Cycle 1
Health 2024-09-13 · Fire 2024-09-13
10 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Galloway Township, NJ
Health Center At Galloway, The
2-star overall rating with 2-star inspections with $76,958 in total fines with 10 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
66 West Jimmie Leeds Road, Galloway Township, NJ
(609) 748-9100
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
120
Certified beds
Average residents
96
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Continuum Healthcare
Operator or chain grouping
Approved since
1984-12-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
12 facilities
Chain averages 2 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
0.46
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.36
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
1.94
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
3.75
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.81
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.49
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.29
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.11
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.48
CMS adjusted RN staffing hours
Adjusted total hours
3.93
CMS adjusted total nurse staffing hours
Case-mix index
1.30
Higher values indicate more complex resident acuity
RN turnover
56%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
55%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
8,717
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
25.88
Composite VBP score used to determine payment impact.
Payment multiplier
0.9840
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.35
Baseline 20.94% · Performance 18.95% · Measure score 5.35 · Achievement 5.35 · Improvement 4.58
Healthcare-associated infections
1.19
Baseline 6.49% · Performance 7.48% · Measure score 1.19 · Achievement 1.19 · Improvement 0
Total nurse turnover
2.04
Baseline 61.95% · Performance 55.36% · Measure score 2.04 · Achievement 2.04 · Improvement 1.28
Adjusted total nurse staffing
1.77
Baseline 3.97 hours · Performance 3.58 hours · Measure score 1.77 · Achievement 1.77 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.59% |
10.72%
0.1 pts better
|
No Different than the National Rate · Eligible stays 257 · Observed rate 11.28% · Lower 95% interval 7.97% |
| Discharge to community | 65.99% |
50.57%
15.4 pts better
|
Better than the National Rate · Eligible stays 247 · Observed rate 57.09% · Lower 95% interval 58.92% |
| Medicare spending per beneficiary | 1.2 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 199 · Denominator 199 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 199 |
| Discharge self-care score | 58.41% |
53.69%
4.7 pts better
|
Numerator 66 · Denominator 113 |
| Discharge mobility score | 46.02% |
50.94%
4.9 pts worse
|
Numerator 52 · Denominator 113 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 199 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.48% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 168 · Observed rate 8.33% · Lower 95% interval 4.83% |
| Staff COVID-19 vaccination coverage | Not Available |
8.2%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 59.29% |
56.45%
2.8 pts better
|
Numerator 67 · Denominator 113 |
| Transfer of health information to provider | 98.25% |
95.95%
2.3 pts better
|
Numerator 56 · Denominator 57 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 100 · Denominator 100 |
| Resident COVID-19 vaccinations up to date | 1.9% |
25.2%
23.3 pts worse
|
Numerator 2 · Denominator 105 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.2 |
2.1
0.1 pts worse
|
1.9
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.5 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.6 |
1.1
0.5 pts worse
|
1.8
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.8 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 84.3% |
93.0%
8.7 pts worse
|
93.4%
9.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 94.0% · Q2 85.4% · Q3 80.3% · Q4 75.7% · 4Q avg 84.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.6% |
97.2%
1.6 pts worse
|
95.5%
0.1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.9% |
2.4%
0.5 pts worse
|
3.3%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 3.7% · Q3 2.6% · Q4 2.9% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.0% |
11.4%
7.4 pts better
|
11.4%
7.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 2.9% · Q3 1.6% · Q4 3.3% · 4Q avg 4.0% |
| Percentage of long-stay residents who lose too much weight | 16.8% |
4.6%
12.2 pts worse
|
5.4%
11.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 19.4% · Q3 19.4% · Q4 9.7% · 4Q avg 16.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 24.6% |
19.0%
5.6 pts worse
|
19.6%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.4% · Q2 22.7% · Q3 23.5% · Q4 29.2% · 4Q avg 24.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.0% |
13.5%
0.5 pts worse
|
16.7%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.4% · Q2 21.3% · Q3 13.5% · Q4 4.3% · 4Q avg 14.0% · 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 | 17.7% |
9.8%
7.9 pts worse
|
16.3%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 17.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.1% |
9.7%
0.6 pts better
|
14.9%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 16.7% · Q3 6.1% · Q4 8.1% · 4Q avg 9.1% · 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 | 0.0% |
0.8%
0.8 pts better
|
1.7%
1.7 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 new or worsened bowel or bladder incontinence | 22.8% |
15.9%
6.9 pts worse
|
19.8%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.9% · Q2 16.1% · Q3 29.6% · Q4 15.5% · 4Q avg 22.8% |
| 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 6.8% · Q2 7.2% · Q3 5.8% · Q4 5.0% · 4Q avg 6.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 36.3% |
78.7%
42.4 pts worse
|
81.7%
45.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 34.8% · Q2 39.1% · Q3 42.0% · Q4 29.3% · 4Q avg 36.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.4% |
8.2%
3.2 pts worse
|
12.0%
