Bishop McCarthy Center For Rehab & Healthcare
1045 E Chestnut Ave, Vineland, NJ 08360 · For profit - Corporation · 182 certified beds · (856) 692-2850 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- no federal fines or payment denials on record
- it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- inspectors cited 1 immediate-jeopardy problem — the most serious level
- a high number of inspection citations overall (25) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its facility-reported quality-measure score sits well above its independent inspection score
- its independent health-inspection rating is low (2/5)
- its payroll-based staffing rating is low (1/5)
- nursing-staff turnover (58%) runs well above the national median (45%)
- about 20% of its spending goes to commonly-owned related companies
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 2 of 5 |
| StaffingFrom payroll records (PBJ) | 1 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Worth a closer look. This home's quality-measure rating runs 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 4 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating 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.
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 | 6.0% | 8.7% | 15.4% | better |
| Long-stay residents who lose too much weight | 8.8% | 4.6% | 5.4% | worse |
| 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 | 0.2% | 0.8% | 2.0% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with depressive symptoms | 78.4% | 12.1% | 6.5% | check this† — see note marked dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 1.0% | 2.3% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 4.3% | 8.2% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 14.2% | 18.8% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 89.9% | 97.2% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 2.4% | 5.4% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 23.6% | 15.6% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 2.9% | 12.7% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.4% | 1.2% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 71.1% | 80.1% | 79.4% | worse |
| Short-stay residents rehospitalized after admission | 29.5% | 24.9% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 13.8% | 8.1% | 12.0% | worse |
| Long-stay hospitalizations per 1,000 resident days | 2.40 | 2.07 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 1.77 | 1.11 | 1.80 | typical |
† This value is several times the typical-state benchmark. It can be real, or it can be a coding artifact in what the facility submitted. Weigh it against the inspection record above.
‡ 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.
51.0% 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 153 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 74.4% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 121 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 0.36 therapist hours per resident per day in 2026Q1 — more than 62% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 31% 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 | 51.0%CMS range 43.4–59.3 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 9.0%CMS range 6.5–11.2 | 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 | 74.4% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 74.4% | 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 | 62.8% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 99.1% | 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 | 98.7% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 0.0% | 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 | 9.9%CMS range 7.2–15.1 | 7.1% | Oct 2023–Sep 2024 | worse than U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.38 | 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 182 beds and averages 175.1 residents a day — about 96% occupied, or roughly 7 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 3.29 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.30 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.07 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 2.94 hrs/resident/day on weekends vs 3.43 on weekdays — 14% thinner on weekends. RN hours go from 0.37 to 0.13 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 58% is well above the national median of 45%. 1 administrator has left in the past year.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
25 citations, most serious first. The 11 most serious are shown; the remaining 14 are one tap away and print in full.
- Immediate jeopardy · J2025-08-06 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
COMPLAINT #2572162 Based on observations, interviews, medical record review, and review of other pertinent facility documentation on 7/31/25 and 8/1/25, it was determined that the facility failed to provide adequate supervision for a resident with cognitive impairment who required assistance with all activities of daily living and accompaniment to outside doctor's appointments and was sent to an out-of-state doctor's appointment and eloped. This deficient practice was identified for 1 of 3 residents reviewed for accidents (Resident #1). On 7/23/25 at 10:15 A.M., Resident #1 was sent to an out-of-state (OOS) doctor's appointment unaccompanied via medical transport. At 4:00 P.M., the facility received a telephone call from the OOS provider's office that Resident #1 could not be located. The facility received another telephone call on 7/24/25 at 8:30 P.M., that the resident was found at a nearby park approximately twenty-eight and a half hours later. Resident #1 was transported to the hospital and admitted for five days with an acute kidney injury that was likely due to dehydration and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2025-06-17 · tag F0812 — failed to store, cook, and serve food safely — patternProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, it was determined that the facility failed to maintain kitchen sanitation in a safe and consistent manner to prevent food borne illness. This deficient practice was evidenced by the following: On 06/06/2025 from 09:54 to 10:27 AM the surveyor, accompanied by the Food Service Director (FSD), observed the following in the kitchen: 1. Upon entry to the kitchen the surveyor went to observe the high temperature dish machine that was actively washing dishes at the time. The surveyor requested to see the dish machine temperature log. The June 2025 Dish Machine Temperature Log indicated that on 6/6/25 at breakfast the high temperature dish machine had the following temperatures prior to washing dishes: Wash = 180 and Rinse = 16 (confirmed by FSD to be 160 degrees Fahrenheit(F)). The surveyor asked the FSD what the minimum temperatures were for the wash and rinse on the high temperature dish machine and the FSD replied wash was to be at least 160 degrees F and rinse was to be at least 180 degrees F. On 06/06/2025 at 10:06 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.
