Cycle 1
Health 2025-02-03 · Fire 2025-02-03
11 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Hamilton Square, NJ
Preferred Care At Hamilton
4-star overall rating with 3-star inspections with $48,825 in total fines with 11 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
1501 State Hwy 33, Hamilton Square, NJ
(609) 586-1114
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
126
Certified beds
Average residents
113
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Preferred Care
Operator or chain grouping
Approved since
1969-10-14
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
13 facilities
Chain averages 4 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
0.36
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.07
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.26
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
3.69
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.43
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.37
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.18
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.36
CMS adjusted RN staffing hours
Adjusted total hours
3.63
CMS adjusted total nurse staffing hours
Case-mix index
1.39
Higher values indicate more complex resident acuity
RN turnover
69%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
53%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
10,931
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
18.58
Composite VBP score used to determine payment impact.
Payment multiplier
0.9820
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.28
Baseline 23.82% · Performance 19.89% · Measure score 5.28 · Achievement 3.32 · Improvement 5.28
Healthcare-associated infections
0
Baseline 9.38% · Performance 10.17% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
0.98
Baseline 59.14% · Performance 59.68% · Measure score 0.98 · Achievement 0.98 · Improvement 0
Adjusted total nurse staffing
1.17
Baseline 2.80 hours · Performance 3.29 hours · Measure score 1.17 · Achievement 0.76 · Improvement 1.17
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.76% |
10.72%
1 pts better
|
No Different than the National Rate · Eligible stays 201 · Observed rate 8.96% · Lower 95% interval 7.17% |
| Discharge to community | 52.63% |
50.57%
2.1 pts better
|
No Different than the National Rate · Eligible stays 199 · Observed rate 46.23% · Lower 95% interval 46.06% |
| Medicare spending per beneficiary | 1.56 |
1.02
0.5 pts worse
|
|
| Drug regimen review with follow-up | 99.54% |
95.27%
4.3 pts better
|
Numerator 215 · Denominator 216 |
| Falls with major injury | 0.46% |
0.77%
0.3 pts better
|
Numerator 1 · Denominator 216 |
| Discharge self-care score | 78.76% |
53.69%
25.1 pts better
|
Numerator 89 · Denominator 113 |
| Discharge mobility score | 80.53% |
50.94%
29.6 pts better
|
Numerator 91 · Denominator 113 |
| Pressure ulcers or injuries, new or worsened | 2.78% |
2.29%
0.5 pts worse
|
Numerator 6 · Denominator 216 · Adjusted rate 1.63% |
| Healthcare-associated infections requiring hospitalization | 10.17% |
7.12%
3 pts worse
|
No Different than the National Rate · Eligible stays 167 · Observed rate 13.17% · Lower 95% interval 6.55% |
| Staff COVID-19 vaccination coverage | 6.62% |
8.2%
1.6 pts worse
|
Numerator 9 · Denominator 136 |
| Staff flu vaccination coverage | 98.3% |
42%
56.3 pts better
|
Numerator 173 · Denominator 176 |
| Discharge function score | 88.5% |
56.45%
32 pts better
|
Numerator 100 · Denominator 113 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 79 · Denominator 79 |
| Transfer of health information to patient | 98.88% |
96.28%
2.6 pts better
|
Numerator 88 · Denominator 89 |
| Resident COVID-19 vaccinations up to date | 16.67% |
25.2%
8.5 pts worse
|
Numerator 17 · Denominator 102 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
2.1
0.7 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.9 · Expected 2.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.5 |
1.1
0.6 pts better
|
1.8
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.5 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% |
93.0%
6.7 pts better
|
93.4%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.9% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
97.2%
2.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.7% |
2.4%
0.7 pts better
|
3.3%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.0% · Q3 2.2% · Q4 3.2% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.6% |
11.4%
10.8 pts better
|
11.4%
10.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.0% · Q3 1.2% · Q4 0.0% · 4Q avg 0.6% |
| Percentage of long-stay residents who lose too much weight | 4.5% |
4.6%
0.1 pts better
|
5.4%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 4.7% · Q3 7.2% · Q4 2.3% · 4Q avg 4.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.7% |
19.0%
4.7 pts worse
|
19.6%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 26.4% · Q3 23.8% · Q4 19.5% · 4Q avg 23.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.0% |
13.5%
5.5 pts better
|
16.7%
8.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 8.9% · Q3 5.0% · Q4 8.1% · 4Q avg 8.0% · 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 | 3.9% |
9.8%
5.9 pts better
|
16.3%
12.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 4.1% · Q3 5.6% · Q4 3.4% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.0% |
9.7%
5.7 pts better
|
14.9%
10.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 11.2% · Q4 3.5% · 4Q avg 4.0% · 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 | 0.3% |
0.8%
0.5 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.0% · 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 | 19.5% |
