Crest Pointe Rehabilitation And Healthcare Center
1515 Hulse Road, Pt Pleasant, NJ 08742 · For profit - Limited Liability company · 118 certified beds · (732) 295-9300 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- lower-than-typical staff turnover (34% vs 45% nationally) — better care continuity
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- it has an abuse, neglect, or exploitation citation (F0600), cited Jun 2024
- it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- inspectors cited 2 immediate-jeopardy problems — the most serious level
- a high number of inspection citations overall (23) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $164,717 in federal fines (most recent 2024-06-12)
- its payroll- and facility-reported staffing and quality-measure scores sit well above its independent inspection score
- its independent health-inspection rating is low (1/5)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 1 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 4 of 5 |
Worth a closer look. This home's staffing and quality-measure ratings run 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself, and staffing on its payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.
Location & what’s nearby
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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 4 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 1 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 fell from 2 to 1 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 | 5.6% | 8.7% | 15.4% | better |
| Long-stay residents who lose too much weight | 5.1% | 4.6% | 5.4% | typical |
| Long-stay residents with a catheter left in their bladder | 0.9% | 0.6% | 0.9% | typical |
| Long-stay residents with a urinary tract infection | 2.4% | 0.8% | 2.0% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents with depressive symptoms | 7.5% | 12.1% | 6.5% | worse |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 2.1% | 2.3% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 3.8% | 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 | 97.9% | 97.2% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 1.9% | 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 | 7.6% | 12.7% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 1.6% | 1.2% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 64.5% | 80.1% | 79.4% | worse |
| Short-stay residents rehospitalized after admission | 26.3% | 24.9% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 8.3% | 8.1% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 2.09 | 2.07 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 0.59 | 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.
42.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 174 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 47.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 66 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 0.08 therapist hours per resident per day in 2026Q1 — more than 4% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 3% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| 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 | 42.1%CMS range 36.0–48.6 | 51.5% | Oct 2022–Sep 2024 | worse than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.6%CMS range 8.1–14.6 | 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 | 47.0% | 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 | 45.5% | 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 | 47.0% | 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 | 99.3% | 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 | 100.0% | 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 | 100.0% | 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 | 0.0% | 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 | 9.9% | 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 | 7.9%CMS range 5.5–11.8 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.04 | 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 118 beds and averages 102.9 residents a day — about 87% occupied, or roughly 15 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.05 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.42 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.86 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 2.84 hrs/resident/day on weekends vs 3.14 on weekdays — 10% thinner on weekends. RN hours go from 0.45 to 0.36 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 34% is below the national median of 45%. 1 administrator has left in the past year.
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 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.
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.
23 citations, most serious first. The 12 most serious are shown; the remaining 11 are one tap away and print in full.
- Immediate jeopardy · K2024-06-12 · tag F0600 — failed to protect residents from abuse and neglect — patternProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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 NJ #: 174364 Based on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to follow their abuse policies and procedures by ensuring residents were free from verbal abuse. This deficient practice was identified for 2 of 3 residents reviewed for abuse, Resident #60 and #79, and was evidenced by the following: 1. Resident #79, who had diagnoses which included post-traumatic stress disorder (PTSD), anxiety, and depression reported to the Social Worker (SW) on 5/16/24, that Certified Nursing Aide (CNA #1) made sexual comments towards Resident #79 which included CNA #1 stating, bend over; you will like it, and that the resident's messy hair made the resident look sexy. This was witnessed by the nursing aide (NA) and Rehabilitation Director (Rehab Director). Resident #79 reported that the comments by CNA #1 made them feel uncomfortable. The SW handled the incident as a grievance, which was reported as Resident #79 having a poor service interaction…
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.