- Potential for harm · D2025-06-17 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to develop and implement a comprehensive plan of care for a resident on long-term use of anti-depressant and anti-psychotic medications. This deficient practice was identified for 1 of 4 residents (Resident #81) reviewed for behavioral and emotional care and was evidenced by the following: On 6/6/2025 at 10:36 AM, during the initial tour of the facility, Resident #81 was observed by Surveyor #1 resting in bed fully dressed but did not respond to the surveyor's greeting. On 6/9/2025 at 9:11 AM, Surveyor #2 observed the resident awake in bed and fully dressed. The resident did not engage in conversation with the surveyor. On 6/9/2025 at 11:00 AM, Surveyor #2 reviewed the electronic medical record for Resident #81. A review of the admission Record revealed that the resident had diagnoses which included but were not limited to dementia, bipolar disorder (a mental illness characterized by extreme shifts in mood, energy, and activity levels), and depression. A review of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-06-17 · 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
Based on observation, interview and record review, and review of other facility documentation, it was determined that the facility failed to; a) ensure proper administration of medication during medication pass observation for 1 of 4 residents observed (Resident #164); b) document the notification to the physician when a medication was not administered as ordered for 1 of 2 residents sampled for dialysis (Resident #24); c) administer pain medications within scheduled parameters on various shifts for 1 of 3 residents investigated for pain management (Resident #141); d) provide antibiotic therapy according to a physician's orders for 1 of 1 resident's reviewed for antibiotic therapy (Resident #222), in accordance with professional standards of practice. This deficient practice was evidenced as follows: 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…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-06-17 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
What the surveyor found here — an excerpt from the official record, may be distressing
Complaint # NJ181256 Based on observation, interview, review of closed medical records and review of other facility documentation, it was determined that the facility failed to provide a resident with pressure ulcers the necessary treatment and services consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcer development for 1 of 4 residents reviewed for pressure ulcers (Resident #222). The evidence was as follows: On 6/11/2025 at 12:37 PM, the surveyor reviewed the closed electronic medical records (EMR) for Resident #222 who had been discharged from the facility. A review of the admission Record (an admission summary) reflected that Resident #222 was admitted to the facility with diagnoses that included but limited to, acute osteomyelitis of the left ankle and foot, orthopedic aftercare following surgical amputation, complete traumatic amputation of two or more left lesser toes, and Type 1 Diabetes. A review of the Minimum Date Set, an assessment tool, dated 12/31/2024, indicated that Resident #222 was cognitively intact and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-06-17 · tag F0761 — failed to label and store drugs safely — isolatedEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and review of pertinent facility documents it was determined that the facility failed to store medications securely in their packaging inside the medication cart. The deficient practice was identified for 2 of 8 medication carts reviewed under the Medication Storage task. The deficient practice was evidenced by the following: On 6/9/2025 at 12:00 PM, in the presence of Licensed Practical Nurse (LPN #1), the surveyor inspected the short hall medication cart. The surveyor found 3 loose tablets. LPN #1 stated that there should not be loose medications in the cart. On 6/9/2025 at 12:12 PM, in the presence of LPN #2, the surveyor inspected the long hall medication cart. The surveyor found 11 loose tablets. LPN #2 stated that there should not be loose medications in the cart because it was a safety hazard and sanitation issue. On 6/16/2025 at 1:50 PM, during an interview with the survey team, the Director of Nursing stated that there should not be loose pills in the medication carts. A review of the facility-provided policy titled Medication Storage dated…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-06-17 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
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 prevent the potential for cross contamination by not initiating and implementing Enhanced Barrier Precautions (EBP) (an infection control intervention designed to reduce transmission of multidrug-resistant organisms) for a resident with an infected wound in accordance with the Center for Disease Control and Prevention (CDC) guidelines and standards of clinical practice. This deficient practice was identified for 1 of 5 residents (Resident #166) reviewed for pressure ulcers and was evidenced by the following: According to the CDC Frequently Asked Questions (FAQs) about Enhanced Barrier Precautions in Nursing Homes, dated 6/28/2024, EBP are recommended for residents with indwelling devices or wounds . because devices and wounds are risk factors that place these residents at higher risk for carrying or acquiring a MDRO (multidrug-resistant organisms) and many residents colonized with a MDRO are…
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 before2024-09-26 · tag F0658 — failed to meet professional standards of care — patternEnsure services provided by the nursing facility meet professional standards of quality.
