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Rose Garden Nursing And Rehabilitation Center

1579 Old Freehold Road, Toms River, NJ 08753 · For profit - Individual · 128 certified beds · (732) 505-4477 Medicare & Medicaid certified

Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Flagged for abuseBehavioral-health or dementia-care citation — no harm found (F0744)1 immediate-jeopardy citation CMS recorded as corrected before the inspection ended (past non-compliance)$17,345 in federal fines
Insights

This home has serious findings on its record. Read them closely before you consider it.

Worth asking about
  • CMS has flagged it for abuse
  • it has an abuse, neglect, or exploitation citation (F0600), cited Oct 2025
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0605) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
  • a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $17,345 in federal fines (most recent 2025-09-18)
  • its facility-reported quality-measure score sits well above its independent inspection score
  • its independent health-inspection rating is low (2/5)
  • 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.

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

Urgent care / clinic
1579 Old Freehold Rd · (732) 505-4477 · Call to confirm hours
Pharmacy
1357 Lakewood Rd · (732) 244-2376 · Call to confirm hours
Grocery
1548 US-9 · (732) 228-7226 · Call to confirm hours
Park
Whitty Rd · Typically dawn to dusk
Place of worship
1315 Whitty Rd · (732) 736-9400

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 4 of 5

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 3 to 2 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 rating2★
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 increased6.1%8.7%15.4%better
Long-stay residents who lose too much weight4.9%4.6%5.4%typical
Long-stay residents with a catheter left in their bladder0.9%0.6%0.9%typical
Long-stay residents with a urinary tract infection1.7%0.8%2.0%worse than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms0.9%12.1%6.5%better
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury4.0%2.3%3.3%worse
Long-stay residents whose ability to walk worsened6.0%8.2%16.1%better
Long-stay residents on antianxiety or hypnotic medication25.3%18.8%18.9%worse
Long-stay residents given the seasonal flu vaccine99.0%97.2%95.3%typical
Long-stay residents with pressure ulcers3.1%5.4%4.7%better
Long-stay residents with worsening bladder/bowel control6.6%15.6%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table12.5%12.7%17.1%better
Short-stay residents who newly got an antipsychotic medication0.2%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine99.0%80.1%79.4%better
Short-stay residents rehospitalized after admission21.6%24.9%22.6%typical
Short-stay residents with an outpatient ER visit8.6%8.1%12.0%better
Long-stay hospitalizations per 1,000 resident days3.232.071.67worse
Long-stay outpatient ER visits per 1,000 resident days0.711.111.80better

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.

55.4% 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 337 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

55.4%U.S. median 51.5%
Got home and stayed home
9.7%U.S. median 10.7%
Went back to hospital
53.0%U.S. median 56.6%
Met the expected recovery
0.33U.S. median 0.31
Therapy hours / resident / day
0.12hours / resident / day
Physical therapy
0.17hours / resident / day
Occupational therapy
0.04hours / resident / day
Speech therapy

Met the expected recovery: 53.0% 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 185 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 0.33 therapist hours per resident per day in 2026Q1 — more than 56% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 24% 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 SNF55.4%CMS range 50.2–61.351.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.7%CMS range 7.2–12.310.7%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 discharge53.0%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 discharge55.1%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 discharge60.5%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 discharge98.0%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 stay1.3%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 worsened3.4%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 hospitalization8.8%CMS range 6.2–12.47.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.011.02Oct 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

0.47
RN hours/ resident / day
1.10
LPN hours/ resident / day
2.13
Aide hours/ resident / day
3.70
Total nurse hours/ resident / day
0.32
RN hoursweekends
41.7%
Total nursing turnover
40.0%
RN turnover

How full it usually is: this home is certified for 128 beds and averages 114.4 residents a day — about 89% occupied, or roughly 14 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 3.70 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.47 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.13 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.07 hrs/resident/day on weekends vs 3.96 on weekdays — 22% thinner on weekends — a notable drop. RN hours go from 0.53 to 0.32 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%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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

13
deficiencies at the latest standard inspection (2025-09-18)
6
at the previous standard inspection (2024-05-08)

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

Inspection deficiencies

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

ABCDEFGHIJKL

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

21 citations, most serious first. The 11 most serious are shown; the remaining 10 are one tap away and print in full.

