Cycle 1
Health 2025-11-26 · Fire 2025-11-26
3 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Collingswood, NJ
United Methodist Communities At Collingswood
5-star overall rating with 5-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
460 Haddon Ave, Collingswood, NJ
(856) 854-4331
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
60
Certified beds
Average residents
51
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1997-12-01
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
Hours and turnover
RN hours / resident day
1.55
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.43
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.50
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
4.47
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.98
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.83
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
1.07
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.13
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
1.52
CMS adjusted RN staffing hours
Adjusted total hours
4.38
CMS adjusted total nurse staffing hours
Case-mix index
1.40
Higher values indicate more complex resident acuity
RN turnover
37%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
42%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,741
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
54.28
Composite VBP score used to determine payment impact.
Payment multiplier
1.0091
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.11
Baseline 23.66% · Performance 22.59% · Measure score 1.11 · Achievement 0 · Improvement 1.11
Healthcare-associated infections
8.65
Baseline 5.99% · Performance 5.25% · Measure score 8.65 · Achievement 8.65 · Improvement 6.94
Total nurse turnover
6.55
Baseline 93.85% · Performance 45.20% · Measure score 6.55 · Achievement 4.52 · Improvement 6.55
Adjusted total nurse staffing
5.40
Baseline 5.22 hours · Performance 4.61 hours · Measure score 5.40 · Achievement 5.40 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.63% |
10.72%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 277 · Observed rate 11.19% · Lower 95% interval 8.55% |
| Discharge to community | 53.93% |
50.57%
3.4 pts better
|
No Different than the National Rate · Eligible stays 271 · Observed rate 50.18% · Lower 95% interval 48.65% |
| Medicare spending per beneficiary | 0.79 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 163 · Denominator 163 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 163 |
| Discharge self-care score | 67.13% |
53.69%
13.4 pts better
|
Numerator 96 · Denominator 143 |
| Discharge mobility score | 60.14% |
50.94%
9.2 pts better
|
Numerator 86 · Denominator 143 |
| Pressure ulcers or injuries, new or worsened | 2.45% |
2.29%
0.2 pts worse
|
Numerator 4 · Denominator 163 · Adjusted rate 2.77% |
| Healthcare-associated infections requiring hospitalization | 5.25% |
7.12%
1.9 pts better
|
No Different than the National Rate · Eligible stays 171 · Observed rate 2.34% · Lower 95% interval 2.92% |
| Staff COVID-19 vaccination coverage | 5.59% |
8.2%
2.6 pts worse
|
Numerator 8 · Denominator 143 |
| Staff flu vaccination coverage | 74.59% |
42%
32.6 pts better
|
Numerator 135 · Denominator 181 |
| Discharge function score | 68.53% |
56.45%
12.1 pts better
|
Numerator 98 · Denominator 143 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 22 · Denominator 22 |
| Transfer of health information to patient | 98.33% |
96.28%
2 pts better
|
Numerator 118 · Denominator 120 |
| Resident COVID-19 vaccinations up to date | 39.74% |
25.2%
14.5 pts better
|
Numerator 31 · Denominator 78 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
2.1
0.7 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.3 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.4 |
1.1
0.7 pts better
|
1.8
1.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.3 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 69.9% |
93.0%
23.1 pts worse
|
93.4%
23.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 97.1% · Q2 59.5% · Q3 64.1% · Q4 62.2% · 4Q avg 69.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.5% |
97.2%
1.7 pts worse
|
95.5%
About the same
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.6% |
2.4%
0.2 pts worse
|
3.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.4% · Q3 5.1% · Q4 2.7% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.4% |
11.4%
10 pts better
|
11.4%
10 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · 4Q avg 1.4% |
| Percentage of long-stay residents who lose too much weight | 6.3% |
4.6%
1.7 pts worse
|
5.4%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 5.6% · Q3 6.5% · Q4 3.8% · 4Q avg 6.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.3% |
19.0%
3.3 pts worse
|
19.6%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.2% · Q2 21.1% · Q3 21.9% · Q4 25.9% · 4Q avg 22.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 21.0% |
13.5%
7.5 pts worse
|
16.7%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.8% · Q2 22.2% · Q3 20.7% · Q4 20.0% · 4Q avg 21.0% · 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 need for help with daily activities has increased | 24.5% |
9.7%
14.8 pts worse
|
14.9%
9.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 38.7% · Q3 14.3% · Q4 33.3% · 4Q avg 24.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.1% |
0.7%
3.4 pts worse
|
1.0%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.5% · Q3 4.0% · Q4 9.8% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.7% |
0.8%
0.1 pts better
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.5% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 33.8% |
15.9%
17.9 pts worse
|
19.8%
14 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.0% · Q2 46.2% · Q3 45.4% · Q4 13.1% · 4Q avg 33.8% |
| Percentage of long-stay residents with pressure ulcers | 4.1% |
6.0%
1.9 pts better
|
5.1%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.1% · Q3 6.4% · Q4 4.5% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 72.6% |
78.7%
6.1 pts worse
|
81.7%
9.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 67.3% · Q2 69.3% · Q3 75.5% · Q4 78.3% · 4Q avg 72.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.7% |
8.2%
2.5 pts better
|
12.0%
6.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.7% · Observed 4.7% · Expected 9.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.3% |
1.2%
0.9 pts better
|
1.6%
1.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.2% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 82.8% |
80.1%
2.7 pts better
|
79.7%
3.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 82.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.8% |
25.4%
3.4 pts worse
|
23.9%
4.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.8% · Observed 23.3% · Expected 19.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-08-19 · Fire 2024-08-19
3 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2023-01-19 · Fire 2023-01-19
0 health deficiencies
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-11-26
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-12-12
F · Potential for more than minimal harm
2024-08-19
K222 · Egress Deficiencies
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 2024-09-18
F · Potential for more than minimal harm
2024-08-19
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-09-18
F · Potential for more than minimal harm
2024-08-19
K364 · Smoke Deficiencies
Fire Safety
Install properly constructed windows in hallway walls or doors.
Corrected 2024-09-18
F · Potential for more than minimal harm
2024-08-19
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-09-18
F · Potential for more than minimal harm
2023-01-19
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-02-17
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-11-26
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2026-01-12
D · Potential for more than minimal harm
2025-11-26
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2026-01-12
D · Potential for more than minimal harm
2025-11-26
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-01-12
E · Potential for more than minimal harm
2024-08-19
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-09-18
E · Potential for more than minimal harm
2024-08-19
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-18
D · Potential for more than minimal harm
2024-08-19
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-09-18
Penalties and ownership
What sits behind the stars
Ownership
Ellis, Julie
Corporate Officer · Individual
Moreland, Tamara
Corporate Director · Individual
Moreland, Tamara
W-2 Managing Employee · Individual
Peterson, Robert
Corporate Director · Individual
Peterson, Robert
Corporate Officer · Individual
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2-star overall rating with 1-star inspections with 20 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
#2
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0-star overall rating with 0-star inspections with Special Focus status with $260,470 in total fines with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Aristacare At Cherry Hill
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2-star overall rating with 1-star inspections with $4,194 in total fines with 14 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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