22 health deficiencies
Top issue: Resident Assessment and Care Planning (6 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Cherry Hill, NJ
1-star overall rating with 1-star inspections with $271,507 in total fines with 22 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
3025 Chapel Avenue West, Cherry Hill, NJ
(856) 675-3000
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
162
Certified beds
Average residents
145
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1973-04-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.25
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.95
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.35
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
3.55
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.20
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.22
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.12
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.25
CMS adjusted RN staffing hours
Adjusted total hours
3.57
CMS adjusted total nurse staffing hours
Case-mix index
1.36
Higher values indicate more complex resident acuity
RN turnover
64%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
59%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
10,534
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
20.02
Composite VBP score used to determine payment impact.
Payment multiplier
0.9823
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.40
Baseline 23.86% · Performance 21.20% · Measure score 3.40 · Achievement 0.5 · Improvement 3.40
Healthcare-associated infections
1.48
Baseline 10.78% · Performance 9.63% · Measure score 1.48 · Achievement 0 · Improvement 1.48
Total nurse turnover
0.80
Baseline 66.67% · Performance 61.24% · Measure score 0.80 · Achievement 0.60 · Improvement 0.80
Adjusted total nurse staffing
2.33
Baseline 2.54 hours · Performance 3.46 hours · Measure score 2.33 · Achievement 1.35 · Improvement 2.33
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.61% |
10.72%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 142 · Observed rate 13.38% · Lower 95% interval 8.23% |
| Discharge to community | 37.81% |
50.57%
12.8 pts worse
|
Worse than the National Rate · Eligible stays 113 · Observed rate 29.2% · Lower 95% interval 28.42% |
| Medicare spending per beneficiary | 1.29 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 97.65% |
95.27%
2.4 pts better
|
Numerator 83 · Denominator 85 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 85 |
| Discharge self-care score | 52.38% |
53.69%
1.3 pts worse
|
Numerator 22 · Denominator 42 |
| Discharge mobility score | 40.48% |
50.94%
10.5 pts worse
|
Numerator 17 · Denominator 42 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 85 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 9.63% |
7.12%
2.5 pts worse
|
No Different than the National Rate · Eligible stays 76 · Observed rate 14.47% · Lower 95% interval 6.39% |
| Staff COVID-19 vaccination coverage | 1.02% |
8.2%
7.2 pts worse
|
Numerator 1 · Denominator 98 |
| Staff flu vaccination coverage | 43.93% |
42%
1.9 pts better
|
Numerator 47 · Denominator 107 |
| Discharge function score | 61.9% |
56.45%
5.4 pts better
|
Numerator 26 · Denominator 42 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 37 · Denominator 37 |
| Transfer of health information to patient | 92.31% |
96.28%
4 pts worse
|
Numerator 24 · Denominator 26 |
| Resident COVID-19 vaccinations up to date | 32.69% |
25.2%
7.5 pts better
|
Numerator 17 · Denominator 52 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.2 |
2.1
1.1 pts worse
|
1.9
1.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.2 · Observed 3.1 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.9 |
1.1
0.8 pts worse
|
1.8
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.8 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 81.1% |
93.0%
11.9 pts worse
|
93.4%
12.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 87.8% · Q2 83.7% · Q3 88.8% · Q4 64.3% · 4Q avg 81.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.7% |
97.2%
0.5 pts better
|
95.5%
2.2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.4% |
2.4%
1 pts better
|
3.3%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.8% · Q3 0.7% · Q4 2.3% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 13.1% |
11.4%
1.7 pts worse
|
11.4%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 11.1% · Q3 14.6% · Q4 18.9% · 4Q avg 13.1% |
| Percentage of long-stay residents who lose too much weight | 4.3% |
4.6%
0.3 pts better
|
5.4%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 4.9% · Q3 4.4% · Q4 4.4% · 4Q avg 4.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 24.0% |
19.0%
5 pts worse
|
19.6%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.2% · Q2 14.8% · Q3 23.7% · Q4 40.2% · 4Q avg 24.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.2% |
13.5%
2.3 pts better
|
16.7%
5.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 12.3% · Q3 12.8% · Q4 9.1% · 4Q avg 11.2% · 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 | 9.2% |
9.8%
0.6 pts better
|
16.3%
7.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 24.0% · Q2 4.8% · Q3 2.1% · Q4 7.7% · 4Q avg 9.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.5% |
9.7%
4.8 pts worse
|
14.9%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 34.0% · Q2 6.1% · Q3 7.3% · Q4 11.2% · 4Q avg 14.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
0.7%
0.5 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.4% |
0.8%
0.4 pts better
|
1.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.6% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.2% |
15.9%
13.3 pts worse
|
19.8%
9.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 39.5% · Q2 24.9% · Q3 29.8% · Q4 22.9% · 4Q avg 29.2% |
| Percentage of long-stay residents with pressure ulcers | 4.2% |
6.0%
1.8 pts better
|
5.1%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 3.7% · Q3 4.8% · Q4 4.9% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 81.9% |
78.7%
3.2 pts better
|
81.7%
0.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.8% · Q2 82.5% · Q3 75.5% · Q4 74.5% · 4Q avg 81.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.8% |
8.2%
1.4 pts better
|
12.0%
5.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.8% · Observed 7.2% · Expected 11.9% · 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 | 100.0% |
80.1%
19.9 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 40.5% |
25.4%
15.1 pts worse
|
23.9%
16.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 40.5% · Observed 43.4% · Expected 25.5% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (6 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
14 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (5 deficiencies)
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-07-18
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 2025-07-18
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-07-18
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-07-18
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-07-18
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-07-18
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-07-18
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-07-18
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-07-18
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-07-18
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 2025-07-18
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-07-18
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2025-07-18
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-07-18
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-05-22
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2023-05-22
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-05-22
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-05-22
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2023-05-22
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2023-05-22
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-05-22
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-05-22
Fire Safety
Install proper backup exit lighting.
Corrected 2023-05-22
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-05-22
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-05-22
Fire Safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2023-05-22
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-05-22
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 2023-05-22
Inspection history
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-02-13
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-10-22
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 2025-07-18
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-07-18
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-18
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-07-18
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 2025-07-18
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-18
Health
Hire a qualified full-time social worker in a facility with more than 120 beds.
Corrected 2025-07-18
Health
Implement a program that monitors antibiotic use.
Corrected 2025-07-18
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2025-07-18
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-07-18
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-07-18
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-07-18
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-07-18
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2025-07-18
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-07-18
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-07-18
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2025-07-18
Health
Dispose of garbage and refuse properly.
Corrected 2025-07-18
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-07-18
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-18
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-04-10
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-10
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 2025-04-10
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-04-10
Health
Respond appropriately to all alleged violations.
Corrected 2025-04-10
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 2025-04-10
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-03-21
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-03-21
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2024-03-21
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-03-21
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-05-22
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2023-05-22
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-05-22
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2023-05-22
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-05-22
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2023-05-22
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-22
Health
Provide and implement an infection prevention and control program.
Corrected 2023-05-22
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-05-22
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-05-22
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-05-22
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-04-03
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 2021-04-03
Penalties and ownership
Fine · fine $116,300
Fine
Fine · fine $78,871
Fine
Fine · fine $76,336
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
Nearby options
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Maple Shade, NJ
1-star overall rating with 1-star inspections with $189,443 in total fines with 8 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
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