11:00 AM, the surveyor met with facility [NAME] President of Operations, the Licensed Nursing Home Administrator (LNHA), the Director of Nursing and the Infection Preventionist for an entrance conference meeting. The facility was licensed for 250 beds and the facility census was 227 (the number of residents who currently resided at the facility). On 12/12/23 at 12:18 PM, the surveyor conducted a kitchen tour with the Food Service Director (FSD). The surveyor observed two pallets of water in the basement. The FSD stated that it was enough water for 250 residents for three days. The FSD could not speak to the exact quantity that was there and stated he would get back to the surveyor with an exact count. On 12/20/23 at 9:51 AM, the surveyor conducted a follow up kitchen tour with the FSD in the presence of a second…

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

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-12-21 · tag F0728 — failed to protect against nurse-aide misconduct — pattern
    Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews and review of pertinent facility documentation, it was determined that the facility allowed 9 of 13 Non-Certified Nursing Aides (NA) to continue working as an NA after the specified 120 days from date of hire. This deficient practice was identified during NA review. This deficient practice was evidenced by the following: Reference: State of New Jersey Department of Health memo dated April 21, 2023 sent to Nursing Homes included the following: Facilities are advised as follows: I. TNAs (Temporary Nursing Assistant) A. Individuals who are working as TNAs must pass the nurse-aide written or oral exam and the State-approved clinical skills competency exam by May 11, 2023, or the end of the federal PHE (Public Health Emergency), whichever comes first. B. If a TNA does not pass the exams by the end of the federal PHE, the TNA may not work after May 11, 2023, unless the TNA meets the requirements of Paragraph C below. C. In order to work beyond May 11, 2023, TNAs must, by May 11, 2023: 1. Be enrolled in a NATCEP CNA training program, and 2. Have completed the first 16…

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

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-12-21 · tag F0756 — failed to review each resident's drug regimen — pattern
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, record review, and review of facility documentation, it was determined that the facility failed to respond to pharmacy consultant recommendations in a timely manner for 2 of 5 residents (Resident # 125 and #152) reviewed for unnecessary medications. This deficient practice was evidenced by the following: 1. During lunch observation on 12/12/23 at 1:04 PM, the surveyor observed resident #125 leaving the dining room, asking staff if he/she could leave the room. The 2nd floor unit clerk directed the resident to his/her room. According to the admission Record (AR), Resident#125 was admitted to the facility with diagnoses that included but were not limited to: anxiety disorder (an intense, excessive, and persistent worry and fear about everyday situations) and unspecified Dementia, unspecified severity, with other behavior disturbances. The annual Minimum Data Set (MDS), an assessment tool used to facilitate the management of care, dated 9/22/23, indicated that the facility assessed…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-12-21 · tag F0758 — failed to limit and justify psychotropic drugs — pattern
    Implement 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 interview, review of the medical record and review of other facility documentation, it was determined that the facility failed to order an as needed (PRN) psychotropic medication for a 14-day period for 1 of 5 residents (Resident #125) reviewed for unnecessary medications. This deficient practice was evidenced by the following: During lunch observation on 12/12/23 at 1:04 PM, the surveyor observed resident #125 leave the dining room, asking staff if he/she could leave the room. The 2nd floor unit clerk directed the resident to his/her room. According to the admission Record, Resident#125's was admitted to the facility with diagnoses that included but were not limited to: anxiety disorder (an intense, excessive, and persistent worry and fear about everyday situations) and unspecified Dementia, unspecified severity, with other behavior disturbances. The Annual Minimum Data Set (MDS), an assessment tool used to facilitate the management of care, dated 9/22/23, indicated that the facility assessed the resident's cognitive status using a Brief Interview for Mental Status (BIMS).…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-12-21 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interview, record review, and review of pertinent facility documentation, it was determined that the facility failed to accurately code the resident's Minimum Data Set (MDS), an assessment tool used to facilitate the management of care, for 2 of 38 residents (resident #178 and #119) reviewed for accurately coding the MDS. This deficient practice was evidenced by the following: 1. On 12/12/2023 at 11:15 AM, the surveyor observed Resident #178, sitting in a wheelchair, in activities. On 12/13/2023 at 1:00 PM, the surveyor observed Resident #178 in the dining room after lunch. The resident was sitting upright in the wheelchair and was awake and alert. The Resident responded verbally to the surveyor and stated that he/she was ok. On 12/14/2023 at 12:50 PM, the surveyor observed Resident #178 in the dining room for lunch, which was already served. The resident appeared well groomed and calm. A review of admission Record (AR) revealed that resident #178 was admitted to the facility 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-12-21 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and record review, it was determined that the facility failed to a.) change the oxygen tubing as directed by the Physician order and follow the facility policy, b.) develop a care plan to address the resident requiring oxygen upon readmission to the facility and c.) re-evaluate the Physician's Order for the continuous need of oxygen at 4 liters (L) via nasal cannula. This deficient practice was identified for 1 of 1 resident, Resident #63, which was reviewed for oxygen therapy. This deficient practice was evidenced by the following: On 12/12/ 2023 at 11:20 AM, the surveyor entered the resident's room and observed the nasal cannula tubing (a device that delivers oxygen through a tube and into your nose) connected to an oxygen concentrator (a device which provides supplemental oxygen). The surveyor observed the nasal cannula tubing was labeled with the date of 11/15/2023. At this time, Resident #63 was observed sitting in the dining room, in a wheelchair, during group activities. The resident was not wearing oxygen. The surveyor reviewed the medical…

