Cycle 1
Health 2024-10-11 · Fire 2024-10-11
3 health deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Lakewood, NJ
Leisure Chateau Rehabilitation
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
962 River Ave, Lakewood, NJ
(732) 370-8600
Overall
4 / 5
CMS overall stars
Health inspections
4 / 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
242
Certified beds
Average residents
184
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1982-05-28
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
Hours and turnover
RN hours / resident day
0.32
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.02
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.50
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
3.84
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.34
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.44
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.28
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.21
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.35
CMS adjusted RN staffing hours
Adjusted total hours
4.24
CMS adjusted total nurse staffing hours
Case-mix index
1.24
Higher values indicate more complex resident acuity
RN turnover
62%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
34%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,255
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
36.82
Composite VBP score used to determine payment impact.
Payment multiplier
0.9902
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.80
Baseline 19.58% · Performance 20.60% · Measure score 1.80 · Achievement 1.80 · Improvement 0
Healthcare-associated infections
0
Baseline 6.81% · Performance 8.48% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
8.79
Baseline 27.34% · Performance 27.74% · Measure score 8.79 · Achievement 8.79 · Improvement 0
Adjusted total nurse staffing
4.13
Baseline 4.15 hours · Performance 4.25 hours · Measure score 4.13 · Achievement 4.13 · Improvement 0.16
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.41% |
10.72%
1.3 pts better
|
No Different than the National Rate · Eligible stays 221 · Observed rate 7.24% · Lower 95% interval 7.21% |
| Discharge to community | 60.09% |
50.57%
9.5 pts better
|
Better than the National Rate · Eligible stays 225 · Observed rate 53.78% · Lower 95% interval 52.84% |
| Medicare spending per beneficiary | 1.31 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 98.13% |
95.27%
2.9 pts better
|
Numerator 210 · Denominator 214 |
| Falls with major injury | 0.47% |
0.77%
0.3 pts better
|
Numerator 1 · Denominator 214 |
| Discharge self-care score | 66.43% |
53.69%
12.7 pts better
|
Numerator 95 · Denominator 143 |
| Discharge mobility score | 69.93% |
50.94%
19 pts better
|
Numerator 100 · Denominator 143 |
| Pressure ulcers or injuries, new or worsened | 4.21% |
2.29%
1.9 pts worse
|
Numerator 9 · Denominator 214 · Adjusted rate 3.56% |
| Healthcare-associated infections requiring hospitalization | 8.48% |
7.12%
1.4 pts worse
|
No Different than the National Rate · Eligible stays 161 · Observed rate 10.56% · Lower 95% interval 5.56% |
| Staff COVID-19 vaccination coverage | 2.99% |
8.2%
5.2 pts worse
|
Numerator 5 · Denominator 167 |
| Staff flu vaccination coverage | 91.79% |
42%
49.8 pts better
|
Numerator 190 · Denominator 207 |
| Discharge function score | 69.93% |
56.45%
13.5 pts better
|
Numerator 100 · Denominator 143 |
| Transfer of health information to provider | 99.13% |
95.95%
3.2 pts better
|
Numerator 114 · Denominator 115 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 61 · Denominator 61 |
| Resident COVID-19 vaccinations up to date | 6.25% |
25.2%
18.9 pts worse
|
Numerator 7 · Denominator 112 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 4.0 |
2.1
1.9 pts worse
|
1.9
2.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 4.0 · Observed 3.3 · Expected 1.5 · Used in QM five-star |
| 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 · Adjusted 0.9 · Observed 0.9 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 66.3% |
93.0%
26.7 pts worse
|
93.4%
27.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 91.6% · Q2 48.7% · Q3 69.2% · Q4 55.8% · 4Q avg 66.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.0% |
97.2%
2.2 pts worse
|
95.5%
0.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.0% |
| 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 1.3% · Q2 1.3% · Q3 1.9% · Q4 1.3% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 10.0% |
11.4%
1.4 pts better
|
11.4%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 7.0% · Q3 10.4% · Q4 11.2% · 4Q avg 10.0% |
| Percentage of long-stay residents who lose too much weight | 6.2% |
4.6%
1.6 pts worse
|
5.4%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 2.7% · Q3 8.6% · Q4 8.7% · 4Q avg 6.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 29.9% |
19.0%
10.9 pts worse
|
19.6%
10.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.8% · Q2 28.3% · Q3 28.0% · Q4 31.6% · 4Q avg 29.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.2% |
13.5%
2.7 pts worse
|
16.7%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 18.2% · Q3 17.0% · Q4 12.8% · 4Q avg 16.2% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 11.6% |
0.1%
11.5 pts worse
|
0.1%
11.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.7% · Q2 11.0% · Q3 10.7% · Q4 13.0% · 4Q avg 11.6% |
| Percentage of long-stay residents whose ability to walk independently worsened | 12.7% |
9.8%
2.9 pts worse
|
16.3%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 14.4% · Q3 14.5% · Q4 9.7% · 4Q avg 12.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.6% |
9.7%
0.9 pts worse
|
14.9%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.7% · Q2 13.4% · Q3 8.7% · Q4 8.8% · 4Q avg 10.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
0.7%
0.2 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 0.5% · Q3 1.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.3% |
0.8%
0.5 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.4% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.2% |
15.9%
3.7 pts better
|
19.8%
7.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 15.2% · Q3 14.4% · Q4 5.4% · 4Q avg 12.2% |
| Percentage of long-stay residents with pressure ulcers | 6.4% |
6.0%
0.4 pts worse
|
5.1%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 6.0% · Q3 5.5% · Q4 5.1% · 4Q avg 6.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 67.0% |
