Hazlet, NJ

Arnold Walter Nursing & Rehabilitation Center

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

Compare this facility

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

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

Hours and turnover

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

Value-based purchasing

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

How the VBP score is built

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

Medicare quality reporting measures

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

Resident outcomes and process scores

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

Recent inspection cycles

Cycle 1 Health 2025-01-24 · Fire 2025-01-24

11 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

25 fire-safety deficiencies

Top issue: Smoke (9 deficiencies)

Cycle 2 Health 2023-12-14 · Fire 2023-12-14

7 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2021-08-19 · Fire 2021-08-19

5 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

5 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-08-04

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2025-09-30

F · Potential for more than minimal harm 2025-08-04

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-09-30

F · Potential for more than minimal harm 2025-08-04

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2025-09-30

F · Potential for more than minimal harm 2025-01-24

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-02-26

F · Potential for more than minimal harm 2025-01-24

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-02-26

F · Potential for more than minimal harm 2025-01-24

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2025-02-26

F · Potential for more than minimal harm 2025-01-24

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2025-02-26

F · Potential for more than minimal harm 2025-01-24

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-02-26

F · Potential for more than minimal harm 2025-01-24

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 2025-02-26

F · Potential for more than minimal harm 2025-01-24

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-02-26

F · Potential for more than minimal harm 2025-01-24

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-02-26

F · Potential for more than minimal harm 2025-01-24

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-02-26

F · Potential for more than minimal harm 2025-01-24

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-02-26

F · Potential for more than minimal harm 2025-01-24

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-02-26

F · Potential for more than minimal harm 2025-01-24

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2025-02-26

F · Potential for more than minimal harm 2025-01-24

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-02-26

F · Potential for more than minimal harm 2025-01-24

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-02-26

F · Potential for more than minimal harm 2025-01-24

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-02-26

E · Potential for more than minimal harm 2025-01-24

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-02-26

D · Potential for more than minimal harm 2025-01-24

K241 · Egress Deficiencies

Fire Safety

Have correct number of accessible exits for each story.

Corrected 2025-02-26

D · Potential for more than minimal harm 2025-01-24

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-02-26

D · Potential for more than minimal harm 2025-01-24

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2025-02-26

D · Potential for more than minimal harm 2025-01-24

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-02-26

D · Potential for more than minimal harm 2025-01-24

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-02-26

D · Potential for more than minimal harm 2025-01-24

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2025-02-26

E · Potential for more than minimal harm 2021-08-19

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 2021-10-01

D · Potential for more than minimal harm 2021-08-19

K241 · Egress Deficiencies

Fire Safety

Have correct number of accessible exits for each story.

Corrected 2021-10-14

D · Potential for more than minimal harm 2021-08-19

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2021-09-03

D · Potential for more than minimal harm 2021-08-19

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2021-09-03

D · Potential for more than minimal harm 2021-08-19

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2021-09-03

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-10-30

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-12-01

F · Potential for more than minimal harm 2025-01-24

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 2025-03-05

E · Potential for more than minimal harm 2025-01-24

F584 · Resident Rights Deficiencies

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

E · Potential for more than minimal harm 2025-01-24

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-03-05

E · Potential for more than minimal harm 2025-01-24

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-03-05

D · Potential for more than minimal harm 2025-01-24

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 2025-03-05

D · Potential for more than minimal harm 2025-01-24

F657 · Resident Assessment and Care Planning Deficiencies

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

D · Potential for more than minimal harm 2025-01-24

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-03-05

D · Potential for more than minimal harm 2025-01-24

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 2025-03-05

D · Potential for more than minimal harm 2025-01-24

F761 · Pharmacy Service Deficiencies

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

D · Potential for more than minimal harm 2025-01-24

F813 · Nutrition and Dietary Deficiencies

Health

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2025-03-05

E · Potential for more than minimal harm 2023-12-14

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-01-19

D · Potential for more than minimal harm 2023-12-14

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-01-19

D · Potential for more than minimal harm 2023-12-14

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-01-19

D · Potential for more than minimal harm 2023-12-14

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-01-19

D · Potential for more than minimal harm 2023-12-14

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-01-19

D · Potential for more than minimal harm 2023-12-14

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 2024-01-19

D · Potential for more than minimal harm 2023-12-14

F756 · Pharmacy Service Deficiencies

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

D · Potential for more than minimal harm 2023-12-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-19

D · Potential for more than minimal harm 2021-08-19

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2021-09-30

D · Potential for more than minimal harm 2021-08-19

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2021-09-30

D · Potential for more than minimal harm 2021-08-19

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2021-09-30

D · Potential for more than minimal harm 2021-08-19

F690 · Quality of Life and Care Deficiencies

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

What sits behind the stars

Ownership

Berkowitz, Sam

5% Or Greater Direct Ownership Interest · Individual

0% 6 facilities 2021-02-01
Excelsior Care Group

Operational/Managerial Control · Organization

0% 7 facilities 2019-07-21
Gitberk LLC

5% Or Greater Direct Ownership Interest · Organization

0% 3 facilities 2026-01-01
Jbl 120 LLC

5% Or Greater Direct Ownership Interest · Organization

0% 3 facilities 2026-01-01
Jm And Mazel LLC

5% Or Greater Direct Ownership Interest · Organization

0% 5 facilities 2026-01-01
Mahadeo, Sarah

Operational/Managerial Control · Individual

0% 1 facilities 2024-11-19
Ribiat, Yitzchok

Operational/Managerial Control · Individual

0% 2 facilities 2024-03-12
Springberg, Susan

5% Or Greater Direct Ownership Interest · Individual

0% 1 facilities 2021-02-01
Steinberg, Moshe

Operational/Managerial Control · Individual

0% 18 facilities 2019-07-12
Stern, Samuel

Operational/Managerial Control · Individual

0% 74 facilities 2021-02-01
Tasharofi, Kamran

Operational/Managerial Control · Individual

0% 1 facilities 2025-09-01
Zupnick, Joel

5% Or Greater Direct Ownership Interest · Individual

0% 37 facilities 2021-02-01

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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

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Staffing
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Fines
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#2

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Overall
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Staffing
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Fines
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#3

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4-star overall rating with 3-star inspections with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

Overall
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Health
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Staffing
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Fines
$0

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