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Atlas Rehabilitation & Healthcare At West Deptfor

550 Jessup Road, West Deptford, NJ 08066 · For profit - Limited Liability company · 156 certified beds · (856) 848-9551 Medicare & Medicaid certified

Call the home — (856) 848-9551 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0607) — cited Dec 2025
Insights

On the public record, this home looks stronger than most — but visit before you decide.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0607) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags

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.

5/5
CMS overall
5 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 5 of 5

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
121 Berkley Rd · (856) 284-6500 · Call to confirm hours
Pharmacy
231 W Broad St · (856) 423-7788 · Call to confirm hours
Grocery
Wallys0.4 mi
1116 N Delaware St · (856) 423-5040 · Call to confirm hours
Park
Typically dawn to dusk
Place of worship

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 5 of 5

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 4 to 5 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating5★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased1.8%8.7%15.4%better
Long-stay residents who lose too much weight2.8%4.6%5.4%better
Long-stay residents with a catheter left in their bladder0.2%0.6%0.9%better
Long-stay residents with a urinary tract infection0.0%0.8%2.0%better than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms9.6%12.1%6.5%worse
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury1.6%2.3%3.3%better
Long-stay residents whose ability to walk worsened1.2%8.2%16.1%better
Long-stay residents on antianxiety or hypnotic medication19.7%18.8%18.9%typical
Long-stay residents given the seasonal flu vaccine98.4%97.2%95.3%typical
Long-stay residents with pressure ulcers3.2%5.4%4.7%better
Long-stay residents with worsening bladder/bowel control15.7%15.6%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table4.4%12.7%17.1%better
Short-stay residents who newly got an antipsychotic medication0.5%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine96.8%80.1%79.4%better
Short-stay residents rehospitalized after admission21.3%24.9%22.6%typical
Short-stay residents with an outpatient ER visit4.2%8.1%12.0%better
Long-stay hospitalizations per 1,000 resident days1.302.071.67better
Long-stay outpatient ER visits per 1,000 resident days0.581.111.80better

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

59.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 231 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

59.4%U.S. median 51.5%
Got home and stayed home
11.2%U.S. median 10.7%
Went back to hospital
72.8%U.S. median 56.6%
Met the expected recovery
0.32U.S. median 0.31
Therapy hours / resident / day
0.11hours / resident / day
Physical therapy
0.18hours / resident / day
Occupational therapy
0.03hours / resident / day
Speech therapy

Met the expected recovery: 72.8% 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 184 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 0.32 therapist hours per resident per day in 2026Q1 — more than 52% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 28% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF59.4%CMS range 52.0–65.651.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.2%CMS range 9.2–14.610.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge72.8%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge60.9%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge69.0%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge99.1%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay1.1%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened1.8%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization5.9%CMS range 3.5–10.27.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.101.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.48
RN hours/ resident / day
1.21
LPN hours/ resident / day
1.95
Aide hours/ resident / day
3.64
Total nurse hours/ resident / day
0.41
RN hoursweekends
51.3%
Total nursing turnover
44.4%
RN turnover

How full it usually is: this home is certified for 156 beds and averages 147.8 residents a day — about 95% occupied, or roughly 8 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 3.64 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.48 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.95 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.36 hrs/resident/day on weekends vs 3.75 on weekdays — 10% thinner on weekends. RN hours go from 0.51 to 0.41 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 51% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

7
deficiencies at the latest standard inspection (2025-12-10)
3
at the previous standard inspection (2024-07-09)

