Cycle 1
Health 2025-04-04 · Fire 2025-04-04
5 health deficiencies
Top issue: Environmental (1 deficiency)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Jersey City, NJ
Acclaim Rehabilitation And Nursing Center
4-star overall rating with 3-star inspections with 5 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
198 Stevens Ave, Jersey City, NJ
(201) 451-9000
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
183
Certified beds
Average residents
155
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Excelsior Care Group
Operator or chain grouping
Approved since
1968-04-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
33 facilities
Chain averages 3 overall / 2 health / 3 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.46
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.99
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.02
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
3.47
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.45
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.36
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.48
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.47
CMS adjusted RN staffing hours
Adjusted total hours
3.53
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
61%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
48%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,653
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
39.10
Composite VBP score used to determine payment impact.
Payment multiplier
0.9921
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.56
Baseline 22.26% · Performance 19.09% · Measure score 5.56 · Achievement 5.06 · Improvement 5.56
Healthcare-associated infections
5.90
Baseline 11.30% · Performance 7.27% · Measure score 5.90 · Achievement 1.89 · Improvement 5.90
Total nurse turnover
4.18
Baseline 62.59% · Performance 46.60% · Measure score 4.18 · Achievement 4.18 · Improvement 3.74
Adjusted total nurse staffing
0
Baseline 3.49 hours · Performance 3.19 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.65% |
10.72%
1.1 pts better
|
No Different than the National Rate · Eligible stays 75 · Observed rate 6.67% · Lower 95% interval 6.52% |
| Discharge to community | 40.36% |
50.57%
10.2 pts worse
|
No Different than the National Rate · Eligible stays 84 · Observed rate 30.95% · Lower 95% interval 31.36% |
| Medicare spending per beneficiary | 1.6 |
1.02
0.6 pts worse
|
|
| Drug regimen review with follow-up | 95.42% |
95.27%
0.2 pts better
|
Numerator 125 · Denominator 131 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 131 |
| Discharge self-care score | 68.49% |
53.69%
14.8 pts better
|
Numerator 50 · Denominator 73 |
| Discharge mobility score | 75.34% |
50.94%
24.4 pts better
|
Numerator 55 · Denominator 73 |
| Pressure ulcers or injuries, new or worsened | 3.82% |
2.29%
1.5 pts worse
|
Numerator 5 · Denominator 131 · Adjusted rate 3.94% |
| Healthcare-associated infections requiring hospitalization | 7.27% |
7.12%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 46 · Observed rate 8.7% · Lower 95% interval 3.52% |
| Staff COVID-19 vaccination coverage | 10.44% |
8.2%
2.2 pts better
|
Numerator 19 · Denominator 182 |
| Staff flu vaccination coverage | 91.06% |
42%
49.1 pts better
|
Numerator 163 · Denominator 179 |
| Discharge function score | 78.08% |
56.45%
21.6 pts better
|
Numerator 57 · Denominator 73 |
| Transfer of health information to provider | 97.67% |
95.95%
1.7 pts better
|
Numerator 42 · Denominator 43 |
| Transfer of health information to patient | 95.31% |
96.28%
1 pts worse
|
Numerator 61 · Denominator 64 |
| Resident COVID-19 vaccinations up to date | 24.29% |
25.2%
0.9 pts worse
|
Numerator 17 · Denominator 70 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.7 |
2.1
0.4 pts better
|
1.9
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 2.5 · Expected 2.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.8 |
1.1
0.3 pts better
|
1.8
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.8 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.2% |
93.0%
6.2 pts better
|
93.4%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.6% · Q2 100.0% · Q3 99.2% · Q4 100.0% · 4Q avg 99.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.1% |
97.2%
0.1 pts worse
|
95.5%
1.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.6% |
2.4%
0.8 pts better
|
3.3%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.8% · Q3 1.7% · Q4 2.4% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 31.0% |
11.4%
19.6 pts worse
|
11.4%
19.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 85.6% · Q2 23.1% · Q3 8.6% · Q4 5.9% · 4Q avg 31.0% |
| Percentage of long-stay residents who lose too much weight | 3.3% |
4.6%
1.3 pts better
|
5.4%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 1.6% · Q3 1.7% · Q4 6.5% · 4Q avg 3.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.8% |
19.0%
6.2 pts better
|
19.6%
6.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.6% · Q2 11.2% · Q3 12.4% · Q4 16.9% · 4Q avg 12.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 3.4% |
13.5%
10.1 pts better
|
16.7%
13.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 3.9% · Q3 3.7% · Q4 3.5% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 2.8% |
9.8%
7 pts better
|
16.3%
13.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 3.4% · Q3 4.3% · Q4 0.0% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.5% |
9.7%
3.2 pts better
|
14.9%
