13 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
1 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Moorestown, NJ
4-star overall rating with 3-star inspections with 13 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
895 Westfield Road, Moorestown, NJ
(856) 914-0444
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
65
Certified beds
Average residents
57
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Careone
Operator or chain grouping
Approved since
2003-09-11
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
37 facilities
Chain averages 3 overall / 3 health / 3 staffing / 5 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
0.88
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.99
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.38
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
4.25
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.88
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.77
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.50
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.31
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.69
CMS adjusted RN staffing hours
Adjusted total hours
3.30
CMS adjusted total nurse staffing hours
Case-mix index
1.76
Higher values indicate more complex resident acuity
RN turnover
67%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
41%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
8,014
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
28.05
Composite VBP score used to determine payment impact.
Payment multiplier
0.9848
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 19.82% · Performance 23.51% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
6.65
Baseline 5.71% · Performance 5.85% · Measure score 6.65 · Achievement 6.65 · Improvement 0
Total nurse turnover
4.57
Baseline 28.07% · Performance 45.00% · Measure score 4.57 · Achievement 4.57 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.35 hours · Performance 2.79 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.8% |
10.72%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 617 · Observed rate 10.7% · Lower 95% interval 8.74% |
| Discharge to community | 54.77% |
50.57%
4.2 pts better
|
No Different than the National Rate · Eligible stays 664 · Observed rate 48.64% · Lower 95% interval 50.17% |
| Medicare spending per beneficiary | 1.17 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 96.43% |
95.27%
1.2 pts better
|
Numerator 378 · Denominator 392 |
| Falls with major injury | 1.53% |
0.77%
0.8 pts worse
|
Numerator 6 · Denominator 392 |
| Discharge self-care score | 66.96% |
53.69%
13.3 pts better
|
Numerator 152 · Denominator 227 |
| Discharge mobility score | 63% |
50.94%
12.1 pts better
|
Numerator 143 · Denominator 227 |
| Pressure ulcers or injuries, new or worsened | 0.26% |
2.29%
2 pts better
|
Numerator 1 · Denominator 392 · Adjusted rate 0.25% |
| Healthcare-associated infections requiring hospitalization | 5.85% |
7.12%
1.3 pts better
|
No Different than the National Rate · Eligible stays 400 · Observed rate 5% · Lower 95% interval 3.92% |
| Staff COVID-19 vaccination coverage | 5.8% |
8.2%
2.4 pts worse
|
Numerator 13 · Denominator 224 |
| Staff flu vaccination coverage | 68.77% |
42%
26.8 pts better
|
Numerator 185 · Denominator 269 |
| Discharge function score | 70.93% |
56.45%
14.5 pts better
|
Numerator 161 · Denominator 227 |
| Transfer of health information to provider | 99.21% |
95.95%
3.3 pts better
|
Numerator 250 · Denominator 252 |
| Transfer of health information to patient | 95.31% |
96.28%
1 pts worse
|
Numerator 122 · Denominator 128 |
| Resident COVID-19 vaccinations up to date | 12.9% |
25.2%
12.3 pts worse
|
Numerator 24 · Denominator 186 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 84.5% |
78.7%
5.8 pts better
|
81.7%
2.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.8% · Q2 99.0% · Q3 80.0% · Q4 62.8% · 4Q avg 84.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.9% |
8.2%
2.3 pts better
|
12.0%
6.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.9% · Observed 5.3% · Expected 10.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.4% |
1.2%
0.8 pts better
|
1.6%
1.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.4% · Q2 0.8% · Q3 0.4% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.8% |
80.1%
18.7 pts better
|
79.7%
19.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.4% |
25.4%
5 pts worse
|
23.9%
6.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.4% · Observed 28.4% · Expected 22.2% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
1 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Top issue: Infection Control (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
List the names and contact information of those in the facility.
Corrected 2024-11-11
Inspection history
Health
Honor the resident's right to choose his or her attending physician.
Corrected 2025-09-30
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-30
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-30
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-11-11
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-11-11
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2024-11-11
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-11-11
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-11-11
Health
Respond appropriately to all alleged violations.
Corrected 2024-11-11
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 2024-11-11
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-11-11
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 2024-11-11
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-11-11
Health
Provide and implement an infection prevention and control program.
Corrected 2024-06-20
Health
Provide and implement an infection prevention and control program.
Corrected 2023-09-27
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-08-15
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-08-08
Health
Provide and implement an infection prevention and control program.
Corrected 2022-08-15
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 2022-08-15
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
W-2 Managing Employee · Individual
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Individual
Nearby options
Moorestown, NJ
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Moorestown, NJ
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Moorestown, NJ
2-star overall rating with 1-star inspections with 11 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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