Manhattanview Ctr For Rehabilitation And Healthcar
3200 Hudson Avenue, Union City, NJ 07087 · For profit - Limited Liability company · 127 certified beds · (201) 325-8400 Medicare & Medicaid certified
This home’s record is mixed — some reassuring signs, some worth asking about.
- a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- no federal fines or payment denials on record
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- a high number of inspection citations overall (19) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- 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.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 4 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 4 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 4 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 3 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 2 to 5 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 7.5% | 8.7% | 15.4% | better |
| Long-stay residents who lose too much weight | 1.3% | 4.6% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.6% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 1.0% | 0.8% | 2.0% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents with depressive symptoms | 21.6% | 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 | 2.2% | 2.3% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 3.1% | 8.2% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 22.4% | 18.8% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 95.5% | 97.2% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 1.7% | 5.4% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 4.2% | 15.6% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 13.0% | 12.7% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 2.9% | 1.2% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 42.3% | 80.1% | 79.4% | worse |
| Short-stay residents rehospitalized after admission | 23.6% | 24.9% | 22.6% | typical |
| Short-stay residents with an outpatient ER visit | 8.7% | 8.1% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.99 | 2.07 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 0.88 | 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.
25.7% 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 68 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 78.3% 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 97 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 0.51 therapist hours per resident per day in 2026Q1 — more than 82% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 7% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 25.7%CMS range 16.9–37.2 | 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 | 11.4%CMS range 7.6–16.0 | 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 | 78.3% | 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 | 73.2% | 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 | 66.0% | 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 | 100.0% | 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 | 0.7% | 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 | 0.7% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 6.2%CMS range 3.2–10.5 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.71 | 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 127 beds and averages 121.8 residents a day — about 96% occupied, or roughly 5 beds typically open. It runs essentially full — expect a waiting list. 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 3.37 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.37 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.90 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 3.05 hrs/resident/day on weekends vs 3.49 on weekdays — 13% thinner on weekends. RN hours go from 0.40 to 0.30 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 44% is about the same as the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are 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.
19 citations, most serious first. The 10 most serious are shown; the remaining 9 are one tap away and print in full.
- Potential for harm · F2024-05-17 · tag F0756 — failed to review each resident's drug regimen — widespreadEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interviews, record review, and a review of pertinent facility documents, it was determined that the facility failed to a.) provide oversight by a licensed Consultant Pharmacist (CP) in March 2024 for four (4) of five (5) residents, (Residents #17, #49, #75, and #80) and the entire month of April 2024, for five (5) of five (5) residents, (Residents #17, #22, #49, #75, and #80), b.) identify the irregularity with regard to physician's order for antipyschotic medication for one (1) of five (5) residents, (Resident #22) reviewed for unnecessary medications in accordance to facility's practice and policy. This deficient practice was evidenced by the following: 1. On 5/07/24 at 11:16 AM, the surveyor observed Resident #22 in the dayroom. The surveyor reviewed Resident #22's hybrid (a combination of paper-based and electronic medical records that primarily involves tracking and storing a patient's health records in several formats and places) medical record (HMR). According to the admission Record (AR, an admission summary), the resident was admitted to the facility with diagnoses…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2024-05-17 · 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
REPEAT DEFICIENCY Based on observation, interview, and review of documentation provided by the facility, it was determined that the facility failed to a) maintain proper kitchen sanitation practices and clean equipment, b) properly store foods in a safe manner to prevent the development of food borne illness, and c) maintain three (3) of three (3) nursing unit pantry used for residents in a sanitary manner. This deficient practice was evidenced by the following: On 5/07/24 at 10:16 AM, the surveyor toured the kitchen in the presence of the Food Service Director (FSD), the FSD Trainer (FSDT) and the Regional FSD (RFSD), and observed the following: ~In the walk-in freezer, several boxes of opened food items that were opened, unlabeled and exposed to freezer with freezer burn and frost on them. Those items were as follows: chicken tenders, salisbury beef steaks, opened loose corn, and pizza. All listed items were opened, unsealed, unlabeled with open date or expiration dates. The FSD manager was unable to say when the packages were opened. ~The food preparation area had a trash can…
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 · E2024-05-17 · tag F0742 — patternProvide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
