6 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Hazlet, NJ
5-star overall rating with 4-star inspections with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
3325 Highway 35, Hazlet, NJ
(732) 264-5800
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
170
Certified beds
Average residents
145
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Excelsior Care Group
Operator or chain grouping
Approved since
1992-01-29
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
RN hours / resident day
0.53
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.71
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.07
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
3.30
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.24
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.04
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.28
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.51
CMS adjusted RN staffing hours
Adjusted total hours
3.21
CMS adjusted total nurse staffing hours
Case-mix index
1.41
Higher values indicate more complex resident acuity
RN turnover
23%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
53%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
12,236
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
13.26
Composite VBP score used to determine payment impact.
Payment multiplier
0.9812
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.67
Baseline 18.31% · Performance 20.66% · Measure score 1.67 · Achievement 1.67 · Improvement 0
Healthcare-associated infections
1.36
Baseline 8.99% · Performance 8.25% · Measure score 1.36 · Achievement 0 · Improvement 1.36
Total nurse turnover
1.77
Baseline 34.02% · Performance 56.45% · Measure score 1.77 · Achievement 1.77 · Improvement 0
Adjusted total nurse staffing
0.51
Baseline 3.24 hours · Performance 3.22 hours · Measure score 0.51 · Achievement 0.51 · Improvement 0
SNF QRP
| 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 166 · Observed rate 9.64% · Lower 95% interval 7.1% |
| Discharge to community | 49.14% |
50.57%
1.4 pts worse
|
No Different than the National Rate · Eligible stays 182 · Observed rate 41.21% · Lower 95% interval 41.4% |
| Medicare spending per beneficiary | 1.68 |
1.02
0.7 pts worse
|
|
| Drug regimen review with follow-up | 98.05% |
95.27%
2.8 pts better
|
Numerator 251 · Denominator 256 |
| Falls with major injury | 0.39% |
0.77%
0.4 pts better
|
Numerator 1 · Denominator 256 |
| Discharge self-care score | 53.1% |
53.69%
0.6 pts worse
|
Numerator 77 · Denominator 145 |
| Discharge mobility score | 52.41% |
50.94%
1.5 pts better
|
Numerator 76 · Denominator 145 |
| Pressure ulcers or injuries, new or worsened | 1.56% |
2.29%
0.7 pts better
|
Numerator 4 · Denominator 256 · Adjusted rate 1.71% |
| Healthcare-associated infections requiring hospitalization | 8.25% |
7.12%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 155 · Observed rate 10.97% · Lower 95% interval 5.85% |
| Staff COVID-19 vaccination coverage | 1.55% |
8.2%
6.6 pts worse
|
Numerator 3 · Denominator 193 |
| Staff flu vaccination coverage | 97.37% |
42%
55.4 pts better
|
Numerator 222 · Denominator 228 |
| Discharge function score | 74.48% |
56.45%
18 pts better
|
Numerator 108 · Denominator 145 |
| Transfer of health information to provider | 98.46% |
95.95%
2.5 pts better
|
Numerator 64 · Denominator 65 |
| Transfer of health information to patient | 97.78% |
96.28%
1.5 pts better
|
Numerator 132 · Denominator 135 |
| Resident COVID-19 vaccinations up to date | 3.92% |
25.2%
21.3 pts worse
|
Numerator 6 · Denominator 153 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
2.1
0.6 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.8 · Expected 2.3 · 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 0.9 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
93.0%
7 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 | 3.2% |
2.4%
0.8 pts worse
|
3.3%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 2.6% · Q3 4.5% · Q4 4.0% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 47.2% |
11.4%
35.8 pts worse
|
11.4%
35.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 64.2% · Q2 47.2% · Q3 41.7% · Q4 35.8% · 4Q avg 47.2% |
| Percentage of long-stay residents who lose too much weight | 5.6% |
4.6%
1 pts worse
|
5.4%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 2.7% · Q3 4.7% · Q4 10.2% · 4Q avg 5.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.1% |
19.0%
4.1 pts worse
|
19.6%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.5% · Q2 24.8% · Q3 20.9% · Q4 20.3% · 4Q avg 23.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.6% |
13.5%
5.1 pts worse
|
16.7%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 21.3% · Q3 18.1% · Q4 20.5% · 4Q avg 18.6% · 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 | 5.9% |
9.8%
3.9 pts better
|
16.3%
10.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 8.5% · Q3 2.7% · Q4 8.7% · 4Q avg 5.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.4% |
9.7%
2.3 pts better
|
14.9%
7.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 8.3% · Q3 6.7% · Q4 11.3% · 4Q avg 7.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.1% |
0.7%
0.6 pts better
|
1.0%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.5% · 4Q avg 0.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.9% |
0.8%
0.1 pts worse
|
1.7%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.0% · Q3 0.9% · Q4 1.6% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 5.7% |
15.9%
10.2 pts better
|
19.8%
14.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 5.8% · Q3 3.3% · Q4 6.9% · 4Q avg 5.7% |
| Percentage of long-stay residents with pressure ulcers | 7.0% |
6.0%
1 pts worse
|
5.1%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 5.2% · Q3 6.0% · Q4 9.4% · 4Q avg 7.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
78.7%
21.3 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.3% |
8.2%
2.9 pts better
|
12.0%
6.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.3% · Observed 5.8% · Expected 12.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.4% |
1.2%
0.2 pts worse
|
1.6%
0.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 2.7% · Q3 1.0% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
80.1%
19.9 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.3% |
25.4%
8.1 pts better
|
23.9%
6.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.3% · Observed 20.6% · Expected 28.4% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
4 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Nutrition and Dietary (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-08-08
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-08-08
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-08-08
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-08-08
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2021-06-04
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2021-06-04
Fire Safety
Provide at least two remote exits on each floor or fire section of the building.
Corrected 2021-07-23
Fire Safety
Have exits that are accessible at all times.
Corrected 2021-06-04
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-06-25
Inspection history
Health
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.
Corrected 2025-08-08
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-08
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 2025-08-08
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-08-08
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 2025-08-08
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-08
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-01-14
Health
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected 2023-11-14
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-04-17
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-04-17
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-04-17
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2021-06-18
Health
Provide and implement an infection prevention and control program.
Corrected 2021-06-25
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2021-07-16
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2021-07-16
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 2021-07-16
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 2021-07-16
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-07-15
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
Holmdel, NJ
4-star overall rating with 3-star inspections with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Hazlet, NJ
4-star overall rating with 3-star inspections with 11 recent health deficiencies with 25 fire-safety deficiencies in the latest cycle
Matawan, NJ
2-star overall rating with 2-star inspections with $48,266 in total fines with 7 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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