Tower Lodge Care Center

Location & what’s nearby

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

Quality measures — how residents actually fare

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.

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.

Therapy staffing: this home’s payroll records show 0.12 therapist hours per resident per day in 2025Q4 — more than 9% of the 13,714 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 10% 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 14% — 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.

Staffing

How full it usually is: this home is certified for 60 beds and averages 56.2 residents a day — about 94% occupied, or roughly 4 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.12 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.28 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.12 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 2.79 hrs/resident/day on weekends vs 3.22 on weekdays — 13% thinner on weekends. RN hours go from 0.38 to 0.21 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%. 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 more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

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

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.

22 citations, most serious first. The 10 most serious are shown; the remaining 12 are one tap away and print in full.

• Potential for harm · F2026-04-22 · tag F0725 — failed to have enough nursing staff — widespread
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interviews, record review, and review of facility documentation, it was determined that the facility failed to have a system in place to ensure that contracted staff had the appropriate competencies and skills to assure resident safety and to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident, in accordance with standards of practice and individual resident care plans. This deficient practice had the potential to affect all residents who resided at the facility and was evidenced by the following: 1. On 4/16/26 at 1:24 PM, the surveyor reviewed the Resident Council Meeting Minutes for January, February and March 2026. The Resident Council Minutes dated 03/25/26, reflected the following: Residents were complaining about agency staff. Residents requested to have more regular staff and to not have agency workers at all. On 4/17/26 at 10:35 AM, during the Resident Council meeting conducted by the surveyor and attended by 8 alert and oriented residents, the residents were asked to elaborate on their concerns. All…

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

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-04-22 · tag F0803 — failed to meet residents' dietary needs — widespread
  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and document review it was determined that the facility failed to ensure that the menu was followed, and recipes were utilized to ensure meals were provided in a consistent manner. The deficient practice was identified for 7 of 8 Residents who attended a resident council meeting and had the potential to affect all residents who resided at the facility.The evidence was as follows: On 04/17/26 at 10:35 AM, the surveyor conducted a resident meeting with eight residents in attendance. When asked about the meals, 7 of 8 residents stated the food quality was poor, the food was served cold and the meal trays would be left to sit in the hallway while staff were doing other things. One resident stated they have been living on sandwiches for the past six months because the food was not good.On 04/20/26 at 8:10 AM, surveyor observed the [NAME] Unit and asked the Certified Nurse Aide (CNA) assigned to the unit when the breakfast meal would arrive and the CNA stated 8:00 AM. At 8:12 AM, an open cart was delivered and the CNA stated she had all 10 resident meal…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-04-22 · tag F0804 — failed to serve food at safe, palatable temperature — widespread
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview it was determined that the facility failed to ensure meals were served at appetizing and palatable temperatures. The deficient practice occurred for 7 of 8 residents who attended a resident council meeting and for 2 of 2 test meals on 2 of 3 resident units (Ruby and Emerald) and had the potential to affect all residents who resided at the facility.The evidence was as follows: On 04/17/26 at 10:35 AM, the surveyor conducted a resident meeting with nine residents in attendance. When asked about the meals, 7 of 8 residents stated the food quality was poor, the food was served cold and the meal trays would be left in the hallway while staff were doing other things. One resident stated they have been living on sandwiches for the past six months because the food was not good. On 04/20/26 at 8:10 AM, the surveyor observed the [NAME] Unit and asked the Certified Nurse Aide (CNA) assigned to the unit when the breakfast meal would arrive and the CNA stated 8:00 AM. At 8:12 AM, an open cart was delivered and the CNA stated she had all 10 resident meal trays…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-04-22 · tag F0809 — failed to serve meals on a reasonable schedule — widespread
  Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, record review and document review it was determined that the facility failed to regularly provide a nourishing bedtime snack for the residents. The deficient practice was identified for 8 of 8 residents who attended a resident council meeting (Resident #2, # 4,# 7, #25 #,45, #46, #50,and Resident #53) and had the potential to affect all residents who resided in the facility, and was evidenced by the following: A review of the meal Tray Delivery Times provided by the facility on 04/22/26 at 11:15 AM, reflected the following: The meal tray delivery schedule included the following information: Meal trays for the [NAME] Unit were scheduled to be delivered for dinner at 5:09 PM and for breakfast at 8:14 AM, (indicative of a 15 hour and 5 minute time span between the two meals); Meal trays for the Pearl Unit were scheduled to be delivered for dinner at 5:20 PM and for breakfast at 8:20 AM (indicative of a 15 hours' time span between the two meals); Meal trays for the Emerald Unit scheduled time was not provided, however the breakfast trays were scheduled…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2026-04-22 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and document review, it was determined that the facility failed to a) ensure potentially hazardous foods were stored and handled in a manner to prevent food-borne illness, b) the kitchen equipment was maintained in a clean and sanitary manner, and c) staff practiced appropriate hand hygiene and glove use to prevent contamination from foreign substances and limit the potential for the development a foodborne illness. This deficient practice affected all residents who resided at the facility and was evidenced by the following: On 04/16/26 at 8:28 AM, the surveyor conducted a tour of the kitchen with the Food Service Director (FSD) present and observed the meal preparation in progress and observed a metal can opener was affixed to the table had food debris embedded on the blade, and the blue insert that held the can opener could not be removed by the staff, due to caked on, embedded dark colored debris. A Dietary Staff (DS) was then observed with very long fingernails that extended past all 10 fingertips, was not wearing gloves and was scooping gelatin…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-04-22 · tag F0582 — pattern
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, it was determined that the facility failed to issue the proper required Notice of Medicare Non-Coverage (NOMNC) and Skilled Nursing Advance Beneficiary Notice of Non-Coverage (SNFABN) for 1 of 1 resident (Resident #25) and the NOMNC for 2 of 2 residents (Resident #62 and Resident #63 ) reviewed for Beneficiary Notification. This deficient practice was evidenced by the following:On 4/17/26 at 11:23 AM, the Licensed Nursing Home Administrator (LNHA) provided the surveyor with a list of residents who were discharged from the facility within the last six months from a Medicare covered Part A stay (helps cover the cost of skilled nursing facility care including rehabilitation services). The surveyor randomly chose three residents (one who remained in the facility and two who were discharged ) and requested copies of the Beneficiary Notices. On 04/20/026 at 12:52 PM, the Regional Social Worker (RSW) stated she called the previous Social Worker (SW), who resigned in March, and stated the notices were kept in a file in her drawer. However, the RSW was…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-04-22 · tag F0610 — failed to investigate and act on abuse reports — pattern
  Respond 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 pertinent documents, it was determined that the facility failed to ensure a thorough investigation was completed and documented to determine the causal factor of injuries of unknown origin and to ensure that abuse or neglect had not occurred. This deficient practice occurred for 2 of 2 residents reviewed for injuries of unknown origin, Resident #40 who was identified with a swollen left index finger, and Resident #47 who was identified with a scab wound on the left abdomen area measuring 4 centimeters (cm) by 3 cm.The deficient practice was evidenced by the following:Refer to F689 1. On 4/20/26 at 11:30 AM, the surveyor reviewed the electronic medical record (EMR) for Resident #40. The admission Face Sheet (an admission summary), revealed that Resident #40 was admitted to the facility with diagnoses which included but were not limited to; unspecified Dementia severe, muscle weakness and aphasia following cerebral infarction (stroke).The annual Minimum Data Set (MDS), an assessment tool dated 03/17/2026 revealed that Resident #40…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-04-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  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: a) adequate supervision was provided to a resident to prevent falls, b) consistently initiate new fall prevention interventions in response to falls, c) current care plan interventions to prevent accidents were consistently implemented. This deficient practice occurred for 2 of 2 residents (Resident #40 and #47) reviewed for falls and were identified as being at high risk for falls.Findings included: Refer to F610 1. On 4/16/26 at 9:21 AM, the surveyor toured the unit and observed Resident # 40 in a low bed with 1/2 siderails in place. The resident was awake but unable to communicate with the surveyor.On 4/16/26 at 11:53 AM, the surveyor observed Resident #40 sitting in the hallway near the facility entrance door. Resident #40 could not hold a conversation. On 4/16/26 at 12:40 PM, during an interview with the Certified Nursing Aide (CNA) who cared for Resident #40, she stated that Resident #40 did not engage…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-04-22 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — pattern
  Provide 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