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

Inspection deficiencies

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

ABCDEFGHIJKL

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

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

  • Potential for harm · E2025-12-10 · tag F0607 — failed to have anti-abuse policies — pattern
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview, review of the facility's policy, and other pertinent facility documents, it was determined that the facility failed to implement their abuse policy to complete reference checks and background checks on employees before their start date. The deficient practice was identified for 1 of 151 employees reviewed for background checks (Employee #30) and 57 of 151 employees reviewed for reference checks (Employee #1, Employee #2, Employee#3, Employee #4, Employee #5, Employee #6, Employee #7, Employee #8, Employee #9, Employee #10, Employee #11, Employee #12, Employee #13, Employee #14, Employee #15, Employee #16, Employee #17, Employee #18, Employee #19, Employee #20, Employee #21, Employee #22, Employee #23, Employee #24, Employee #25, Employee #26, Employee #27, Employee #28, Employee #29, Employee #30, Employee #31, Employee #32, Employee #33, Employee #34, Employee #35, Employee #36, Employee #37, Employee #38, Employee #39, Employee #40, Employee #41, Employee #42, Employee #43, Employee #44, Employee #45, Employee #46, Employee #47, Employee #48, Employee #49,…

    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 · Dcited before2025-12-10 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, record review, and review of other pertinent facility documents, it was determined that the facility failed to maintain the training room toilets in the resident shower rooms in a clean and homelike environment. This deficient practice was identified for 2 of 3 shower rooms inspected on 2 of 3 nursing units (East and West) and was evidenced by the following:On 12/5/25 at 10:57 AM, the surveyor observed the East Wing Shower Room in the presence of Licensed Practical Nurse/Unit Manager (LPN/UM) #2. When the surveyor entered the training toilet bathroom, there was a strong odor noted around the toilet. When the surveyor asked LPN/UM #2 if the area smelled of urine, the LPN/UM stated, a little bit. LPN/UM #2 then stated it should have been cleaned that morning. The surveyor observed yellow staining with dirt and debris at the rear and on the sides of the base of the toilet. LPN/UM #2 stated that it appeared as if the yellow staining had not just happened. LPN/UM #2 added that the residents utilized the shower room twice a week.At 11:02 AM, LPN/UM #2…