0.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.4% · Observed 12.5% · Expected 12.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
1.2%
0.3 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.9% · Q3 0.9% · Q4 1.7% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 60.8% |
80.1%
19.3 pts worse
|
79.7%
18.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 60.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.2% |
25.4%
2.8 pts worse
|
23.9%
4.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.2% · Observed 29.9% · Expected 25.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-11-02 · Fire 2023-11-02
4 health deficiencies
Top issue: Infection Control (1 deficiency)
3 fire-safety deficiencies
Top issue: Services (2 deficiencies)
Cycle 3
Health 2021-08-20 · Fire 2021-08-20
6 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-09-13
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-10-15
F · Potential for more than minimal harm
2024-09-13
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-10-15
F · Potential for more than minimal harm
2024-09-13
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2024-10-15
F · Potential for more than minimal harm
2024-09-13
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-10-15
F · Potential for more than minimal harm
2024-09-13
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-10-15
E · Potential for more than minimal harm
2024-09-13
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-10-15
E · Potential for more than minimal harm
2024-09-13
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 2024-10-15
E · Potential for more than minimal harm
2024-09-13
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-10-15
F · Potential for more than minimal harm
2023-11-02
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-11-07
F · Potential for more than minimal harm
2023-11-02
K541 · Services Deficiencies
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2023-11-13
F · Potential for more than minimal harm
2023-11-02
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-12-05
E · Potential for more than minimal harm
2021-08-20
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-09-01
D · Potential for more than minimal harm
2021-08-20
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2021-09-01
D · Potential for more than minimal harm
2021-08-20
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2021-09-01
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-11-25
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-12-19
D · Potential for more than minimal harm
2025-08-07
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-09-09
D · Potential for more than minimal harm
2025-08-07
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-09
F · Potential for more than minimal harm
2024-09-13
F727 · Nursing and Physician Services Deficiencies
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2024-10-15
F · Potential for more than minimal harm
2024-09-13
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 2024-10-15
E · Potential for more than minimal harm
2024-09-13
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-10-15
D · Potential for more than minimal harm
2024-09-13
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 2024-10-15
D · Potential for more than minimal harm
2024-09-13
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 2024-10-15
D · Potential for more than minimal harm
2024-09-13
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 2024-10-15
D · Potential for more than minimal harm
2024-09-13
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 2024-10-15
D · Potential for more than minimal harm
2024-02-22
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 2024-04-01
K · Immediate jeopardy
2023-11-02
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-12-05
F · Potential for more than minimal harm
2023-11-02
F727 · Nursing and Physician Services Deficiencies
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2023-12-05
E · Potential for more than minimal harm
2023-11-02
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-05
D · Potential for more than minimal harm
2023-11-02
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2023-12-05
E · Potential for more than minimal harm
2021-08-20
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 2021-09-01
D · Potential for more than minimal harm
2021-08-20
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 2021-09-01
D · Potential for more than minimal harm
2021-08-20
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 2021-09-01
D · Potential for more than minimal harm
2021-08-20
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2021-09-01
D · Potential for more than minimal harm
2021-08-20
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2021-09-01
Penalties and ownership
What sits behind the stars
$76,958
2023-11-02
Fine
Fine · fine $76,958
Fine
Ownership
Continuum Healthcare I Inc
Operational/Managerial Control · Organization
Dasondi, Vivekkumar
Operational/Managerial Control · Individual
Dorn, Cheryl
Operational/Managerial Control · Individual
Execucare Associates
Operational/Managerial Control · Organization
Galloway Real Property LLC
5% Or Greater Mortgage Interest · Organization
Leshkowitz & Company Llp
Operational/Managerial Control · Organization
Litman, Warren
Operational/Managerial Control · Individual
Litman, Warren
Corporate Director · Individual
Mandelbaum, Daniel
Operational/Managerial Control · Individual
Shaffer, Susan
Operational/Managerial Control · Individual
Stonebridge Healthcare Holdings LLC
5% Or Greater Mortgage Interest · Organization
Twomagnets LLC
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
Royal Suites Health Care & Rehabilitation
Galloway Township, NJ
5-star overall rating with 4-star inspections with 7 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Atlas Healthcare At Seashore Gardens
Galloway Township, NJ
2-star overall rating with 2-star inspections with 12 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Preferred Care At Absecon
Absecon, NJ
3-star overall rating with 4-star inspections with $39,620 in total fines with 3 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
Jump out