  • Immediate jeopardy · J2025-10-31 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect 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 # 2561976Based on observation, interviews, record review, and review of pertinent facility documents, it was determined that the facility failed to ensure residents were protected from neglect after an aphasic, cognitively impaired resident (Resident #1), was left unattended on the outside patio in the heat and sun from approximately 12:50 PM until approximately 3:30 PM on 7/3/25 (two hours and forty minutes). Resident #1 was sent to the hospital, was diagnosed with heatstroke and sustained second degree burns. This deficient practice was identified for 1 of 2 residents, (Resident #1) reviewed for neglect.On 7/3/25 at approximately 12:50 PM, a Certified Nursing Assistant (CNA #1) transported Resident #1 (who was cognitively impaired and required maximal staff assistance with mobility), in a wheelchair to the outside patio on the second floor. CNA #1 did not communicate to other facility staff that Resident #1 was outside on the patio. Resident #1's assigned CNA (CNA #2) nor did any other staff did not…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
  • Potential for harm · Fcited before2025-09-18 · 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 pertinent facility documents, it was determined that the facility failed to a.) ensure that washed utensils were dried in a manner to prevent contamination from foreign substances and potential for the development of food-borne illness; b.) maintain the kitchen equipment in a sanitary manner to prevent microbial growth; c.) store, label and date potentially hazardous foods to prevent food borne illness; and d.) ensure bottled drinking water supply was stored in a sanitary manner at least six inches from the floor. This deficient practice was evidenced by the following:On 9/11/2025 at 9:08 AM, the surveyor toured the kitchen with the Food Service Director (FSD) and observed the following:1. Near the washing area, dinner knives, forks, and teaspoons contained in perforated plastic flatware containers being air-dried by a standing fan with dust build-up at the back grills. The FSD stated that the fan was cleaned the previous night. 2. Manual can opener blue plastic…

    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 · Ecited before2025-09-18 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, review of medical record and pertinent facility documentation, it was determined that the facility failed to a.) provide residents with appropriate products for hand hygiene during mealtime identified in 2 of 3 dining room observations (1st floor Tea [NAME] and the Main dining rooms) and b.) implement and maintain a resident with stage 3 pressure ulcer wound on Enhanced Barrier Precautions (EBP) (an infection control intervention designed to reduce transmission of multidrug-resistant organisms (MDRO) in nursing homes identified in 1 of 1 resident (Resident #114) reviewed for pressure ulcer, to prevent the potential spread of infection in accordance with the Center for Disease Control and Prevention (CDC) guidelines and standards of infection control practice. This deficient practice was evidenced by the following: Reference: Use personal protective equipment (PPE) appropriately, including gloves and gown. Wear a gown and gloves for all interactions that may involve contact with the patient or the patient's environment. Donning PPE upon room entry 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-09-18 · tag F0605 — failed to not use drugs as a restraint — isolated
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, review of electronic medical records (EMR) and other pertinent facility documentation it was determined that the facility failed to document non-pharmacological interventions to manage a resident's behavior prior to administration of psychotropic medications. This deficient practice was identified for 1 of 5 residents (Resident #37) reviewed for unnecessary medications and was evidenced by the following:Review of the resident Face Sheet (admission summary) indicated that Resident #37 was admitted to the facility with the diagnoses that included but was not limited to dementia with other behavior disturbance, anxiety disorder, hypothyroidism and hypertension.Review of the quarterly Minimum Date Set (MDS) an assessment tool that facilitates a resident's care dated 8/15/25, indicated that Resident #37 had short and long-term memory deficits and was severely impaired with decision making. The MDS also indicated that the resident required moderate assistance with activities of daily living and exhibited no behaviors.On 9/11/2025 at 11:15 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-09-18 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, review of medical records and other facility documentation, it was determined that the facility failed to accurately code a resident's oxygen (O2) administration on the quarterly Minimum Data Set (MDS) an assessment tool for 1 of 24 residents (Resident #9) reviewed and was evidenced by the following:Review of the Face Sheet (admission summary) indicated that Resident #9 was admitted to the facility with the diagnoses that included but was not limited to pneumonia (respiratory infection) and chronic obstructive pulmonary disease. Review of the quarterly Minimum Data Set (MDS) an assessment tool that facilitates a resident's care dated 8/15/25 indicated that Resident #9 scored an 8/15 on the Basic Interview for Mental Status (BIMS) which indicated moderate impairment of cognition. The MDS also reflected that Resident #9 required moderate assistance with all aspect of activities of daily living. The MDS did not reflect that the resident was being administered O2.On 9/11/2025 at…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-09-18 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, interview, and review of pertinent facility documentation, it was determined that the facility failed to implement a comprehensive, person-centered care plan (CPCCP) for pain that was consistent with professional standards of practice and included measurable objectives and timeframes to meet a resident's medical needs. This deficiency was identified for 1 of 1 resident (Resident #129) reviewed for pain.This deficient practice was evidenced by the following: On 09/11/2025 at 10:42 AM, the surveyor observed Resident #129 in their bedroom, lying in bed with the head of the bed elevated to approximately 45 degrees. The resident reported having undergone surgery on their lower right leg on 09/04/2025, including a skin graft (a medical procedure where healthy skin is removed from one area of the body and replaced to another area) for a painful wound in that area. The resident stated that he/she had received pain medication at approximately 6:00 a.m. and were planning to ask the nurse for additional medication for their lower right leg later. According…