    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 · D2023-12-21 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, it was determined that the facility failed to ensure that a medication was administered according to physician orders and acceptable standards of practice in accordance with the New Jersey Board of Nursing. This deficient practice was identified in 1 (one) of 6 (six) residents (Resident #7) observed during the medication observation pass. The deficient practice was evidenced by the following: Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. The Nurse Practice Act for the State of New Jersey states: The practice of nursing as a registered professional nurse is defined as diagnosing and treating human responses to actual and potential physical and emotional health problems, through such services as case-finding, health teaching, health counseling, and provision of care supportive to or restorative of life and wellbeing, and executing medical regimens as prescribed by a licensed or otherwise legally authorized physician or dentist. Reference: New Jersey Statutes Annotated, Title 45, Chapter 11. Nursing…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-12-21 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, it was determined that the facility failed to (a). properly label, store and dispose of medications in three (3) of seven (7) medication carts and in two (2) of three (3) medication storage room inspected, and b). failed to secure one (1) of three (3) narcotic lock boxes in 1 of 3 medication refrigerators inspected. This deficient practice was evidenced by the following: (a). On [DATE] at 10:20 AM, the surveyor inspected the 6th floor medication cart #1 in the presence of a Licensed Practical Nurse (LPN#1). The surveyor observed a bottle of blood glucose test strips that was opened and had no opened date. The surveyor also observed a Basaglar insulin pen that was opened and dated but the resident's name on the vial did not match the resident's name that was on the medication bag that held the insulin pen. At that time, the surveyor interviewed LPN#1, who stated that an opened bottle of blood glucose strips should have been dated. LPN#1 further stated that 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-12-21 · tag F0804 — failed to serve food at safe, palatable temperature — isolated
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to ensure the safe and appetizing temperatures of hot foods served to the residents. This deficient practice was identified for two (2) of six (6) residents interviewed during the Resident Council meeting and confirmed during the lunchtime meal service on 12/20/23 for 1 of 5 nursing units tested for food temperatures by two surveyors and was evidenced by the following: On 12/14/23 at 11:00 AM, the surveyor met with six (6) residents for council meeting. Two out of six residents stated that food temperatures varied depending upon if they ate in the dining room or in their rooms; if they ate in their rooms, the food was cold. One of the two residents further stated that this was a recurrent complaint at resident council meetings. On 12/20/23 at 11:11 AM, the Registered Dietitian (RD) surveyor calibrated a state issued digital thermometer via the ice bath method to 32 degrees Fahrenheit (F) in the presence of the survey team. On 12/20/23 at 11:35 AM, the surveyor…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-12-21 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY REPEAT DEFICIENCY Based on observations, interviews, and review of facility documentation, it was determined that the facility failed to a.) ensure visitors follow appropriate infection control practices and perform hand hygiene as indicated during dining observation for 1 of 5 units (2th-floor dining room), b.) appropriately discard soiled personal protective equipment (PPE) to prevent the potential spread of COVID-19 (a contagious disease caused by the virus SARS-CoV-2), c.) apply eye protection prior to entering a COVID-19 room and d:) change an N95 mask (a particulate-filtering facepiece respirator) upon exiting a COVID-19 room. This was observed on 1 of 5 units (4th-floor) during lunch pass. This deficient practice was evidenced as follows: 1. On 12/12/23 at 12:37 PM, the surveyor observed lunch in the dining room on the 2nd floor. The Licensed Practical Nurse/Unit Manager (LPN/UM) reviewed the lunch tickets, verified the residents diets, and filled the tray orders. Staff was observed distributing 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
