20 health deficiencies
Top issue: Administration (6 deficiencies)
22 fire-safety deficiencies
Top issue: Emergency Preparedness (8 deficiencies)
Medford, NJ
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $300,000 in total fines with 20 recent health deficiencies with 22 fire-safety deficiencies in the latest cycle
185 Tuckerton Road, Medford, NJ
(856) 983-8500
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
180
Certified beds
Average residents
80
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1980-07-21
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
RN hours / resident day
0.60
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.81
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
1.82
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
3.22
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.40
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
2.90
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.41
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.66
CMS adjusted RN staffing hours
Adjusted total hours
3.54
CMS adjusted total nurse staffing hours
Case-mix index
1.25
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Program rank
6,222
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
33.60
Composite VBP score used to determine payment impact.
Payment multiplier
0.9878
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.84
Baseline 21.64% · Performance 20.12% · Measure score 2.84 · Achievement 2.84 · Improvement 2.81
Healthcare-associated infections
3.75
Baseline 6.93% · Performance 6.71% · Measure score 3.75 · Achievement 3.75 · Improvement 0.63
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
3.49
Baseline 2.91 hours · Performance 4.06 hours · Measure score 3.49 · Achievement 3.45 · Improvement 3.49
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.51% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 117 · Observed rate 10.26% · Lower 95% interval 7.62% |
| Discharge to community | 46.87% |
50.57%
3.7 pts worse
|
No Different than the National Rate · Eligible stays 91 · Observed rate 38.46% · Lower 95% interval 36.8% |
| Medicare spending per beneficiary | 1.01 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 93.88% |
95.27%
1.4 pts worse
|
Numerator 46 · Denominator 49 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 49 |
| Discharge self-care score | 55.56% |
53.69%
1.9 pts better
|
Numerator 15 · Denominator 27 |
| Discharge mobility score | 37.04% |
50.94%
13.9 pts worse
|
Numerator 10 · Denominator 27 |
| Pressure ulcers or injuries, new or worsened | 6.12% |
2.29%
3.8 pts worse
|
Numerator 3 · Denominator 49 · Adjusted rate 6.44% |
| Healthcare-associated infections requiring hospitalization | 6.71% |
7.12%
0.4 pts better
|
No Different than the National Rate · Eligible stays 58 · Observed rate 6.9% · Lower 95% interval 3.77% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 163 |
| Staff flu vaccination coverage | 99.22% |
42%
57.2 pts better
|
Numerator 128 · Denominator 129 |
| Discharge function score | 66.67% |
56.45%
10.2 pts better
|
Numerator 18 · Denominator 27 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.3 |
2.1
0.2 pts worse
|
1.9
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.0 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
1.1
0.3 pts worse
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.2 · Expected 1.4 · 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 100.0% · Q2 97.1% · Q3 98.2% · Q4 100.0% · 4Q avg 98.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.1% |
97.2%
2.1 pts worse
|
95.5%
0.4 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.5% |
2.4%
1.1 pts worse
|
3.3%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 2.9% · Q3 1.8% · Q4 0.0% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.7% |
11.4%
9.7 pts better
|
11.4%
9.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 7.5% · 4Q avg 1.7% |
| Percentage of long-stay residents who lose too much weight | 4.4% |
4.6%
0.2 pts better
|
5.4%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 3.4% · Q3 2.1% · Q4 0.0% · 4Q avg 4.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.6% |
19.0%
0.4 pts better
|
19.6%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 24.0% · Q2 17.7% · Q3 17.6% · Q4 12.5% · 4Q avg 18.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.6% |
13.5%
2.1 pts worse
|
16.7%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 20.8% · Q3 14.6% · Q4 12.8% · 4Q avg 15.6% · 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 | 8.6% |
9.8%
1.2 pts better
|
16.3%
7.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 12.7% · 4Q avg 8.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.2% |
9.7%
4.5 pts worse
|
14.9%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 15.5% · Q3 23.9% · Q4 9.3% · 4Q avg 14.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.8% |
0.7%
1.1 pts worse
|
1.0%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 3.1% · Q3 0.0% · Q4 0.0% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.2% |
0.8%
0.4 pts worse
|
1.7%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 1.5% · Q3 0.0% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 8.0% |
15.9%
7.9 pts better
|
19.8%
11.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.0% · Q3 6.0% · Q4 25.4% · 4Q avg 8.0% |
| Percentage of long-stay residents with pressure ulcers | 3.6% |
6.0%
2.4 pts better
|
5.1%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 3.6% · Q3 3.7% · Q4 0.0% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 54.8% |
78.7%
23.9 pts worse
|
81.7%
26.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 69.6% · Q2 61.5% · Q3 66.7% · Q4 41.7% · 4Q avg 54.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.9% |
8.2%
0.7 pts worse
|
12.0%
3.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.9% · Observed 8.8% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.2%
1.2 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 40.0% |
80.1%
40.1 pts worse
|
79.7%
39.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 40.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.9% |
25.4%
4.5 pts worse
|
23.9%
6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.9% · Observed 32.4% · Expected 25.8% · Used in QM five-star |
Survey summary
Top issue: Administration (6 deficiencies)
22 fire-safety deficiencies
Top issue: Emergency Preparedness (8 deficiencies)
Top issue: Quality of Life and Care (6 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2025-01-31
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2025-01-31
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2025-01-31
Fire Safety
Provide family notifications of emergency plan.
Corrected 2025-01-31
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-01-31
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-01-31
Fire Safety
Implement emergency and standby power systems.
Corrected 2025-01-31
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2025-01-31
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-04-08
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-04-08
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 2025-04-08
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-03-19
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-03-19
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-08
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-01-31
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-01-31
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-01-31
Fire Safety
Meet other general requirements that are deficient.
Corrected 2025-01-31
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-01-31
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-04-08
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-03-20
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-01-31
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2023-06-05
Fire Safety
Have exits that are accessible at all times.
Corrected 2023-05-23
Fire Safety
Install proper backup exit lighting.
Corrected 2023-05-23
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 2023-06-05
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-06-05
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-06-05
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-06-05
Fire Safety
Provide properly protected cooking facilities.
Corrected 2021-03-23
Inspection history
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-12-15
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-01-31
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2025-01-31
Health
Keep all essential equipment working safely.
Corrected 2025-01-31
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2025-01-31
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-02-14
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-01-31
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2025-03-04
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-01-31
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-01-31
Health
Assure the security of all personal funds of residents deposited with the facility.
Corrected 2025-03-04
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-01-31
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-01-31
Health
Dispose of garbage and refuse properly.
Corrected 2025-01-31
Health
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2025-01-31
Health
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
Corrected 2025-01-31
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2025-01-31
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2025-01-31
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2025-01-31
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-31
Health
Have enough backup water supply for essential areas of the nursing home.
Corrected 2025-01-31
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2025-01-31
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 2025-01-31
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-01-31
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-12-17
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-07
Health
Keep all essential equipment working safely.
Corrected 2024-10-04
Health
Respond appropriately to all alleged violations.
Corrected 2023-07-28
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-07-28
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 2023-05-31
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-06-15
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2023-06-05
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-20
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-06-05
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-06-05
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-05-31
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-06-05
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 2023-06-05
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-06-05
Health
Dispose of garbage and refuse properly.
Corrected 2023-05-20
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2021-03-22
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-03-23
Health
Provide and implement an infection prevention and control program.
Corrected 2021-04-17
Penalties and ownership
Fine · fine $165,409
Fine
Payment Denial · denial start 2025-01-10 · 56 days
56 day denial
Fine · fine $134,591
Fine
Nearby options
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Voorhees, NJ
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