20 health deficiencies
Top issue: Resident Rights (4 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Pennsauken, NJ
2-star overall rating with 1-star inspections with 20 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
5101 North Park Drive, Pennsauken, NJ
(856) 665-8844
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
180
Certified beds
Average residents
157
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Excelsior Care Group
Operator or chain grouping
Approved since
1986-03-13
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
33 facilities
Chain averages 3 overall / 2 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
0.36
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
1.89
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
3.27
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.38
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
2.80
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.13
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.38
CMS adjusted RN staffing hours
Adjusted total hours
3.48
CMS adjusted total nurse staffing hours
Case-mix index
1.28
Higher values indicate more complex resident acuity
RN turnover
56%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
59%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
7,591
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
29.34
Composite VBP score used to determine payment impact.
Payment multiplier
0.9854
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.09
Baseline 19.56% · Performance 20.46% · Measure score 2.09 · Achievement 2.09 · Improvement 0
Healthcare-associated infections
5.93
Baseline 8.58% · Performance 6.27% · Measure score 5.93 · Achievement 5.23 · Improvement 5.93
Total nurse turnover
3.71
Baseline 92.45% · Performance 64.00% · Measure score 3.71 · Achievement 0 · Improvement 3.71
Adjusted total nurse staffing
0
Baseline 3.37 hours · Performance 3.02 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.81% |
10.72%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 157 · Observed rate 14.65% · Lower 95% interval 8.48% |
| Discharge to community | 46.57% |
50.57%
4 pts worse
|
No Different than the National Rate · Eligible stays 117 · Observed rate 35.9% · Lower 95% interval 35.6% |
| Medicare spending per beneficiary | 1.37 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 194 · Denominator 194 |
| Falls with major injury | 0.52% |
0.77%
0.2 pts better
|
Numerator 1 · Denominator 194 |
| Discharge self-care score | 65% |
53.69%
11.3 pts better
|
Numerator 91 · Denominator 140 |
| Discharge mobility score | 65% |
50.94%
14.1 pts better
|
Numerator 91 · Denominator 140 |
| Pressure ulcers or injuries, new or worsened | 3.09% |
2.29%
0.8 pts worse
|
Numerator 6 · Denominator 194 · Adjusted rate 2.86% |
| Healthcare-associated infections requiring hospitalization | 6.27% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 109 · Observed rate 5.5% · Lower 95% interval 3.47% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 266 |
| Staff flu vaccination coverage | 99.04% |
42%
57 pts better
|
Numerator 310 · Denominator 313 |
| Discharge function score | 68.57% |
56.45%
12.1 pts better
|
Numerator 96 · Denominator 140 |
| Transfer of health information to provider | 95.65% |
95.95%
0.3 pts worse
|
Numerator 44 · Denominator 46 |
| Transfer of health information to patient | 96.81% |
96.28%
0.5 pts better
|
Numerator 91 · Denominator 94 |
| Resident COVID-19 vaccinations up to date | 6.6% |
25.2%
18.6 pts worse
|
Numerator 7 · Denominator 106 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
2.1
0.3 pts better
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.5 · Expected 1.7 · 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 0.8 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 72.0% |
93.0%
21 pts worse
|
93.4%
21.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 71.7% · Q2 67.4% · Q3 71.0% · Q4 78.0% · 4Q avg 72.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.4% |
97.2%
1.8 pts worse
|
95.5%
0.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.5% |
2.4%
0.9 pts better
|
3.3%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.4% · Q3 0.8% · Q4 2.3% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 16.8% |
11.4%
5.4 pts worse
|
11.4%
5.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.0% · Q2 9.4% · Q3 20.3% · Q4 28.9% · 4Q avg 16.8% |
| Percentage of long-stay residents who lose too much weight | 6.4% |
4.6%
1.8 pts worse
|
5.4%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.6% · Q2 2.9% · Q3 5.6% · Q4 4.2% · 4Q avg 6.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.3% |
19.0%
9.7 pts better
|
19.6%
10.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 7.9% · Q3 9.4% · Q4 10.4% · 4Q avg 9.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.3% |
13.5%
1.2 pts better
|
16.7%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 13.5% · Q3 13.7% · Q4 12.1% · 4Q avg 12.3% · 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 | 15.0% |
9.8%
5.2 pts worse
|
16.3%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.6% · Q2 9.4% · Q3 12.6% · Q4 19.3% · 4Q avg 15.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.8% |
9.7%
2.1 pts worse
|
14.9%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 8.6% · Q3 14.7% · Q4 13.0% · 4Q avg 11.8% · 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 0.0% · Q4 0.7% · 4Q avg 0.2% · 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 | 17.6% |
15.9%
1.7 pts worse
|
19.8%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 10.6% · Q3 16.5% · Q4 21.2% · 4Q avg 17.6% |
| Percentage of long-stay residents with pressure ulcers | 7.7% |
6.0%
1.7 pts worse
|
5.1%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.4% · Q2 8.2% · Q3 7.7% · Q4 6.3% · 4Q avg 7.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 34.4% |
78.7%
44.3 pts worse
|
81.7%
47.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 22.3% · Q2 38.4% · Q3 37.3% · Q4 38.8% · 4Q avg 34.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.8% |
8.2%
1.4 pts better
|
12.0%
5.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.8% · Observed 6.7% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
1.2%
0.3 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.0% · Q3 0.8% · Q4 1.8% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 45.9% |
80.1%
34.2 pts worse
|
79.7%
33.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 45.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.4% |
25.4%
4 pts better
|
23.9%
2.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.4% · Observed 22.5% · Expected 25.0% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (4 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-10-11
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 2024-09-25
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-09-01
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-11
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-10-11
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-10-04
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2024-09-25
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-10-11
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-10-02
Fire Safety
Meet other general requirements.
Corrected 2023-01-30
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-01-30
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 2023-01-30
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2023-01-30
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2020-10-26
Inspection history
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-12-26
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 2025-12-26
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-12-26
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-12-26
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-12-26
Health
Respond appropriately to all alleged violations.
Corrected 2025-12-26
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-12-26
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 2025-03-05
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 2024-10-02
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 2024-09-25
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-09-25
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-09-25
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 2024-09-26
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-10-02
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-10-02
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2024-10-02
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-10-02
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-10-02
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-10-02
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-09-25
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-02
Health
Provide and implement an infection prevention and control program.
Corrected 2022-12-30
Health
Perform COVID19 testing on residents and staff.
Corrected 2022-12-30
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-12-30
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-12-30
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2022-12-30
Health
Ensure that residents are free from significant medication errors.
Corrected 2022-12-30
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-12-30
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2022-12-30
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-12-30
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-12-30
Health
Dispose of garbage and refuse properly.
Corrected 2022-12-30
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 2022-12-30
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2020-10-26
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2020-10-26
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 2020-10-26
Health
Provide and implement an infection prevention and control program.
Corrected 2020-10-26
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2020-10-26
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2020-10-26
Penalties and ownership
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
W-2 Managing Employee · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
Nearby options
Collingswood, NJ
5-star overall rating with 5-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Cherry Hill, NJ
2-star overall rating with 1-star inspections with $4,194 in total fines with 14 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
Camden, NJ
0-star overall rating with 0-star inspections with Special Focus status with $260,470 in total fines with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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