- Immediate jeopardy · K2024-06-12 · tag F0835 — failed to run the facility competently — patternAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
What the surveyor found here — an excerpt from the official record, may be distressing
Complaint # NJ 173248; 174364 Based on interview, and review of pertinent facility documents, it was determined that the facility's Licensed Nursing Home Administrator (LNHA) failed to ensure staff, as well as himself, implemented the facility's abuse policies and procedures to ensure resident safety and well-being by a.) ensuring Resident #79 was free from verbal sexual abuse and b.) ensure Resident #60 was free from verbal abuse. This deficient practice was identified for 2 of 3 residents reviewed for abuse (Resident #60 and #79). Resident #79, who had diagnoses which included post-traumatic stress disorder (PTSD), anxiety, and depression reported to the Social Worker (SW) on 5/16/24, that Certified Nursing Aide (CNA #1) made sexual comments which included bend over; you will like it; and the resident's messy hair made them look sexy. This was witnessed by the nursing aide (NA), Rehabilitation Director (Rehab Director). Resident #79 reported that the comments by CNA #1 made them feel uncomfortable. The SW handled the incident as a grievance, which was reported as Resident #79…
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 before2025-11-18 · 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 record review, it was determined that the facility failed to: a) maintain kitchen equipment in a clean, safe and sanitary manner and b) maintain proper temperatures and logs for 2 of 2 freezer units on the nursing units. This deficient practice was evidenced by the following:On 9/14/25 at 10:28 AM, in the presence of the Food Service Director (FSD), the surveyor observed the following:1. The can-opener blade had a metal chip on the left side. The FSD acknowledged it had not been changed. The FSD was unable to produce a maintenance log to indicate when the blade should be replaced.2. The microwave had multicolored food debris on the interior ceiling. The FSD acknowledged the debris and agreed that it was not cleaned according to facility policy. 3. One of two convention ovens (upper unit), had baked on food debris on two of the glass doors and also on the interior surfaces. The FSD did not have a cleaning schedule and acknowledged and agreed that it was not cleaned according to the facility policy. 4. One of three coffee dispenser nozzles, 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 · Fcited before2025-11-18 · tag F0880 — failed to prevent and control infections — widespreadProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to; a) maintain and clean the interior of 1 of 2, (Bayside), nursing unit ice machines, and b) ensure that clean linen was stored in a manner to prevent contamination, assist in the prevention of infection(s), and be free of dirt, dust and debris as evidenced by the following: On 9/15/2025 at 11:25 AM, the surveyor toured the Bayside unit ice machine with the Licensed Practical Nurse/ Unit Manager (LPN/UM #1). The surveyor observed the ice machine was not clean on the interior of the ice dispenser shoot. The surveyor noted a white sediment and black discoloration on the interior of the ice dispenser shoot. During the tour the LPN/UM #1 stated that it was not cleaned according to facility policy. On 9/15/2025 at 11:50 AM, the surveyor toured the laundry room with the Director of Housekeeping (DoH) and the Regional Housekeeping Director (RDoH). The surveyor observed the personal laundry room, which had dust and cobwebs on the pipes, air conditioner vents, window 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 · E2025-11-18 · tag F0658 — failed to meet professional standards of care — patternEnsure services provided by the nursing facility meet professional standards of quality.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, record review, and review of facility documentation, it was determined that the facility failed to obtain a physician's order for the use of a hand roll (a device used to maintain a resident's hand in a functional position). This deficient practice was identified for 1 of 1 resident (Resident #8) reviewed for positioning and mobility and was evidenced by the following:1.) On 9/14/2025 at 10:11 AM, the surveyor observed Resident #8 resting in bed with their eyes open and holding a hand roll in their left hand. On 9/16/2025 at 8:27 AM, the surveyor reviewed the medical record for Resident #8.A review of the admission Record, an admission summary, revealed the resident had diagnoses which included, but were not limited to: muscle wasting and atrophy (the loss of muscle mass that results in decreased strength and impaired movement), hemiplegia (total or partial paralysis of one side of the body) and hemiparesis (weakness on one side of the body such as the arm, leg, or face) following cerebral infarction (blockage in the brain that causes loss of oxygen)…
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 before2025-11-18 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and review of pertinent facility documentation, it was determined that the facility failed to maintain the resident's living environment in a clean, comfortable, homelike manner. This deficient practice was identified on 1 of 2 Nursing units, (Oceanside) observed and reviewed for environmental concerns. This deficient practice was evidenced by the following: On 9/16/24 at 10:24 AM, the surveyor toured the oceanside unit with the Food Service Director (FSD), and observed the following concerns: 1) Resident room [ROOM NUMBER] and the hair salon windows had visible litter throughout a grassy area that had bushes. In the bush line and grass area there was an abundance of litter stuck in branches, under the bushes and on the grass. The surveyor observed water bottles, sports drink bottles, wrapping plastic, medical gloves, bubble wrap, soda cans, straws and paper litter. The FSD acknowledged the surveyor's observation and stated, the grounds of the facility should be…
