7 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Sewell, NJ
3-star overall rating with 2-star inspections with $43,947 in total fines with 7 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
378 Fries Mill Road, Sewell, NJ
(856) 218-4200
Overall
3 / 5
CMS overall stars
Health inspections
2 / 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
114
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Atlas Healthcare
Operator or chain grouping
Approved since
2010-06-30
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
28 facilities
Chain averages 4 overall / 3 health / 2 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
0.48
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.15
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
1.88
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
3.50
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.63
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.20
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.32
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
0.42
CMS adjusted RN staffing hours
Adjusted total hours
3.09
CMS adjusted total nurse staffing hours
Case-mix index
1.55
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
49%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
13,078
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
8.54
Composite VBP score used to determine payment impact.
Payment multiplier
0.9807
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 21.36% · Performance 22.25% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 5.12% · Performance 7.69% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
2.81
Baseline 45.22% · Performance 52.17% · Measure score 2.81 · Achievement 2.81 · Improvement 0
Adjusted total nurse staffing
0.60
Baseline 3.65 hours · Performance 3.25 hours · Measure score 0.60 · Achievement 0.60 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 7.66% |
10.72%
3.1 pts better
|
Better than the National Rate · Eligible stays 323 · Observed rate 6.5% · Lower 95% interval 5.67% |
| Discharge to community | 60.01% |
50.57%
9.4 pts better
|
Better than the National Rate · Eligible stays 338 · Observed rate 50.89% · Lower 95% interval 53.87% |
| Medicare spending per beneficiary | 1.15 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 99.6% |
95.27%
4.3 pts better
|
Numerator 250 · Denominator 251 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 251 |
| Discharge self-care score | 61.87% |
53.69%
8.2 pts better
|
Numerator 86 · Denominator 139 |
| Discharge mobility score | 65.47% |
50.94%
14.5 pts better
|
Numerator 91 · Denominator 139 |
| Pressure ulcers or injuries, new or worsened | 2.4% |
2.29%
0.1 pts worse
|
Numerator 6 · Denominator 250 · Adjusted rate 1.92% |
| Healthcare-associated infections requiring hospitalization | 7.69% |
7.12%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 151 · Observed rate 9.27% · Lower 95% interval 4.98% |
| Staff COVID-19 vaccination coverage | 1.42% |
8.2%
6.8 pts worse
|
Numerator 3 · Denominator 212 |
| Staff flu vaccination coverage | 91.96% |
42%
50 pts better
|
Numerator 206 · Denominator 224 |
| Discharge function score | 69.06% |
56.45%
12.6 pts better
|
Numerator 96 · Denominator 139 |
| Transfer of health information to provider | 97.98% |
95.95%
2 pts better
|
Numerator 97 · Denominator 99 |
| Transfer of health information to patient | 96.64% |
96.28%
0.4 pts better
|
Numerator 115 · Denominator 119 |
| Resident COVID-19 vaccinations up to date | 15.19% |
25.2%
10 pts worse
|
Numerator 24 · Denominator 158 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
2.1
0.8 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.7 · Expected 2.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
1.1
0.2 pts worse
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.6 · Expected 2.0 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 75.3% |
93.0%
17.7 pts worse
|
93.4%
18.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 77.9% · Q2 77.0% · Q3 75.0% · Q4 71.0% · 4Q avg 75.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.7% |
97.2%
1.5 pts better
|
95.5%
3.2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.4% |
2.4%
About the same
|
3.3%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.4% · Q3 2.6% · Q4 4.3% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 30.1% |
11.4%
18.7 pts worse
|
11.4%
18.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.2% · Q2 30.3% · Q3 30.3% · Q4 33.3% · 4Q avg 30.1% |
| Percentage of long-stay residents who lose too much weight | 2.7% |
4.6%
1.9 pts better
|
5.4%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.9% · Q3 2.8% · Q4 5.0% · 4Q avg 2.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 24.9% |
19.0%
5.9 pts worse
|
19.6%
5.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.4% · Q2 21.4% · Q3 25.7% · Q4 29.2% · 4Q avg 24.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.9% |
13.5%
3.6 pts better
|
16.7%
6.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 17.8% · Q3 5.6% · Q4 10.4% · 4Q avg 9.9% · 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 | 4.5% |
9.8%
5.3 pts better
|
16.3%
11.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 11.7% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 2.6% |
9.7%
7.1 pts better
|
14.9%
12.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.7% · Q3 2.7% · Q4 1.6% · 4Q avg 2.6% · 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 | 22.3% |
15.9%
6.4 pts worse
|
19.8%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.9% · Q2 30.9% · Q3 29.0% · Q4 15.4% · 4Q avg 22.3% |
| Percentage of long-stay residents with pressure ulcers | 5.5% |
6.0%
0.5 pts better
|
5.1%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 5.7% · Q3 8.8% · Q4 5.3% · 4Q avg 5.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 51.5% |
78.7%
27.2 pts worse
|
81.7%
30.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 67.8% · Q2 58.1% · Q3 43.5% · Q4 35.1% · 4Q avg 51.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.3% |
8.2%
5.1 pts worse
|
12.0%
1.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.3% · Observed 12.3% · Expected 10.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.9% |
1.2%
0.7 pts worse
|
1.6%
0.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 1.8% · Q3 2.7% · Q4 2.6% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 75.1% |
80.1%
5 pts worse
|
79.7%
4.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 75.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.6% |
25.4%
1.2 pts worse
|
23.9%
2.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.6% · Observed 27.7% · Expected 24.8% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Nutrition and Dietary (4 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Pharmacy Service (3 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-10-25
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-10-25
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-10-25
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 2024-10-25
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-10-25
Fire Safety
Install proper backup exit lighting.
Corrected 2024-10-25
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-11-06
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-11-06
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-11-06
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 2023-11-06
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-08-24
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-08-24
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2022-08-24
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-10-25
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-10-25
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2024-10-25
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-25
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-10-25
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-10-25
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-25
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-06
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2023-11-06
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-11-06
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-11-06
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2023-11-06
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-11-06
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-11-06
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-11-06
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2023-11-06
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 2022-08-24
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-08-24
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-08-24
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 2022-08-24
Health
Ensure that residents are free from significant medication errors.
Corrected 2022-08-24
Health
Provide and implement an infection prevention and control program.
Corrected 2022-08-24
Penalties and ownership
Fine · fine $33,361
Fine
Fine · fine $10,586
Fine
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
Limited Partnership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
Limited Partnership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Limited Partnership Interest · Organization
Operational/Managerial Control · Individual
Limited Partnership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Limited Partnership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Limited Partnership Interest · Organization
Limited Partnership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Limited Partnership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Limited Partnership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Limited Partnership Interest · Organization
Operational/Managerial Control · Organization
Nearby options
Sewell, NJ
2-star overall rating with 1-star inspections with $108,675 in total fines with 22 recent health deficiencies
Pitman, NJ
5-star overall rating with 4-star inspections with 1 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
Blackwood, NJ
1-star overall rating with 1-star inspections with $81,752 in total fines with 9 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
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