6 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Ewing, NJ
5-star overall rating with 4-star inspections with 6 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
1201 Parkway Avenue, Ewing, NJ
(609) 882-6900
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
100
Certified beds
Average residents
90
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Preferred Care
Operator or chain grouping
Approved since
2004-11-22
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
RN hours / resident day
0.53
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.21
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.24
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
3.98
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.74
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.41
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.45
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.45
CMS adjusted RN staffing hours
Adjusted total hours
3.39
CMS adjusted total nurse staffing hours
Case-mix index
1.60
Higher values indicate more complex resident acuity
RN turnover
63%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
42%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
6,165
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
33.78
Composite VBP score used to determine payment impact.
Payment multiplier
0.9879
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 18.85% · Performance 23.01% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
3.87
Baseline 9.66% · Performance 7.62% · Measure score 3.87 · Achievement 0.71 · Improvement 3.87
Total nurse turnover
7.90
Baseline 35.44% · Performance 31.39% · Measure score 7.90 · Achievement 7.90 · Improvement 3.32
Adjusted total nurse staffing
1.74
Baseline 2.96 hours · Performance 3.57 hours · Measure score 1.74 · Achievement 1.74 · Improvement 1.66
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.48% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 124 · Observed rate 10.48% · Lower 95% interval 7.92% |
| Discharge to community | 58.47% |
50.57%
7.9 pts better
|
No Different than the National Rate · Eligible stays 120 · Observed rate 52.5% · Lower 95% interval 49.82% |
| Medicare spending per beneficiary | 1.31 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 161 · Denominator 161 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 161 |
| Discharge self-care score | 86.87% |
53.69%
33.2 pts better
|
Numerator 86 · Denominator 99 |
| Discharge mobility score | 83.84% |
50.94%
32.9 pts better
|
Numerator 83 · Denominator 99 |
| Pressure ulcers or injuries, new or worsened | 1.86% |
2.29%
0.4 pts better
|
Numerator 3 · Denominator 161 · Adjusted rate 1.18% |
| Healthcare-associated infections requiring hospitalization | 7.62% |
7.12%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 80 · Observed rate 8.75% · Lower 95% interval 4.82% |
| Staff COVID-19 vaccination coverage | 0.84% |
8.2%
7.4 pts worse
|
Numerator 1 · Denominator 119 |
| Staff flu vaccination coverage | 97.96% |
42%
56 pts better
|
Numerator 144 · Denominator 147 |
| Discharge function score | 90.91% |
56.45%
34.5 pts better
|
Numerator 90 · Denominator 99 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 59 · Denominator 59 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 73 · Denominator 73 |
| Resident COVID-19 vaccinations up to date | 15.22% |
25.2%
10 pts worse
|
Numerator 14 · Denominator 92 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.0 |
2.1
0.9 pts worse
|
1.9
1.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 2.6 · Expected 1.6 · 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 0.7 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% |
93.0%
6.6 pts better
|
93.4%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 98.3% · 4Q avg 99.6% |
| 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 | 0.0% |
2.4%
2.4 pts better
|
3.3%
3.3 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 who have depressive symptoms | 29.5% |
11.4%
18.1 pts worse
|
11.4%
18.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.7% · Q2 32.8% · Q3 35.1% · Q4 33.3% · 4Q avg 29.5% |
| Percentage of long-stay residents who lose too much weight | 0.5% |
4.6%
4.1 pts better
|
5.4%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.1% · 4Q avg 0.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.8% |
19.0%
11.2 pts better
|
19.6%
11.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 7.0% · Q3 10.0% · Q4 12.0% · 4Q avg 7.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 2.6% |
13.5%
10.9 pts better
|
16.7%
14.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 6.1% · Q3 0.0% · Q4 0.0% · 4Q avg 2.6% · 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 | 4.2% |
9.8%
5.6 pts better
|
16.3%
12.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 11.5% · Q4 0.0% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.9% |
9.7%
3.8 pts better
|
14.9%
9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 7.5% · Q3 4.3% · Q4 6.1% · 4Q avg 5.9% · 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 | 0.0% |
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 | 14.3% |
15.9%
1.6 pts better
|
19.8%
5.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 21.8% · Q3 13.6% · Q4 12.3% · 4Q avg 14.3% |
| Percentage of long-stay residents with pressure ulcers | 4.7% |
6.0%
1.3 pts better
|
5.1%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 8.5% · Q3 1.6% · Q4 4.9% · 4Q avg 4.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.1% |
78.7%
18.4 pts better
|
81.7%
15.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.1% · Q2 98.2% · Q3 98.2% · Q4 95.8% · 4Q avg 97.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.1% |
8.2%
1.1 pts better
|
12.0%
4.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.1% · Observed 6.8% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
1.2%
0.5 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.7% · Q3 0.6% · Q4 0.6% · 4Q avg 0.7% · 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 | 28.1% |
25.4%
2.7 pts worse
|
23.9%
4.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.1% · Observed 28.0% · Expected 23.8% · Used in QM five-star |
Survey summary
Top issue: Pharmacy Service (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Services (1 deficiency)
Fire safety
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 2024-09-09
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-09-09
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-09-09
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-09-09
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-09-09
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-12-07
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 2022-12-07
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2022-12-07
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2020-04-06
Fire Safety
Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly.
Corrected 2020-04-06
Inspection history
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Not marked corrected
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-09-17
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-09-17
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-17
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-09-06
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-09-09
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-12-07
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-12-07
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-12-07
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-12-07
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-12-07
Health
Provide and implement an infection prevention and control program.
Corrected 2022-12-07
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2022-12-07
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-04-06
Health
Provide and implement an infection prevention and control program.
Corrected 2020-04-06
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Contracted Managing Employee · Individual
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Individual
Corporate Officer · Individual
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