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 before2025-11-18 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, record review, and review of facility documents, it was determined that the facility failed to ensure that a low air loss mattress was accurately set according to the resident's weight and functioning properly in accordance with a physician's order for a resident who was previously identified to have had an alteration in skin integrity.This deficient practice was identified for 1 of 2 residents (Resident #6) reviewed for pressure ulcers and was evidenced by the following:On 9/14/25 at 9:53 AM, the surveyor observed Resident #6 lying in bed awake. The resident's air mattress pump was observed to be set at a weight of 180 pounds.On 9/14/25 at 11:26 AM, the surveyor observed Resident #6 lying in bed awake. The air mattress pump was set at 180 pounds. The resident stated that he/she believed they had a pressure ulcer, but they thought that it had since healed.On 9/15/25 at 9:57 AM, the surveyor observed Resident #6 lying in bed with their eyes closed and the air mattress was enveloping (closing in on) their sides. The air mattress pump dial was set to 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 · Dcited before2025-03-28 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor 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
Complaint #: NJ177985 Based on observations, interviews, and review of other pertinent facility documentation on 03/28/2025, it was determined that the facility failed to maintain a clean and homelike environment in the common shower rooms, follow their Certified Nursing Assistant job description, follow their Light Housekeeper job description, and follow their cleaning and disinfecting policy. This deficient practice was identified for 2 of 2 units (Oceanside Unit and Bayside Unit), had the potential to affect all residents who used the common shower rooms, and was evidenced by the following: On 03/28/2025 at 11:10 A.M., the surveyor interviewed Resident #3. During this interview the resident stated that the cleanliness of the facility's shower rooms was bad. The resident stated, the shower rooms are bad. Four out of ten for cleanliness. Resident #3 further stated that it was reported to staff that the rooms were not clean, but housekeeping was low on staff and didn't have time to clean them. During a tour of the facility on 03/28/2025 at 11:40 A.M., accompanied by the Housekeeping…
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 · F2024-06-12 · tag F0728 — failed to protect against nurse-aide misconduct — widespreadEnsure 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 observation, interview, and review of pertinent facility documents, it was determined that the facility failed to ensure a system was in place that non-certified Nursing Aides (NA) did not continue to work in the facility as a NA past 120 days. This deficient practice was identified for 5 of 5 NAs who worked at the facility for more than 120 days reviewed for sufficient staffing (NA #1, #2, #3, #4, and #5), and was evidenced by the following: During entrance conference on 6/3/24 at 9:17 AM, the surveyor asked the Licensed Nursing Home Administrator (LNHA) and Director of Nursing (DON) how the facility's nurse staffing was, and the LNHA stated it was good; that the facility did not need to use Agency staff. The surveyor asked if the facility used non-certified Nursing Aides (NA), and the LNHA stated they did; that past a certain amount of time (that he was unsure of) the NAs could have their own assignments. At that time, the surveyor requested a list of all NAs with their date of hire (DOH). On 6/5/24 at 8:26 AM, the surveyor interviewed NA #1 who stated she had been at 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 · Ecited before2024-06-12 · tag F0609 — failed to report abuse allegations — patternTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Complaint NJ #: 174364 Based on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to implement their abuse policy to report an allegation of: a.) sexual verbal abuse between a staff member and a resident, and b.) verbal abuse between a staff member and a resident to the New Jersey State Department of Health (NJDOH) within two hours. This deficient practice was identified for 2 of 3 residents reviewed for abuse (Resident #60 and #79), and was evidenced by the following: Refer F600 1. On 6/3/24 at 10:58 AM, Resident #79 reported to the surveyor that Certified Nursing Aide (CNA #1) had made sexual comments towards them, and they refused male aides. The resident stated CNA #1 told them to bend over and they replied, no thank you and CNA #1 stated you will like it. The resident continued on another the day; CNA #1 stated Don't take this the wrong way but your hair looks sexy that way. The resident stated that the non-certified Nursing Aide (NA) and 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 · Ecited before2024-06-12 · tag F0610 — failed to investigate and act on abuse reports — patternRespond appropriately to all alleged violations.