  • Potential for harm · F2021-11-03 · tag F0886 — failed to test for COVID-19 as required — widespread
    Perform COVID19 testing on residents and staff.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview, and review of facility documentation, it was determined that the facility failed to test unvaccinated staff for COVID-19 at a frequency based on the county COVID-19 level of community transmission. This deficient practice was identified for 5 of 5 unvaccinated staff members in the facility reviewed for COVID-19 testing and was evidenced by the following: According to the U.S. Centers for Disease Control and Prevention (CDC) guidelines, Interim Infection Prevention and Control Recommendations to Prevent SARS-CoV-2 [COVID-19] Spread in Nursing Homes updated 9/10/21 included, In nursing homes located in counties with substantial to high community transmission, unvaccinated HCP should have a viral test twice a week. According to the Interim Final Rule (IFC), CMS-3401-IFC, Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency related to Long-Term Care (LTC) Facility Testing Requirements revised 9/10/21 included, Routine testing of unvaccinated staff should be based on the extent of the virus in the community .Facilities 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2021-11-03 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and review of facility documentation it was determined that the facility failed to a.) properly handle and store potentially hazardous foods in a manner that is intended to prevent the spread of foodborne illnesses, b.) maintain equipment and kitchen areas in a manner to prevent microbial growth and cross-contamination and c.) maintain sanitation in a safe and consistent manner to prevent foodborne illness. This deficient practice was observed and evidenced by the following: On 10/12/21 from 09:48 AM until 11:12 AM, the surveyor toured the kitchen in the presence of the Director of Dietary Services (DDS) and observed the following: 1. Handwashing sink #2 had no trash can nearby to discard paper towels. The DDS acknowledged there was no trash can and stated there should be one next to the sink. 2. In refrigerator #1, there was one opened plastic bag of cheddar cheese wrapped in clear plastic wrap with a received date sticker of 9/30/21 with no opened or use by date. There was one opened package of white turkey breast wrapped in clear plastic wrap 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2021-11-03 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and review of medical records, it was determined that the facility failed to properly assess the need for, obtain a physician order and develop a care plan for a wander guard consistent with professional standards of clinical practice for 1 of 35 residents reviewed, Resident #70. This deficient practice was evidenced by the following: Reference: New Jersey Statutes, Title 45,Chapter 11,Nursing Board, The Nurse Practice Act for the state of New Jersey states; The practice of nursing as a registered professional nurse is defined as diagnosing and treating human responses to actual or potential physical and emotional health problems, through such counseling, and provision of care supportive to or restorative of life and well being, and executing medical regimes as prescribed by a licensed or otherwise legally authorized physician or dentist: Reference New Jersey Statutes, 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 task and…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-11-03 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, it was determined that the facility failed to a.) ensure that a resident's environment was as free from hazards as possible by failing to ensure that medical equipment was plugged directly into an electrical receptacle without the use of a power strip or adapter for 1 of 35 residents reviewed, Resident #39 and b.) ensure residents remained free of accident hazards by failing to provide residents with proper hand sanitizing wipes on 1 out of 5 floors, 6th floor day room. This deficient practice was evidenced by the following: 1. According to the admission Record, Resident #39 was admitted to the facility in 01/2020 with diagnoses that included but were not limited to: acute and chronic respiratory failure with hypercapnia (low blood oxygen levels), diabetes (high blood sugar), and hypertension (high blood pressure). Review of Resident #39 Quarterly Minimum Data Set (MDS), an assessment tool dated 7/23/2021, revealed the resident had a Brief Interview for Mental Status (BIMS) of 15 which indicated that the resident's cognition was…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2021-11-03 · tag F0804 — failed to serve food at safe, palatable temperature — isolated