What the surveyor found here — an excerpt from the official record, may be distressing
Reference F-756 Based on observation, interview, record review, and review of other pertinent facility documentation it was determined that the facility failed to ensure a resident with history of post-traumatic stress disorder (PTSD) received appropriate treatment and services to attain the highest practicable mental and psychosocial well-being. This deficient practice was identified for one (1) of five (5) residents (Resident #80) reviewed for unnecessary medications and was evidenced by the following: Reference: 13:44G-3.3 PRACTICE AS A CSW; SCOPE c) A CSW shall not engage in clinical social work services. 13:44G-1.2 DEFINITIONS Clinical social work means the professional application of social work methods and values in the assessment and psychotherapeutic counseling of individuals, families, or psychotherapy group. On 5/07/24 at 11:05 AM, during the initial tour, the surveyor observed Resident #80 resting on the bed, in a fetal position with a monitoring device [for residents at risk of wandering] on the left ankle. The resident spoke [language redacted]. At that time, the house…
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 before2024-05-17 · tag F0755 — failed to provide safe pharmacy services — patternProvide 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record review, and review of pertinent facility documentation, it was determined that the facility failed to a.) to consistently maintain accurate reconciliation, accountability of dispensed, and administered controlled dangerous substance (narcotic medication) for Resident #16, b.) ensure expired narcotic medications were detected, removed, and disposed from active inventory which was stored within the electronic back-up machine (EBM). The deficient practice was identified for one (1) of one (1) of the EBM observed during medication storage inspection. The evidence was as follows: 1.) On [DATE] at 8:57 AM, during an interview with the surveyor, the Director of Nursing (DON) stated that she conducted the narcotic reconciliation (cycle counts) daily with a nurse supervisor or with the Infection Preventionist/Registered Nurse (IP/RN). The DON also stated she received a daily report of the narcotic inventory which detailed which the inventory on-hand, the nurse who removed the narcotic and for…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-05-17 · tag F0623 — isolatedProvide 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 interview, record review and review of other pertinent facility documents, it was determined that the facility failed to provide the resident and/or the resident's representative written notification of the reason for transfer to the hospital for two (2) of two (2) resident's (Resident #93 and #97) reviewed for hospitalization. This deficient practice was evidenced by the following: 1. A review of Resident #93's electronic medical record included the following: Resident #93's discharge assessment-return anticipated Minimum Data Set's (DRAMDS), an assessment tool used to facilitate the management of care, dated 4/08/24 and 5/01/24, reflected that the resident was transferred to the hospital. A review of Resident #93's hybrid (a combination of paper, scanned, and computer-generated records) medical record did not include a written notification of the reason for transfer to the resident or resident representative for each transfer to the hospital. 2. A review of Resident #97's closed medical record…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-05-17 · tag F0625 — isolatedNotify 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 interview, review of the medical record and review of other pertinent facility documentation, 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 two (2) of two (2) resident's (Resident #93 and #97) reviewed for hospitalizations. This deficient practice is evidenced by the following: 1. A review of Resident #93's electronic medical record included the following: Resident #93's discharge assessment-return anticipated Minimum Data Set's (DRAMDS), an assessment tool used to facilitate the management of care, dated 4/08/24 and 5/01/24, reflected that the resident was transferred to the hospital. A review of Resident #93's hybrid (a combination of paper, scanned, and computer-generated records) medical record did not include a written notification of the facility's bed hold policy to the resident or resident representative prior to each transfer to the hospital. 2. A review…
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 before2024-05-17 · tag F0658 — failed to meet professional standards of care — isolatedEnsure services provided by the nursing facility meet professional standards of quality.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, review of medical records, and other facility documentation, it was determined that the facility failed to adhere to acceptable standards of nursing practice in regards to the documentation of a resident's expiration. This deficient practice was identified for one (1) of three (3) residents (Resident #126) reviewed for closed records and 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…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-05-17 · tag F0732 — isolatedPost nurse staffing information every day.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and review of pertinent facility documentation, it was determined that the facility failed to post the accurate Nursing Home Resident Care Staffing Report daily. This failure could affect the knowledge of the availability of staff to care for the 120 residents, their family members, or their representatives. This deficient practice was evidenced by the following: On 5/07/24 at 8:35 AM, the surveyors entered the facility (on a Tuesday) and observed that the Nursing Home Resident Care Staffing Report (NHRCSR) posted in the front lobby was dated 5/02/24 (Thursday). The census (total number of residents) that was posted on 5/02/24 NHRCSR was 120. A review of the facility submitted Nurse Staffing Report for the week of 4/28/24 to 5/04/24 that was provided by the Director of Nursing (DON) showed that the census on 5/02/24 was 119. Further review of the above revealed that the census posted on 5/02/24 NHRCSR in the front lobby did not match the submitted Nurse Staffing Report. On 5/09/24 at 11:56 AM, the survey team met with the Licensed Nursing Home…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-05-17 · tag F0883 — failed to offer flu and pneumonia vaccines — isolatedDevelop and implement policies and procedures for flu and pneumonia vaccinations.
