10 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Allendale, NJ
4-star overall rating with 3-star inspections with 10 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
85 Harreton Road, Allendale, NJ
(201) 825-0660
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
Beds
120
Certified beds
Average residents
100
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Marquis Health Services
Operator or chain grouping
Approved since
2006-06-02
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
81 facilities
Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars
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
0.50
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.91
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.18
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
3.59
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.40
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.01
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.20
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.45
CMS adjusted RN staffing hours
Adjusted total hours
3.26
CMS adjusted total nurse staffing hours
Case-mix index
1.51
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
44%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
6,794
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
31.67
Composite VBP score used to determine payment impact.
Payment multiplier
0.9866
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
6.88
Baseline 18.58% · Performance 18.25% · Measure score 6.88 · Achievement 6.88 · Improvement 1.67
Healthcare-associated infections
0
Baseline 7.57% · Performance 9.00% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
5.79
Performance 40.00% · Measure score 5.79 · Achievement 5.79 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
0
Baseline 3.34 hours · Performance 2.80 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.6% |
10.72%
2.1 pts better
|
No Different than the National Rate · Eligible stays 252 · Observed rate 6.75% · Lower 95% interval 6.41% |
| Discharge to community | 52.44% |
50.57%
1.9 pts better
|
No Different than the National Rate · Eligible stays 248 · Observed rate 45.56% · Lower 95% interval 47.06% |
| Medicare spending per beneficiary | 1.31 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 94.51% |
95.27%
0.8 pts worse
|
Numerator 224 · Denominator 237 |
| Falls with major injury | 1.69% |
0.77%
0.9 pts worse
|
Numerator 4 · Denominator 237 |
| Discharge self-care score | 62.79% |
53.69%
9.1 pts better
|
Numerator 81 · Denominator 129 |
| Discharge mobility score | 69.77% |
50.94%
18.8 pts better
|
Numerator 90 · Denominator 129 |
| Pressure ulcers or injuries, new or worsened | 4.22% |
2.29%
1.9 pts worse
|
Numerator 10 · Denominator 237 · Adjusted rate 3.08% |
| Healthcare-associated infections requiring hospitalization | 9% |
7.12%
1.9 pts worse
|
No Different than the National Rate · Eligible stays 167 · Observed rate 10.18% · Lower 95% interval 6.04% |
| Staff COVID-19 vaccination coverage | 97.22% |
8.2%
89 pts better
|
Numerator 140 · Denominator 144 |
| Staff flu vaccination coverage | 93.08% |
42%
51.1 pts better
|
Numerator 148 · Denominator 159 |
| Discharge function score | 73.64% |
56.45%
17.2 pts better
|
Numerator 95 · Denominator 129 |
| Transfer of health information to provider | 90.53% |
95.95%
5.4 pts worse
|
Numerator 86 · Denominator 95 |
| Transfer of health information to patient | 97.89% |
96.28%
1.6 pts better
|
Numerator 93 · Denominator 95 |
| Resident COVID-19 vaccinations up to date | 20.44% |
25.2%
4.8 pts worse
|
Numerator 28 · Denominator 137 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.1 |
2.1
1 pts better
|
1.9
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.2 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.5 |
1.1
0.6 pts better
|
1.8
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.5 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.3% |
93.0%
5.3 pts better
|
93.4%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.6% · Q3 98.5% · Q4 95.8% · 4Q avg 98.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.8% |
97.2%
1.6 pts better
|
95.5%
3.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.4% |
2.4%
1 pts better
|
3.3%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.4% · Q3 1.5% · Q4 2.8% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 69.8% |
11.4%
58.4 pts worse
|
11.4%
58.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 69.4% · Q2 69.2% · Q3 67.7% · Q4 72.5% · 4Q avg 69.8% |
| Percentage of long-stay residents who lose too much weight | 3.4% |
4.6%
1.2 pts better
|
5.4%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 0.0% · Q3 3.2% · Q4 4.4% · 4Q avg 3.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.5% |
19.0%
3.5 pts worse
|
19.6%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.6% · Q2 23.9% · Q3 15.9% · Q4 18.8% · 4Q avg 22.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.0% |
13.5%
4.5 pts better
|
16.7%
7.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 8.9% · Q3 8.5% · Q4 9.3% · 4Q avg 9.0% · 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 | 3.9% |
9.8%
5.9 pts better
|
16.3%
12.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 9.9% · Q3 3.0% · Q4 2.5% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.7% |
9.7%
3 pts better
|
14.9%
8.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.6% · Q2 7.9% · Q3 6.7% · Q4 1.6% · 4Q avg 6.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.9% |
0.7%
0.2 pts worse
|
1.0%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.0% · Q3 2.1% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.1% |
0.8%
0.3 pts worse
|
1.7%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 1.5% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.2% |
15.9%
1.7 pts better
|
19.8%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.7% · Q2 14.1% · Q3 12.8% · Q4 12.1% · 4Q avg 14.2% |
| Percentage of long-stay residents with pressure ulcers | 4.4% |
6.0%
1.6 pts better
|
5.1%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 2.6% · Q3 4.1% · Q4 4.0% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.5% |
78.7%
17.8 pts better
|
81.7%
14.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.6% · Q2 94.2% · Q3 95.5% · Q4 98.3% · 4Q avg 96.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.8% |
8.2%
1.4 pts better
|
12.0%
5.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.8% · Observed 6.2% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
1.2%
About the same
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.9% · Q3 1.8% · Q4 1.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.8% |
80.1%
13.7 pts better
|
79.7%
14.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.9% |
25.4%
1.5 pts worse
|
23.9%
3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.9% · Observed 25.3% · Expected 22.4% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (3 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Administration (1 deficiency)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Pharmacy Service (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Install proper backup exit lighting.
Corrected 2025-08-28
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-07-05
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-07-05
Fire Safety
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.
Corrected 2022-11-04
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2022-11-04
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-11-25
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2022-11-04
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-11-18
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-11-04
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-11-04
Inspection history
Health
Provide and implement an infection prevention and control program.
Corrected 2026-01-06
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-07-05
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-07-05
Health
Respond appropriately to all alleged violations.
Corrected 2024-07-05
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2024-07-05
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-07-05
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-07-05
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-07-05
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-07-05
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 2024-07-05
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2024-07-05
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2022-11-18
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2022-11-18
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-11-18
Health
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.
Corrected 2022-11-18
Health
Provide and implement an infection prevention and control program.
Corrected 2022-11-04
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2022-11-18
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2020-03-24
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2020-03-24
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2020-03-24
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Security Interest · Organization
5% Or Greater Mortgage Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
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3-star overall rating with 2-star inspections with 10 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
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