    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 · D2025-12-10 · tag F0636 — isolated
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    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 facility documents, it was determined that the facility failed to ensure that the Minimum Data Set (MDS), an assessment tool, accurately reflected the resident's smoking status.This deficient practice was identified for 1 of 30 sampled residents (Resident #141), and was evidenced by the following: On 12/8/25 at 1:03 PM, the surveyor, accompanied by the Certified Nursing Assistant (CNA) #1, observed Resident #141 go outside in the smoking area and smoke two cigarettes. On 12/8/25 at 1:30 PM, the surveyor reviewed the medical record for Resident #141. A review of the admission Record, an admission summary, revealed the resident had diagnoses which included, but were not limited to: chronic obstructive disease (a progressive lung disease making breathing difficult), and solitary pulmonary nodule (a single, small spot in the lung). A review of the resident's comprehensive MDS, dated [DATE], included that the resident had a Brief Interview for Mental…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-12-10 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to ensure that an air mattress was accurately set according to the resident's weight. This deficient practice was identified for 1 of 1 resident, (Resident #13) reviewed for pressure ulcers and was evidenced by the following:On 12/5/25 at 10:43 AM, the surveyor observed Resident #13 lying in bed awake with the head of the bed elevated. At that time, the Licensed Practical Nurse/Unit Manager (LPN/UM) #1 presented to the room and attempted to offer the resident a drink of water. The resident did not respond verbally when they were spoken to. The resident was on an air mattress that was set at 160 pounds (lbs). On 12/5/25, the surveyor reviewed the medical record of Resident #13.A review of the admission Record, an admission summary, revealed that the resident was admitted to the facility with diagnoses which included but were not limited to: Stage four sacral pressure ulcer (full-thickness skin loss that extends into underlying muscle, tendon,…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-12-10 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, record review, and review of facility documents, it was determined that the facility failed to ensure respiratory equipment was stored in an appropriate way to prevent the spread of infection, for 1 of 4 residents (Resident #162) reviewed for respiratory care.This deficient practice was evidenced by the following:On 12/4/25 at 10:01 AM, the surveyor observed Resident #162 in their room sitting on the bed with oxygen infusing at three liters via a nasal canula (tubing used to deliver oxygen). The surveyor also observed a Bilevel Positive Airway Pressure (BiPAP) machine (a non-invasive breathing device used to treat sleep apnea by delivering pressurized air through a mask) on the resident's nightstand. The mask was uncovered on the nightstand. On 12/4/25 at 1:33 PM, the surveyor reviewed the resident's medical record. A review of the admission Record, an admission summary, revealed the resident had diagnoses which included, but were not limited to: sleep apnea (a serious sleep disorder where breathing repeatedly stops and starts, most commonly due 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-12-10 · tag F0812 — failed to store, cook, and serve food safely — isolated
    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 record review, it was determined that the facility failed to a.) maintain kitchen equipment in a clean, safe, and sanitary manner and b.) maintain nutrition room equipment in 2 of 3 units (East and 2nd) in a clean, safe and sanitary manner as evidenced by the following:On 12/4/25 at 11:02 AM, in the presence of the Food Service Director (FSD), the surveyor observed the following in the kitchen:1. Two (2) of two (2) convention ovens (1-upper and 1-lower unit), had baked on food debris on the two glass doors and on the inside surfaces. The FSD acknowledged that it was not cleaned according to facility policy. 2. One (6 burner) stove top, had all 6 burners with debris on the grates and around the cooker hats. The FSD acknowledged that it was not cleaned according to facility policy. 3. The oven (attached to the 6-burner unit) interior was dirty with a brown, sticky thick substance dripping down from the cooktop area into the interior oven doorframe. The FSD acknowledged that it was not cleaned according to facility policy. On 12/9/25 at 10:48 AM, in…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-12-10 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to adhere to infection control standards and procedures during the provision of wound treatments. This deficient practice was identified for 1 of 1 resident (Resident #13) reviewed for pressure ulcers and was evidenced by the following:On 12/5/25 at 10:43 AM, the surveyor observed Resident #13 lying in bed awake with the head of the bed elevated. The resident did not respond verbally when they were spoken to and was lying on an air mattress. On 12/5/25, the surveyor reviewed the medical record of Resident #13.A review of the admission Record, an admission summary, revealed that the resident was admitted to the facility with diagnosis which included but were not limited to: Stage four sacral (a small triangular bone at the base of the spine) pressure ulcer (full-thickness skin loss that extends into underlying muscle, tendon, cartilage, and bone), pressure ulcer of left hip unstageable, pressure ulcer of right buttock unspecified stage, chronic…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-08-26 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard 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

    COMPLAINT#: NJ00187516 / 402411Based on interview and review of medical records and other pertinent facility documents it was determined that the facility failed to maintain an accurately documented and complete medical records in accordance with acceptable standards and practice.This deficient practice was identified for 1 of 3 residents (Resident #2) reviewed and was evidenced by the following: A review of Resident #2's admission Record revealed that that the resident was admitted to the facility with diagnoses that included but were not limited to: quadriplegia, neurogenic bowel (a condition where the nerves that control bowel function are impaired, leading to abnormal bowel movements), and neuromuscular dysfunction of bladder. A review of the comprehensive Minimum Data Set (MDS), an assessment tool dated 6/30/25, indicated that Resident #2 had a Brief Interview for Mental Status (BIMS) score of 15 out of 15, indicating that the resident's cognition was intact. A further review of Resident #2's medical record revealed that the resident filed a grievance on 4/30/25, which…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2024-07-09 · 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 review of other facility documentation, 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 6/26/2024 from 9:17 to 9:56 AM, the surveyor, accompanied by the Food Service Director (FSD), observed the following in the kitchen: 1. Upon entry to the kitchen a dietary aide (DA) was observed to have lengthy braids extending to the shoulder area. The braids on either side of the head were not contained in the hair net and were exposed. 2. In the dry storage room on an upper shelf a can of Pear Diced had a significant dent on the upper seam of the can. The FSD removed the dented can to the designated dented/damaged can area on a lower shelf of the room. 3. A stack of 5 half pans on the middle rack of the pot/pan storage rack were in the inverted position. The surveyor lifted the top pan on the stack and felt the bottom of the pan below. The pan was wet to the touch and there was a watery substance on the bottom…