15.9%
3.6 pts worse
|
19.8%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.7% · Q2 19.8% · Q3 28.9% · Q4 11.7% · 4Q avg 19.5% |
| Percentage of long-stay residents with pressure ulcers | 4.1% |
6.0%
1.9 pts better
|
5.1%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 2.8% · Q3 5.3% · Q4 3.9% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.0% |
78.7%
17.3 pts better
|
81.7%
14.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 92.5% · Q2 96.6% · Q3 98.2% · Q4 97.5% · 4Q avg 96.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.7% |
8.2%
2.5 pts worse
|
12.0%
1.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.7% · Observed 10.3% · Expected 10.7% · 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 0.8% · Q2 1.0% · 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 | 97.7% |
80.1%
17.6 pts better
|
79.7%
18 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.8% |
25.4%
1.6 pts better
|
23.9%
0.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.8% · Observed 25.3% · Expected 25.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-12-19 · Fire 2023-12-19
3 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2021-07-21 · Fire 2021-07-21
1 health deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-02-03
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-02-25
F · Potential for more than minimal harm
2025-02-03
K300 · Egress Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2025-02-27
F · Potential for more than minimal harm
2025-02-03
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 2025-02-27
F · Potential for more than minimal harm
2025-02-03
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-02-27
F · Potential for more than minimal harm
2025-02-03
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-02-27
F · Potential for more than minimal harm
2025-02-03
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-02-27
F · Potential for more than minimal harm
2025-02-03
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-02-27
E · Potential for more than minimal harm
2025-02-03
K912 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2025-02-27
F · Potential for more than minimal harm
2023-12-19
K222 · Egress Deficiencies
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 2024-01-25
F · Potential for more than minimal harm
2023-12-19
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-02-05
F · Potential for more than minimal harm
2023-12-19
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-01-25
E · Potential for more than minimal harm
2021-07-21
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2021-08-30
E · Potential for more than minimal harm
2021-07-21
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-08-21
D · Potential for more than minimal harm
2021-07-21
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2021-08-11
Inspection history
Recent health citations
G · Actual harm
2025-02-03
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-02-28
F · Potential for more than minimal harm
2025-02-03
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 2025-02-28
E · Potential for more than minimal harm
2025-02-03
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-02-28
E · Potential for more than minimal harm
2025-02-03
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-02-28
E · Potential for more than minimal harm
2025-02-03
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-02-28
D · Potential for more than minimal harm
2025-02-03
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 2025-02-28
D · Potential for more than minimal harm
2025-02-03
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 2025-02-28
D · Potential for more than minimal harm
2025-02-03
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-02-28
D · Potential for more than minimal harm
2025-02-03
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-02-28
D · Potential for more than minimal harm
2025-02-03
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-02-28
D · Potential for more than minimal harm
2025-02-03
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-02-28
D · Potential for more than minimal harm
2025-02-03
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2025-02-28
D · Potential for more than minimal harm
2025-02-03
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-02-28
E · Potential for more than minimal harm
2023-12-19
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-01-25
E · Potential for more than minimal harm
2021-07-21
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2021-08-21
Penalties and ownership
What sits behind the stars
$48,825
2025-02-03
Fine
Fine · fine $48,825
Fine
Ownership
Hamilton Holdco, LLC
5% Or Greater Direct Ownership Interest · Organization
Green, Dov
5% Or Greater Indirect Ownership Interest · Individual
Mermelstein, Boruch
5% Or Greater Indirect Ownership Interest · Individual
Pilek, John
W-2 Managing Employee · Individual
Schnell, David
5% Or Greater Indirect Ownership Interest · Individual
Stern, Samuel
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Spring Hills Post Acute Hamilton
Hamilton, NJ
3-star overall rating with 2-star inspections with $17,192 in total fines with 12 recent health deficiencies
#2
Complete Care At Mercerville LLC
Hamilton Township, NJ
4-star overall rating with 3-star inspections with 7 recent health deficiencies
#3
Avalon Rehabilitation And Healthcare Center
Hamilton, NJ
2-star overall rating with 1-star inspections with $219,460 in total fines with 17 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
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