9 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Edison, NJ
5-star overall rating with 4-star inspections with 9 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
132 Evergreen Rd, Edison, NJ
(732) 452-4100
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
328
Certified beds
Average residents
194
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1999-10-26
CMS approved date
Coverage
Medicare
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
0.98
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.29
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
3.34
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
5.60
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
2.27
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
5.24
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.76
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
1.08
CMS adjusted RN staffing hours
Adjusted total hours
6.18
CMS adjusted total nurse staffing hours
Case-mix index
1.24
Higher values indicate more complex resident acuity
RN turnover
21%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
17%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
626
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
66.31
Composite VBP score used to determine payment impact.
Payment multiplier
1.0202
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.91
Baseline 19.30% · Performance 20.08% · Measure score 2.91 · Achievement 2.91 · Improvement 0
Healthcare-associated infections
4.30
Baseline 6.82% · Performance 6.55% · Measure score 4.30 · Achievement 4.30 · Improvement 0.98
Total nurse turnover
9.32
Baseline 27.88% · Performance 25.59% · Measure score 9.32 · Achievement 9.32 · Improvement 7.05
Adjusted total nurse staffing
10
Baseline 5.83 hours · Performance 6.71 hours · Measure score 10 · Achievement 10 · Improvement 9
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.69% |
10.72%
About the same
|
No Different than the National Rate · Eligible stays 61 · Observed rate 13.11% · Lower 95% interval 7.35% |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 4 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 1.31 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 95.83% |
95.27%
0.6 pts better
|
Numerator 46 · Denominator 48 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 48 |
| Discharge self-care score | 28% |
53.69%
25.7 pts worse
|
Numerator 7 · Denominator 25 |
| Discharge mobility score | 40% |
50.94%
10.9 pts worse
|
Numerator 10 · Denominator 25 |
| Pressure ulcers or injuries, new or worsened | 6.25% |
2.29%
4 pts worse
|
Numerator 3 · Denominator 48 · Adjusted rate 4.44% |
| Healthcare-associated infections requiring hospitalization | 6.55% |
7.12%
0.6 pts better
|
No Different than the National Rate · Eligible stays 30 · Observed rate 6.67% · Lower 95% interval 3.97% |
| Staff COVID-19 vaccination coverage | 2.72% |
8.2%
5.5 pts worse
|
Numerator 14 · Denominator 515 |
| Staff flu vaccination coverage | 87.6% |
42%
45.6 pts better
|
Numerator 459 · Denominator 524 |
| Discharge function score | 40% |
56.45%
16.5 pts worse
|
Numerator 10 · Denominator 25 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 20 · Denominator 20 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Resident COVID-19 vaccinations up to date | 58.33% |
25.2%
33.1 pts better
|
Numerator 14 · Denominator 24 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.8 |
2.1
0.7 pts worse
|
1.9
0.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 2.6 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.7 |
1.1
0.4 pts better
|
1.8
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.7 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.0% |
93.0%
5 pts better
|
93.4%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.2% · Q2 97.7% · Q3 98.4% · Q4 97.9% · 4Q avg 98.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.5% |
97.2%
2.3 pts better
|
95.5%
4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.5% |
2.4%
0.1 pts worse
|
3.3%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.7% · Q3 2.7% · Q4 3.7% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
11.4%
11.4 pts better
|
11.4%
11.4 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 who lose too much weight | 6.3% |
4.6%
1.7 pts worse
|
5.4%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 8.6% · Q3 8.2% · Q4 4.7% · 4Q avg 6.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.1% |
19.0%
6.9 pts better
|
19.6%
7.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.2% · Q2 13.3% · Q3 12.1% · Q4 11.9% · 4Q avg 12.1% |
| 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 17.6% · Q2 16.0% · Q3 16.0% · Q4 15.6% · 4Q avg 16.2% · 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 | 16.0% |
9.8%
6.2 pts worse
|
16.3%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.9% · Q2 10.0% · Q3 15.7% · Q4 18.5% · 4Q avg 16.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.0% |
9.7%
4.3 pts worse
|
14.9%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 15.0% · Q3 16.1% · Q4 15.2% · 4Q avg 14.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.1% |
0.7%
0.6 pts better
|
1.0%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.4% · Q4 0.0% · 4Q avg 0.1% · 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 | 10.9% |
15.9%
5 pts better
|
19.8%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 11.5% · Q3 11.0% · Q4 11.0% · 4Q avg 10.9% |
| Percentage of long-stay residents with pressure ulcers | 9.6% |
6.0%
3.6 pts worse
|
5.1%
4.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 8.7% · Q3 10.3% · Q4 7.7% · 4Q avg 9.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 67.8% |
78.7%
10.9 pts worse
|
81.7%
13.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 63.9% · Q2 70.5% · Q3 71.1% · Q4 64.7% · 4Q avg 67.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 0.0% |
8.2%
8.2 pts better
|
12.0%
12 pts better
|
Short Stay · 20240701-20250630 · Adjusted 0.0% · Observed 0.0% · Expected 11.7% · 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 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.5% |
80.1%
15.4 pts better
|
79.7%
15.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.6% |
25.4%
1.8 pts better
|
23.9%
0.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.6% · Observed 27.7% · Expected 27.9% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
No concentrated health issue counts in this cycle.
8 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Infection Control (3 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Fire safety
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-10-24
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-10-24
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-11-25
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-10-30
Fire Safety
Use approved construction type or materials.
Corrected 2024-08-19
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2024-08-19
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-08-19
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-19
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2024-08-19
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-08-19
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-08-19
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-08-19
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-10-06
Fire Safety
Install proper backup exit lighting.
Corrected 2022-10-06
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-10-07
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 2022-10-07
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2022-12-18
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-10-18
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-12-19
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-10-07
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-10-06
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2022-10-28
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-10-06
Inspection history
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-10-24
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2025-10-24
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 2025-10-24
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-10-24
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-10-24
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-10-24
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-10-24
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-10-24
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 2025-10-24
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-11-02
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2023-01-18
Health
Provide and implement an infection prevention and control program.
Corrected 2023-01-11
Health
Perform COVID19 testing on residents and staff.
Corrected 2023-01-11
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-11-02
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-11-02
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2022-11-02
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-11-02
Health
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2022-11-02
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2022-11-02
Health
Implement a program that monitors antibiotic use.
Corrected 2022-11-02
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-11-02
Penalties and ownership
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Nearby options
Edison, NJ
4-star overall rating with 2-star inspections with $27,360 in total fines with 13 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Edison, NJ
4-star overall rating with 3-star inspections with $33,374 in total fines with 5 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
Woodbridge, NJ
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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