    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 · Dcited before2024-07-09 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    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, review of the medical record, and review of other facility documentation, it was determined that the facility failed to ensure that there was a physician order for the use of a Foley catheter for 1 of 2 residents reviewed for catheter use (Resident #115). This deficient practice was evidenced by the following: On 06/26/2024 at 09:49 AM the Licensed Practical Nurse/Unit Manager (LPN/UM) told the surveyor that we tried a voiding trial and the resident failed and then the Foley catheter was reinserted. The LPN/UM then told the surveyor Resident #115 was scheduled for a surgical procedure in July. On 06/26/2024 at 12:15 PM, Resident # 115 was observed self-propelling in their wheelchair in the hallway. The catheter bag was noted inside a privacy bag. A review of the admission Record revealed Resident #115 was admitted to the facility with diagnoses including but not limited to: Benign Prostatic Hyperplasia with Lower Urinary Symptoms. A review of the most recent Minimum Data Set (MDS), an assessment tool, dated 6/13/2024, revealed Resident #115 had a…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 10 citations
  • Potential for harm · Dcited before2024-07-09 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and review of other facility documents, it was determined that the facility failed to maintain a detailed record of receipts and accurate reconciliation of controlled medications. This deficient practice was evidenced by the following: On 06/27/2024 at 01:38 PM, the surveyor requested and reviewed all the Drug Enforcement Administration (DEA) 222 forms (a form used for ordering controlled substances) for the last 6 months from the Director of Nursing (DON) for the past 6 months. At that time the surveyor also requested copies of those seven forms. The DON provided the surveyor with seven (7) DEA 222 forms. A review of the DEA 222 forms showed there was no entered delivery amount and date for 7 of 7 DEA 222 forms and 2 of 7 NO. (number) of packages were not completed and accurately documented as follows: 1. DEA 222 Order form #230109741 dated 1/22/2024 contained an order for package size 6 Hydrocodone-Acetaminophen 5-325, package size 25 Oxycodone HCL 5 mg (milligrams), package size 6 oxycodone HCL 10 mg, package size 25 Oxycodone HCL 15 mg, package size…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2022-11-01 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    FACILITY 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 10/31/2022 from 11:24 to 11:50 AM the surveyors, accompanied by the Food Service Director (FSD) observed the following in the kitchen: 1. The surveyors were in the kitchen to assess food temperatures prior to start of the lunch meal. The surveyor observed the cook behind the steam table. The cook proceeded to walk down to the end of the steam table and removed a pair of disposable gloves from a box. The cook was not observed to perform hand washing prior to entering the steam table area. The cook proceeded to don the disposable gloves and grab the thermometer and alcohol wipes that were on the counter. Upon donning the gloves, the surveyor then stopped the cook and asked what the correct procedure was when donning a new pair of gloves. The FSD stated, Hand washing is to be performed before putting on gloves or changing gloves. The…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-11-01 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and review of pertinent facility documents, it was determined the facility failed to maintain an orderly environment when wallpaper was observed peeling from the wall, a closet was off the hinges, and various dried, liquid stains were observed on the floor. The observations were made in 5 resident rooms. On 10/26/22 at 08:51 AM, inside room [ROOM NUMBER], surveyor #1 observed the wall paper peeling at the seams in at least five different areas. The surveyor further observed dried brown liquid on the floor. On the same date at 09:17 AM inside room [ROOM NUMBER], surveyor #1 observed wallpaper peeling from the wall. The area peeling was approximately 48 inches long. On the same date at 09:20 AM inside room [ROOM NUMBER], surveyor #1 observed wallpaper peeling from the wall in three areas. Each peeling area was approximately 24 inches long. On the same date at 11:05 AM inside room [ROOM NUMBER], surveyor #2 observed wallpaper peeling from the wall near the room entrance. The surface…