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and review of pertinent facility documentation it was determined that the facility failed to serve hot foods at an acceptable temperature for the residents. This deficient practice was identified for 1 of 7 residents who attended a Resident Council group meeting, and on 1 of 5 nursing units (2nd floor) during the lunch meal service and was evidenced by the following: 1. On 10/15/21 at 10:33 AM, a surveyor conducted a group meeting with seven residents who regularly attended the facility resident council meetings. One out of seven residents indicated the food was cold. 2. On 10/18/21, the surveyor conducted a regular diet and a pureed diet test tray with the Director of Dining Services (DDS) and the Regional Director of Dining Services which resulted in the following: At 11:47 AM the DDS stated the 2nd floor was a patient under investigation (PUI) unit, a potentially contagious patient unit, so all the dishware for that unit was disposable. At 11:50 AM the surveyor observed the cook checking food temps with a thermometer prior to serving on the food…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2021-11-03 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and review of facility documentation, it was determined that the facility failed to a.) follow appropriate infection control practices and perform hand hygiene as indicated during dining observation for 1 of 5 units (6th floor dining room) observed and b.) ensure respiratory equipment was kept in a clean and sanitary condition, and stored properly to reduce the risk of infection for 1 of 6 residents reviewed for respiratory equipment, Resident #18. The deficient practice was evidenced as follows: 1. On 10/14/21 the surveyor observed the following: At 12:24 PM, an Activity Aide (AA) delivered a lunch tray to room [ROOM NUMBER]. The AA placed the tray on the bedside table (BST). The AA adjusted the height of the BST and used the resident's bed remote control to raise the head of the bed. The AA did not perform hand hygiene before or after delivering the meal to the resident. The AA went back to dining room and picked up another lunch tray, filled a mug with a brown liquid from a…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to PARAMOUNT CARE CENTERS — 10 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 4 of 53.3+0.7 vs chain
Health inspection 3 of 52.8+0.2 vs chain
Staffing 2 of 52.6-0.6 vs chain
Quality measures 5 of 54.4+0.6 vs chain
The other 9 homes this chain runs (chain average 3.3★, per CMS)

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

Who owns this facility

Owner / managerTypeRoleShareSince
ALAMEDA HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 04/20/2016
FRANKEL, ELIYAHUIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; W-2 MANAGING EMPLOYEENO PERCENTAGE PROVIDEDsince 04/20/2016
BLONDER, DAVIDIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST30%since 04/20/2016
MENDLOWITZ, MOSHEIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST30%since 04/20/2016
KRAUS, ABRAHAMIndividualCORPORATE OFFICERsince 04/20/2016

CMS files one row per role, so the 6 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner 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.

$25.7M
Net patient revenuemost recent cost report
+0.4%
Operating marginrevenue minus expenses
$2.4M
Related-party expense9% of expenses
Who pays — share of resident-days
Medicaid 85%Medicare 6%Other / private 8%

About 85% 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 $2.4M paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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

$297per resident / day
operating cost
$9,020per month
≈ monthly operating cost
$298per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NJ

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the New Jersey Medicaid page.

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

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 315180. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-07-03, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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