Toms River, NJ

Complete Care At Green Acres

5-star overall rating with 5-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

1931 Lakewood Road, Toms River, NJ

(732) 286-2323

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 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

167

Certified beds

Average residents

158

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Complete Care

Operator or chain grouping

Approved since

1988-09-05

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

85 facilities

Chain averages 3 overall / 3 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

1.99

Nurse aide staffing · state 2.23 · national 2.35

Total nurse hours

3.56

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.56

RN + LPN hours · state 1.62 · national 1.54

Weekend hours

3.24

Weekend nurse staffing · state 3.45 · national 3.43

Weekend RN hours

0.33

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.50

CMS adjusted RN staffing hours

Adjusted total hours

3.27

CMS adjusted total nurse staffing hours

Case-mix index

1.49

Higher values indicate more complex resident acuity

RN turnover

48%

Annual RN turnover · state 39% · national 45%

Total nurse turnover

48%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,306

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

20.84

Composite VBP score used to determine payment impact.

Payment multiplier

0.9825

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.37

Baseline 21.78% · Performance 20.89% · Measure score 1.37 · Achievement 1.16 · Improvement 1.37

Healthcare-associated infections

0

Baseline 7.87% · Performance 9.04% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

6.18

Baseline 46.60% · Performance 38.41% · Measure score 6.18 · Achievement 6.18 · Improvement 3.27

Adjusted total nurse staffing

0.78

Baseline 2.99 hours · Performance 3.3 hours · Measure score 0.78 · Achievement 0.78 · Improvement 0.61

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.94%	10.72% 0.8 pts better	No Different than the National Rate · Eligible stays 392 · Observed rate 9.18% · Lower 95% interval 7.55%
Discharge to community	58.31%	50.57% 7.7 pts better	Better than the National Rate · Eligible stays 408 · Observed rate 52.21% · Lower 95% interval 52.56%
Medicare spending per beneficiary	1.38	1.02 0.4 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 370 · Denominator 370
Falls with major injury	0.81%	0.77% About the same	Numerator 3 · Denominator 370
Discharge self-care score	71.23%	53.69% 17.5 pts better	Numerator 156 · Denominator 219
Discharge mobility score	55.25%	50.94% 4.3 pts better	Numerator 121 · Denominator 219
Pressure ulcers or injuries, new or worsened	0.54%	2.29% 1.8 pts better	Numerator 2 · Denominator 370 · Adjusted rate 0.41%
Healthcare-associated infections requiring hospitalization	9.04%	7.12% 1.9 pts worse	No Different than the National Rate · Eligible stays 254 · Observed rate 10.63% · Lower 95% interval 6.72%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 159
Staff flu vaccination coverage	100%	42% 58 pts better	Numerator 198 · Denominator 198
Discharge function score	72.15%	56.45% 15.7 pts better	Numerator 158 · Denominator 219
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 139 · Denominator 139
Transfer of health information to patient	99.44%	96.28% 3.2 pts better	Numerator 176 · Denominator 177
Resident COVID-19 vaccinations up to date	1.03%	25.2% 24.2 pts worse	Numerator 2 · Denominator 195

