Edison, NJ

Embassy Manor At Edison Nursing And Rehabilitation

2-star overall rating with 2-star inspections with 11 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle

10 Brunswick Avenue, Edison, NJ

(732) 985-1500

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

280

Certified beds

Average residents

220

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1989-07-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.60

Registered nurse staffing

LPN hours / resident day

0.40

Licensed practical nurse staffing

Aide hours / resident day

2.29

Nurse aide staffing

Weekend hours

3.02

Weekend nurse staffing

RN turnover

59%

Annual RN turnover

Total nurse turnover

54%

Annual nurse turnover

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
Number of outpatient emergency department visits per 1000 long-stay resident days 0.9
1.1
0.2 pts better
1.8
0.9 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 93.0%
93.0%
About the same
93.4%
0.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.4%
97.2%
0.2 pts better
95.5%
1.9 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 2.3%
2.4%
0.1 pts better
3.3%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 35.3%
11.4%
23.9 pts worse
11.4%
23.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 3.5%
4.6%
1.1 pts better
5.4%
1.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 7.9%
19.0%
11.1 pts better
19.6%
11.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 13.2%
13.5%
0.3 pts better
16.7%
3.5 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 4.3%
9.8%
5.5 pts better
16.3%
12 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 4.3%
9.7%
5.4 pts better
14.9%
10.6 pts better
Long Stay · 2024Q4-2025Q3
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
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
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 4.0%
15.9%
11.9 pts better
19.8%
15.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 3.8%
6.0%
2.2 pts better
5.1%
1.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 57.4%
78.7%
21.3 pts worse
81.7%
24.3 pts worse
Short Stay · 2024Q4-2025Q3
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
Percentage of short-stay residents who newly received an antipsychotic medication 2.5%
1.2%
1.3 pts worse
1.6%
0.9 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 77.2%
80.1%
2.9 pts worse
79.7%
2.5 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 24.8%
25.4%
0.6 pts better
23.9%
0.9 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-12 · Fire 2025-05-12

11 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

11 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 2 Health 2023-03-10 · Fire 2023-03-10

10 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

9 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2021-02-26 · Fire 2021-02-26

4 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

1 fire-safety deficiencies

Top issue: Services (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-05-12

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 2025-06-06

F · Potential for more than minimal harm 2025-05-12

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 2025-06-06

F · Potential for more than minimal harm 2025-05-12

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-06-06

F · Potential for more than minimal harm 2025-05-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-06-06

F · Potential for more than minimal harm 2025-05-12

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-06-06

F · Potential for more than minimal harm 2025-05-12

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-06-06

F · Potential for more than minimal harm 2025-05-12

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-06-06

E · Potential for more than minimal harm 2025-05-12

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-06-06

E · Potential for more than minimal harm 2025-05-12

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2025-06-06

E · Potential for more than minimal harm 2025-05-12

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-06-06

E · Potential for more than minimal harm 2025-05-12

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-06-06

F · Potential for more than minimal harm 2023-03-10

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-03-16

F · Potential for more than minimal harm 2023-03-10

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-04-19

F · Potential for more than minimal harm 2023-03-10

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-03-28

F · Potential for more than minimal harm 2023-03-10

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-03-14

E · Potential for more than minimal harm 2023-03-10

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-03-14

E · Potential for more than minimal harm 2023-03-10

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2023-03-16

E · Potential for more than minimal harm 2023-03-10

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 2023-03-14

E · Potential for more than minimal harm 2023-03-10

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2023-03-30

E · Potential for more than minimal harm 2023-03-10

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-03-14

D · Potential for more than minimal harm 2021-02-26

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2021-04-16

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-05-12

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 2025-06-06

E · Potential for more than minimal harm 2025-05-12

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-06-06

E · Potential for more than minimal harm 2025-05-12

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-06-06

D · Potential for more than minimal harm 2025-05-12

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-06-06

D · Potential for more than minimal harm 2025-05-12

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2025-06-06

D · Potential for more than minimal harm 2025-05-12

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 2025-06-06

D · Potential for more than minimal harm 2025-05-12

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-06-06

D · Potential for more than minimal harm 2025-05-12

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 2025-06-06

D · Potential for more than minimal harm 2025-05-12

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-06-06

D · Potential for more than minimal harm 2025-05-12

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 2025-06-06

D · Potential for more than minimal harm 2025-05-12

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-06-06

D · Potential for more than minimal harm 2024-07-25

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-08-23

E · Potential for more than minimal harm 2023-03-10

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-03-14

E · Potential for more than minimal harm 2023-03-10

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-03-14

E · Potential for more than minimal harm 2023-03-10

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2023-03-14

E · Potential for more than minimal harm 2023-03-10

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 2023-03-14

E · Potential for more than minimal harm 2023-03-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-03-14

D · Potential for more than minimal harm 2023-03-10

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 2023-03-14

D · Potential for more than minimal harm 2023-03-10

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 2023-03-14

D · Potential for more than minimal harm 2023-03-10

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-03-14

D · Potential for more than minimal harm 2023-03-10

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-03-14

F · Potential for more than minimal harm 2021-02-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2021-04-05

E · Potential for more than minimal harm 2021-02-26

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2021-04-16

D · Potential for more than minimal harm 2021-02-26

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2021-04-16

D · Potential for more than minimal harm 2021-02-26

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2021-04-16

Penalties and ownership

What sits behind the stars

Ownership

Pandya, Yash

5% Or Greater Direct Ownership Interest · Individual

38% 1 facilities 2021-02-01
Dasondi, Nilesh

5% Or Greater Direct Ownership Interest · Individual

21% 1 facilities 2021-02-01
Antala, Rakesh

5% Or Greater Direct Ownership Interest · Individual

20% 1 facilities 2021-02-01
Joshi, Darshna

5% Or Greater Direct Ownership Interest · Individual

11% 1 facilities 2021-02-01
Patel, Vishal

5% Or Greater Direct Ownership Interest · Individual

10% 1 facilities 2021-02-01
Weissman, Moshe

W-2 Managing Employee · Individual

0% 2 facilities 2021-02-01

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