11 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Moorestown, NJ
2-star overall rating with 1-star inspections with 11 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
212 Marter Avenue, Moorestown, NJ
(856) 291-4800
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
124
Certified beds
Average residents
122
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Preferred Care
Operator or chain grouping
Approved since
2014-11-10
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
13 facilities
Chain averages 4 overall / 3 health / 3 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
1.02
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.49
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.01
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
2.51
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
4.00
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.62
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.19
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.66
CMS adjusted RN staffing hours
Adjusted total hours
2.92
CMS adjusted total nurse staffing hours
Case-mix index
2.12
Higher values indicate more complex resident acuity
RN turnover
47%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
54%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
12,365
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
12.63
Composite VBP score used to determine payment impact.
Payment multiplier
0.9811
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0.58
Baseline 25.01% · Performance 24.15% · Measure score 0.58 · Achievement 0 · Improvement 0.58
Healthcare-associated infections
2.01
Baseline 5.80% · Performance 7.23% · Measure score 2.01 · Achievement 2.01 · Improvement 0
Total nurse turnover
1.83
Baseline 54.26% · Performance 56.18% · Measure score 1.83 · Achievement 1.83 · Improvement 0
Adjusted total nurse staffing
0.62
Baseline 4.43 hours · Performance 3.25 hours · Measure score 0.62 · Achievement 0.62 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.91% |
10.72%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 1042 · Observed rate 12.09% · Lower 95% interval 10.12% |
| Discharge to community | 62.94% |
50.57%
12.4 pts better
|
Better than the National Rate · Eligible stays 1167 · Observed rate 57.5% · Lower 95% interval 59.31% |
| 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 950 · Denominator 950 |
| Falls with major injury | 0.84% |
0.77%
0.1 pts worse
|
Numerator 8 · Denominator 950 |
| Discharge self-care score | 67.18% |
53.69%
13.5 pts better
|
Numerator 395 · Denominator 588 |
| Discharge mobility score | 69.05% |
50.94%
18.1 pts better
|
Numerator 406 · Denominator 588 |
| Pressure ulcers or injuries, new or worsened | 0.95% |
2.29%
1.3 pts better
|
Numerator 9 · Denominator 950 · Adjusted rate 0.8% |
| Healthcare-associated infections requiring hospitalization | 7.23% |
7.12%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 712 · Observed rate 6.74% · Lower 95% interval 5.65% |
| Staff COVID-19 vaccination coverage | 1.28% |
8.2%
6.9 pts worse
|
Numerator 3 · Denominator 235 |
| Staff flu vaccination coverage | 99.35% |
42%
57.3 pts better
|
Numerator 306 · Denominator 308 |
| Discharge function score | 78.4% |
56.45%
22 pts better
|
Numerator 461 · Denominator 588 |
| Transfer of health information to provider | 99.7% |
95.95%
3.8 pts better
|
Numerator 337 · Denominator 338 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 589 · Denominator 589 |
| Resident COVID-19 vaccinations up to date | 61.2% |
25.2%
36 pts better
|
Numerator 317 · Denominator 518 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
93.0%
7 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
2.4%
2.4 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 71.4% |
11.4%
60 pts worse
|
11.4%
60 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 71.4% |
| Percentage of long-stay residents who lose too much weight | 10.0% |
4.6%
5.4 pts worse
|
5.4%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 10.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.2% |
19.0%
0.8 pts better
|
19.6%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 18.2% |
| 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 · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.3% |
9.7%
4.6 pts worse
|
14.9%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 14.3% · 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 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.5% |
0.8%
3.7 pts worse
|
1.7%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.5% · Used in QM five-star |
| Percentage of long-stay residents with pressure ulcers | 17.2% |
6.0%
11.2 pts worse
|
5.1%
12.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 17.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% |
78.7%
21 pts better
|
81.7%
18 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.6% · Q2 99.6% · Q3 99.5% · Q4 100.0% · 4Q avg 99.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.1% |
8.2%
0.9 pts worse
|
12.0%
2.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.1% · Observed 8.0% · Expected 9.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.2% |
1.2%
1 pts better
|
1.6%
1.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 0.2% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.6% |
80.1%
18.5 pts better
|
79.7%
18.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.2% |
25.4%
1.8 pts worse
|
23.9%
3.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.2% · Observed 27.0% · Expected 23.6% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Pharmacy Service (2 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Resident Assessment and Care Planning (2 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-05-13
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-05-13
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 2025-05-13
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-01-22
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 2024-01-22
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 2024-01-22
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-01-22
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-01-22
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2024-01-22
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2021-09-17
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-02-15
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2025-05-13
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-05-13
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-05-13
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 2025-05-13
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-13
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-13
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 2025-05-13
Health
Post nurse staffing information every day.
Corrected 2025-05-13
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-05-13
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 2025-05-13
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-01-22
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-01-22
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 2024-01-22
Health
Provide and implement an infection prevention and control program.
Corrected 2024-01-22
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 2024-01-31
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-06-27
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-06-27
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2021-09-17
Penalties and ownership
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
W-2 Managing Employee · Individual
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Nearby options
Moorestown, NJ
3-star overall rating with 2-star inspections with $24,911 in total fines with 9 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
Moorestown, NJ
4-star overall rating with 3-star inspections with 13 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Moorestown, NJ
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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