11 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Lakewood, NJ
2-star overall rating with 1-star inspections with abuse icon flag with $57,526 in total fines with 11 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
527 River Avenue, Lakewood, NJ
(732) 905-0700
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
123
Certified beds
Average residents
90
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1993-09-07
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
0.36
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.82
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
1.87
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
3.05
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.18
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
2.51
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.16
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.45
CMS adjusted RN staffing hours
Adjusted total hours
3.82
CMS adjusted total nurse staffing hours
Case-mix index
1.09
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
46%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
7,883
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
28.52
Composite VBP score used to determine payment impact.
Payment multiplier
0.9850
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.14
Baseline 19.45% · Performance 19.98% · Measure score 3.14 · Achievement 3.14 · Improvement 0
Healthcare-associated infections
0
Baseline 5.14% · Performance 7.84% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
4.56
Baseline 45.78% · Performance 45.05% · Measure score 4.56 · Achievement 4.56 · Improvement 0
Adjusted total nurse staffing
3.71
Baseline 4.28 hours · Performance 4.13 hours · Measure score 3.71 · Achievement 3.71 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.5% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 116 · Observed rate 10.34% · Lower 95% interval 7.41% |
| Discharge to community | 61.12% |
50.57%
10.5 pts better
|
No Different than the National Rate · Eligible stays 102 · Observed rate 50% · Lower 95% interval 48.55% |
| Medicare spending per beneficiary | 1.17 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 98.06% |
95.27%
2.8 pts better
|
Numerator 101 · Denominator 103 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 103 |
| Discharge self-care score | 53.57% |
53.69%
0.1 pts worse
|
Numerator 30 · Denominator 56 |
| Discharge mobility score | 50% |
50.94%
0.9 pts worse
|
Numerator 28 · Denominator 56 |
| Pressure ulcers or injuries, new or worsened | 1.94% |
2.29%
0.4 pts better
|
Numerator 2 · Denominator 103 · Adjusted rate 1.57% |
| Healthcare-associated infections requiring hospitalization | 7.84% |
7.12%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 84 · Observed rate 9.52% · Lower 95% interval 4.57% |
| Staff COVID-19 vaccination coverage | 0.86% |
8.2%
7.3 pts worse
|
Numerator 1 · Denominator 116 |
| Staff flu vaccination coverage | 97.64% |
42%
55.6 pts better
|
Numerator 124 · Denominator 127 |
| Discharge function score | 60.71% |
56.45%
4.3 pts better
|
Numerator 34 · Denominator 56 |
| Transfer of health information to provider | 95.65% |
95.95%
0.3 pts worse
|
Numerator 44 · Denominator 46 |
| Transfer of health information to patient | 97.06% |
96.28%
0.8 pts better
|
Numerator 33 · Denominator 34 |
| Resident COVID-19 vaccinations up to date | 22.92% |
25.2%
2.3 pts worse
|
Numerator 11 · Denominator 48 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.4 |
2.1
1.3 pts worse
|
1.9
1.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.4 · Observed 3.3 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.7 |
1.1
0.6 pts worse
|
1.8
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.6 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% |
93.0%
6.7 pts better
|
93.4%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 98.7% · 4Q avg 99.7% |
| 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 | 2.0% |
2.4%
0.4 pts better
|
3.3%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 2.7% · Q3 2.7% · Q4 1.3% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 10.6% |
11.4%
0.8 pts better
|
11.4%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 18.3% · Q3 11.9% · Q4 6.8% · 4Q avg 10.6% |
| Percentage of long-stay residents who lose too much weight | 5.0% |
4.6%
0.4 pts worse
|
5.4%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 7.1% · Q3 4.3% · Q4 2.7% · 4Q avg 5.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.1% |
19.0%
4.9 pts better
|
19.6%
5.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.8% · Q2 15.1% · Q3 11.6% · Q4 11.0% · 4Q avg 14.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.3% |
13.5%
0.8 pts worse
|
16.7%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 12.2% · Q3 22.5% · Q4 14.9% · 4Q avg 14.3% · 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 | 4.9% |
9.8%
4.9 pts better
|
16.3%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 5.9% · Q3 4.7% · Q4 0.0% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.4% |
9.7%
4.3 pts better
|
14.9%
9.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 7.5% · Q3 3.2% · Q4 3.0% · 4Q avg 5.4% · 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 0.0% · Q2 1.0% · 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 | 1.7% |
0.8%
0.9 pts worse
|
1.7%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.6% · Q3 1.4% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.4% |
15.9%
8.5 pts worse
|
19.8%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.9% · Q2 20.5% · Q3 17.8% · Q4 33.7% · 4Q avg 24.4% |
| 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 8.1% · Q2 8.5% · Q3 4.9% · Q4 3.3% · 4Q avg 6.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 85.5% |
78.7%
6.8 pts better
|
81.7%
3.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.4% · Q2 88.7% · Q3 79.5% · Q4 76.1% · 4Q avg 85.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.3% |
8.2%
3.9 pts better
|
12.0%
7.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.3% · Observed 4.4% · Expected 11.5% · 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 | 91.7% |
80.1%
11.6 pts better
|
79.7%
12 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 91.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 37.6% |
25.4%
12.2 pts worse
|
23.9%
13.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 37.6% · Observed 38.2% · Expected 24.2% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Top issue: Nutrition and Dietary (2 deficiencies)
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-04-02
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-04-02
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 2023-02-27
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 2023-03-29
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-03-31
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-03-22
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-02-27
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-03-31
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-03-30
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2023-03-28
Fire Safety
Provide properly protected cooking facilities.
Corrected 2021-04-12
Inspection history
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-06-23
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-03-06
Health
Respond appropriately to all alleged violations.
Corrected 2025-04-02
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-04-02
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-04-02
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-04-02
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-04-02
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2025-04-02
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 2025-04-02
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 2025-04-02
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-04-02
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-06-28
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-02-27
Health
Dispose of garbage and refuse properly.
Corrected 2023-03-06
Health
Provide and implement an infection prevention and control program.
Corrected 2023-03-17
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-03-17
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 2023-02-27
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-03-17
Penalties and ownership
Fine · fine $26,685
Fine
Fine · fine $4,545
Fine
Fine · fine $4,235
Fine
Fine · fine $3,882
Fine
Fine · fine $3,496
Fine
Fine · fine $3,147
Fine
Fine · fine $2,797
Fine
Fine · fine $2,447
Fine
Fine · fine $2,098
Fine
Fine · fine $4,194
Fine
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
Lakewood, NJ
2-star overall rating with 3-star inspections with 10 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Lakewood, NJ
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
Lakewood, NJ
5-star overall rating with 4-star inspections with 6 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
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