What the surveyor found here — an excerpt from the official record, may be distressing
Complaint #: NJ00175475 Based on observations, interviews, medical record review, and review of other pertinent facility documentation on 09/26/2024, it was determined that the facility failed to follow standards of clinical practice for documenting the administration of medication in the electronic Medication Administration Record (MAR). The facility also failed to follow its policy titled Administering Medications. This deficient practice was identified for 26 of 29 residents reviewed on MAR 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 licensed practical nurse is defined as performing tasks and responsibilities within the framework of case finding; reinforcing the patient and family teaching program through health teaching, health counseling and provision of supportive and restorative care, under the direction of a registered nurse or licensed or otherwise legally authorized physician or dentist. On 09/26/2024 at 10:00 AM,…
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 before2024-03-28 · tag F0695 — failed to provide proper breathing / tracheostomy care — patternProvide 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 provide the necessary respiratory care and services for 1 (one) of 2 (two) residents (Resident # 100) reviewed for respiratory services. This deficient practice was evidenced by the following: According to the admission Record (AR) Resident #100 was admitted to the facility with diagnoses that included, but were not limited to, cerebral infarction (stroke) and chronic respiratory failure. The quarterly Minimum Data Set (MDS), an assessment tool, dated 02/23/24, indicated that the resident was cognitively intact and required extensive to total care with all aspect of activities of daily living (ADLs). The MDS also indicated that the resident required tracheostomy care (a surgical opening in your neck that delivers oxygen to your lungs). On 03/18/24 at 10:13 AM, during tour, the surveyor observed Resident #100 lying in bed with a tracheostomy (trach). The resident was pleasant and did not have any complaints. The resident communicated by typing on his/her phone. The surveyor 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.
- Potential for harm · Ecited before2024-03-28 · tag F0804 — failed to serve food at safe, palatable temperature — patternEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
What the surveyor found here — an excerpt from the official record, may be distressing
Complaint: NJ171634 Based on observation, interview, and review of pertinent facility documentation it was determined that the facility failed to serve hot and cold foods at an acceptable temperature for the residents. This deficient practice was identified on 1 of 3 nursing units (Third Floor Dining Room) during the lunch meal service. The deficient practice was evidenced by the following: On 03/27/24 at 11:15 AM, the surveyor met with the Dietary Director (DD) in the kitchen and informed her a temperature test tray was requested for the Third Floor. On 03/27/24 at 11:31 AM, the dining staff started plating trays for the food cart for the Third floor. The surveyor observed the DD calibrate a digital thermometer in a cup of ice water, and the temperature read 32 degrees Fahrenheit (F). On 03/27/24 at 11:43 AM, the surveyor observed the cook plate a regular meal and the DD tested the food temperatures on the test tray: Sliced roast beef, 144.9 degrees F. Mashed potatoes with gravy, 146.5 degrees F. Mixed vegetables, 146.5 degrees F. Individual cups of pineapple chunks, 60.3 degrees…
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 before2024-03-28 · tag F0812 — failed to store, cook, and serve food safely — patternProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and review of facility documentation it was determined that the facility failed to maintain equipment and kitchen areas in a manner to prevent microbial growth and cross-contamination. This deficient practice was observed and evidenced by the following: On 03/18/24 from 09:43 AM until 10:33 AM, the surveyor toured the kitchen in the presence of the Dietary Director (DD) and observed the following: 1. On the clean pots and pans drying rack, there were two sets of two 4-inch long pans nested, with clear liquid between the pans. The DD acknowledged that the pans were wet nested and stated that it was important to make sure the pans were dried correctly for bacterial prevention. 2. On the clean pots and pans rack there were: two large red cutting boards with brown smudges and scratches; one white cutting board with brown stains, black smudges, and scratches; one green cutting board with black smudges; two white cutting boards with brown stains and black smudges; and one dark green cutting board with black smudges and scratches. The DD acknowledged 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.
