Vauxhall, NJ

South Mountain Hc

3-star overall rating with 2-star inspections with 9 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

2385 Springfield Avenue, Vauxhall, NJ

(908) 688-3400

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

195

Certified beds

Average residents

185

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Ocean Healthcare

Operator or chain grouping

Approved since

1989-08-03

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.53

Registered nurse staffing

LPN hours / resident day

0.82

Licensed practical nurse staffing

Aide hours / resident day

2.20

Nurse aide staffing

Weekend hours

3.22

Weekend nurse staffing

RN turnover

5%

Annual RN turnover

Total nurse turnover

32%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

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
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
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.8%
93.0%
5.8 pts better
93.4%
5.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.7%
97.2%
1.5 pts better
95.5%
3.2 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 0.4%
2.4%
2 pts better
3.3%
2.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 1.8%
11.4%
9.6 pts better
11.4%
9.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 6.0%
4.6%
1.4 pts worse
5.4%
0.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 3.6%
19.0%
15.4 pts better
19.6%
16 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 6.0%
13.5%
7.5 pts better
16.7%
10.7 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 5.3%
9.8%
4.5 pts better
16.3%
11 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 6.5%
9.7%
3.2 pts better
14.9%
8.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.3%
0.7%
0.4 pts better
1.0%
0.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.6%
0.8%
0.2 pts better
1.7%
1.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 5.8%
15.9%
10.1 pts better
19.8%
14 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 6.8%
6.0%
0.8 pts worse
5.1%
1.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 54.1%
78.7%
24.6 pts worse
81.7%
27.6 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 10.8%
8.2%
2.6 pts worse
12.0%
1.2 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 1.2%
1.2%
About the same
1.6%
0.4 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 56.2%
80.1%
23.9 pts worse
79.7%
23.5 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 27.5%
25.4%
2.1 pts worse
23.9%
3.6 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-25 · Fire 2025-08-25

9 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2024-05-16 · Fire 2024-05-16

10 health deficiencies

Top issue: Administration (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2022-04-19 · Fire 2022-04-19

3 health deficiencies

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

2 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-08-25

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-10-08

F · Potential for more than minimal harm 2024-05-16

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-06-25

F · Potential for more than minimal harm 2024-05-16

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2024-06-25

F · Potential for more than minimal harm 2024-05-16

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-06-25

F · Potential for more than minimal harm 2024-05-16

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-06-25

F · Potential for more than minimal harm 2022-04-19

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-05-03

D · Potential for more than minimal harm 2022-04-19

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-05-03

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-08-25

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2025-10-08

F · Potential for more than minimal harm 2025-08-25

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-10-08

F · Potential for more than minimal harm 2025-08-25

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2025-10-08

D · Potential for more than minimal harm 2025-08-25

F584 · Resident Rights Deficiencies

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 2025-10-08

D · Potential for more than minimal harm 2025-08-25

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-10-08

D · Potential for more than minimal harm 2025-08-25

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-10-08

D · Potential for more than minimal harm 2025-08-25

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-10-08

D · Potential for more than minimal harm 2025-08-25

F761 · Pharmacy Service Deficiencies

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 2025-10-08

D · Potential for more than minimal harm 2025-08-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-10-08

F · Potential for more than minimal harm 2024-05-16

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-06-25

E · Potential for more than minimal harm 2024-05-16

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-06-25

E · Potential for more than minimal harm 2024-05-16

F712 · Nursing and Physician Services Deficiencies

Health

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Corrected 2024-06-25

E · Potential for more than minimal harm 2024-05-16

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-06-25

E · Potential for more than minimal harm 2024-05-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-06-25

D · Potential for more than minimal harm 2024-05-16

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 2024-06-25

D · Potential for more than minimal harm 2024-05-16

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-06-25

D · Potential for more than minimal harm 2024-05-16

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-06-25

D · Potential for more than minimal harm 2024-05-16

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2024-06-25

D · Potential for more than minimal harm 2024-05-16

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2024-06-25

D · Potential for more than minimal harm 2022-04-19

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2022-05-03

D · Potential for more than minimal harm 2022-04-19

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-05-03

D · Potential for more than minimal harm 2022-04-19

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2022-05-03

Penalties and ownership

What sits behind the stars

Ownership

Feigenbaum, Deborah

5% Or Greater Direct Ownership Interest · Individual

70% 11 facilities 2007-08-07
Frommer, Jacob

5% Or Greater Direct Ownership Interest · Individual

20% 2 facilities 1989-08-03
Feigenbaum, Avraham

5% Or Greater Direct Ownership Interest · Individual

10% 9 facilities 1989-08-03
Davis, Brian

Operational/Managerial Control · Individual

0% 2 facilities 2023-10-30
Dynamic Healthcare Management LLC

Operational/Managerial Control · Organization

0% 9 facilities 2008-01-01
Feigenbaum, Avraham

Operational/Managerial Control · Individual

0% 9 facilities 2008-01-01

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Health
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Staffing
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#3

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2-star overall rating with 2-star inspections with $182,251 in total fines with 5 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
2 / 5
Staffing
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Fines
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