What the surveyor found here — an excerpt from the official record, may be distressing
Complaint NJ #: 174364 Based on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to implement their abuse policy to thoroughly investigate an allegation of: a.) verbal sexual abuse between a staff member and resident, and b.) verbal abuse between a staff member and resident. This deficient practice was identified for 2 of 3 residents reviewed for abuse (Resident #60 and #79), and was evidenced by the following: Refer F600 1. On 6/3/24 at 10:58 AM, Resident #79 reported to the surveyor that Certified Nursing Aide (CNA #1) had made sexual comments towards them, and they refused male aides. The resident stated CNA #1 told them to bend over and they replied, no thank you and CNA #1 stated you will like it. The resident continued on another the day; CNA #1 stated Don't take this the wrong way but your hair looks sexy that way. The resident stated that the non-certified Nursing Aide (NA) and Rehabilitation Director (Rehab Director) were both present, and the comments as well as CNA #1 made them uncomfortable. The 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 · E2024-06-12 · tag F0698 — failed to provide proper dialysis care — patternProvide safe, appropriate dialysis care/services for a resident who requires such services.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and review of facility documentation, it was determined that the facility failed to: a.) ensure that staff were trained to properly assess and document care of the hemodialysis access sites which includes the auscultation/palpation of the atrio-ventricular (AV) fistula (a surgical connection connection between an artery and a vein) for bruit (an abnormal sound generated by turbulent arterial blood flow) and thrill (a palpable sensation of blood flow) to assure adequate blood flow and to monitor the hemodialysis access site for bleeding, signs of infection and pain. This deficient practice was identified for 2 of 2 residents reviewed for hemodialysis treatment(Resident #4 and #50) and was evidenced by the following: On 6/6/24 at 10:55 AM, the surveyor observed Resident #50 seated in a wheelchair at the bedside. Upon inquiry, Resident #50 stated that they had kidney failure and was receiving hemodialysis (the filtration of waste when the kidneys are no longer able to do so).…
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 11 citations
- Potential for harm · D2024-06-12 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide 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 review of pertinent facility documents, it was determined the facility failed to ensure an accurate ordering and receiving of narcotic medications on the required Federal narcotic acquisition forms (DEA 222 forms) were completed with sufficient detail to enable accurate reconciliation for 4 of 10 forms provided. The evidence was as follows: On 6/4/24 at 1:00PM, the surveyor reviewed the facility provided DEA 222 forms which revealed on four of the ten provided forms Part 5, had not been completed upon receipt of the medications from the provider pharmacy as instructed on the reverse of the ordering form. The forms were as follows: Order form number: 231430013; 231430014; 231430015; and 231430016. On 6/7/24 at 10:31 AM, the surveyor and Director of Nursing (DON) reviewed the provided DEA 222 forms. The DON acknowledged she should have completed the Part 5 as instructed on the reverse of the DEA 222 form as required. On 6/10/24 at 9:00 AM, the DON in the presence of the survey team and facility Administration stated she had been in-serviced on 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 before2024-06-12 · tag F0812 — failed to store, cook, and serve food safely — isolatedProcure 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 and interview, it was determined that the facility failed ensure potentially hazardous food was stored in a sanitary manner. The deficient practice was evidenced by the following: On 6/3/24 at 10:22 AM, the surveyor toured the kitchen with the Food Service Director (FSD) and observed the following: In dry storage, five stacks of boxes containing food and beverage were stored directly on the floor which included a case of fruit cup salad; a case of pear juice; a case of coffee; a case of diced pears; two cases of cranberry juice; and a case of ketchup which were directly on floor. The FSD stated the food was just delivered and usually mats were placed on the floor first. The FSD acknowledged that food should not be stored directly on the floor. At that time, the Regional FSD stated the boxes should have been placed on a mat or palate and not directly on the floor. On 6/7/24 at 12:33 PM, the surveyor informed the Regional Licensed Nursing Home Administrator (LNHA) who was acting facility administrator, in the presence of the Director of Nursing and survey team…