    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 · D2022-11-01 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and medical record review, it was determined that the facility failed to complete a resident assessment that accurately reflected the resident's status/behaviors. This was identified during a review of the Minimum Data Set (MDS), an assessment tool, for 1 of 31 residents reviewed (Resident #51). This deficient practice was evidenced by the following: On 10/24/2022 at 10:29 a.m. the surveyor reviewed an admission MDS Assessment that had a reference date of 8/25/2022. According to Section C0500 Resident #51 scored a 3 on a Brief Interview for Mental Status which indicated that the resident was severely cognitively impaired. Review of Section E0200 revealed that the resident had not displayed any physical, verbal, or other behavioral symptoms. Review of section E0800 revealed that Resident#51 did not reject care and section E0900 revealed that resident had not wandered. The MDS further indicated in Section I that Resident #51's diagnoses included Non-Alzheimer's Dementia and adjustment disorder…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-11-01 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations on 10/31/2022 in the presence of facility management, it was determined the facility failed to provide a safe environment for the residents. This deficient practice was indentified for 1 of 3 shower rooms, 2nd floor. This deficient practice was evidenced by the following: During the tour of the facility in the presence of the facility's Maintenance Director (MD) at 10:56 AM,an inspection inside the second floor Resident shower room was performed. The corridor door had a passage (no means to lock) door knob installed on the door. The surveyor observed inside the shower room a sharps container cabinet that was mounted to a wall with no evidence of the inner puncture proof sharps container with a one way drop down tray. Further inspection identified that the cabinet door was unlocked and the cabinet contained approximately 35 razors and a nail clipper. The shower room was accessible to Residents. The MD confirmed the findings at the time of observations. The facility's Administrator was informed of these findings during the Life Safety Code survey exit conference…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-11-01 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    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 pertinent facility documentation, it was determined that the facility failed to provide the appropriate care and services to prevent potential injury to a resident with an indwelling, suprapubic catheter (tube inserted into the bladder to facilitate the flow of urine) by not securing the tube properly to the securement device (plastic device used to secure the tube to prevent the catheter from being pulled). The deficient practice was observed for 1 of 3 residents (Resident #1) investigated for Catheter and was evidenced by the following: On 10/24/2022 at 10:26 AM, the surveyor obtained permission from Resident #1 to observe the catheter securement device applied to the upper, left thigh. At this time, the surveyor observed that the tube was not secured properly and could move freely within the securement device. On 10/25/2022 at 11:18 AM, the surveyor obtained permission from Resident #1 to observe the catheter securement device again. At this time, the surveyor observed that a new securement device was applied to Resident #1's…

    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 · D2022-11-01 · tag F0698 — failed to provide proper dialysis care — isolated
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, review of the medical record and review of other facility documentation, it was determined that the facility failed to ensure a resident's medication times were adjusted to accommodate their dialysis schedule for 1 of 2 residents (Resident #38) reviewed for dialysis. This deficient practice was evidenced by the following: On 10/24/2022 at 9:41 AM, Resident #38 was observed lying in bed. Resident #38 said he/she goes to dialysis on Tuesday, Thursday, and Saturday in the AM. A review of the Electronic Medical Record revealed Resident #38 was admitted to the facility with diagnoses including but not limited to, End Stage Renal Disease, Dependence on dialysis and Hypertension. A review of the most recent Minimum Data Set (MDS), an assessment tool used to facilitate care, dated 8/10/22, revealed a Brief Interview for Mental Status score of 11/15, indicating Resident #38 has moderately impaired cognition. The MDS further revealed Resident #38 received dialysis while a resident at the facility. A review of the Clinical Physicians Orders revealed a physician…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-11-01 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and review of other facility documentation, it was determined that the facility failed to supervise the administration of medication for 1 of 31 sampled residents, (Resident #34). This deficient practice was evidenced by the following: Upon entering Resident #34's room on 10/24/2022 at 9:18 AM, the surveyor, in the presence of another surveyor, observed an inhaler and nasal spray sitting on the bedside table. There was no nurse observed in the room. The surveyor questioned Resident #34 if he/she keeps the medications at their bedside. Resident #34 said, No, the nurse brought them and leaves them. Resident #34 said, Most nurses leave the inhaler and nasal spray. The nurse watched me take my pills and I do these (motioning to the inhaler and nasal spray) and then they pick them up. On 10/24/2022 at 9:20 AM, a nurse entered the room and went to assist a roommate and then stopped and picked up the inhaler and nasal spray on Resident #34's bedside table. At that time…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-11-01 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure 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

