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)
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
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
Chain footprint
11 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
Hours and turnover
RN hours / resident day
0.53
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.82
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.20
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
3.56
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
3.22
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.37
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
0.52
CMS adjusted RN staffing hours
Adjusted total hours
3.46
CMS adjusted total nurse staffing hours
Case-mix index
1.41
Higher values indicate more complex resident acuity
RN turnover
5%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
32%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,048
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
60.53
Composite VBP score used to determine payment impact.
Payment multiplier
1.0157
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.62
Baseline 20.30% · Performance 18.37% · Measure score 6.62 · Achievement 6.62 · Improvement 5.42
Healthcare-associated infections
6.15
Baseline 8.21% · Performance 6.07% · Measure score 6.15 · Achievement 5.89 · Improvement 6.15
Total nurse turnover
10
Baseline 23.66% · Performance 23.36% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
1.45
Baseline 3.79 hours · Performance 3.49 hours · Measure score 1.45 · Achievement 1.45 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.46% |
10.72%
1.3 pts better
|
No Different than the National Rate · Eligible stays 266 · Observed rate 9.02% · Lower 95% interval 7.03% |
| Discharge to community | 62.66% |
50.57%
12.1 pts better
|
Better than the National Rate · Eligible stays 275 · Observed rate 54.18% · Lower 95% interval 55.49% |
| Medicare spending per beneficiary | 1.19 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 99.69% |
95.27%
4.4 pts better
|
Numerator 323 · Denominator 324 |
| Falls with major injury | 0.31% |
0.77%
0.5 pts better
|
Numerator 1 · Denominator 324 |
| Discharge self-care score | 73.02% |
53.69%
19.3 pts better
|
Numerator 157 · Denominator 215 |
| Discharge mobility score | 60.93% |
50.94%
10 pts better
|
Numerator 131 · Denominator 215 |
| Pressure ulcers or injuries, new or worsened | 2.78% |
2.29%
0.5 pts worse
|
Numerator 9 · Denominator 324 · Adjusted rate 2.07% |
| Healthcare-associated infections requiring hospitalization | 6.07% |
7.12%
1 pts better
|
No Different than the National Rate · Eligible stays 208 · Observed rate 5.77% · Lower 95% interval 4.01% |
| Staff COVID-19 vaccination coverage | 5.77% |
8.2%
2.4 pts worse
|
Numerator 15 · Denominator 260 |
| Staff flu vaccination coverage | 65.76% |
42%
23.8 pts better
|
Numerator 169 · Denominator 257 |
| Discharge function score | 70.23% |
56.45%
13.8 pts better
|
Numerator 151 · Denominator 215 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 138 · Denominator 138 |
| Transfer of health information to patient | 99% |
96.28%
2.7 pts better
|
Numerator 99 · Denominator 100 |
| Resident COVID-19 vaccinations up to date | 15.34% |
25.2%
9.9 pts worse
|
Numerator 25 · Denominator 163 |
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 · Adjusted 1.8 · Observed 1.8 · Expected 1.9 · 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 0.9 · Expected 1.5 · Used in QM five-star |
| 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 · Q1 98.6% · Q2 98.6% · Q3 98.5% · Q4 99.3% · 4Q avg 98.8% |
| 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 · 4Q avg 98.7% |
| 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 · Q1 0.7% · Q2 0.7% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| 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 · Q1 0.8% · Q2 0.8% · Q3 0.9% · Q4 4.6% · 4Q avg 1.8% |
| 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 · Q1 7.5% · Q2 5.1% · Q3 5.0% · Q4 6.6% · 4Q avg 6.0% |
| 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 · Q1 1.6% · Q2 4.0% · Q3 4.9% · Q4 3.9% · 4Q avg 3.6% |
| 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 · Q1 4.0% · Q2 5.3% · Q3 5.8% · Q4 8.7% · 4Q avg 6.0% · 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 | 5.3% |
9.8%
4.5 pts better
|
16.3%
11 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 7.4% · Q3 2.1% · Q4 5.8% · 4Q avg 5.3% · Used in QM five-star |
| 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 · Q1 5.5% · Q2 10.1% · Q3 7.3% · Q4 3.4% · 4Q avg 6.5% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.5% · Q4 0.9% · 4Q avg 0.3% · Used in QM five-star |
| 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 · Q1 1.5% · Q2 0.0% · Q3 0.0% · Q4 0.7% · 4Q avg 0.6% · Used in QM five-star |
| 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 · Q1 1.7% · Q2 6.6% · Q3 7.8% · Q4 7.1% · 4Q avg 5.8% |
| 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 · Q1 4.2% · Q2 7.1% · Q3 7.8% · Q4 8.0% · 4Q avg 6.8% · Used in QM five-star |
| 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 · Q1 47.8% · Q2 52.5% · Q3 58.4% · Q4 58.2% · 4Q avg 54.1% |
| 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 · Adjusted 10.8% · Observed 9.6% · Expected 10.0% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 1.3% · Q3 1.8% · Q4 1.8% · 4Q avg 1.2% · Used in QM five-star |
| 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 · 4Q avg 56.2% |
| 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 · Adjusted 27.5% · Observed 29.9% · Expected 26.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
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
Frommer, Jacob
5% Or Greater Direct Ownership Interest · Individual
Feigenbaum, Avraham
5% Or Greater Direct Ownership Interest · Individual
Davis, Brian
Operational/Managerial Control · Individual
Dynamic Healthcare Management LLC
Operational/Managerial Control · Organization
Feigenbaum, Avraham
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Winchester Gardens Health Care Center
Maplewood, NJ
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
#2
Alliance Care Rehabilitation And Nursing Center
Irvington, NJ
3-star overall rating with 2-star inspections with 7 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Cornell Hall Care & Rehabilitation Center
Union, NJ
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
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