Show the remaining 14 citations
- Potential for harm · Ecited before2024-03-28 · tag F0880 — failed to prevent and control infections — patternProvide 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, interviews, and review of facility documentation, it was determined that the facility failed to follow appropriate infection control practices and perform hand hygiene as indicated during meal tray pass for 1 of 3 units (Third Floor unit) observed. The deficient practice was evidenced as follows: On 03/18/24 the surveyor observed the following in the Dining area: At 11:52 AM, the Certified Nursing Assistant (CNA) approached the lidded trash can with a plastic dome plate cover and trash in her hand then lifted the trash can lid with her hand and discarded the trash into the can. The CNA went to the food cart, removed a meal tray from the cart and placed it in front of Resident #22. The CNA then opened the resident's soda can, removed the lid from the pudding, removed the slice of bread from the plastic packaging and placed it on the plate, opened the juice lid, removed the silverware from the paper bag and placed them on the tray next to the plate, then cut up the food for the resident. The CNA then took the plastic dome plate cover and trash and approached the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-03-28 · tag F0921 — failed to keep a safe, functional, sanitary building — patternMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
What the surveyor found here — an excerpt from the official record, may be distressing
Complaint: NJ171634 Based on observations, interviews, and review of other facility documentation, it was determined the facility failed to maintain medication and treatment carts in a sanitary manner for 2 of 2 medication carts and 2 of 3 treatment carts on the Subacute unit, and 1 of 2 medication carts and 2 of 2 treatment carts on the North Hall unit. This deficient practice was evidence by the following: On 03/20/24 at 10:00 AM, the surveyor observed visible amounts of human hair built up in all 4 wheels of the North Hall Front medication cart. On 03/21/24 at 10:01 AM, the surveyor inspected all medication and treatment carts for the Subacute unit and observed the following: - Visible human hair in 2 of 4 wheels of the Even (side) Subacute medication cart. - Visible human hair in all 4 wheels on the Odd (side) Subacute medication cart. - Visible human hair in all 4 wheels of the Even (side) Subacute treatment cart. - Visible human hair in all 4 wheels of the Odd(side) Subacute treatment cart. On 03/21/24 at 10:06 AM, the surveyor inspected the medication and treatment carts 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 · D2024-03-28 · tag F0688 — failed to keep residents mobile / prevent decline — isolatedProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and review of medical records and other facility documentation, it was determined that the facility failed to a.) obtain a physician's order for application and removal times of an orthotic device and b.) develop a comprehensive care plan for the use of an orthotic brace for 1 of 3 residents (Resident # 153) reviewed for positioning/mobility. This deficient practice was evidenced by the following: The admission Record indicated that Resident #153 was admitted to the facility with diagnoses that included, but were not limited to, cerebral infarction (stroke), cyclist injured in a collision with car, and traumatic brain injury. The admission Minimum Data Set (MDS), an assessment tool that facilitates the care of a resident, dated 02/20/24, indicated that Resident #153 rarely understood verbal content and rarely had the ability to make him/herself understood. The MDS also reflected that Resident #153 had limited range of motion to the lower extremities. On 03/18/24 at 12:37 PM, the surveyor observed Resident #153 sitting up in the geri-chair (reclining…
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 · D2024-03-28 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview, record review, and review of facility documents, it was determined that the facility failed to maintain medical records that were accurate and consistent for 1 of 32 (Resident # 89) medical records reviewed. This deficient practice was evidenced by the following: According to the admission Record, Resident #89 was admitted to the facility with diagnoses that included, but were not limited to, end stage renal failure. The admission Minimum Data Set (MDS), an assessment tool that facilitated a resident's care, dated 02/22/2024, reflected that the resident had moderate cognitive impairment and required moderate to dependent assistance with activities of daily living. The MDS also indicated that the resident received hemodialysis (process that filters waste, salts, and fluid from the blood when the kidneys are no longer healthy enough to do this work adequately). On 03/18/24 at 10:34 AM, during tour, Resident #89 was not present in his/her room because he/she was at dialysis. The Certified Nursing Assistant (CNA) indicated that the resident went to dialysis 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.
