5 health deficiencies
Top issue: Infection Control (2 deficiencies)
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Lawrenceville, NJ
4-star overall rating with 3-star inspections with 5 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
2381 Lawrenceville Road, Lawrenceville, NJ
(609) 896-9500
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
56
Certified beds
Average residents
53
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Marquis Health Services
Operator or chain grouping
Approved since
1971-06-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
81 facilities
Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
RN hours / resident day
1.05
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.53
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.40
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
4.98
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
2.58
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
4.27
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.50
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.14
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.70
CMS adjusted RN staffing hours
Adjusted total hours
3.34
CMS adjusted total nurse staffing hours
Case-mix index
2.04
Higher values indicate more complex resident acuity
RN turnover
41%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
39%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
6,936
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
31.28
Composite VBP score used to determine payment impact.
Payment multiplier
0.9864
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 20.74% · Performance 24.95% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 5.28% · Performance 9.65% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
7.33
Performance 33.71% · Measure score 7.33 · Achievement 7.33 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
5.18
Baseline 6.36 hours · Performance 4.55 hours · Measure score 5.18 · Achievement 5.18 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.41% |
10.72%
1.7 pts worse
|
No Different than the National Rate · Eligible stays 605 · Observed rate 11.74% · Lower 95% interval 10.56% |
| Discharge to community | 63.07% |
50.57%
12.5 pts better
|
Better than the National Rate · Eligible stays 661 · Observed rate 59.61% · Lower 95% interval 59.58% |
| Medicare spending per beneficiary | 1 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 99.72% |
95.27%
4.5 pts better
|
Numerator 350 · Denominator 351 |
| Falls with major injury | 0.57% |
0.77%
0.2 pts better
|
Numerator 2 · Denominator 350 |
| Discharge self-care score | 93.71% |
53.69%
40 pts better
|
Numerator 134 · Denominator 143 |
| Discharge mobility score | 89.51% |
50.94%
38.6 pts better
|
Numerator 128 · Denominator 143 |
| Pressure ulcers or injuries, new or worsened | 1.43% |
2.29%
0.9 pts better
|
Numerator 5 · Denominator 350 · Adjusted rate 1.48% |
| Healthcare-associated infections requiring hospitalization | 9.65% |
7.12%
2.5 pts worse
|
Worse than the National Rate · Eligible stays 375 · Observed rate 9.87% · Lower 95% interval 7.26% |
| Staff COVID-19 vaccination coverage | 2.06% |
8.2%
6.1 pts worse
|
Numerator 5 · Denominator 243 |
| Staff flu vaccination coverage | 97.86% |
42%
55.9 pts better
|
Numerator 275 · Denominator 281 |
| Discharge function score | 97.2% |
56.45%
40.8 pts better
|
Numerator 139 · Denominator 143 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 229 · Denominator 229 |
| Transfer of health information to patient | 99.15% |
96.28%
2.9 pts better
|
Numerator 117 · Denominator 118 |
| Resident COVID-19 vaccinations up to date | 9.76% |
25.2%
15.4 pts worse
|
Numerator 16 · Denominator 164 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 62.4% |
78.7%
16.3 pts worse
|
81.7%
19.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 64.7% · Q2 63.2% · Q3 62.0% · Q4 59.7% · 4Q avg 62.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.1% |
8.2%
3.1 pts better
|
12.0%
6.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.1% · Observed 4.4% · Expected 9.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.2%
0.6 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.7% · Q3 0.4% · Q4 0.7% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 67.1% |
80.1%
13 pts worse
|
79.7%
12.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 67.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.5% |
25.4%
1.9 pts better
|
23.9%
0.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.5% · Observed 22.7% · Expected 23.0% · Used in QM five-star |
Survey summary
Top issue: Infection Control (2 deficiencies)
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Resident Rights (3 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Quality of Life and Care (1 deficiency)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-10-13
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-21
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2024-11-08
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-10-13
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-10-13
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-09-11
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-09-07
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-11-04
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-06-15
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-07-14
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-06-15
Fire Safety
Have a properly installed medical gas master alarm panel.
Corrected 2021-06-14
Inspection history
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-07
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-09-30
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2024-09-30
Health
Implement a program that monitors antibiotic use.
Corrected 2024-09-30
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-09-30
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2023-06-30
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-06-30
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-06-30
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2023-06-30
Health
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Corrected 2023-06-30
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 2023-06-30
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-06-30
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 2023-06-30
Health
Provide and implement an infection prevention and control program.
Corrected 2023-06-30
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-06-30
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2021-05-31
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Security Interest · Organization
5% Or Greater Mortgage Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Lawrenceville, NJ
2-star overall rating with 2-star inspections with $26,685 in total fines with 10 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Lawrenceville, NJ
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
Trenton, NJ
4-star overall rating with 3-star inspections with 9 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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