11 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Little Egg Harbor Tw, NJ
3-star overall rating with 2-star inspections with 11 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
1001 Center St, Little Egg Harbor Tw, NJ
(609) 296-9292
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
171
Certified beds
Average residents
153
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Marquis Health Services
Operator or chain grouping
Approved since
1986-01-16
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
81 facilities
Chain averages 3 overall / 3 health / 2 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
0.55
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.92
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
1.81
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
3.28
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.47
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
2.93
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.31
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
0.54
CMS adjusted RN staffing hours
Adjusted total hours
3.22
CMS adjusted total nurse staffing hours
Case-mix index
1.39
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
44%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
7,368
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
29.93
Composite VBP score used to determine payment impact.
Payment multiplier
0.9857
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.44
Baseline 20.98% · Performance 19.38% · Measure score 4.44 · Achievement 4.44 · Improvement 3.57
Healthcare-associated infections
4.96
Baseline 8.25% · Performance 6.47% · Measure score 4.96 · Achievement 4.56 · Improvement 4.96
Total nurse turnover
2.57
Baseline 64.56% · Performance 53.16% · Measure score 2.57 · Achievement 2.57 · Improvement 2.37
Adjusted total nurse staffing
0
Baseline 3.18 hours · Performance 3.14 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.41% |
10.72%
1.3 pts better
|
No Different than the National Rate · Eligible stays 467 · Observed rate 8.99% · Lower 95% interval 7.44% |
| Discharge to community | 62.16% |
50.57%
11.6 pts better
|
Better than the National Rate · Eligible stays 494 · Observed rate 58.1% · Lower 95% interval 57.73% |
| Medicare spending per beneficiary | 1.19 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 395 · Denominator 395 |
| Falls with major injury | 0.76% |
0.77%
About the same
|
Numerator 3 · Denominator 395 |
| Discharge self-care score | 58.37% |
53.69%
4.7 pts better
|
Numerator 150 · Denominator 257 |
| Discharge mobility score | 63.04% |
50.94%
12.1 pts better
|
Numerator 162 · Denominator 257 |
| Pressure ulcers or injuries, new or worsened | 2.28% |
2.29%
About the same
|
Numerator 9 · Denominator 395 · Adjusted rate 2.47% |
| Healthcare-associated infections requiring hospitalization | 6.47% |
7.12%
0.7 pts better
|
No Different than the National Rate · Eligible stays 345 · Observed rate 6.38% · Lower 95% interval 4.61% |
| Staff COVID-19 vaccination coverage | 1.8% |
8.2%
6.4 pts worse
|
Numerator 4 · Denominator 222 |
| Staff flu vaccination coverage | 99.63% |
42%
57.6 pts better
|
Numerator 269 · Denominator 270 |
| Discharge function score | 67.7% |
56.45%
11.2 pts better
|
Numerator 174 · Denominator 257 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 313 · Denominator 313 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 37 · Denominator 37 |
| Resident COVID-19 vaccinations up to date | 2.65% |
25.2%
22.6 pts worse
|
Numerator 5 · Denominator 189 |
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 1.8 · Expected 1.8 · 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 1.1 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 93.8% |
93.0%
0.8 pts better
|
93.4%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 89.9% · Q2 98.2% · Q3 95.8% · Q4 91.3% · 4Q avg 93.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 81.7% |
97.2%
15.5 pts worse
|
95.5%
13.8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 81.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.4% |
2.4%
About the same
|
3.3%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 2.7% · Q3 3.1% · Q4 1.9% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 14.4% |
11.4%
3 pts worse
|
11.4%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.4% · Q2 17.8% · Q3 10.6% · Q4 5.9% · 4Q avg 14.4% |
| Percentage of long-stay residents who lose too much weight | 5.8% |
4.6%
1.2 pts worse
|
5.4%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 4.2% · Q3 3.0% · Q4 3.8% · 4Q avg 5.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.3% |
19.0%
0.7 pts better
|
19.6%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.7% · Q2 16.7% · Q3 17.3% · Q4 18.1% · 4Q avg 18.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.2% |
13.5%
4.3 pts better
|
16.7%
7.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 9.5% · Q3 12.3% · Q4 6.2% · 4Q avg 9.2% · 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 | 7.8% |
9.8%
2 pts better
|
16.3%
8.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 16.0% · Q3 6.7% · Q4 8.2% · 4Q avg 7.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.9% |
9.7%
0.2 pts worse
|
14.9%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.6% · Q2 11.7% · Q3 11.1% · Q4 6.4% · 4Q avg 9.9% · 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 0.9% · Q3 0.0% · Q4 0.0% · 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 | 27.6% |
15.9%
11.7 pts worse
|
19.8%
7.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.9% · Q2 34.5% · Q3 30.1% · Q4 22.1% · 4Q avg 27.6% |
| Percentage of long-stay residents with pressure ulcers | 5.7% |
6.0%
0.3 pts better
|
5.1%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 5.5% · Q3 3.7% · Q4 6.2% · 4Q avg 5.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 52.7% |
78.7%
26 pts worse
|
81.7%
29 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 48.8% · Q2 61.2% · Q3 60.4% · Q4 41.5% · 4Q avg 52.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.4% |
8.2%
0.2 pts worse
|
12.0%
3.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.4% · Observed 8.4% · Expected 11.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.6% |
1.2%
0.4 pts worse
|
1.6%
About the same
|
Short Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.9% · Q3 1.8% · Q4 1.9% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 48.2% |
80.1%
31.9 pts worse
|
79.7%
31.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 48.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.4% |
25.4%
2 pts better
|
23.9%
0.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.4% · Observed 23.4% · Expected 23.8% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Resident Rights (3 deficiencies)
7 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Nutrition and Dietary (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-08-30
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-08-14
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-05
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-08-07
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2024-08-05
Fire Safety
Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency.
Corrected 2024-08-05
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-08-15
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-08-14
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-08-19
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 2022-12-12
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-12-12
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-12-12
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2022-12-12
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-01-05
Fire Safety
Install proper backup exit lighting.
Corrected 2022-12-12
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2022-12-12
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-01-20
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2026-01-20
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-01-20
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-05
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-08-05
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-08-05
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-08-05
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 2024-08-05
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-08-05
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2024-08-05
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 2024-08-05
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-01-05
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-12-12
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2022-12-12
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-12-12
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-12-12
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 2022-12-12
Health
Implement a program that monitors antibiotic use.
Corrected 2022-12-12
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-12-12
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-10-15
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
5% Or Greater Security Interest · Organization
5% Or Greater Mortgage Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Little Egg Harbor Tw, NJ
4-star overall rating with 4-star inspections with 4 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
Manahawkin, NJ
1-star overall rating with 1-star inspections with 22 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
Manahawkin, NJ
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
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