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 each resident was offered pneumococcal vaccination according to the current Centers for Disease and Control Prevention (CDC) and the Advisory Committee on Immunization Practices (ACIP) recommendations. This deficient practice was identified for two (2) of five (5) residents reviewed for immunization status (Resident #75 and Resident 80). The deficient practice was evidenced by the following: Reference: A review of the CDC guidelines for Pneumococcal vaccination included: For adults 65 years and older who only received the Pneumococcal polysaccharide vaccine (Pneumovax/PPSV 23),Give (1) dose of Pneumococcal conjugate vaccine (PCV 15 or PCV20) at least one year after the most recent PPSV23 vaccination. Reference: A review of the ACIP included: On October 21, 2021, the ACIP recommended use of 20-valent pneumococcal conjugate vaccine (PCV20 [Prevnar 20) alone or 15-valent pneumococcal conjugate vaccine (PCV15) in…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-05-17 · 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
NJ #170244 Based on observation, interview, and review of medical records, and other facility documentation, it was determined that the facility failed to timely and thoroughly investigate allegations of abuse for one (1) of two (2) residents (Resident #46) reviewed for abuse. This deficient practice was evidenced by the following: On 5/07/24 at 10:19 AM, the surveyor observed the resident had a visitor who was discussing leaving the facility for a few minutes. The surveyor observed the resident lying in bed, awake, head of the bed was elevated, and was communicative. At 10:53 AM, the resident informed the surveyor that a nurse [name redacted] threw coffee at him/her. The resident narrated the following: She was snotty. The Resident recalled the nurse said to him/her I'm going to whip your ass. I pushed the table towards her then she threw coffee at my face, I called the police. The surveyor reviewed the medical records of Resident #46. According to the admission Record (or face sheet; an admission summary) reflected that the resident had been admitted with diagnoses which included…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 9 citations
- Potential for harm · Dcited before2023-09-08 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY C #: NJ00166740 Based on observation, interviews, and record review, as well as review of pertinent facility documents on 9/8/23, it was determined that the facility staff failed to document that the medication was administration in accordance with the professional standards of practice and to follow the facility policy Medication Administration for 1 of 3 sampled residents (Resident #2) reviewed medication administration documentation. This deficient practice is evidenced by the following: According to the admission RECORD, Resident #2 was admitted to the facility on [DATE], with diagnosis that included but were not limited to: Anemia. The Minimum Data Set (MDS), an assessment tool dated 8/2/23, indicated the Brief Interview for Mental Status (BIMS) interview was not conducted due to Resident #2 was rarely/never understood. The MDS also indicated that the Resident required assistance from staff with Activities of Daily Living (ADLs). According to Resident #2's Care Plan (CP), initiated on 3/31/23, indicated…
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 · D2022-03-08 · tag F0578 — failed to honor advance directives / code status — isolatedHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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 evaluate residents for advance directives (AD) and/or Physician Orders for Life Sustaining Treatment (POLST) related to end of life preferences. This deficient practice was observed for 3 of 26 residents reviewed for Advance Directives and POLST, Residents #94, #95, and #98 and was evidenced by the following: 1. The admission Record for Resident #94 indicated that the resident was admitted to the facility with diagnoses which included but were not limited to Malignant Neoplasm of the Pancreas, Gastrointestinal Hemorrhage, and alcohol dependence. Review of Resident #94's Significant Change Minimum Data Set (MDS), an assessment tool used to facilitate the management of care dated 1/28/22 reflected that the resident had a brief interview for mental status (BIMS) score of 11 which indicated Resident #94 had moderate cognitive impairment. Review of the March 2022 physician's orders (PO) revealed that the resident was 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 before2022-03-08 · tag F0658 — failed to meet professional standards of care — isolatedEnsure services provided by the nursing facility meet professional standards of quality.