- Potential for harm · Fcited before2022-01-04 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and review of other facility documentation, it was determined that the facility failed to handle potentially hazardous food and maintain sanitation in a safe and consistent manner to prevent foodborne illness. This deficient practice was evidenced by the following: On 12/10/2021 at 9:53 AM, the surveyors, accompanied by the Head [NAME] (HC) observed the following in the kitchen: 1. In the Dry Storage area on a lower shelf, (1) open bag of shell pasta and (2) open bags of rotini pasta did not have an open or use by dates. On the shelf above, (1) open bag of spaghetti wrapped in plastic wrap had no open or use by date. When interviewed the HC stated, We usually have an open and use by date on anything that is opened and not completely used. 2. In the Walk-In Refrigerator on a rear shelf, one half onion was observed in a plastic container. The container had no dates. On the same shelf, a turkey sandwich in a plastic disposable container had no dates. Both items were removed and thrown away by the HC in the presence of the surveyors. 3. In the Double…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2022-01-04 · tag F0804 — failed to serve food at safe, palatable temperature — patternEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and review of other facility documentation, it was determined that the facility failed to consistently serve foods at a safe and appetizing temperature. This deficient practice was evidenced by the following: On 12/14/2021 at 10:30 AM, the surveyor conducted the Resident Council Meeting with seven alert and oriented residents. 7 of 7 residents in attendance stated the food was often not served hot enough for their preference. The residents stated that less than warm meals occurred at all mealtimes. On 12/16/2021 at 11:15 AM, the surveyors entered the kitchen to monitor food temperatures for the lunch meal. At 11:30 AM, an interview was conducted with the [NAME] who confirmed that food temperatures are not obtained prior to food being placed into the steam table or prior to plating. However, the cook confirmed that food temperatures are taken upon completion of the cooking process. At 12:06 PM, at the request of the surveyors, a test tray was plated from the lunch tray line. At 12:07 PM, the test tray was placed on the meal cart and exited the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-01-04 · tag F0558 — failed to accommodate residents' needs and preferences — isolatedReasonably accommodate the needs and preferences of each resident.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, record review and review of other facility documentation, it was determined that the facility failed to maintain the nurse call light within in reach of a resident. This deficient practice was identified for 1 of 25 sampled resident's, (Resident #86) and was evidenced by the following: During the initial tour on 12/10/2021 at 11:28 AM, the surveyor observed Resident #86's call light was wedged between the mattress and bedframe of the bed. The call light was observed to hang down towards the floor and was not accessible to the resident in this position. The call light was observed to be on the right side of the bed. According to the admission Record Resident #86 had the following diagnoses: hemiplegia and hemiparesis following cerebral infarction affecting right dominant side, muscle weakness and unspecified abnormalities of gait and mobility. A review of the quarterly Minimum Data Set (MDS), an assessment tool, dated 11/3/21, revealed Resident #86 had a Brief Interview for Mental Status score of 8/15, which indicates moderate cognitive impairment.…
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 · D2022-01-04 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interviews, review of medical records and other facility documentation, it was determined that the facility failed to report an elopement to the New Jersey Department of Health (NJDOH) in accordance state requirements for 1 of 1 resident reviewed for elopement, (Resident #73). This deficient practice was evidence by the following: According to the admission Record, Resident #73 was admitted to the facility with diagnoses that included but not limited to, Dementia, Major Depressive Disorder with behavior disturbance. A review of the most recent Minimum Data Set (MDS), an assessment tool used to manage care dated 11/3/21, revealed that Resident #73 had severe cognitive impairment and had a Wander Guard alarm bracelet (an alarm that will sound if the resident gets close to a door with the sensor) in place. An Elopement Risk conducted and initiated on 10/28/21, indicating that the resident was at risk for elopement related to dementia and a history of wandering. The Physician Order Summary dated 11/1/21-11/30/21, included an order for a Wander Guard, with orders to…
