Cycle 1
Health 2025-07-02 · Fire 2025-07-02
3 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Toms River, NJ
Community Medical Center Tcu
5-star overall rating with 5-star inspections with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
99 Route 37 West, Toms River, NJ
(732) 557-8000
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
25
Certified beds
Average residents
21
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2005-02-10
CMS approved date
Coverage
Medicare
Participation flags
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
Hours and turnover
RN hours / resident day
4.14
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.00
Licensed practical nurse staffing
Aide hours / resident day
2.68
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
6.82
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
4.14
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
6.51
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
3.81
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.59
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
3.80
CMS adjusted RN staffing hours
Adjusted total hours
6.26
CMS adjusted total nurse staffing hours
Case-mix index
1.49
Higher values indicate more complex resident acuity
RN turnover
16%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
16%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
606
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
66.67
Composite VBP score used to determine payment impact.
Payment multiplier
1.0205
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 22.55% · Performance 24.56% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
10
Baseline 4.24% · Performance 3.93% · Measure score 10 · Achievement 10 · Improvement 9
Total nurse turnover
10
Baseline 28.57% · Performance 12.00% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.21% |
10.72%
2.5 pts worse
|
Worse than the National Rate · Eligible stays 961 · Observed rate 13.42% · Lower 95% interval 11.01% |
| Discharge to community | 73.77% |
50.57%
23.2 pts better
|
Better than the National Rate · Eligible stays 926 · Observed rate 73% · Lower 95% interval 70.15% |
| Medicare spending per beneficiary | 0.53 |
1.02
0.5 pts better
|
|
| Drug regimen review with follow-up | 93.9% |
95.27%
1.4 pts worse
|
Numerator 539 · Denominator 574 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 574 |
| Discharge self-care score | 42.12% |
53.69%
11.6 pts worse
|
Numerator 219 · Denominator 520 |
| Discharge mobility score | 33.85% |
50.94%
17.1 pts worse
|
Numerator 176 · Denominator 520 |
| Pressure ulcers or injuries, new or worsened | 0.35% |
2.29%
1.9 pts better
|
Numerator 2 · Denominator 573 · Adjusted rate 0.64% |
| Healthcare-associated infections requiring hospitalization | 3.93% |
7.12%
3.2 pts better
|
Better than the National Rate · Eligible stays 480 · Observed rate 2.08% · Lower 95% interval 2.32% |
| Staff COVID-19 vaccination coverage | 1.85% |
8.2%
6.3 pts worse
|
Numerator 1 · Denominator 54 |
| Staff flu vaccination coverage | 95.08% |
42%
53.1 pts better
|
Numerator 58 · Denominator 61 |
| Discharge function score | 37.69% |
56.45%
18.8 pts worse
|
Numerator 196 · Denominator 520 |
| Transfer of health information to provider | 98.96% |
95.95%
3 pts better
|
Numerator 478 · Denominator 483 |
| Transfer of health information to patient | 94.51% |
96.28%
1.8 pts worse
|
Numerator 86 · Denominator 91 |
| Resident COVID-19 vaccinations up to date | 1.06% |
25.2%
24.1 pts worse
|
Numerator 3 · Denominator 282 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 86.3% |
78.7%
7.6 pts better
|
81.7%
4.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 86.7% · Q2 84.0% · Q3 86.0% · Q4 88.6% · 4Q avg 86.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.1% |
8.2%
1.1 pts better
|
12.0%
4.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.1% · Observed 6.7% · Expected 10.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.2%
1.2 pts better
|
1.6%
1.6 pts better
|
Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.2% |
80.1%
14.1 pts better
|
79.7%
14.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.0% |
25.4%
0.6 pts worse
|
23.9%
2.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.0% · Observed 23.4% · Expected 21.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-01-31 · Fire 2024-01-31
1 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Cycle 3
Health 2021-09-20 · Fire 2021-09-20
1 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-07-02
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2025-08-01
F · Potential for more than minimal harm
2025-07-02
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-09-01
F · Potential for more than minimal harm
2025-07-02
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2025-09-01
D · Potential for more than minimal harm
2025-07-02
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-09-01
D · Potential for more than minimal harm
2024-01-31
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-02-14
D · Potential for more than minimal harm
2024-01-31
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-02-14
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-07-02
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-09-01
D · Potential for more than minimal harm
2025-07-02
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-08-01
D · Potential for more than minimal harm
2025-07-02
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 2025-09-01
F · Potential for more than minimal harm
2024-01-31
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 2024-02-14
F · Potential for more than minimal harm
2021-09-20
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 2021-10-15
Penalties and ownership
What sits behind the stars
Ownership
Ahearn, Patrick
Operational/Managerial Control · Individual
Ahearn, Patrick
Corporate Officer · Individual
Alexiades, Nikolas
Operational/Managerial Control · Individual
Alexiades, Nikolas
Corporate Officer · Individual
Community Medical Center, Inc.
Operational/Managerial Control · Organization
Henwood, Richard
Corporate Director · Individual
Horath, Jennifer
Operational/Managerial Control · Individual
Manigan, Mark
Corporate Officer · Individual
Rwj Barnabas Health Inc
Operational/Managerial Control · Organization
Santangelo, Donato
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Complete Care At Holiday City
Toms River, NJ
3-star overall rating with 3-star inspections with $12,155 in total fines with 4 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
Complete Care At Bey Lea, LLC
Toms River, NJ
5-star overall rating with 4-star inspections with 9 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Complete Care At Arbors
Toms River, NJ
4-star overall rating with 3-star inspections with 8 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
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