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.5	2.1 0.6 pts better	1.9 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.5 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.4	1.1 0.7 pts better	1.8 1.4 pts better	Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.3 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.7%	93.0% 5.7 pts better	93.4% 5.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 98.9% · Q4 95.7% · 4Q avg 98.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	97.2% 2.8 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	1.3%	2.4% 1.1 pts better	3.3% 2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.0% · Q3 2.1% · Q4 2.1% · 4Q avg 1.3% · 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 11.5% · Q2 5.4% · Q3 5.4% · Q4 4.4% · 4Q avg 6.7%
Percentage of long-stay residents who lose too much weight	2.9%	4.6% 1.7 pts better	5.4% 2.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 3.8% · Q3 2.6% · Q4 1.3% · 4Q avg 2.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	12.4%	19.0% 6.6 pts better	19.6% 7.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 14.8% · Q3 17.1% · Q4 14.5% · 4Q avg 12.4%
Percentage of long-stay residents who received an antipsychotic medication	8.8%	13.5% 4.7 pts better	16.7% 7.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 7.8% · Q3 9.2% · Q4 8.1% · 4Q avg 8.8% · 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	8.3%	9.8% 1.5 pts better	16.3% 8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 15.2% · Q3 6.6% · Q4 6.9% · 4Q avg 8.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	7.2%	9.7% 2.5 pts better	14.9% 7.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 11.7% · Q3 2.8% · Q4 8.1% · 4Q avg 7.2% · 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	0.3%	0.8% 0.5 pts better	1.7% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.1% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	29.6%	15.9% 13.7 pts worse	19.8% 9.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 35.3% · Q2 37.4% · Q3 28.9% · Q4 16.6% · 4Q avg 29.6%
Percentage of long-stay residents with pressure ulcers	1.6%	6.0% 4.4 pts better	5.1% 3.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 1.5% · Q3 0.8% · Q4 0.7% · 4Q avg 1.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	88.3%	78.7% 9.6 pts better	81.7% 6.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 99.3% · Q2 93.1% · Q3 87.8% · Q4 74.9% · 4Q avg 88.3%
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 10.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.5%	1.2% 0.7 pts better	1.6% 1.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 0.0% · Q3 0.5% · Q4 0.9% · 4Q avg 0.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	86.5%	80.1% 6.4 pts better	79.7% 6.8 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 86.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	21.0%	25.4% 4.4 pts better	23.9% 2.9 pts better	Short Stay · 20240701-20250630 · Adjusted 21.0% · Observed 21.3% · Expected 24.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-31 · Fire 2025-07-31

2 health deficiencies

Top issue: Infection Control (1 deficiency)

2 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Cycle 2 Health 2024-02-08 · Fire 2024-02-08

7 health deficiencies

Top issue: Infection Control (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2021-11-10 · Fire 2021-11-10

3 health deficiencies

Top issue: Nursing and Physician Services (1 deficiency)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-07-31

K163 · Construction Deficiencies

Fire Safety

Install noncombustible or limited-combustible interior walls.

Corrected 2025-08-28

F · Potential for more than minimal harm 2025-07-31

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2025-08-28

F · Potential for more than minimal harm 2024-02-08

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2024-03-15

F · Potential for more than minimal harm 2024-02-08

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-03-18

F · Potential for more than minimal harm 2024-02-08

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-03-18

E · Potential for more than minimal harm 2021-11-10

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2022-02-03

D · Potential for more than minimal harm 2021-11-10

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2021-12-23

D · Potential for more than minimal harm 2021-11-10

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2021-12-16

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-07-31

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-09-12

D · Potential for more than minimal harm 2025-07-31

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2025-09-12

D · Potential for more than minimal harm 2024-07-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-08-02

E · Potential for more than minimal harm 2024-02-08

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-03-15

E · Potential for more than minimal harm 2024-02-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-03-15

D · Potential for more than minimal harm 2024-02-08

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 2024-03-15

D · Potential for more than minimal harm 2024-02-08

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2024-03-15

D · Potential for more than minimal harm 2024-02-08

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-03-15

D · Potential for more than minimal harm 2024-02-08

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2024-03-15

E · Potential for more than minimal harm 2021-11-10

F712 · Nursing and Physician Services Deficiencies

Health

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Corrected 2021-12-24

D · Potential for more than minimal harm 2021-11-10

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2021-12-25

D · Potential for more than minimal harm 2021-11-10

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 2021-12-23

Penalties and ownership

What sits behind the stars

Ownership

Green Acres Org LLC

5% Or Greater Direct Ownership Interest · Organization

55% 1 facilities 2017-10-01

Stein, Shalom

5% Or Greater Indirect Ownership Interest · Individual

55% 83 facilities 2017-10-01

Eef Capital LLC

5% Or Greater Direct Ownership Interest · Organization

45% 17 facilities 2017-10-01

Schlaff, Benny

5% Or Greater Indirect Ownership Interest · Individual

23% 17 facilities 2017-10-01

Schlaff, Nachum

5% Or Greater Indirect Ownership Interest · Individual

23% 17 facilities 2017-10-01

Dachs, David