4 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Jersey City, NJ
4-star overall rating with 4-star inspections with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
525 Monmouth Street, Jersey City, NJ
(201) 653-8800
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
260
Certified beds
Average residents
163
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1991-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.69
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.66
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.41
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
3.77
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.36
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.48
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.52
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.70
CMS adjusted RN staffing hours
Adjusted total hours
3.82
CMS adjusted total nurse staffing hours
Case-mix index
1.35
Higher values indicate more complex resident acuity
RN turnover
42%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
49%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
7,318
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
30.11
Composite VBP score used to determine payment impact.
Payment multiplier
0.9858
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 21.14% · Performance 23.53% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 10.25% · Performance 12.55% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
9.12
Baseline 36.50% · Performance 26.40% · Measure score 9.12 · Achievement 9.12 · Improvement 8.17
Adjusted total nurse staffing
2.92
Baseline 3.37 hours · Performance 3.91 hours · Measure score 2.92 · Achievement 2.92 · Improvement 1.72
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.44% |
10.72%
2.7 pts worse
|
No Different than the National Rate · Eligible stays 327 · Observed rate 17.43% · Lower 95% interval 10.57% |
| Discharge to community | 45.84% |
50.57%
4.7 pts worse
|
Worse than the National Rate · Eligible stays 343 · Observed rate 36.44% · Lower 95% interval 40.33% |
| Medicare spending per beneficiary | 1.23 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 98.32% |
95.27%
3 pts better
|
Numerator 234 · Denominator 238 |
| Falls with major injury | 1.26% |
0.77%
0.5 pts worse
|
Numerator 3 · Denominator 238 |
| Discharge self-care score | 45.06% |
53.69%
8.6 pts worse
|
Numerator 73 · Denominator 162 |
| Discharge mobility score | 43.21% |
50.94%
7.7 pts worse
|
Numerator 70 · Denominator 162 |
| Pressure ulcers or injuries, new or worsened | 2.1% |
2.29%
0.2 pts better
|
Numerator 5 · Denominator 238 · Adjusted rate 1.82% |
| Healthcare-associated infections requiring hospitalization | 12.55% |
7.12%
5.4 pts worse
|
Worse than the National Rate · Eligible stays 195 · Observed rate 17.95% · Lower 95% interval 9.3% |
| Staff COVID-19 vaccination coverage | 4.98% |
8.2%
3.2 pts worse
|
Numerator 12 · Denominator 241 |
| Staff flu vaccination coverage | 94.74% |
42%
52.7 pts better
|
Numerator 180 · Denominator 190 |
| Discharge function score | 45.06% |
56.45%
11.4 pts worse
|
Numerator 73 · Denominator 162 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 76 · Denominator 76 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 111 · Denominator 111 |
| Resident COVID-19 vaccinations up to date | 15.6% |
25.2%
9.6 pts worse
|
Numerator 17 · Denominator 109 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.3 |
2.1
0.2 pts worse
|
1.9
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.2 · Expected 1.8 · 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 0.7 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.4% |
93.0%
6.4 pts better
|
93.4%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 99.2% · Q2 98.4% · Q3 100.0% · Q4 100.0% · 4Q avg 99.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
97.2%
2.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.2% |
2.4%
1.8 pts worse
|
3.3%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 4.9% · Q3 4.1% · Q4 3.2% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.7% |
11.4%
10.7 pts better
|
11.4%
10.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.7% · 4Q avg 0.7% |
| Percentage of long-stay residents who lose too much weight | 6.8% |
4.6%
2.2 pts worse
|
5.4%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 4.9% · Q3 9.5% · Q4 4.5% · 4Q avg 6.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.5% |
19.0%
5.5 pts better
|
19.6%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 12.0% · Q3 13.6% · Q4 15.7% · 4Q avg 13.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 2.7% |
13.5%
10.8 pts better
|
16.7%
14 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.4% · Q3 2.7% · Q4 5.4% · 4Q avg 2.7% · 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 | 11.7% |
9.8%
1.9 pts worse
|
16.3%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 7.4% · Q3 20.9% · Q4 14.2% · 4Q avg 11.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.9% |
9.7%
6.2 pts worse
|
14.9%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 14.0% · Q3 21.2% · Q4 16.8% · 4Q avg 15.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
0.7%
0.4 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.2% |
0.8%
0.4 pts worse
|
1.7%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.0% · Q3 1.7% · Q4 1.6% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.3% |
15.9%
3.6 pts better
|
19.8%
7.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.4% · Q2 14.6% · Q3 9.8% · Q4 16.1% · 4Q avg 12.3% |
| Percentage of long-stay residents with pressure ulcers | 5.8% |
6.0%
0.2 pts better
|
5.1%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 4.8% · Q3 6.1% · Q4 6.1% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.6% |
78.7%
14.9 pts better
|
81.7%
11.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 92.4% · Q2 92.9% · Q3 93.1% · Q4 95.9% · 4Q avg 93.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.1% |
8.2%
0.1 pts better
|
12.0%
3.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.1% · Observed 8.8% · Expected 12.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
1.2%
0.3 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.0% · Q3 1.4% · Q4 1.4% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.7% |
80.1%
13.6 pts better
|
79.7%
14 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.3% |
25.4%
2.1 pts better
|
23.9%
0.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.3% · Observed 27.7% · Expected 28.3% · Used in QM five-star |
Survey summary
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Resident Assessment and Care Planning (4 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Resident Assessment and Care Planning (2 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2025-04-18
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-04-18
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-04-30
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-04-30
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-04-30
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2023-04-30
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-04-30
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-04-30
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-04-30
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2021-04-23
Inspection history
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2025-04-18
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-04-18
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-04-18
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-18
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-03-25
Health
Respond appropriately to all alleged violations.
Corrected 2025-03-25
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-03-25
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-03-25
Health
Implement a program that monitors antibiotic use.
Corrected 2025-03-25
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-08-21
Health
Provide and implement an infection prevention and control program.
Corrected 2023-08-21
Health
Assess the resident when there is a significant change in condition
Corrected 2023-04-04
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-04-04
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-04-04
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-04-04
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-04-04
Health
Provide and implement an infection prevention and control program.
Corrected 2023-04-30
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2021-04-16
Penalties and ownership
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
W-2 Managing Employee · Individual
Corporate Officer · Individual
Nearby options
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
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Hoboken, NJ
5-star overall rating with 4-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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