    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 · D2025-09-18 · 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 review of medical records and other pertinent facility documentation it was determined that the facility failed to update and revise a resident's Interdisciplinary Care Plan (ICP) to accurately reflect the care for 1 of 24 residents (Resident #2) and was evidenced by the following: Review of the Face Sheet (admission summary) indicated that Resident #2 was admitted to the facility with diagnoses that included but were not limited to Alzheimer's disease, heart failure and diabetes mellites (DM).Review of the quarterly Minimum Date Set (MDS) an assessment tool that facilitates a resident's care dated 8/4/2025, indicated that Resident #2 had a score of 8/15 on the Brief Interview for Mental Status (BIMS) which indicated that the resident had moderate cognitive impairment. The MDS reflected that the resident required maximum assistance with activities of daily living.On 9/11/2025 at 10:54 AM, the surveyor observed Resident #2 sitting in the dayroom. The resident was very pleasant and well dressed. The surveyor observed that the resident had edema…

    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 · D2025-09-18 · 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 record review, interview, and pertinent facility documentation, it was determined that the facility failed to ensure that the resident's environment was free of possible hazards. This deficiency was identified in 1 of 2 residents (Resident #128) reviewed for accidents.This deficient practice was evidenced by the following: On 09/15/2025 at 11:20 AM, the surveyor reviewed the facility's accident investigation for Resident #128's near-fall incident that occurred on 10/11/2024. The identified contributing factor was a broken right halo bar (a safety and mobility device attached to the resident's bed) that failed to lock into place. Measure to prevent recurrence was notifying the maintenance department. On 09/15/2024 at 11:30 AM, the surveyor reviewed the facility's Housekeeping and Maintenance Request Forms for the period of 09/2024-10/2024. Logs showed two work requests for loose halo bars submitted by nursing: one on 09/25/2024 and another on 10/18/2025. However, there was no maintenance request submitted or completed on 10/11/2024 for Resident #128's halo bar following the…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-09-18 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, review of electronic medical records (EMR) and other pertinent facility documentation it was determined that the facility failed to document the administration of oxygen (O2) and failed to document the administration of O2 on the resident's Interdisciplinary Care Plan for 1 of 1 resident (Resident #9) reviewed for respiratory care 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 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 Board. The Nurse Practice Act for the State of New…