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 · D2022-01-04 · 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
Based on interview, record review and review of other facility documentation, it was determined that the facility failed to complete a thorough investigation of an elopement for 1 of 1 resident reviewed for elopement (Resident #73). The deficient practice was evidenced by the following: According to the admission Record, Resident #73 was admitted to the facility with diagnoses that included but not limited to, Dementia, Major Depressive Disorder with behavior disturbance. A review of the most recent Minimum Data Set (MDS), an assessment tool used to manage care, dated 11/3/21, revealed that Resident #73 had severe cognitive impairment and had a Wander Guard alarm bracelet (an alarm that will sound if the resident gets close to a door with the sensor) in place. An Elopement Risk dated 10/28/21, indicated that the resident was at risk for elopement related to dementia and a history of wandering. A Physician Order Summary for the period of 11/1/21-11/30/21, included a physician order for a Wander Guard, with orders to check every shift for placement (Roam Alert) every night shift 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 · D2022-01-04 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and review of other facility documentation, it was determined that the facility failed to place a resident's urinary catheter bag inside of a privacy bag, according to facility policy, to maintain resident dignity. This deficient practice was identified for 1 of 2 residents (Resident #116) reviewed for urinary catheters and was evidenced by the following: During the initial on 12/10/2021 at 11:17 AM, the surveyor observed room [ROOM NUMBER] with the door closed and a sign posted on the outside of the doorway indicating Resident #86 was on contact precautions. On interview the Unit Manager stated, He/she had a suprapubic catheter (a surgically created connection between the urinary bladder and the skin used to drain urine from the bladder in individuals with obstruction of normal urinary flow) placed recently. According to the admission Record Resident #116 had the following diagnoses: Obstructive and reflex uropathy and retention of urine. A review of the most…
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 before2022-01-04 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, record review and review of other facility documentation, it was determined that the facility failed to implement infection control measures for the handling and storage of respiratory equipment by leaving a tracheostomy mask exposed to the environment and having a corrugated tube on the floor that was connected a resident for two of five residents reviewed for respiratory care, (Resident #112 & Resident #115. Resident #112 and Resident #115 both have tracheostomies (a hole that surgeons make through the front of the neck and into the windpipe for a person to breathe). The deficient practice was evidenced by the following: During the initial tour on 12/10/21 at 10:16 AM, the surveyor observed on Resident #112, a blue, corrugated tube connected to a tracheostomy mask (mask that allows for the delivery of oxygen therapy to patients who have had a tracheostomy) covering his/her tracheostomy. The blue tube was connected to a compressor (a compressor is a machine used for administering medication by nebulization and humidification) that was in operation.…
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 before2022-01-04 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, record review, and review of other facility documentation, it was determined the facility failed to a.) to ensure visitors and staff members wore the appropriate personal protective equipment (barriers, such as gowns, face shields, and gloves worn to protect the eyes, mouth, and skin from infectious disease) in a resident's room, b.) ensure appropriate hand hygiene was followed by visitors and staff members, and c.) ensure a urinary drainage bag was not in contact with the floor to prevent the possibility of disease transmission. This deficient practice was identified for 1 out of 4 residents reviewed for the infection control task, (Resident #72) and 1 of 2 residents reviewed for indwelling urinary catheters (Resident #429). The deficient practice was evidenced by the following: a.) During the initial