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 before2024-06-12 · 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
Complaint NJ #173248 Based on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to perform proper hand hygiene during wound care to reduce the risk of infection. This deficient practice was identified for 1 of 1 resident reviewed for wound care (Resident #4), and was evidenced by the following: On 6/4/24 at 9:25 AM, Resident #4 was observed lying in bed on an air mattress. Resident #4 refused to be interviewed stating he/she was tired. The surveyor reviewed the medical record for Resident #4. A review of the admission Record face sheet (an admission summary) reflected the resident was admitted to the facility with diagnoses which included but were not limited to; type 2 diabetes mellitus, chronic pain, end stage renal disease, and dependence on renal dialysis. A review of the most recent quarterly Minimum Data Set, an assessment tool dated 3/4/24, included the resident had a Brief Interview for Mental Status (BIMS) score of 13 out of 15; which indicated a fully intact cognition. A review of the Order Summary Report…
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 · E2022-05-11 · tag F0625 — patternNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review, it was determined that the facility failed to provide the resident or resident representative written notification of the facility's bed hold policy prior to transfer to the hospital for 2 of 4 residents (Resident # 99 and 75) reviewed for hospitalizations. The deficient practice was evidenced by the following: 1. On 4/22/22 at 9:40 AM, the surveyor reviewed the hybrid medical records (paper and electronic) of Resident # 99. The New Jersey Universal Transfer Form (NJUTF) and nurse progress notes revealed that the resident was transferred to the hospital on 2/5/22. Review of the the electronic medical record (EMR), revealed a document titled Notice of Intent to Transfer Resident with less than 30 Days completed by the Social Worker (SW), dated 2/5/22, which indicated that the bed hold policy was not provided to the resident or resident representative. There was no documented evidence in the hybrid medical record that written notification of the facility's bed hold policy 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.
- Potential for harm · Dcited before2022-05-11 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
What the surveyor found here — an excerpt from the official record, may be distressing
REFER to F 610 Based on observation, interview, record review, and review of pertinent facility documentation, it was determined that the facility failed to report an allegation of abuse to the New Jersey Department of Health (NJDOH) made by a resident representative who reported the allegation to the Licensed Nursing Home Administrator (LNHA). The resident representative alleged that a staff member had been rude during care of a resident on 4/8/22. This deficient practice was identified for one (1) of two (2) residents reviewed for abuse, (Resident #348) and was evidenced by the following: On 4/21/22 at 10:17 AM, the surveyor interviewed a resident representative (RR) in the room of Resident #348. The RR stated that the resident was recently placed on hospice services and was hoping to take the resident home soon, if possible. The RR stated that he/she had an incident during the first week of admission with a Certified Nursing Aide (CNA#2) who had come into the resident's room to render care to the resident. The RR stated that he/she refused to give the name of the CNA because…
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 before2022-05-11 · tag F0610 — failed to investigate and act on abuse reports — isolatedRespond appropriately to all alleged violations.
