Old Bridge, NJ

Roosevelt Care Center At Old Bridge

5-star overall rating with 5-star inspections with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

1133 Marlboro Road, Old Bridge, NJ

(732) 360-9830

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

180

Certified beds

Average residents

156

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2012-03-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

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

0.80

Registered nurse staffing · state 0.69 · national 0.68

LPN hours / resident day

1.22

Licensed practical nurse staffing · state 0.94 · national 0.87

Aide hours / resident day

2.50

Nurse aide staffing · state 2.23 · national 2.35

Total nurse hours

4.52

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

2.02

RN + LPN hours · state 1.62 · national 1.54

Weekend hours

4.14

Weekend nurse staffing · state 3.45 · national 3.43

Weekend RN hours

0.57

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.79

CMS adjusted RN staffing hours

Adjusted total hours

4.48

CMS adjusted total nurse staffing hours

Case-mix index

1.38

Higher values indicate more complex resident acuity

RN turnover

36%

Annual RN turnover · state 39% · national 45%

Total nurse turnover

28%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,149

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

37.24

Composite VBP score used to determine payment impact.

Payment multiplier

0.9905

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 20.90% · Performance 21.68% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

3.29

Baseline 6.16% · Performance 6.85% · Measure score 3.29 · Achievement 3.29 · Improvement 0

Total nurse turnover

7.54

Baseline 43.31% · Performance 32.86% · Measure score 7.54 · Achievement 7.54 · Improvement 5.16

Adjusted total nurse staffing

4.06

Baseline 4.08 hours · Performance 4.23 hours · Measure score 4.06 · Achievement 4.06 · Improvement 0.40

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.84%
10.72%
0.1 pts worse
No Different than the National Rate · Eligible stays 433 · Observed rate 12.24% · Lower 95% interval 8.69%
Discharge to community 63.35%
50.57%
12.8 pts better
Better than the National Rate · Eligible stays 426 · Observed rate 53.05% · Lower 95% interval 58.44%
Medicare spending per beneficiary 1.07
1.02
0.1 pts worse
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 278 · Denominator 278
Falls with major injury 0.72%
0.77%
0.1 pts better
Numerator 2 · Denominator 278
Discharge self-care score 75.28%
53.69%
21.6 pts better
Numerator 134 · Denominator 178
Discharge mobility score 58.99%
50.94%
8.1 pts better
Numerator 105 · Denominator 178
Pressure ulcers or injuries, new or worsened 0.36%
2.29%
1.9 pts better
Numerator 1 · Denominator 278 · Adjusted rate 0.29%
Healthcare-associated infections requiring hospitalization 6.85%
7.12%
0.3 pts better
No Different than the National Rate · Eligible stays 257 · Observed rate 7.78% · Lower 95% interval 4.85%
Staff COVID-19 vaccination coverage 0.77%
8.2%
7.4 pts worse
Numerator 1 · Denominator 130
Staff flu vaccination coverage 91.41%
42%
49.4 pts better
Numerator 117 · Denominator 128
Discharge function score 69.66%
56.45%
13.2 pts better
Numerator 124 · Denominator 178
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 93 · Denominator 93
Transfer of health information to patient 100%
96.28%
3.7 pts better
Numerator 136 · Denominator 136
Resident COVID-19 vaccinations up to date 46.27%
25.2%
21.1 pts better
Numerator 62 · Denominator 134