    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 · D2025-09-18 · tag F0744 — failed to care for residents with dementia — isolated
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and review of the medical record and other facility documentation, it was determined that the facility failed to a.) develop an individualized comprehensive assessment and Care Plan (CP) with resident specific interventions to address dementia care, and b.) follow the facility policy for dementia care. This deficient practice was identified for Resident #37, 1 of 1 resident reviewed for dementia care and was evidenced by the following:Review of the resident Face Sheet (admission summary) indicated that Resident #37 was admitted to the facility with diagnoses that included but were not limited to dementia with other behavior disturbance, anxiety disorder, hypothyroidism and hypertension.Review of the quarterly Minimum Date Set (MDS) an assessment tool that facilitates a resident's care dated 8/15/2025, indicated that Resident #37 had short and long-term memory deficits and was severely impaired with decision making. The MDS also indicated that the resident required moderate assistance with activities of daily living and did not exhibit behaviors.On…

    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 · D2025-09-18 · tag F0868 — isolated
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and review of pertinent facility documents, it was determined that the facility failed to a.) ensure the Infection Preventionist (IP) was present for quarterly Quality Assurance and Performance Improvement (QAPI) meetings, and b.) included as a member of the Quality Assessment and Assurance (QAA) Committee. This deficient practice was identified by the following: On 09/15/2025 at 12:35 PM, the surveyor interviewed the IP who stated that she had worked at the facility for the past two and a half years in her current role and had never attended a QAPI meeting. She reported that she provided infection control information to the Director of Nursing (DON), who presented it during the QAPI meetings. On 09/17/2025 at 10:14 AM, the surveyor interviewed the Assistant Licensed Nursing Home Administrator (ALNHA) who stated that the IP did not attend QAPI meetings and was not a member of the QAA committee. The Director of Nursing (DON) presents infection control information during the QAPI meetings. On 09/16/2025 at 12:02 PM, the surveyor reviewed the facility's 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.

    Administration Deficiencies · Deficient, Provider has date of correction
Show the remaining 10 citations
  • Potential for harm · D2025-09-18 · tag F0881 — failed to use antibiotics responsibly — isolated
    Implement a program that monitors antibiotic use.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews, record reviews, and a review of pertinent facility documentation, it was determined that the facility failed to consistently implement an Antibiotic Stewardship Program (ASP), a program designed to improve clinical outcomes and reduce harm by promoting the appropriate use of antibiotics and monitoring their use, in collaboration with the facility's consultant pharmacist and medical director. This deficiency was identified in 1 of 1 resident (Resident #44) reviewed for antibiotic use.The deficient practice was evidenced by the following: On 09/15/2025 at 1:00 PM, the surveyor reviewed the facility's monthly antibiotic roster for 08/2025, which is used to monitor all residents receiving antibiotics. The roster, provided by the Infection Preventionist (IP), did not include Resident #44, who had received intravenous (IV) (a method that allows the medication to enter the bloodstream quickly and work faster) antibiotics during 08/2025. According to the admission record, Resident#44 was admitted to the facility with diagnoses including, but not limited to, infection…