What the surveyor found here — an excerpt from the official record, may be distressing
REFER to F609 Based on observation, interview, record review and review of pertinent facility documents, it was determined that the facility failed to thoroughly and timely investigate an allegation of abuse reported to the Licensed Nursing Home Administrator by a resident representative. The deficient practice was identified for one (1) of two (2) residents reviewed for abuse (Resident #348 ), and was evidenced by the following: On 4/21/22 at 10:17 AM, the surveyor interviewed a resident representative (RR) in the room of Resident #348. The RR stated that the resident was recently placed on hospice services and was hoping to take the resident home soon, if possible. The RR stated that he/she had an incident during the first week of admission with a Certified Nursing Aide (CNA#2) who had come into the resident's room to render care to the resident. The RR stated that he/she refused to give the name of the CNA#2 because other CNA's, such as the CNA #1 caring for the resident that day, were very good. The RR explained that a CNA#2 was rude, and he/she was uncomfortable with the way…
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 · D2022-05-11 · 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 observation, interview, and record review, it was determined that the facility failed to accurately code resident's Minimum Data Set (MDS), an assessment tool used to facilitate the management of care. This deficient practice was identified for two (2) of 25 residents, (Resident #16 and Resident #54) reviewed for accurate coding of MDS's and was evidenced by the following: 1. On 4/21/22 at 10:20 AM, the surveyor observed Resident #54 sleeping in bed with his/her eyes closed. The surveyor further observed a sign over the resident's bed that indicated the resident was to wear nonskid socks at all times. The surveyor did not attempt to interview the resident because the resident was observed sleeping. On 4/25/22 at 9:42 AM, the surveyor observed the resident lying in bed. The surveyor asked the resident how he/she was feeling, and the resident lifted his/her right hand and shook it from side to side, indicating so, so. The surveyor asked the resident if he/she had a fall, and the resident lifted his/her…
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 before2022-05-11 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, record review, and review of pertinent facility documentation, it was determined that the facility failed to a.) follow the appropriate Physician's Order (PO) in accordance with professional standards of practice for the treatment of a pressure ulcer, and b.) follow their facility's Policy and Procedure for Dressings, Dry/Clean. This deficient practice was identified for one (1) of three (3) residents, (Resident #59) reviewed for pressure ulcers and was evidenced by the following: On 4/26/22 at 9:29 AM, the surveyor observed Resident #59 sitting upright at the edge of his/her bed on a functional air mattress eating cheerios for breakfast. The surveyor observed that the resident had light brown adhesive bandages attached to both feet. The brown adhesive bandage on the resident's right foot was dated 4/26. The surveyor further observed that the light brown adhesive bandage had detached from the residents left foot, and the residents foot remained placed on top of the adhesive bandage that was no longer adhered to the residents left foot. At that time,…
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 · D2022-05-11 · tag F0759 — failed to keep medication error rate low — isolatedEnsure medication error rates are not 5 percent or greater.