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review it was determined that the facility failed to accurately transcribe a physician's order (PO) onto the March 2022 Medication Administration Record (MAR) and failed to accurately document proper placement on the Enteral Protocol (feeding directly by way of intestines) sheet in accordance with professional standards of practice. This deficient practice was identified for 1 of 24 residents reviewed for standards of practice, Resident #212 and was evidenced by the following: Reference: New Jersey Statues, 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 a medical regimens as prescribed by a licensed or otherwise legally authorized physician or…
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 · D2022-03-08 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, it was determined that the facility failed to report a witnessed fall incident, complete a thorough fall investigation, implement safety measures and revise interventions for a resident who had a history of falls. This deficient practice was identified for 1 of 6 residents, Resident #49, reviewed for falls and was evidenced by the following: On 2/28/22 at 11:32 AM, the surveyor observed Resident #49 out of bed seated in a wheelchair in the day room watching TV and conversing with another resident. The resident informed the surveyor, that they had a seizure disorder and that before they were admitted to the facility, they had a bad seizure and fell. The resident stated that when they were admitted to the facility after their fall, they were confused and unable to care for themselves. Resident #49 further stated that they had regained a lot of their cognition, but still had periods of confusion. Resident #49 informed the surveyor that their main mode of locomotion on the unit was the wheelchair due to their unsteady gait. Review of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-03-08 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, it was determined that the facility failed to maintain necessary respiratory care and services for a resident who was receiving continuous oxygen (O2) and nebulizer treatment according to the standards of practice. The deficient practice was identified for 1 of 3 residents (Resident #54) reviewed for respiratory care. This deficient practice was evidenced by the following: On 2/28/22 at 10:41 AM, the surveyor observed Resident #54 in bed in their room, with O2 in use via nasal cannula (N/C) at 2 LPM (liters per minute) attached to the humidified O2 concentrator (a medical device used for delivering O2). There was no date indicated in the O2 tubing when it was last changed. The surveyor also observed a nebulizer mask placed inside the drawer next to the plastic bag. The nebulizer mask was dated 1/31/22 indicating the date when it was changed. A review of the resident's face sheet (an admission summary) reflected that Resident #54 was admitted to the facility with diagnoses that included Pneumonia, Atrial Fibrillation and Congestive…
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 · D2022-03-08 · tag F0711 — isolatedEnsure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
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's physician failed to conduct a face-to-face visit at a required interval and to assure that the physician responsible for supervising the care of the residents signed and dated the monthly physician's orders to ensure that the residents current medical regimen was appropriate. This deficient practice was observed for 2 of 24 Residents reviewed, Resident #48 and #50 and was evidenced by the following: 1.) On 2/28/22 at 10:23 AM, the surveyor observed Resident #48 in bed, awake, watching TV. The surveyor verified the last time the physician visited the resident. Resident #48 responded it's been a long time. A review of the resident's face sheet (an admission summary) reflected that Resident #48 was admitted to the facility with diagnoses that included Hypertension, Rhabdomyolysis, Cardiovascular Accident with left Hemiparesis. A review of the Quarterly Minimum Data Set (QMDS), an assessment tool used to facilitate care management dated 2/11/22, indicated a Brief Interview for Mental Status (BIMS)…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2022-03-08 · 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, interview, and review of facility policies, it was determined that the facility failed to maintain acceptable labeling and dating of foods in the dry storage room including discarding food items past their recommended expiration dates. This deficient practice was observed during kitchen tour and was evidenced by the following: On 2/28/2022 at 9:20 A.M., the surveyor toured the kitchen with the Dietary Director (DD). During the tour of the dry storage area with the DD, the surveyor observed: 1. Five boxes of 32 ounce (oz.) Baking Soda with an expiration date of 12/18/2021 on the shelf. 