Quality measures

Resident outcomes and process scores

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 1.4 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.2
1.1
0.1 pts worse
1.8
0.6 pts better
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 0.9 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.1%
93.0%
6.1 pts better
93.4%
5.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 97.8% · Q2 99.3% · Q3 99.2% · Q4 100.0% · 4Q avg 99.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.5%
97.2%
0.7 pts worse
95.5%
1 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.5%
Percentage of long-stay residents experiencing one or more falls with major injury 3.0%
2.4%
0.6 pts worse
3.3%
0.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 3.0% · Q3 3.1% · Q4 1.6% · 4Q avg 3.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 5.7%
11.4%
5.7 pts better
11.4%
5.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 8.7% · Q3 4.3% · Q4 0.9% · 4Q avg 5.7%
Percentage of long-stay residents who lose too much weight 1.3%
4.6%
3.3 pts better
5.4%
4.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.0% · Q3 2.6% · Q4 1.8% · 4Q avg 1.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 13.9%
19.0%
5.1 pts better
19.6%
5.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 16.1% · Q3 12.2% · Q4 11.4% · 4Q avg 13.9%
Percentage of long-stay residents who received an antipsychotic medication 9.8%
13.5%
3.7 pts better
16.7%
6.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 10.4% · Q2 12.1% · Q3 7.5% · Q4 9.2% · 4Q avg 9.8% · 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 6.3%
9.8%
3.5 pts better
16.3%
10 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 9.3% · Q3 6.7% · Q4 1.6% · 4Q avg 6.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 4.3%
9.7%
5.4 pts better
14.9%
10.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 3.7% · Q3 3.9% · Q4 4.0% · 4Q avg 4.3% · 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 0.2%
0.8%
0.6 pts better
1.7%
1.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.8% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 10.3%
15.9%
5.6 pts better
19.8%
9.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 12.0% · Q3 10.5% · Q4 9.2% · 4Q avg 10.3%
Percentage of long-stay residents with pressure ulcers 5.1%
6.0%
0.9 pts better
5.1%
About the same
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 3.8% · Q3 5.1% · Q4 4.7% · 4Q avg 5.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 93.2%
78.7%
14.5 pts better
81.7%
11.5 pts better
Short Stay · 2024Q4-2025Q3 · Q1 95.3% · Q2 92.5% · Q3 92.6% · Q4 92.7% · 4Q avg 93.2%
Percentage of short-stay residents who had an outpatient emergency department visit 6.3%
8.2%
1.9 pts better
12.0%
5.7 pts better
Short Stay · 20240701-20250630 · Adjusted 6.3% · Observed 5.8% · Expected 10.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.8%
1.2%
0.6 pts worse
1.6%
0.2 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.8% · Q3 2.5% · Q4 1.4% · 4Q avg 1.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 83.4%
80.1%
3.3 pts better
79.7%
3.7 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 83.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 30.9%
25.4%
5.5 pts worse
23.9%
7 pts worse
Short Stay · 20240701-20250630 · Adjusted 30.9% · Observed 32.4% · Expected 25.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-25 · Fire 2025-09-25

4 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-08-27 · Fire 2024-08-27

2 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 3 Health 2022-12-08 · Fire 2022-12-08

10 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-09-25

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2025-10-17

F · Potential for more than minimal harm 2025-09-25

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-10-17

F · Potential for more than minimal harm 2024-08-27

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 2024-09-16

F · Potential for more than minimal harm 2024-08-27

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-09-16

F · Potential for more than minimal harm 2024-08-27

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2024-09-16

F · Potential for more than minimal harm 2024-08-27

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-09-16

E · Potential for more than minimal harm 2024-08-27

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-09-16

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-09-25

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-10-17

D · Potential for more than minimal harm 2025-09-25

F678 · Quality of Life and Care Deficiencies

Health

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2025-10-17

D · Potential for more than minimal harm 2025-09-25

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2025-10-17

D · Potential for more than minimal harm 2025-09-25

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2025-10-17

D · Potential for more than minimal harm 2024-08-27

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-09-20

D · Potential for more than minimal harm 2024-08-27

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-09-16

F · Potential for more than minimal harm 2022-12-08

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2023-01-11

E · Potential for more than minimal harm 2022-12-08

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 2023-01-11

E · Potential for more than minimal harm 2022-12-08

F690 · Quality of Life and Care Deficiencies

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 2023-01-11

D · Potential for more than minimal harm 2022-12-08

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2023-01-11

D · Potential for more than minimal harm 2022-12-08

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-01-11

D · Potential for more than minimal harm 2022-12-08

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-01-11

D · Potential for more than minimal harm 2022-12-08

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-01-11

D · Potential for more than minimal harm 2022-12-08

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2023-01-11

D · Potential for more than minimal harm 2022-12-08

F773 · Administration Deficiencies

Health

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Corrected 2023-01-11

D · Potential for more than minimal harm 2022-12-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-01-11

Penalties and ownership

What sits behind the stars

Ownership

Middlesex County Improvement Authority

5% Or Greater Direct Ownership Interest · Organization

100% 2 facilities 2012-03-01
Gold, Evan

Operational/Managerial Control · Individual

0% 1 facilities 2023-12-23

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Staffing
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Health
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Staffing
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Fines
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4-star overall rating with 4-star inspections with 4 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

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Staffing
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