  Based on observation, interview, record review and document review it was determined that the facility failed to ensure that a resident with a history of Urinary Tract Infections (UTI) received appropriate incontinence care to prevent further UTI's and provide appropriate care and services to restore continence and maintain resident dignity. This deficient practice was evidenced for 1 of 1 resident (Resident #61) reviewed for continence care and was evidenced by the following: On 04/16/26 at 11:34 AM, the surveyor interviewed Resident #61 about the care received at the facility and asked Resident #61 about rehabilitation and toileting care provided. Resident #61 stated, I cannot walk, I just go in my pants. Resident #61 stated I know when I have to go, it was a matter of getting out of bed. Resident #61 stated, now they were getting physical therapy. Resident #61 stated, I want to walk and stated that they were diagnosed with a UTI at the hospital, and I know that feeling when they have a UTI. Resident #61 stated that they knew when they needed to use the bathroom, sometimes staff…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-04-22 · tag F0697 — failed to manage pain — pattern
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review, and review of other pertinent facility documents, it was determined that facility failed to ensure a resident received the appropriate pain management by accurately administering pain medications according to the physician's orders. This deficient practice was identified for 1 of 1 resident reviewed for pain management (Resident #61) and evidenced by the following:The deficient practice was evidenced by the following:Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. The Nurse Practice Act for the State of New Jersey states: The practice of nursing as a registered professional nurse is defined as diagnosing and treating human responses to actual and potential physical and emotional health problems, through such services as case-finding, health teaching, health counseling, and provision of care supportive to or restorative of life and wellbeing, and executing medical regimens as prescribed by a licensed or otherwise legally authorized physician or dentist.Reference: New Jersey Statutes Annotated, Title 45,…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“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.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $1.2M paid to related parties — landlords or management companies under common ownership — equal to about 19% 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