tour on 12/10/21 at 11:38 AM, Surveyor #1 observed Licensed Practice Nurse (LPN) #1 and LPN #2 inside Resident #72's room. On the door of room was a sign labeled Contact Enteric Precautions. The sign indicated, Everyone Must: Clean hands with sanitizer…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- No harm found · C2022-01-04 · tag F0623 — widespreadProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, it was determined that the facility failed to notify the Office of the State Long-Term Care Ombudsman for 3 of 3 residents reviewed for hospitalization, Resident # 127, Resident # 129, and Resident #97. This deficient practice was evidenced by the following: On 12/10/21 at 11:27 AM, the surveyor performed a record review of Resident #127. A review of the progress note dated 11/10/2021, indicated that Resident #127 was transferred to the hospital for labored breathing. There was no documented evidence that the Ombudsman was notified of the resident's transfer to the hospital. On 12/21/2021 at 9:25 AM, the surveyor performed a closed record review of Resident #129. A review of the Progress Notes dated 11/3/2021, indicated that Resident #129 was transferred to the hospital for a change in mental status. There was no documented evidence that the Ombudsman was notified of the resident's transfer to the hospital. On 12/21/21 at 9:30 AM, the surveyor performed a record review of Resident #97. A review of the Progress Note dated 8/29/2021, 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.
- No harm found · B2022-01-04 · tag F0582 — patternGive 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 # 93 and Resident # 123. This deficient practice was evidenced by the following: On 12/20/21 at 1:06 PM, the surveyor reviewed the SNF Beneficiary Protection Notification Review (SNFBPNR) completed by the facility for Resident #93. The SNFBPNR indicated that Resident #93's last covered Medicare day was 6/29/21 and Resident #93 remained in the building. The SNFBPNR further revealed that a Notice of Medicare Non-Coverage-Form CMS 10123 (NOMNC) was not provided to Resident #93. The section of the SNFBPNR #2 indicated the NOMNC was not given as Resident #93 still had Medicare A time available. On 12/20/21 at 1:06 PM, the surveyor reviewed the SNFBPNR completed by the facility for Resident #123. The SNFBPNR indicated that Resident #123's last covered Medicare day was 7/13/21 and Resident #123 remained in the building. The SNFBPNR further revealed that a Notice 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.
“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 CENTER MANAGEMENT GROUP — 16 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 | 2 of 5 | 3.2 | -1.2 vs chain |
| Health inspection | 2 of 5 | 2.9 | -0.9 vs chain |
| Staffing | 1 of 5 | 1.8 | -0.8 vs chain |
| Quality measures | 5 of 5 | 4.3 | +0.7 vs chain |
The other 15 homes this chain runs (chain average 3.2★, 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 | Since |
|---|---|---|---|
| VINELAND VENTURES LLC | Organization | DIRECT OWNERSHIP INTEREST; ADP OF THE SNF | since 12/01/2015 |
| BOEHM, CAROLINE | Individual | INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF | since 12/01/2015 |
| GROS, CHARLES-EDOUARD | Individual | INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF | since 12/01/2015 |
| NEWPORT REAL ESTATE CAPITAL LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | since 03/28/2019 |
| BABROFF, SHERRI | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 06/01/2022 |
| LEVI, SHLOMO | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 06/01/2022 |
| THOMAS, TINU | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 07/29/2025 |
| KLEIN, BARUCH | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 12/01/2015 |
| SHEETZ, MAURICE | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 12/01/2015 |
| STEVANUS, AMANDA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/13/2025 |
| VINITSKY, AVROHOM | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 06/01/2022 |
CMS files one row per role, so the 24 rows in the source record cover these 11 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.
2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $3.9M paid to related parties — landlords or management companies under common ownership — equal to about 20% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in NJ
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the New Jersey Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 315126. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-06-17, 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 →
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