    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 detect and remove opened expired medication from active inventory in 1 of 2 medication storage areas reviewed. This deficient practice was evidenced by the following: On [DATE] 09:13 AM the surveyors reviewed the first-floor medication storage room and observed a used vial of tuberculin purified protein solution (PPD solution) in the opened manufacturer's box. The surveyor observed the box dated [DATE] in blue pen. The vial and the box reflected to discard opened product after 30 days. During an interview with the surveyor on [DATE] at 9:13 AM, the Licensed Practical Nurse #2 stated the PPD solution should have been discarded on the 16th or 17th of October. During an interview with the surveyor on on [DATE] at 09:28 AM, the Assistant Director of Nursing stated the PPD solution should have been discarded on [DATE]. During an interview with the surveyor on on [DATE] at 10:26 AM, the Director of Nursing stated the PPD…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • No harm found · B2025-06-16 · tag F0585 — failed to handle grievances — pattern
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Complaint #: NJ186633 Based on interviews, Medical Record (MR) review, and review of other pertinent facility documentation on 5/28/25 and 5/30/25, it was determined that the facility failed to provide a resident (Resident #2), who voiced a grievance, a written summary of the investigation in accordance with the facility's Grievance Policy. The deficient practice was identified for 1 of 3 residents, Resident #2, and evidenced by the following: According to the Admitting Face Sheet, Resident #2 had diagnoses which included but were not limited to: Iron Deficiency Anemia, Unspecified, Encounter for Orthopedic Aftercare Following Surgical Amputation, Acquired Absence of Right Leg Below Knee, and Morbid (Severe) Obesity Due to Excess Calories. According to the resident's Minimum Data Set (MDS), an assessment tool dated 3/7/25, Resident #2 had a Brief Interview Mental Status score of 15/15, which indicated that Resident # was cognitively intact. The MDS also indicated that the Resident required assistance with activities of daily living (ADLs). A review of a facility document titled…

    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

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to ATLAS HEALTHCARE — 29 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 →

