Federal inspection record · CMS data as of October 1, 2026
Accela Rehab And Care Center At Manalapan
104 Pension Road, Manalapan, NJ · (732) 446-3600
- Certified beds
- 132
- Residents per day
- 123
- Ownership
- For-Profit
- Chain
- Accela Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 13, 1989
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in New Jersey.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among New Jersey homes
Accela Rehab And Care Center At Manalapan carries 179.5 inspection points. That is fewer than 4% of New Jersey's 346 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in New Jersey: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–18 pts
- 4★ 18–37 pts
- 3★ 37–60 pts
- 2★ 60–93.75 pts
- 1★ over 93.75 pts
Bars show every rated home in New Jersey by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
45 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (4)
-
J
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
-
H
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
H
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
-
H
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Everything else, by area of care
Resident Assessment and Care Planning10F
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Ensure each resident receives an accurate assessment.
- F
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Rights8F
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F
Honor the resident's right to organize and participate in resident/family groups in the facility.
- F
Honor the resident's right to manage his or her financial affairs.
- F
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- F
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- F
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.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Pharmacy Service4E
- E
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure medication error rates are not 5 percent or greater.
- E
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.
Administration4F
- E
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
- F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- F
Have a plan that describes the process for conducting QAPI and QAA activities.
- F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Nutrition and Dietary4F
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care4F
- F
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide appropriate foot care.
- D
Provide activities to meet all resident's needs.
- D
Provide safe, appropriate pain management for a resident who requires such services.
Nursing and Physician Services3F
- D
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Infection Control3F
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- F
Implement a program that monitors antibiotic use.
Environmental1E
- E
Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspection history
2025-08-13
15 health deficiencies · 9 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (7 deficiencies)
2024-03-06
24 health deficiencies · 14 fire-safety deficiencies
Top issue: Resident Rights (6 deficiencies)
2021-11-23
6 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h of nursing staff time a day, 19 min of it from a registered nurse.
This home
3 h
New Jersey average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 50% of nursing staff and 50% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$63,238 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-03-06 | Fine | $63,238 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts worse | 2.1 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better | 0.7 | 1.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.7 pts better | 97.7% | 93.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.2 pts better | 100.0% | 96.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.1 pts worse | 4.4% | 2.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms18.1 pts worse | 30.6% | 12.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight6.5 pts worse | 11.2% | 4.7% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.6 pts better | 13.2% | 18.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.9 pts better | 10.0% | 12.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.5 pts better | 5.8% | 7.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.3 pts better | 7.0% | 8.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 0.3% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.5 pts better | 0.2% | 0.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence13.4 pts better | 1.8% | 15.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.2 pts worse | 7.5% | 5.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine14.9 pts better | 93.9% | 79.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5 pts better | 3.1% | 8.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts worse | 3.2% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine19.1 pts better | 98.6% | 79.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.2 pts better | 19.9% | 24.1% | 23.4% |
·
Who owns and runs it
11 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Berkowitz, Sam | 5% Or Greater Direct Ownership Interest · Individual | 40% | 7 facilities |
| Berkowitz, Cheskel | 5% Or Greater Direct Ownership Interest · Individual | 30% | 23 facilities |
| Leifer, Joel | 5% Or Greater Direct Ownership Interest · Individual | 30% | 40 facilities |
| Berkowitz, Cheskel | Adp Of The SNF · Individual | 0% | 23 facilities |
| Berkowitz, Sam | Adp Of The SNF · Individual | 0% | 7 facilities |
| Chaudhary, Ayesha | Adp Of The SNF · Individual | 0% | 1 facilities |
| Leifer, Joel | Adp Of The SNF · Individual | 0% | 40 facilities |
| Stern, Samuel | Corporate Officer · Individual | 0% | 64 facilities |
| Yudkowsky, Naftoli | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Yudkowsky, Naftoli | Adp Of The SNF · Individual | 0% | 1 facilities |
| Zupnick, Joel | Adp Of The SNF · Individual | 0% | 26 facilities |
·
Fire safety
27 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness8E
- E
Establish an Emergency Preparedness Program (EP).
- E
Establish procedures for tracking staff and patients during an emergency.
- E
Create arrangements with other facilities to receive patients.
- E
Provide emergency officials' contact information.
- E
Establish emergency prep training and testing.
- E
Establish staff and initial training requirements.
- E
Conduct testing and exercise requirements.
- E
Address patient/client population and determine types of services needed.
Egress7F
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F
Meet other general requirements that are deficient.
- E
Provide at least two remote exits on each floor or fire section of the building.
- E
Have exits that are accessible at all times.
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E
Install emergency lighting that can last at least 1 1/2 hours.
- D
Install emergency lighting that can last at least 1 1/2 hours.
Smoke5F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
Gas, Vacuum, and Electrical Systems4F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Meet requirements for the installation and maintenance of electrical systems.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper medical gas storage and administration areas.
Services2E
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous1F
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
·
Other homes nearby
-
Roosevelt Care Center At Old Bridge
Old Bridge, NJ
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 43 min
- Fines
- $0
-
Applewood Village, Inc
Freehold, NJ
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 31 min
- Fines
- $0
-
Reformed Church Home
Old Bridge, NJ
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 56 min
- Fines
- $0