17 health deficiencies
Top issue: Pharmacy Service (4 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Oakland, NJ
2-star overall rating with 1-star inspections with Special Focus status with 17 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
20 Breakneck Road, Oakland, NJ
(201) 337-3300
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
215
Certified beds
Average residents
188
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Marquis Health Services
Operator or chain grouping
Approved since
1980-01-07
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
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.48
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.84
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.25
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
3.57
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.32
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.15
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.32
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.51
CMS adjusted RN staffing hours
Adjusted total hours
3.85
CMS adjusted total nurse staffing hours
Case-mix index
1.27
Higher values indicate more complex resident acuity
RN turnover
36%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
44%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
851
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
62.99
Composite VBP score used to determine payment impact.
Payment multiplier
1.0178
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
10
Baseline 21.26% · Performance 16.63% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
9.48
Baseline 4.89% · Performance 5.00% · Measure score 9.48 · Achievement 9.48 · Improvement 0
Total nurse turnover
5.71
Baseline 48.57% · Performance 40.32% · Measure score 5.71 · Achievement 5.71 · Improvement 2.98
Adjusted total nurse staffing
0
Baseline 3.57 hours · Performance 2.78 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.24% |
10.72%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 401 · Observed rate 11.47% · Lower 95% interval 9.11% |
| Discharge to community | 56.37% |
50.57%
5.8 pts better
|
No Different than the National Rate · Eligible stays 381 · Observed rate 47.77% · Lower 95% interval 50.26% |
| Medicare spending per beneficiary | 1.03 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 98.73% |
95.27%
3.5 pts better
|
Numerator 233 · Denominator 236 |
| Falls with major injury | 0.85% |
0.77%
0.1 pts worse
|
Numerator 2 · Denominator 236 |
| Discharge self-care score | 64.79% |
53.69%
11.1 pts better
|
Numerator 92 · Denominator 142 |
| Discharge mobility score | 59.86% |
50.94%
8.9 pts better
|
Numerator 85 · Denominator 142 |
| Pressure ulcers or injuries, new or worsened | 1.69% |
2.29%
0.6 pts better
|
Numerator 4 · Denominator 236 · Adjusted rate 1.5% |
| Healthcare-associated infections requiring hospitalization | 5% |
7.12%
2.1 pts better
|
No Different than the National Rate · Eligible stays 206 · Observed rate 3.4% · Lower 95% interval 2.68% |
| Staff COVID-19 vaccination coverage | 3.02% |
8.2%
5.2 pts worse
|
Numerator 6 · Denominator 199 |
| Staff flu vaccination coverage | 97.2% |
42%
55.2 pts better
|
Numerator 208 · Denominator 214 |
| Discharge function score | 64.79% |
56.45%
8.3 pts better
|
Numerator 92 · Denominator 142 |
| Transfer of health information to provider | 92.47% |
95.95%
3.5 pts worse
|
Numerator 135 · Denominator 146 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 27 · Denominator 27 |
| Resident COVID-19 vaccinations up to date | 10% |
25.2%
15.2 pts worse
|
Numerator 13 · Denominator 130 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.1 |
2.1
1 pts better
|
1.9
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 0.9 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.1
0.1 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.7 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.2% |
93.0%
3.2 pts better
|
93.4%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.3% · Q2 98.2% · Q3 93.9% · Q4 94.5% · 4Q avg 96.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.6% |
97.2%
0.6 pts worse
|
95.5%
1.1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.8% |
2.4%
1.4 pts worse
|
3.3%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 3.7% · Q3 4.3% · Q4 4.8% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.9% |
11.4%
10.5 pts better
|
11.4%
10.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.6% · Q3 0.8% · Q4 1.5% · 4Q avg 0.9% |
| Percentage of long-stay residents who lose too much weight | 7.7% |
4.6%
3.1 pts worse
|
5.4%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 10.6% · Q3 7.6% · Q4 7.0% · 4Q avg 7.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.5% |
19.0%
3.5 pts better
|
19.6%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.3% · Q2 15.8% · Q3 13.6% · Q4 15.1% · 4Q avg 15.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.1% |
13.5%
5.6 pts worse
|
16.7%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.1% · Q2 20.0% · Q3 17.7% · Q4 18.6% · 4Q avg 19.1% · 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 | 7.2% |
9.8%
2.6 pts better
|
16.3%
9.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 2.5% · Q3 9.9% · Q4 11.2% · 4Q avg 7.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.2% |
9.7%
4.5 pts better
|
14.9%
9.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 5.8% · Q3 8.0% · Q4 4.3% · 4Q avg 5.2% · 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 0.0% · Q3 0.9% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.6% |
0.8%
0.2 pts better
|
1.7%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 0.6% · Q3 0.6% · Q4 0.6% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.1% |
15.9%
2.8 pts better
|
19.8%
6.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 15.1% · Q3 12.0% · Q4 16.2% · 4Q avg 13.1% |
| Percentage of long-stay residents with pressure ulcers | 5.3% |
6.0%
0.7 pts better
|
5.1%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 5.2% · Q3 5.7% · Q4 4.1% · 4Q avg 5.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 79.2% |
78.7%
0.5 pts better
|
81.7%
2.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 89.9% · Q2 76.4% · Q3 75.1% · Q4 77.5% · 4Q avg 79.2% |
| 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 4.0% · Expected 10.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.2%
0.7 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.8% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 42.4% |
80.1%
37.7 pts worse
|
79.7%
37.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 42.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.9% |
25.4%
2.5 pts better
|
23.9%
1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.9% · Observed 19.8% · Expected 20.6% · Used in QM five-star |
Survey summary
Top issue: Pharmacy Service (4 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Resident Assessment and Care Planning (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-06-30
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 2025-06-30
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2025-06-30
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-06-30
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 2025-06-30
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-06-30
Fire Safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2025-07-07
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2025-06-30
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-06-30
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2025-06-30
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-06-30
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-06-30
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-05-01
Fire Safety
Have exits that are accessible at all times.
Corrected 2023-04-14
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2023-05-01
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2023-05-01
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-05-01
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-05-01
Inspection history
Health
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected 2025-06-30
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2025-06-30
Health
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2025-06-30
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 2025-06-30
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-06-30
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-06-30
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-06-30
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-06-30
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 2025-06-30
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-06-30
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-06-30
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-06-30
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-06-30
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-06-30
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 2025-06-30
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-06-30
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-30
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-02-17
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-02-17
Health
Respond appropriately to all alleged violations.
Corrected 2025-02-17
Health
Implement a program that monitors antibiotic use.
Corrected 2025-02-17
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-04-04
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-04-12
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-04-05
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2023-03-31
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-04-14
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 2023-03-31
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2023-04-07
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2023-04-07
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-04-05
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-04-16
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2021-04-13
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Security Interest · Organization
Limited Partnership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
Corporate Officer · Individual
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
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