RatingThis homeChain avg
Overall 5 of 53.6+1.4 vs chain
Health inspection 4 of 53.1+0.9 vs chain
Staffing 3 of 52.3+0.7 vs chain
Quality measures 5 of 54.4+0.6 vs chain
The other 28 homes this chain runs (chain average 3.6★, per CMS)
2 of 5Atlas Post Acute At Woodbury Country ClubWoodbury, NJ 2 of 5Haverhill Rehabilitation And Healthcare CenterHaverhill, MA 2 of 5Port Rehabilitation And Healthcare CenterNewburyport, MA 2 of 5Rossville Rehabilitation And Healthcare CenterBaltimore, MD 2 of 5The Elms Rehab And Healthcare Center Of CranburyCranbury, NJ 2 of 5Village Green Rehabilitation And Healthcare CenterBristol, CT 2 of 5Wynwood Rehabilitation And Healthcare CenterCinnaminson, NJ 3 of 5Atlas Rehabilitation And Healthcare At Daughters OClifton, NJ 3 of 5Atlas Rehabilitation And Healthcare At WashingtonSewell, NJ 3 of 5Masconomet Rehabilitation And Healthcare CenterTopsfield, MA 3 of 5Nemasket Rehabilitation And Healthcare CenterMiddleborough, MA 3 of 5Oak Knoll Rehabilitation And Healthcare CenterFramingham, MA 3 of 5Roland Park Rehabilitation And Healthcare CenterBaltimore, MD 4 of 5Atlas Rehabilitation And Healthcare At MaywoodMaywood, NJ 4 of 5Cedar Grove Respiratory And Nursing CenterWilliamstown, NJ 4 of 5Hathorne Hill Rehabilitation And Healthcare CenterDanvers, MA 4 of 5Meadowbrook Respiratory And Nursing CenterMatawan, NJ 4 of 5Mystic Meadows Rehabilitation And Nursing CenterLittle Egg Harbor Tw, NJ 4 of 5Shrewsbury Rehabilitation And Nursing At SouthgateShrewsbury, MA 4 of 5Sippican Rehabilitation And Healthcare CenterMarion, MA 4 of 5Suffield House Rehabilitation And Healthcare CenteSuffield, CT 4 of 5Towson Rehabilitation And Healthcare CenterTowson, MD 5 of 5Birchwood Rehabilitation And Healthcare CenterCranford, NJ 5 of 5Bride Brook Rehabilitation & Nursing CenterNiantic, CT 5 of 5Manchester Rehabilitation And Healthcare CenterManchester, CT 5 of 5Pendleton Rehabilitation And Nursing CenterMystic, CT 5 of 5Vernon Rehabilitation And Healthcare CenterVernon, CT 5 of 5Waterfront Rehabilitation And Healthcare CenterRaritan, NJ

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 / managerTypeRoleShareSince
JMH FAMILY LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; LIMITED PARTNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 01/23/2023
JMH FAMILY TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; LIMITED PARTNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 01/23/2023
MLS FAMILY LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; LIMITED PARTNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 01/23/2023
MLS FAMILY TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; LIMITED PARTNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 01/23/2023
SGS FAMILY LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; LIMITED PARTNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 01/23/2023
SGS FAMILY TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; LIMITED PARTNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 01/23/2023
WDS SNF OPERATIONS HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 01/23/2023
HERZKA, DAVIDIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; LIMITED PARTNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 01/23/2023
BAK, PINCHOSIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/23/2023
WDS SNF OPCO MANAGER LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/23/2023
CONTI, JOSEPHIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/23/2023
GOLDBERGER, SHLOMOIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/23/2023
RIVERA, RAYMONDIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/23/2023
SONNENSCHEIN, MOSHEIndividualOPERATIONAL/MANAGERIAL CONTROL; TRUSTEE OF THE SNF; ADP OF THE SNFsince 01/23/2023
THOMAS, STACYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/23/2023
MALT FAMILY TRUSTOrganizationLIMITED PARTNERSHIP INTERESTsince 01/23/2023
SGS 2010 FAMILY TRUSTOrganizationLIMITED PARTNERSHIP INTERESTsince 01/23/2023
TYH 2017 TRUSTOrganizationLIMITED PARTNERSHIP INTERESTsince 01/23/2023
WEST DEPTFORD SNF REALTY LLCOrganizationADP OF THE SNFsince 09/02/2025

CMS files one row per role, so the 35 rows in the source record cover these 19 parties — each is shown once here with every role it holds. Nothing is omitted.

12 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.

$16.7M
Net patient revenuemost recent cost report
+1.6%
Operating marginrevenue minus expenses
$781K
Related-party expense5% of expenses
Who pays — share of resident-days
Medicaid 67%Medicare 16%Other / private 18%

This home reported $781K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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

$353per resident / day
operating cost
$10,740per month
≈ monthly operating cost
$359per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NJ

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the New Jersey Medicaid page.

Typical monthly cost in New Jersey
$12,775/mo
Nursing home (semi-private)
$14,448/mo
Nursing home (private)
$8,710/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 315246. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-12-10, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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