78.7%
11.7 pts worse
|
81.7%
14.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 80.6% · Q2 66.7% · Q3 64.6% · Q4 61.3% · 4Q avg 67.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.8% |
8.2%
1.6 pts worse
|
12.0%
2.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.8% · Observed 9.4% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.7% |
1.2%
1.5 pts worse
|
1.6%
1.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.3% · Q3 2.5% · Q4 4.6% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 83.6% |
80.1%
3.5 pts better
|
79.7%
3.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 83.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.0% |
25.4%
0.6 pts worse
|
23.9%
2.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.0% · Observed 27.7% · Expected 25.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-05-12 · Fire 2023-05-12
10 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Cycle 3
Health 2021-04-14 · Fire 2021-04-14
5 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-10-11
K224 · Egress Deficiencies
Fire Safety
Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion.
Corrected 2024-11-30
F · Potential for more than minimal harm
2024-10-11
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 2024-11-30
F · Potential for more than minimal harm
2024-10-11
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-11-30
F · Potential for more than minimal harm
2024-10-11
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-30
F · Potential for more than minimal harm
2024-10-11
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-12-20
F · Potential for more than minimal harm
2024-10-11
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-11-30
F · Potential for more than minimal harm
2024-10-11
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-11-30
F · Potential for more than minimal harm
2023-05-12
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2023-07-07
F · Potential for more than minimal harm
2023-05-12
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-06-27
E · Potential for more than minimal harm
2023-05-12
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-06-27
E · Potential for more than minimal harm
2023-05-12
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-06-27
E · Potential for more than minimal harm
2023-05-12
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-06-27
E · Potential for more than minimal harm
2023-05-12
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-07-07
E · Potential for more than minimal harm
2023-05-12
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-06-27
E · Potential for more than minimal harm
2023-05-12
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-06-27
E · Potential for more than minimal harm
2023-05-12
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-06-27
D · Potential for more than minimal harm
2023-05-12
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 2023-06-27
D · Potential for more than minimal harm
2023-05-12
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-06-30
D · Potential for more than minimal harm
2023-05-12
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2023-06-07
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-10-11
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 2024-11-30
D · Potential for more than minimal harm
2024-10-11
F803 · Nutrition and Dietary Deficiencies
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2024-11-30
D · Potential for more than minimal harm
2024-10-11
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2024-11-30
F · Potential for more than minimal harm
2023-05-12
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 2023-07-06
D · Potential for more than minimal harm
2023-05-12
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 2023-07-07
D · Potential for more than minimal harm
2023-05-12
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 2023-07-07
D · Potential for more than minimal harm
2023-05-12
F623 · Resident Rights Deficiencies
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
D · Potential for more than minimal harm
2023-05-12
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-06-29
D · Potential for more than minimal harm
2023-05-12
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2023-06-29
D · Potential for more than minimal harm
2023-05-12
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-06-29
D · Potential for more than minimal harm
2023-05-12
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 2023-06-29
D · Potential for more than minimal harm
2023-05-12
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-06-30
B · Minimal harm
2023-05-12
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-06-29
D · Potential for more than minimal harm
2021-04-14
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 2021-05-19
D · Potential for more than minimal harm
2021-04-14
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 2021-05-14
D · Potential for more than minimal harm
2021-04-14
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2021-05-14
D · Potential for more than minimal harm
2021-04-14
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2021-05-11
D · Potential for more than minimal harm
2021-04-14
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-06-11
Penalties and ownership
What sits behind the stars
Ownership
Leisure Chateau Acquisition LLC
5% Or Greater Direct Ownership Interest · Organization
Capital One Na
5% Or Greater Mortgage Interest · Organization
Jr Family Holdings I LLC
5% Or Greater Indirect Ownership Interest · Organization
Jr Family Trust I
5% Or Greater Indirect Ownership Interest · Organization
Leisure Chateau Acquisition LLC
Operational/Managerial Control · Organization
Lempel, Allen
Operational/Managerial Control · Individual
Rosenbaum, Joseph
Operational/Managerial Control · Individual
Schwartz, Moshe
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
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Fountainview Care Center
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
#2
Atlantic Coast Rehab & Health
Lakewood, NJ
2-star overall rating with 3-star inspections with 10 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Harrogate
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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