Cycle 1
Health 2024-05-29 · Fire 2024-05-29
10 health deficiencies
Top issue: Nursing and Physician Services (3 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Brick, NJ
Complete Care At Shorrock
3-star overall rating with 2-star inspections with 10 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
75 Old Toms River Road, Brick, NJ
(732) 451-1000
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
180
Certified beds
Average residents
167
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Complete Care
Operator or chain grouping
Approved since
1999-06-10
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
0.17
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.04
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
1.95
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
3.16
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.21
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
2.81
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.08
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.18
CMS adjusted RN staffing hours
Adjusted total hours
3.30
CMS adjusted total nurse staffing hours
Case-mix index
1.31
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
50%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,239
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
33.53
Composite VBP score used to determine payment impact.
Payment multiplier
0.9878
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.43
Baseline 22.42% · Performance 19.76% · Measure score 4.43 · Achievement 3.61 · Improvement 4.43
Healthcare-associated infections
6.03
Baseline 11.19% · Performance 7.15% · Measure score 6.03 · Achievement 2.30 · Improvement 6.03
Total nurse turnover
1.91
Baseline 43.56% · Performance 55.88% · Measure score 1.91 · Achievement 1.91 · Improvement 0
Adjusted total nurse staffing
1.05
Baseline 3.37 hours · Performance 3.38 hours · Measure score 1.05 · Achievement 1.05 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.96% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 176 · Observed rate 9.09% · Lower 95% interval 6.92% |
| Discharge to community | 51.87% |
50.57%
1.3 pts better
|
No Different than the National Rate · Eligible stays 175 · Observed rate 44.57% · Lower 95% interval 44.43% |
| Medicare spending per beneficiary | 1.24 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 99.32% |
95.27%
4 pts better
|
Numerator 146 · Denominator 147 |
| Falls with major injury | 0.68% |
0.77%
0.1 pts better
|
Numerator 1 · Denominator 147 |
| Discharge self-care score | 70.79% |
53.69%
17.1 pts better
|
Numerator 63 · Denominator 89 |
| Discharge mobility score | 61.8% |
50.94%
10.9 pts better
|
Numerator 55 · Denominator 89 |
| Pressure ulcers or injuries, new or worsened | 10.88% |
2.29%
8.6 pts worse
|
Numerator 16 · Denominator 147 · Adjusted rate 9.63% |
| Healthcare-associated infections requiring hospitalization | 7.15% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 103 · Observed rate 7.77% · Lower 95% interval 4.32% |
| Staff COVID-19 vaccination coverage | 10.24% |
8.2%
2 pts better
|
Numerator 17 · Denominator 166 |
| Staff flu vaccination coverage | 99.36% |
42%
57.4 pts better
|
Numerator 156 · Denominator 157 |
| Discharge function score | 67.42% |
56.45%
11 pts better
|
Numerator 60 · Denominator 89 |
| Transfer of health information to provider | 97.78% |
95.95%
1.8 pts better
|
Numerator 44 · Denominator 45 |
| Transfer of health information to patient | 94.83% |
96.28%
1.5 pts worse
|
Numerator 55 · Denominator 58 |
| Resident COVID-19 vaccinations up to date | 10.64% |
25.2%
14.6 pts worse
|
Numerator 10 · Denominator 94 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
2.1
0.1 pts better
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.9 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.1
0.1 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.9 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 85.7% |
93.0%
7.3 pts worse
|
93.4%
7.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 94.9% · Q2 87.2% · Q3 83.9% · Q4 77.1% · 4Q avg 85.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.0% |
97.2%
1.2 pts worse
|
95.5%
0.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.0% |
2.4%
0.6 pts worse
|
3.3%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 2.1% · Q3 2.9% · Q4 2.8% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.6% |
11.4%
8.8 pts better
|
11.4%
8.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 4.5% · Q3 3.0% · Q4 2.1% · 4Q avg 2.6% |
| Percentage of long-stay residents who lose too much weight | 1.6% |
4.6%
3 pts better
|
5.4%
3.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 2.4% · Q3 0.9% · Q4 0.0% · 4Q avg 1.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 28.1% |
19.0%
9.1 pts worse
|
19.6%
8.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.4% · Q2 29.4% · Q3 30.8% · Q4 27.1% · 4Q avg 28.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.6% |
13.5%
2.9 pts better
|
16.7%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.9% · Q2 10.8% · Q3 11.3% · Q4 10.5% · 4Q avg 10.6% · 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 | 7.4% |
9.8%
2.4 pts better
|
16.3%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 7.1% · Q3 4.0% · Q4 2.2% · 4Q avg 7.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 3.5% |
9.7%
6.2 pts better
|
14.9%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 4.2% · Q3 1.9% · Q4 3.4% · 4Q avg 3.5% · 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 | 0.7% |
0.8%
0.1 pts better
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.7% · Q3 0.7% · Q4 0.7% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.1% |
15.9%
3.8 pts better
|
19.8%
7.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 14.5% · Q3 11.2% · Q4 7.5% · 4Q avg 12.1% |
| Percentage of long-stay residents with pressure ulcers | 6.2% |
6.0%
0.2 pts worse
|
5.1%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 5.4% · Q3 6.4% · Q4 5.7% · 4Q avg 6.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 36.5% |
78.7%
42.2 pts worse
|
81.7%
45.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 35.8% · Q2 38.1% · Q3 35.3% · Q4 36.7% · 4Q avg 36.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.6% |
8.2%
2.6 pts better
|
12.0%
6.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.6% · Observed 5.0% · Expected 10.0% · 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 0.0% · Q2 1.3% · Q3 1.4% · 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 | 49.3% |
80.1%
30.8 pts worse
|
79.7%
30.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 49.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.0% |
25.4%
1.6 pts worse
|
23.9%
3.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.0% · Observed 28.6% · Expected 25.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-05-10 · Fire 2022-05-10
4 health deficiencies
Top issue: Infection Control (2 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Cycle 3
Health 2019-12-12 · Fire 2019-12-12
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-05-29
K331 · Smoke Deficiencies
Fire Safety
Construct fire resistant interior walls.
