1 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Lakewood, NJ
4-star overall rating with 4-star inspections with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
963 Ocean Ave, Lakewood, NJ
(732) 367-7444
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
95
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Colev Gestetner
Operator or chain grouping
Approved since
1989-03-28
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
7 facilities
Chain averages 4 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
RN hours / resident day
0.50
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
2.21
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
3.70
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.49
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.20
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.36
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
0.54
CMS adjusted RN staffing hours
Adjusted total hours
3.96
CMS adjusted total nurse staffing hours
Case-mix index
1.28
Higher values indicate more complex resident acuity
RN turnover
39%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
28%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
6,092
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
34.03
Composite VBP score used to determine payment impact.
Payment multiplier
0.9881
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.22
Baseline 21.18% · Performance 20.87% · Measure score 1.22 · Achievement 1.22 · Improvement 0.25
Healthcare-associated infections
3.59
Baseline 9.49% · Performance 7.65% · Measure score 3.59 · Achievement 0.60 · Improvement 3.59
Total nurse turnover
7.75
Baseline 52.04% · Performance 32.00% · Measure score 7.75 · Achievement 7.75 · Improvement 6.87
Adjusted total nurse staffing
1.05
Baseline 3.11 hours · Performance 3.38 hours · Measure score 1.05 · Achievement 1.05 · Improvement 0.51
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.85% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 193 · Observed rate 9.33% · Lower 95% interval 6.98% |
| Discharge to community | 53.73% |
50.57%
3.2 pts better
|
No Different than the National Rate · Eligible stays 160 · Observed rate 45.63% · Lower 95% interval 46.17% |
| Medicare spending per beneficiary | 1.21 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 196 · Denominator 196 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 196 |
| Discharge self-care score | 61.86% |
53.69%
8.2 pts better
|
Numerator 73 · Denominator 118 |
| Discharge mobility score | 57.63% |
50.94%
6.7 pts better
|
Numerator 68 · Denominator 118 |
| Pressure ulcers or injuries, new or worsened | 3.06% |
2.29%
0.8 pts worse
|
Numerator 6 · Denominator 196 · Adjusted rate 2.47% |
| Healthcare-associated infections requiring hospitalization | 7.65% |
7.12%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 147 · Observed rate 10.2% · Lower 95% interval 5.06% |
| Staff COVID-19 vaccination coverage | 1.23% |
8.2%
7 pts worse
|
Numerator 2 · Denominator 163 |
| Staff flu vaccination coverage | 97.48% |
42%
55.5 pts better
|
Numerator 155 · Denominator 159 |
| Discharge function score | 63.56% |
56.45%
7.1 pts better
|
Numerator 75 · Denominator 118 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 65 · Denominator 65 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 82 · Denominator 82 |
| Resident COVID-19 vaccinations up to date | 14.14% |
25.2%
11.1 pts worse
|
Numerator 14 · Denominator 99 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.1 |
2.1
1 pts worse
|
1.9
1.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.1 · Observed 2.4 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.1 |
1.1
2 pts worse
|
1.8
1.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.1 · Observed 2.4 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.3% |
93.0%
6.3 pts better
|
93.4%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.7% · Q2 100.0% · Q3 100.0% · Q4 98.7% · 4Q avg 99.3% |
| 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 | 3.9% |
2.4%
1.5 pts worse
|
3.3%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 3.8% · Q3 4.2% · Q4 5.1% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.9% |
11.4%
5.5 pts better
|
11.4%
5.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 6.9% · Q3 5.9% · Q4 4.1% · 4Q avg 5.9% |
| Percentage of long-stay residents who lose too much weight | 1.5% |
4.6%
3.1 pts better
|
5.4%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 3.0% · Q3 1.5% · Q4 0.0% · 4Q avg 1.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.4% |
19.0%
0.4 pts worse
|
19.6%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.7% · Q2 18.3% · Q3 21.5% · Q4 22.2% · 4Q avg 19.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.5% |
13.5%
4 pts better
|
16.7%
7.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 7.5% · Q3 9.8% · Q4 12.2% · 4Q avg 9.5% · 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 | 5.1% |
9.8%
4.7 pts better
|
16.3%
11.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q4 8.5% · 4Q avg 5.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.5% |
9.7%
5.2 pts better
|
14.9%
10.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 7.4% · Q3 0.0% · Q4 5.9% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
0.7%
0.3 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.6% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.0% |
0.8%
1.2 pts worse
|
1.7%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.4% · Q3 2.8% · Q4 2.7% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.2% |
15.9%
12.3 pts worse
|
19.8%
8.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.2% · Q2 26.9% · Q3 21.0% · Q4 31.1% · 4Q avg 28.2% |
| Percentage of long-stay residents with pressure ulcers | 1.7% |
6.0%
4.3 pts better
|
5.1%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 2.8% · Q4 2.7% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.4% |
78.7%
20.7 pts better
|
81.7%
17.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.3% · Q2 100.0% · Q3 100.0% · Q4 98.5% · 4Q avg 99.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.7% |
8.2%
1.5 pts better
|
12.0%
5.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.7% · Observed 6.9% · Expected 11.6% · 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 | 97.7% |
80.1%
17.6 pts better
|
79.7%
18 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 33.3% |
25.4%
7.9 pts worse
|
23.9%
9.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 33.3% · Observed 36.6% · Expected 26.1% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Nutrition and Dietary (1 deficiency)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire Safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2024-12-23
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 2023-11-07
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-11-04
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2021-08-19
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-12-23
Health
Keep residents' personal and medical records private and confidential.
Corrected 2023-11-04
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-11-04
Health
Provide and implement an infection prevention and control program.
Corrected 2023-11-04
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2021-08-09
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2021-08-09
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
W-2 Managing Employee · Individual
W-2 Managing Employee · Individual
W-2 Managing Employee · Individual
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