Ocean Grove, NJ

Complete Care At Ocean Grove LLC

3-star overall rating with 2-star inspections with 14 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

160 S Main St, Ocean Grove, NJ

(732) 481-8300

Compare this facility

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

Facility snapshot

Beds

147

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Complete Care

Operator or chain grouping

Approved since

1997-11-01

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

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

0.51

Registered nurse staffing · state 0.69 · national 0.68

LPN hours / resident day

0.87

Licensed practical nurse staffing · state 0.94 · national 0.87

Aide hours / resident day

2.09

Nurse aide staffing · state 2.23 · national 2.35

Total nurse hours

3.47

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.38

RN + LPN hours · state 1.62 · national 1.54

Weekend hours

3.33

Weekend nurse staffing · state 3.45 · national 3.43

Weekend RN hours

0.41

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

0.45

CMS adjusted RN staffing hours

Adjusted total hours

3.08

CMS adjusted total nurse staffing hours

Case-mix index

1.54

Higher values indicate more complex resident acuity

RN turnover

42%

Annual RN turnover · state 39% · national 45%

Total nurse turnover

52%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,837

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

Performance score

47.45

Composite VBP score used to determine payment impact.

Payment multiplier

1.0010

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.07

Baseline 18.27% · Performance 19.08% · Measure score 5.07 · Achievement 5.07 · Improvement 0

Healthcare-associated infections

6.33

Baseline 5.50% · Performance 5.94% · Measure score 6.33 · Achievement 6.33 · Improvement 0

Total nurse turnover

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Adjusted total nurse staffing

2.83

Baseline 4.12 hours · Performance 3.88 hours · Measure score 2.83 · Achievement 2.83 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.33%	10.72% 1.4 pts better	No Different than the National Rate · Eligible stays 303 · Observed rate 9.57% · Lower 95% interval 6.66%
Discharge to community	58.09%	50.57% 7.5 pts better	Better than the National Rate · Eligible stays 278 · Observed rate 48.56% · Lower 95% interval 51.18%
Medicare spending per beneficiary	0.97	1.02 0.1 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 219 · Denominator 219
Falls with major injury	0.46%	0.77% 0.3 pts better	Numerator 1 · Denominator 219
Discharge self-care score	70.14%	53.69% 16.5 pts better	Numerator 101 · Denominator 144
Discharge mobility score	75%	50.94% 24.1 pts better	Numerator 108 · Denominator 144
Pressure ulcers or injuries, new or worsened	0.46%	2.29% 1.8 pts better	Numerator 1 · Denominator 219 · Adjusted rate 0.48%
Healthcare-associated infections requiring hospitalization	5.94%	7.12% 1.2 pts better	No Different than the National Rate · Eligible stays 204 · Observed rate 5.88% · Lower 95% interval 3.79%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 107
Staff flu vaccination coverage	97.2%	42% 55.2 pts better	Numerator 104 · Denominator 107
Discharge function score	84.03%	56.45% 27.6 pts better	Numerator 121 · Denominator 144
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 71 · Denominator 71
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 104 · Denominator 104
Resident COVID-19 vaccinations up to date	19.15%	25.2% 6.1 pts worse	Numerator 18 · Denominator 94

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.2	2.1 0.1 pts worse	1.9 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 4.0 · Expected 3.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.8	1.1 0.3 pts better	1.8 1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 1.1 · Expected 2.2 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	93.0% 7 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
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	1.8%	2.4% 0.6 pts better	3.3% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.5% · Q3 2.8% · Q4 1.4% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	22.2%	11.4% 10.8 pts worse	11.4% 10.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.8% · Q2 23.7% · Q3 15.4% · Q4 23.5% · 4Q avg 22.2%
Percentage of long-stay residents who lose too much weight	1.7%	4.6% 2.9 pts better	5.4% 3.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 1.7% · Q3 0.0% · Q4 1.7% · 4Q avg 1.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	14.2%	19.0% 4.8 pts better	19.6% 5.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 11.9% · Q3 14.5% · Q4 17.5% · 4Q avg 14.2%
Percentage of long-stay residents who received an antipsychotic medication	6.9%	13.5% 6.6 pts better	16.7% 9.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 9.3% · Q3 10.2% · Q4 3.8% · 4Q avg 6.9% · 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	4.1%	9.8% 5.7 pts better	16.3% 12.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.0% · Q2 3.4% · Q3 0.0% · Q4 2.8% · 4Q avg 4.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	4.0%	9.7% 5.7 pts better	14.9% 10.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 1.8% · Q3 3.3% · Q4 5.0% · 4Q avg 4.0% · 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	10.8%	15.9% 5.1 pts better	19.8% 9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 7.8% · Q3 11.0% · Q4 7.2% · 4Q avg 10.8%
Percentage of long-stay residents with pressure ulcers	7.2%	6.0% 1.2 pts worse	5.1% 2.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 14.4% · Q3 5.7% · Q4 4.9% · 4Q avg 7.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.5%	78.7% 20.8 pts better	81.7% 17.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 99.4% · Q2 100.0% · Q3 99.3% · Q4 99.2% · 4Q avg 99.5%
Percentage of short-stay residents who had an outpatient emergency department visit	12.2%	8.2% 4 pts worse	12.0% 0.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 12.2% · Observed 12.1% · Expected 11.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.0%	1.2% 0.2 pts better	1.6% 0.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	96.9%	80.1% 16.8 pts better	79.7% 17.2 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 96.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	28.8%	25.4% 3.4 pts worse	23.9% 4.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 28.8% · Observed 31.8% · Expected 26.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-24 · Fire 2025-07-24

14 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-02-19 · Fire 2024-02-19

11 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2021-11-17 · Fire 2021-11-17

1 health deficiencies

Top issue: Resident Assessment and Care Planning (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 2025-07-24

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-09-05

F · Potential for more than minimal harm 2025-07-24

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-08-19

F · Potential for more than minimal harm 2025-07-24

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-09-05

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-06

F677 · Quality of Life and Care Deficiencies

Health

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

Not marked corrected

F · Potential for more than minimal harm 2025-07-24

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 2025-09-25

E · Potential for more than minimal harm 2025-07-24

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-09-25

E · Potential for more than minimal harm 2025-07-24

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-09-25

E · Potential for more than minimal harm 2025-07-24

F761 · Pharmacy Service Deficiencies

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 2025-09-25

D · Potential for more than minimal harm 2025-07-24

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-09-25

D · Potential for more than minimal harm 2025-07-24

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-07-24

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-09-25

D · Potential for more than minimal harm 2025-07-24

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 2025-09-25

D · Potential for more than minimal harm 2025-07-24

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2025-09-25

D · Potential for more than minimal harm 2025-07-24

F813 · Nutrition and Dietary Deficiencies

Health

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2025-09-25

D · Potential for more than minimal harm 2025-07-24

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-09-25

D · Potential for more than minimal harm 2025-05-15

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2025-06-23

D · Potential for more than minimal harm 2025-05-15

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 2025-06-23

E · Potential for more than minimal harm 2024-06-28

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-08-07

E · Potential for more than minimal harm 2024-06-28

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 2024-08-07

E · Potential for more than minimal harm 2024-02-19

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-03-29