Corrected 2024-07-26
F · Potential for more than minimal harm
2024-05-29
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-10
F · Potential for more than minimal harm
2024-05-29
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-07-10
F · Potential for more than minimal harm
2024-05-29
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-07-10
D · Potential for more than minimal harm
2024-05-29
K321 · Smoke Deficiencies
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 2024-07-10
E · Potential for more than minimal harm
2022-05-10
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-07-15
E · Potential for more than minimal harm
2022-05-10
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-07-15
E · Potential for more than minimal harm
2022-05-10
K331 · Smoke Deficiencies
Fire Safety
Construct fire resistant interior walls.
Corrected 2022-07-15
E · Potential for more than minimal harm
2022-05-10
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2022-07-15
E · Potential for more than minimal harm
2022-05-10
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-07-15
E · Potential for more than minimal harm
2022-05-10
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-07-15
D · Potential for more than minimal harm
2022-05-10
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2022-07-15
D · Potential for more than minimal harm
2022-05-10
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-07-15
D · Potential for more than minimal harm
2019-12-12
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2020-01-10
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-05-29
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 2024-07-10
E · Potential for more than minimal harm
2024-05-29
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-07-10
E · Potential for more than minimal harm
2024-05-29
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-07-10
E · Potential for more than minimal harm
2024-05-29
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 2024-07-10
E · Potential for more than minimal harm
2024-05-29
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2024-07-10
E · Potential for more than minimal harm
2024-05-29
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-10
D · Potential for more than minimal harm
2024-05-29
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 2024-07-19
D · Potential for more than minimal harm
2024-05-29
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-07-19
D · Potential for more than minimal harm
2024-05-29
F711 · Nursing and Physician Services Deficiencies
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2024-07-10
D · Potential for more than minimal harm
2024-05-29
F712 · Nursing and Physician Services Deficiencies
Health
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2024-07-10
L · Immediate jeopardy
2022-05-10
F886 · Infection Control Deficiencies
Health
Perform COVID19 testing on residents and staff.
Corrected 2022-06-13
F · Potential for more than minimal harm
2022-05-10
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-06-22
E · Potential for more than minimal harm
2022-05-10
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2022-06-13
E · Potential for more than minimal harm
2022-05-10
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 2022-06-13
D · Potential for more than minimal harm
2019-12-12
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2020-01-10
D · Potential for more than minimal harm
2019-12-12
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2020-01-10
D · Potential for more than minimal harm
2019-12-12
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 2020-01-10
D · Potential for more than minimal harm
2019-12-12
F919 · Environmental Deficiencies
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2020-01-10
Penalties and ownership
What sits behind the stars
Ownership
Eef Capital LLC
5% Or Greater Direct Ownership Interest · Organization
Peace Capital LLC
5% Or Greater Direct Ownership Interest · Organization
Stein, Shalom
5% Or Greater Indirect Ownership Interest · Individual
Schlaff, Benny
5% Or Greater Indirect Ownership Interest · Individual
Schlaff, Nachum
5% Or Greater Indirect Ownership Interest · Individual
White, Cindy
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Rose Garden Nursing And Rehabilitation Center
Toms River, NJ
2-star overall rating with 2-star inspections with abuse icon flag with $17,345 in total fines with 14 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
Harrogate
Lakewood, NJ
5-star overall rating with 4-star inspections with 6 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
#3
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
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