3 health deficiencies
Top issue: Environmental (1 deficiency)
5 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Jackson, NJ
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
175 Bartley Rd, Jackson, NJ
(732) 370-4700
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
234
Certified beds
Average residents
212
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1990-03-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.43
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.10
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.31
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
3.84
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.53
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.49
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
0.06
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.39
CMS adjusted RN staffing hours
Adjusted total hours
3.48
CMS adjusted total nurse staffing hours
Case-mix index
1.51
Higher values indicate more complex resident acuity
RN turnover
52%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
59%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
11,343
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
17.15
Composite VBP score used to determine payment impact.
Payment multiplier
0.9817
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.90
Baseline 21.88% · Performance 18.77% · Measure score 5.90 · Achievement 5.74 · Improvement 5.90
Healthcare-associated infections
0
Baseline 8.12% · Performance 8.98% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
0.95
Baseline 59.71% · Performance 59.78% · Measure score 0.95 · Achievement 0.95 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.15 hours · Performance 3.11 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.03% |
10.72%
1.7 pts better
|
No Different than the National Rate · Eligible stays 481 · Observed rate 7.9% · Lower 95% interval 6.69% |
| Discharge to community | 61.63% |
50.57%
11.1 pts better
|
Better than the National Rate · Eligible stays 538 · Observed rate 53.9% · Lower 95% interval 57.08% |
| Medicare spending per beneficiary | 1.42 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 436 · Denominator 436 |
| Falls with major injury | 0.69% |
0.77%
0.1 pts better
|
Numerator 3 · Denominator 436 |
| Discharge self-care score | 77.22% |
53.69%
23.5 pts better
|
Numerator 244 · Denominator 316 |
| Discharge mobility score | 68.35% |
50.94%
17.4 pts better
|
Numerator 216 · Denominator 316 |
| Pressure ulcers or injuries, new or worsened | 0.69% |
2.29%
1.6 pts better
|
Numerator 3 · Denominator 436 · Adjusted rate 0.41% |
| Healthcare-associated infections requiring hospitalization | 8.98% |
7.12%
1.9 pts worse
|
No Different than the National Rate · Eligible stays 357 · Observed rate 9.8% · Lower 95% interval 6.96% |
| Staff COVID-19 vaccination coverage | 0.88% |
8.2%
7.3 pts worse
|
Numerator 2 · Denominator 226 |
| Staff flu vaccination coverage | 99.43% |
42%
57.4 pts better
|
Numerator 348 · Denominator 350 |
| Discharge function score | 80.38% |
56.45%
23.9 pts better
|
Numerator 254 · Denominator 316 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 112 · Denominator 112 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 249 · Denominator 249 |
| Resident COVID-19 vaccinations up to date | 23.38% |
25.2%
1.8 pts worse
|
Numerator 54 · Denominator 231 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.3 |
2.1
0.2 pts worse
|
1.9
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.1 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.6 |
1.1
0.5 pts better
|
1.8
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.5 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.5% |
93.0%
6.5 pts better
|
93.4%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 99.3% · Q2 100.0% · Q3 100.0% · Q4 98.7% · 4Q avg 99.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.4% |
97.2%
2.2 pts better
|
95.5%
3.9 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.0% |
2.4%
0.4 pts better
|
3.3%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 1.3% · Q3 2.0% · Q4 3.8% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.5% |
11.4%
4.9 pts better
|
11.4%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 5.6% · Q3 6.1% · Q4 7.5% · 4Q avg 6.5% |
| Percentage of long-stay residents who lose too much weight | 4.7% |
4.6%
0.1 pts worse
|
5.4%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 7.2% · Q3 3.7% · Q4 3.6% · 4Q avg 4.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.0% |
19.0%
2 pts worse
|
19.6%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.5% · Q2 21.7% · Q3 21.4% · Q4 18.5% · 4Q avg 21.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 5.3% |
13.5%
8.2 pts better
|
16.7%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 5.5% · Q3 5.4% · Q4 6.8% · 4Q avg 5.3% · 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 | 4.3% |
9.8%
5.5 pts better
|
16.3%
12 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 1.9% · Q3 2.8% · Q4 5.1% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.4% |
9.7%
1.3 pts better
|
14.9%
6.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 8.9% · Q3 5.6% · Q4 13.4% · 4Q avg 8.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
0.7%
0.4 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.7% · Q3 0.6% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.7% |
0.8%
0.9 pts worse
|
1.7%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 2.1% · Q3 1.4% · Q4 2.0% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.3% |
15.9%
14.4 pts worse
|
19.8%
10.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.1% · Q2 35.4% · Q3 24.6% · Q4 27.8% · 4Q avg 30.3% |
| Percentage of long-stay residents with pressure ulcers | 1.7% |
6.0%
4.3 pts better
|
5.1%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.2% · Q3 1.1% · Q4 2.9% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 92.6% |
78.7%
13.9 pts better
|
81.7%
10.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 92.6% · Q2 89.4% · Q3 95.5% · Q4 93.1% · 4Q avg 92.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 3.5% |
8.2%
4.7 pts better
|
12.0%
8.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 3.5% · Observed 3.2% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
1.2%
0.5 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 1.4% · Q3 0.4% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.4% |
80.1%
13.3 pts better
|
79.7%
13.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.7% |
25.4%
3.7 pts better
|
23.9%
2.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.7% · Observed 21.8% · Expected 23.9% · Used in QM five-star |
Survey summary
Top issue: Environmental (1 deficiency)
5 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Resident Assessment and Care Planning (2 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-09-10
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-09-10
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 2025-09-10
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-09-04
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-09-10
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-06-13
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-06-14
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 2024-06-13
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-06-13
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-06-13
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-06-13
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-06-13
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2022-01-17
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-01-11
Inspection history
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-09-10
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-09-10
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 2025-09-10
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-06-13
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2024-06-13
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-06-13
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-06-13
Health
Provide and implement an infection prevention and control program.
Corrected 2024-06-13
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-06-13
Health
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected 2023-10-03
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-06-14
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2021-12-23
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
W-2 Managing Employee · Individual
Corporate Officer · Individual
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