    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 · D2025-09-18 · tag F0882 — isolated
    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview, and review of pertinent facility documentation, it was determined that the facility failed to ensure the Infection Preventionist (IP) actively performed responsibilities in accordance with the facility designated role implementing programs and activities to prevent and control infections.The deficient practice was evidenced by the following: During an interview with the surveyor on 09/15/2025 at 12:35 PM, the IP stated that she was not sure what specific criteria the facility used for diagnosing infections and would need to follow up to determine that information. She further stated that she is not familiar with established clinical criteria used to identify infections in long-term care facilities. The IP also reported that she is not involved in the facility's water management or treatment plan, explaining that those responsibilities are handled by the maintenance department. Additionally, she stated that she does not conduct regular surveillance in the kitchen or laundry areas and only enters those areas if she needs something. During an interview with the…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-09-18 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, it was determined that the facility failed to ensure that the pneumococcal vaccination was offered to all residents upon admission to the facility to prevent incidence of pneumonia for 1 of 5 residents (Resident # 87) reviewed for immunization administration. This deficient practice was evidenced by the followingDuring the initial tour of the facility on 09/11/2025 at 10:21 AM, Resident #87 was observed seated in a wheelchair in their bedroom. A review of Resident #87's admission Record revealed that the resident was admitted to the facility with diagnosis which included, but were not limited to, displaced fracture of the left lower leg and encounter for orthopedic aftercare.A review of the resident's most recent comprehensive Minimum Data Set (MDS), an assessment tool used to facilitate the management of care, dated 7/22/2025, included the resident had a Brief Interview for Mental Status (BIMS) score of 12 out of 15, which indicated the resident's cognition was moderately impaired. Further review of the MDS identified under Section O 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2024-05-08 · tag F0725 — failed to have enough nursing staff — widespread
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview, review of the Nurse Staffing Report and the PB&J (Payroll Based Journal) report and other facility documentation, it was determined that the facility failed to ensure there was sufficient nursing staff on a 24-hour basis to provide nursing care to the residents. This deficient practice was evidenced by the following: During the initial tour on 04/23/2024 at 10:30 AM, Resident #32 was just getting morning care. Resident #32 said, They are short of nurses and aides all the time, especially on weekends. On 04/23/2024 at 10:30 AM, Resident #72 stated that they do not have enough aides on the weekends. Resident #72 also stated that he/she did not receive their bed bath yesterday due to being short staffed. During the Resident Council Meeting on 04/24/2024 at 10:00 AM, 3 of 5 Residents reported there is not enough staff, especially at night. Resident #77 said, It seems like they go on break, everyone goes on break. 1. For the 2 weeks of Complaint staffing from 07/30/2023 to 08/12/2023, the facility was deficient in CNA staffing for residents on 14 of 14 day shifts,…

    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 · Ecited before2024-05-08 · 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