2. Five cans of 106 oz. Fruit Mix dated with an expiration date of 1/21/21. 3. Seven cans of 6 pounds (lbs.) 10oz Pineapple Chunks with an expiration date of 10/1/21. 4. Multiple items were noted received from the distributor without labels indicating, use by and/or expiration dates. Instead, these items were labeled with a manufacture's code. When interviewed by the surveyor, the DD was unable to state the date the item was received and/or the use by date of the following items:…
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 · D2022-03-08 · tag F0882 — isolatedDesignate 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 facility staff interviews and review of pertinent facility documentation on 3/3/2022, it was determined that the facility failed to provide a designated qualified Infection Prevention and Control Nurse. This deficient practice is evidenced by the following: During an interview on 3/2/2022 at 2:59 P.M., the Assistant Director of Nursing (ADON), stated that she has been certified as the Infection Prevention and Control Nurse (IPC) since 9/23/2021, and that she is the only Infection Prevention and Control Nurse at this time in the facility. The ADON further stated that she is working full time as the ADON and the IPC. She stated that on September 23, 2021, she completed her Centers for Disease Control and Prevention training, receiving her certification as a Nursing Home Infection Preventionist. On 3/3/2022 at 10:40 AM, the Director of Nursing (DON) supplied the surveyor with the paperwork for the IP designee, ADON. The ADON was also practicing as the IPC and received her IP certification on 9/23/21. During an interview on 3/3/2022 at 1:17 P.M. with the Regional Registered…
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 · C2024-05-17 · tag F0640 — widespreadEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on the interview and review of pertinent facility documents, it was determined that the facility failed to complete the discharge Minimum Data Set (MDS) assessment, an assessment tool, as required for one (1) of one (1) system selected for the resident with an MDS record over 120 days reviewed (Resident #107). This deficient practice was evidenced by the following: On 5/08/24 at 12:13 PM, the surveyor reviewed the system-generated Resident Assessment Task and showed that Resident # 107 was identified as the resident's MDS record over 120 days old. The surveyor reviewed the medical records of Resident #107 as follows: According to the admission Record (admission summary), Resident #107 was admitted to the facility with a diagnosis that included but was not limited to muscle wasting and atrophy (a clinical sign of lack of nourishment, disuse) not elsewhere classified, multiple sites, nonrheumatic aortic valve insufficiency (when the aortic valve of the heart leaks and causes blood to flow in the wrong direction), essential hypertension (abnormally high blood pressure that's 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.
“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
No federal fines in the current CMS record.
Part of a chain
This home belongs to PARAMOUNT CARE CENTERS — 10 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 4 of 5 | 3.3 | +0.7 vs chain |
| Health inspection | 4 of 5 | 2.8 | +1.2 vs chain |
| Staffing | 2 of 5 | 2.6 | -0.6 vs chain |
| Quality measures | 4 of 5 | 4.4 | -0.4 vs chain |
The other 9 homes this chain runs (chain average 3.3★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| DEUTSCH, SHLOMO | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 8% | since 04/01/2022 |
| FRIEDMAN, ALLEN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 8% | since 04/01/2022 |
| FRIEDMAN, JERRY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | since 04/01/2022 |
| FRIEDMAN, NATHAN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 9% | since 04/01/2022 |
| KRAUS, ABRAHAM | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | since 04/01/2022 |
| COHEN, NATHAN | Individual | W-2 MANAGING EMPLOYEE | — | since 04/01/2022 |
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
About 75% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself.
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 315465. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-12-19, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.