11 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
25 fire-safety deficiencies
Top issue: Smoke (9 deficiencies)
Hazlet, NJ
4-star overall rating with 3-star inspections with 11 recent health deficiencies with 25 fire-safety deficiencies in the latest cycle
622 S Laurel Avenue, Hazlet, NJ
(732) 787-6300
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
202
Certified beds
Average residents
140
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Excelsior Care Group
Operator or chain grouping
Approved since
1975-10-02
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
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.55
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.02
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
1.79
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
3.37
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.57
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.45
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.73
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.51
CMS adjusted RN staffing hours
Adjusted total hours
3.14
CMS adjusted total nurse staffing hours
Case-mix index
1.47
Higher values indicate more complex resident acuity
RN turnover
75%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
53%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
11,552
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
16.33
Composite VBP score used to determine payment impact.
Payment multiplier
0.9816
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.32
Baseline 20.82% · Performance 20.82% · Measure score 1.32 · Achievement 1.32 · Improvement 0
Healthcare-associated infections
0
Baseline 9.56% · Performance 9.72% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
5.21
Baseline 28.41% · Performance 42.37% · Measure score 5.21 · Achievement 5.21 · Improvement 0
Adjusted total nurse staffing
0
Baseline 2.97 hours · Performance 3.01 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.89% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 281 · Observed rate 10.32% · Lower 95% interval 7.34% |
| Discharge to community | 52.76% |
50.57%
2.2 pts better
|
No Different than the National Rate · Eligible stays 291 · Observed rate 46.05% · Lower 95% interval 46.9% |
| Medicare spending per beneficiary | 1.5 |
1.02
0.5 pts worse
|
|
| Drug regimen review with follow-up | 97.81% |
95.27%
2.5 pts better
|
Numerator 312 · Denominator 319 |
| Falls with major injury | 0.63% |
0.77%
0.1 pts better
|
Numerator 2 · Denominator 319 |
| Discharge self-care score | 62.38% |
53.69%
8.7 pts better
|
Numerator 126 · Denominator 202 |
| Discharge mobility score | 52.97% |
50.94%
2 pts better
|
Numerator 107 · Denominator 202 |
| Pressure ulcers or injuries, new or worsened | 3.13% |
2.29%
0.8 pts worse
|
Numerator 10 · Denominator 319 · Adjusted rate 2.97% |
| Healthcare-associated infections requiring hospitalization | 9.72% |
7.12%
2.6 pts worse
|
Worse than the National Rate · Eligible stays 234 · Observed rate 12.39% · Lower 95% interval 7.16% |
| Staff COVID-19 vaccination coverage | 4.44% |
8.2%
3.8 pts worse
|
Numerator 11 · Denominator 248 |
| Staff flu vaccination coverage | 70.5% |
42%
28.5 pts better
|
Numerator 227 · Denominator 322 |
| Discharge function score | 62.87% |
56.45%
6.4 pts better
|
Numerator 127 · Denominator 202 |
| Transfer of health information to provider | 97.35% |
95.95%
1.4 pts better
|
Numerator 147 · Denominator 151 |
| Transfer of health information to patient | 94.39% |
96.28%
1.9 pts worse
|
Numerator 101 · Denominator 107 |
| Resident COVID-19 vaccinations up to date | 20.57% |
25.2%
4.6 pts worse
|
Numerator 36 · Denominator 175 |
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 1.6 · Expected 2.7 · 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 1.9 · 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 99.0% · Q2 100.0% · Q3 97.3% · Q4 97.2% · 4Q avg 98.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.5% |
97.2%
0.3 pts better
|
95.5%
2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.2% |
2.4%
0.2 pts better
|
3.3%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 2.2% · Q3 1.8% · Q4 0.9% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.7% |
11.4%
4.7 pts better
|
11.4%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 10.3% · Q3 6.9% · Q4 3.0% · 4Q avg 6.7% |
| Percentage of long-stay residents who lose too much weight | 8.8% |
4.6%
4.2 pts worse
|
5.4%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.7% · Q2 7.9% · Q3 5.8% · Q4 6.8% · 4Q avg 8.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.9% |
19.0%
2.9 pts worse
|
19.6%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.2% · Q2 23.3% · Q3 22.2% · Q4 23.1% · 4Q avg 21.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.5% |
13.5%
2 pts better
|
16.7%
5.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 10.8% · Q3 10.5% · Q4 12.8% · 4Q avg 11.5% · 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 | 9.7% |
9.8%
0.1 pts better
|
16.3%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 2.4% · Q3 19.3% · Q4 12.7% · 4Q avg 9.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.1% |
9.7%
0.6 pts better
|
14.9%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 2.4% · Q3 16.8% · Q4 6.4% · 4Q avg 9.1% · 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 | 3.7% |
15.9%
12.2 pts better
|
19.8%
16.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 1.1% · Q3 7.4% · Q4 3.8% · 4Q avg 3.7% |
| Percentage of long-stay residents with pressure ulcers | 6.5% |
6.0%
0.5 pts worse
|
5.1%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 5.4% · Q3 7.0% · Q4 5.6% · 4Q avg 6.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.1% |
78.7%
17.4 pts better
|
81.7%
14.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.1% · Q2 95.7% · Q3 98.1% · Q4 94.1% · 4Q avg 96.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.2% |
8.2%
1 pts better
|
12.0%
4.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.2% · Observed 6.6% · Expected 10.2% · 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 1.4% · Q2 0.6% · Q3 0.7% · Q4 0.9% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.6% |
80.1%
13.5 pts better
|
79.7%
13.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.9% |
25.4%
4.5 pts better
|
23.9%
3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.9% · Observed 22.7% · Expected 25.9% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (3 deficiencies)
25 fire-safety deficiencies
Top issue: Smoke (9 deficiencies)
Top issue: Pharmacy Service (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
5 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire Safety
Develop a communication plan.
Corrected 2025-09-30
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-09-30
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2025-09-30
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-02-26
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-02-26
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2025-02-26
Fire Safety
Install proper backup exit lighting.
Corrected 2025-02-26
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-02-26
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 2025-02-26
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-02-26
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-02-26
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-02-26
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-02-26
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-02-26
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2025-02-26
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-02-26
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-02-26
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-02-26
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-02-26
Fire Safety
Have correct number of accessible exits for each story.
Corrected 2025-02-26
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-02-26
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2025-02-26
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-02-26
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-02-26
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2025-02-26
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 2021-10-01
Fire Safety
Have correct number of accessible exits for each story.
Corrected 2021-10-14
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2021-09-03
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2021-09-03
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2021-09-03
Inspection history
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-12-01
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-03-05
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 2025-03-05
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-03-05
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-03-05
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-03-05
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-03-05
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-03-05
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-03-05
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 2025-03-05
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2025-03-05
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-01-19
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-01-19
Health
Respond appropriately to all alleged violations.
Corrected 2024-01-19
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-01-19
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-01-19
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-01-19
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 2024-01-19
Health
Provide and implement an infection prevention and control program.
Corrected 2024-01-19
Health
Respond appropriately to all alleged violations.
Corrected 2021-09-30
Health
Ensure each resident receives an accurate assessment.
Corrected 2021-09-30
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2021-09-30
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 2021-09-30
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Direct Ownership Interest · Individual
Nearby options
Keansburg, NJ
1-star overall rating with 1-star inspections with $15,873 in total fines with 15 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
Hazlet, NJ
5-star overall rating with 4-star inspections with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Holmdel, NJ
4-star overall rating with 3-star inspections with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Jump out