    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 food and maintain sanitation in a safe and consistent manner to prevent food borne illness. This deficient practice was evidenced by the following: On 4/23/2024 from 09:23 to 10:04 AM, the surveyor, accompanied by the Food Service Director (FSD), observed the following in the kitchen: 1. In the dry storage room on a middle shelf a quarter pan contained (7) bottles of Smucker's Breakfast syrup. (6) bottles had a best if used by date of [DATE]. The FSD removed the expired syrups from storage. 2. In the walk-in freezer on a middle shelf a plastic bag contained frozen hash brown potatoes. The product inside the bag was covered in ice. The bag had no dates. The FSD removed the frozen hash browns to the trash. On a lower shelf a box contained frozen French fries. The bag of French fries was opened and exposed to the air. The FSD removed the bag of French fries to 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-08 · tag F0582 — isolated
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and review of other facility documentation, it was determined that the facility failed to issue the required beneficiary notices for 2 of 3 residents reviewed for Beneficiary Protection Notification, (Resident #32 and Resident #73). This deficient practice was evidenced by the following: The surveyor reviewed the SNF (Skilled Nursing Facility) SNF Beneficiary Protection Notification Review (SNFBPNR) completed by the facility for Resident #32. The SNFBPNR indicated the residents last covered Medicare day was 02/29/2024 and the resident remained in the facility. The SNFBPNR further revealed that a Skilled Nursing Facility Advanced Beneficiary Notice of Non-Coverage Form CMS-10055 was given to Resident #32. When the surveyor requested a copy, the Administrator in Training (AIT) provided the surveyor with a copy of Resident #32's signed admission Agreement. The surveyor reviewed the SNF (Skilled Nursing Facility) SNF Beneficiary Protection Notification Review (SNFBPNR) completed by the facility for Resident #73. The SNFBPNR indicated the residents last covered…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-08 · 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 the medical record and other facility documentation, it was determined that the facility failed to follow a physician order for weekly weights on 1 of 3 residents reviewed for nutrition. This deficient practice was evidenced by the following: Reference: New Jersey Statutes, Annotated Title 45, Chapter 11. Nursing Board. The Nurse Practice Act for the state of New Jersey states: The practice of nursing as a registered professional nurse is defined as diagnosing and treating human responses to actual or potential physical and emotional health problems, through such services as case finding, health teaching, health counseling and provision of care supportive to or restorative of life and wellbeing, and executing medical regimes as prescribed by a licensed or otherwise legally authorized physician or dentist. Reference: New Jersey Statutes, Annotated Title 45, Chapter 11. Nursing Board. The Nurse Practice Act for the state of New Jersey states: The practice of nursing as a licensed practical nurse is defined as performing tasks and…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-05-08 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and review of the medical record and other facility records, it was determined that the facility failed to consistently assess or measure SPO2 (blood oxygen saturation) for a resident with an order for PRN (as necessary) supplemental oxygen use. This deficient practice occurred for 1 of 4 residents (Resident #46) reviewed for respiratory care. This deficient practice was evidenced by the following: On 04/23/2024 at 11:05 AM, the surveyor observed an oxygen concentrator against the wall in Resident #46's room. The oxygen concentrator was not observed to be in use and according to nursing staff Resident #46 didn't use it (oxygen) regularly. According to the Resident Face Sheet Resident #46 was admitted with diagnoses including but not limited to: Chronic obstructive pulmonary disease (a type of progressive lung disease characterized by long term respiratory symptoms and air flow limitation), acute respiratory failure with hypoxia (a condition in which the body or a region 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-05-08 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, review of the medical record and other facility documentation, it was determined that the facility failed to a) change respiratory equipment tubing in a manner to prevent the spread of infection for 1 of 4 resident's (Resident #33) and b) properly store a nasal cannula (tube used to deliver oxygen to a person) in accordance with facility policy and not properly store a nebulizer (small machine that turns liquid medicine into a mist that can be easily inhaled) and nebulizer equipment according to facility policy for 1 of 4 residents (Resident #91) reviewed for respiratory care. This deficient practice was evidenced by the following: A) During the initial tour of the 2nd floor on 04/23/2024 at 09:53 AM, Surveyor #1 observed resident #33 sleeping in bed. Resident #33 was receiving oxygen at 3 liters per minute (lpm) via nasal cannula. Surveyor #1 observed the nasal cannula tubing with a piece of tape attached to the tubing and dated 04/12/2024. According to the admission Record, Resident #33 was admitted to facility with diagnoses including but not…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2022-01-03 · 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 observations, interviews, and review of documentation provided by the facility, it was determined that the facility failed to maintain proper kitchen sanitation practices and properly store dry foods in a safe and sanitary environment to prevent the potential development of food borne illness. This deficient practice was evidenced by the following: On 12/17/21 at 09:34 AM, during the initial tour of the kitchen in the presence of the Food Service Director (FSD), the surveyor observed the following: Inside the brown rice storage bin, was a clear scoop resting directly on the rice. The FSD stated that it should not be there due to cross contamination and infection control. The slicer was covered in a clear plastic bag, The FSD removed the clear plastic bag and he noted there was a brown substance and crumbs underneath the blade. He acknowledged that it should not be there due to cross contamination. The FSD stated that the process was to clean the slicer after use and then cover it with a clear plastic bag. There were two Hot Boxes with multiple drip marks and on the inside…

    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

“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

$17,345 in federal fines across 1 penalty.

  • $17,345 — penalty dated 2025-09-18

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

Owner / managerTypeRoleSince
SHAWN, ANDREWIndividualDIRECT OWNERSHIP INTEREST; CORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; GENERAL PARTNERSHIP INTEREST; ADP OF THE SNFsince 02/07/2025

CMS files one row per role, so the 5 rows in the source record cover these 1 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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.

$16.7M
Net patient revenuemost recent cost report
+1.8%
Operating marginrevenue minus expenses
$1.7M
Related-party expense10% of expenses
Who pays — share of resident-days
Medicaid 47%Medicare 16%Other / private 37%

This home reported $1.7M paid to related parties — landlords or management companies under common ownership — equal to about 10% 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

$390per resident / day
operating cost
$11,866per month
≈ monthly operating cost
$397per 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 315421. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-09-18, 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 →

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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