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 were administered without error of 5% or more. During the medication observation performed on 4/25/22 and 4/26/22, the surveyor observed four (4) nurses administer medications to seven (7) residents. There were 28 opportunities, and three (3) errors were observed which calculated to a medication administration error rate of 10.71 %. This deficient practice was identified for three (3) of seven (7) residents, (Resident #40, #54 and #84), that were administered medications by two (2) of four (4) nurses. The deficient practice was evidenced as follows: 1. On 4/26/22 at 8:27 AM, during the medication pass, the surveyor observed the Licensed Practical Nurse (LPN #1) preparing to administer eight (8) medications to Resident #40 which included two (2) Lidoderm 4% topical patches (a local anesthetic in a patch used to relieve pain topically). On 4/26/22 at 8:35 AM, the surveyor observed the LPN…
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 before2022-05-11 · 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 documentation, it was determined that the facility staff failed to appropriately perform hand hygiene for one (1) of four (4) nurses during the medication pass for one (1) of seven (7) residents being administered medications. These deficient practices were evidenced by the following: According to the U.S. CDC guidelines for Hand Hygiene in Healthcare Settings Hand Hygiene Guidance, updated 1/30/20, included Healthcare personnel should use an alcohol-based hand rub or wash with soap and water for the following clinical indications: • Immediately before touching a patient • Before performing an aseptic task (e.g., placing an indwelling device) or handling invasive medical devices • Before moving from work on a soiled body site to a clean body site on the same patient • After touching a patient or the patient's immediate environment • After contact with blood, body fluids, or contaminated surfaces • Immediately after glove removal Unless hands are visibly soiled, an alcohol-based hand rub is preferred…
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 · C2022-05-11 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews and record review, it was determined that the facility failed to notify the resident or resident representative, and the Ombudsman's office in writing for a facility-initiated transfer to the hospital. This deficient practice was identified for five of five resident's, (Resident #41, #45, #75, #85, and #99) reviewed for hospitalization. The deficient practice was evidenced by the following: 1. On 4/22/22 at 9:40 AM, the surveyor reviewed the hybrid medical records (paper and electronic) of Resident # 99. The New Jersey Universal Transfer Form (NJUTF) and nurse progress notes revealed that the resident was transferred to the hospital on 2/5/22. According to the Discharge Minimum Data Set (MDS), an assessment tool used to facilitate the management of care dated 2/5/22, reflected that Resident # 99 was discharged to the hospital with a return not anticipated to the facility. A review of the facility's Notice of Intent to Transfer/Discharge Resident with less than 30 day notice dated…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“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
$164,717 in federal fines across 1 penalty.
- $164,717 — penalty dated 2024-06-12
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 | 1 of 5 | 3.0 | -2.0 vs chain |
| Health inspection | 1 of 5 | 2.6 | -1.6 vs chain |
| Staffing | 3 of 5 | 2.3 | +0.7 vs chain |
| Quality measures | 4 of 5 | 4.3 | -0.3 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 | Share | Since |
|---|---|---|---|---|
| CREST POINTE PARTNER LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF | 100% | since 03/04/2019 |
| QUINTO GUARDIAN LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 03/14/2019 |
| YR 2013 INVESTMENT TR UA 03252013 | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 03/14/2019 |
| CIBC BANK USA | Organization | 5% OR GREATER SECURITY INTEREST | — | since 03/14/2019 |
| HARMAN, DINA | Individual | MANAGING CONTROL - GOVERNING BODY; ADP OF THE SNF | — | since 01/01/2021 |
| ROSENBLUM, ELIYAHU | Individual | MANAGING CONTROL - GOVERNING BODY; ADP OF THE SNF | — | since 03/14/2019 |
| VIROJA, YOGESH | Individual | MANAGING CONTROL - GOVERNING BODY; ADP OF THE SNF | — | since 01/01/2021 |
| VOLLBRECHT, KEVIN | Individual | MANAGING CONTROL - GOVERNING BODY; CORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 10/09/2024 |
| POSEN, MINDEE | Individual | CORPORATE OFFICER; ADP OF THE SNF | — | since 03/14/2019 |
| MARQUIS LIMITED LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/14/2019 |
| NUTRACO LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/14/2019 |
| RELIANT PRO REHAB LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/14/2019 |
| KUMAR, SANJAY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/14/2019 |
| FLAGLER, OSHER | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | since 04/07/2025 |
| KAHANOW, AVIVA | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | since 04/07/2025 |
| KOHN, SARA | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | since 04/07/2025 |
| KOHN, SEAN | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | since 04/07/2025 |
| ROKEACH, FRAIDE | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | since 04/07/2025 |
| ROKOWSKY, YITZCHOK | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | since 04/09/2025 |
| CREST POINTE PROPERTY LLC | Organization | ADP OF THE SNF | — | since 03/14/2019 |
CMS files one row per role, so the 32 rows in the source record cover these 20 parties — each is shown once here with every role it holds. Nothing is omitted.
8 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 $1.9M paid to related parties — landlords or management companies under common ownership — equal to about 15% 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 315135. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-11-18, 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 →
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