15 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
11 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Trenton, NJ
2-star overall rating with 2-star inspections with 15 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
325 Jersey Street, Trenton, NJ
(609) 394-3400
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
141
Certified beds
Average residents
129
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Champion Care
Operator or chain grouping
Approved since
1986-09-26
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
21 facilities
Chain averages 2 overall / 2 health / 2 staffing / 3 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
0.39
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.96
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
1.84
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
3.20
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.35
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
2.88
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.21
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.52
CMS adjusted RN staffing hours
Adjusted total hours
4.26
CMS adjusted total nurse staffing hours
Case-mix index
1.03
Higher values indicate more complex resident acuity
RN turnover
30%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
40%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
11,203
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
17.69
Composite VBP score used to determine payment impact.
Payment multiplier
0.9818
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 19.88% · Performance 21.24% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 6.53% · Performance 7.69% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
4.13
Baseline 54.05% · Performance 46.81% · Measure score 4.13 · Achievement 4.13 · Improvement 1.98
Adjusted total nurse staffing
2.95
Baseline 4.40 hours · Performance 3.92 hours · Measure score 2.95 · Achievement 2.95 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.99% |
10.72%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 68 · Observed rate 13.24% · Lower 95% interval 7.12% |
| Discharge to community | 39.35% |
50.57%
11.2 pts worse
|
No Different than the National Rate · Eligible stays 45 · Observed rate 26.67% · Lower 95% interval 26.55% |
| Medicare spending per beneficiary | 1.16 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 91.94% |
95.27%
3.3 pts worse
|
Numerator 57 · Denominator 62 |
| Falls with major injury | 1.61% |
0.77%
0.8 pts worse
|
Numerator 1 · Denominator 62 |
| Discharge self-care score | 68.75% |
53.69%
15.1 pts better
|
Numerator 33 · Denominator 48 |
| Discharge mobility score | 56.25% |
50.94%
5.3 pts better
|
Numerator 27 · Denominator 48 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 62 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.69% |
7.12%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 39 · Observed rate 12.82% · Lower 95% interval 4.44% |
| Staff COVID-19 vaccination coverage | 100% |
8.2%
91.8 pts better
|
Numerator 129 · Denominator 129 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 66.67% |
56.45%
10.2 pts better
|
Numerator 32 · Denominator 48 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 27 · Denominator 27 |
| Resident COVID-19 vaccinations up to date | 9.38% |
25.2%
15.8 pts worse
|
Numerator 3 · Denominator 32 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
2.1
0.2 pts better
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.6 · Expected 1.7 · 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 0.6 · Expected 1.5 · 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 99.2% · Q2 100.0% · Q3 100.0% · Q4 99.2% · 4Q avg 99.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.5% |
97.2%
0.3 pts better
|
95.5%
2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.6% |
2.4%
1.8 pts better
|
3.3%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.0% · Q3 0.0% · Q4 0.8% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 19.4% |
11.4%
8 pts worse
|
11.4%
8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.5% · Q2 23.6% · Q3 22.1% · Q4 4.7% · 4Q avg 19.4% |
| Percentage of long-stay residents who lose too much weight | 6.7% |
4.6%
2.1 pts worse
|
5.4%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 4.7% · Q3 5.6% · Q4 9.7% · 4Q avg 6.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.7% |
19.0%
0.7 pts worse
|
19.6%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.8% · Q2 14.7% · Q3 21.8% · Q4 22.4% · 4Q avg 19.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 41.8% |
13.5%
28.3 pts worse
|
16.7%
25.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 39.7% · Q2 34.4% · Q3 46.5% · Q4 45.6% · 4Q avg 41.8% · 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 | 14.1% |
9.8%
4.3 pts worse
|
16.3%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.9% · Q2 17.2% · Q3 17.9% · Q4 4.3% · 4Q avg 14.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.6% |
9.7%
4.9 pts worse
|
14.9%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.4% · Q2 18.9% · Q3 13.8% · Q4 11.2% · 4Q avg 14.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.6% |
0.7%
0.9 pts worse
|
1.0%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.7% · Q3 1.5% · Q4 1.2% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.3% |
0.8%
0.5 pts worse
|
1.7%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 0.9% · Q3 0.9% · Q4 0.9% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.8% |
15.9%
3.9 pts worse
|
19.8%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 27.2% · Q2 25.8% · Q3 18.9% · Q4 7.7% · 4Q avg 19.8% |
| Percentage of long-stay residents with pressure ulcers | 5.8% |
6.0%
0.2 pts better
|
5.1%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 5.9% · Q3 7.2% · Q4 5.4% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.3% |
78.7%
18.6 pts better
|
81.7%
15.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.3% · Q2 96.6% · Q3 96.6% · Q4 98.6% · 4Q avg 97.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.0% |
8.2%
0.8 pts worse
|
12.0%
3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.0% · Observed 10.6% · Expected 13.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 11.6% |
1.2%
10.4 pts worse
|
1.6%
10 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 5.0% · Q4 23.8% · 4Q avg 11.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 72.9% |
80.1%
7.2 pts worse
|
79.7%
6.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 72.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.2% |
25.4%
1.2 pts better
|
23.9%
0.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.2% · Observed 23.4% · Expected 23.0% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
11 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Top issue: Resident Assessment and Care Planning (4 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Nutrition and Dietary (2 deficiencies)
7 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
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 2025-01-24
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 2025-01-24
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-01-24
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 2025-01-24
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-01-24
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-01-24
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-01-24
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-01-24
Fire Safety
Ensure electrical receptacles or cover plates have distinctive color or marking.
Corrected 2025-01-24
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-01-24
Fire Safety
Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled.
Corrected 2025-01-24
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2023-11-11
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 2023-11-18
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-11-11
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-11-11
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-11-11
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-11-11
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-11-11
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-11-05
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-08-31
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2021-10-06
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 2021-07-16
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2021-07-16
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2021-07-16
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2021-07-16
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-07-16
Inspection history
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-05-16
Health
Respond appropriately to all alleged violations.
Corrected 2025-05-16
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-01-24
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-01-24
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 2025-01-24
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-24
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-01-24
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-01-24
Health
Respond appropriately to all alleged violations.
Corrected 2025-01-24
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-01-24
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-01-24
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-01-24
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 2025-01-24
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-01-24
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 2025-01-24
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-11-11
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 2023-11-11
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-11-11
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-11-11
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 2023-11-11
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-11-11
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2023-11-11
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2023-11-11
Health
Assess the resident when there is a significant change in condition
Corrected 2023-11-11
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-11-11
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-11-11
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2023-11-05
Health
Provide and implement an infection prevention and control program.
Corrected 2023-11-11
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-07-30
Health
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Corrected 2021-07-24
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 2021-07-30
Health
Dispose of garbage and refuse properly.
Corrected 2021-07-30
Health
Ensure each resident receives an accurate assessment.
Corrected 2021-07-16
Penalties and ownership
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Security Interest · Organization
5% Or Greater Mortgage Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Mortgage Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
Nearby options
Trenton, NJ
1-star overall rating with 1-star inspections with Special Focus status with $499,537 in total fines with 21 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
Trenton, NJ
2-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $27,571 in total fines with 35 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
Trenton, NJ
4-star overall rating with 3-star inspections with 9 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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