8.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 4.3% · Q3 9.6% · Q4 7.7% · 4Q avg 6.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.7%
0.7 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
0.8%
0.8 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 8.3% |
15.9%
7.6 pts better
|
19.8%
11.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 7.7% · Q3 7.7% · Q4 8.9% · 4Q avg 8.3% |
| Percentage of long-stay residents with pressure ulcers | 8.6% |
6.0%
2.6 pts worse
|
5.1%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.9% · Q2 8.3% · Q3 5.8% · Q4 6.3% · 4Q avg 8.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 77.4% |
78.7%
1.3 pts worse
|
81.7%
4.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 57.9% · Q2 81.5% · Q3 85.4% · Q4 82.9% · 4Q avg 77.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.5% |
8.2%
2.7 pts better
|
12.0%
6.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.5% · Observed 5.7% · Expected 11.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% |
1.2%
0.3 pts worse
|
1.6%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 2.3% · Q4 2.1% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 86.8% |
80.1%
6.7 pts better
|
79.7%
7.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 86.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 15.4% |
25.4%
10 pts better
|
23.9%
8.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 15.4% · Observed 15.7% · Expected 24.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-08-24 · Fire 2023-08-24
3 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2021-06-10 · Fire 2021-06-10
4 health deficiencies
Top issue: Infection Control (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-04-04
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-05-17
F · Potential for more than minimal harm
2025-04-04
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-05-17
F · Potential for more than minimal harm
2025-04-04
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-17
F · Potential for more than minimal harm
2025-04-04
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-05-17
E · Potential for more than minimal harm
2025-04-04
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-05-17
E · Potential for more than minimal harm
2025-04-04
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-05-17
E · Potential for more than minimal harm
2025-04-04
K912 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2025-05-17
E · Potential for more than minimal harm
2025-04-04
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-05-17
D · Potential for more than minimal harm
2025-04-04
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-05-17
D · Potential for more than minimal harm
2025-04-04
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2025-05-17
F · Potential for more than minimal harm
2023-08-24
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-09-24
E · Potential for more than minimal harm
2021-06-10
K362 · Smoke Deficiencies
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2021-07-12
E · Potential for more than minimal harm
2021-06-10
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-07-12
D · Potential for more than minimal harm
2021-06-10
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2021-07-12
C · Minimal harm
2021-06-10
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2021-06-21
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-04-04
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-05-17
E · Potential for more than minimal harm
2025-04-04
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-05-17
E · Potential for more than minimal harm
2025-04-04
F926 · Environmental Deficiencies
Health
Have policies on smoking.
Corrected 2025-05-17
D · Potential for more than minimal harm
2025-04-04
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-05-17
D · Potential for more than minimal harm
2025-04-04
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2025-05-17
E · Potential for more than minimal harm
2023-08-24
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-09-24
D · Potential for more than minimal harm
2023-08-24
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-09-24
D · Potential for more than minimal harm
2023-08-24
F790 · Quality of Life and Care Deficiencies
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2023-09-24
D · Potential for more than minimal harm
2021-06-10
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2021-06-21
D · Potential for more than minimal harm
2021-06-10
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-06-21
D · Potential for more than minimal harm
2021-06-10
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2021-06-21
D · Potential for more than minimal harm
2021-06-10
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-06-24
Penalties and ownership
What sits behind the stars
Ownership
Leifer, Joel
5% Or Greater Direct Ownership Interest · Individual
Smolin, Robert
W-2 Managing Employee · Individual
Stern, Samuel
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Peace Care St Ann's
Jersey City, NJ
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Peace Care St Joseph's
Jersey City, NJ
3-star overall rating with 3-star inspections with $196,510 in total fines with 7 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
#3
Bayonne University Hospital
Bayonne, NJ
5-star overall rating with 5-star inspections with 3 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
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