Ocean City, NJ

United Methodist Communities At The Shores

5-star overall rating with 4-star inspections with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

2201 Bay Avenue, Ocean City, NJ

(609) 399-8505

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 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

53

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1998-02-16

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

0.98

Registered nurse staffing · state 0.69 · national 0.68

LPN hours / resident day

0.89

Licensed practical nurse staffing · state 0.94 · national 0.87

Aide hours / resident day

2.40

Nurse aide staffing · state 2.23 · national 2.35

Total nurse hours

4.27

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.87

RN + LPN hours · state 1.62 · national 1.54

Weekend hours

3.85

Weekend nurse staffing · state 3.45 · national 3.43

Weekend RN hours

0.58

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.15

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

1.03

CMS adjusted RN staffing hours

Adjusted total hours

4.52

CMS adjusted total nurse staffing hours

Case-mix index

1.29

Higher values indicate more complex resident acuity

RN turnover

27%

Annual RN turnover · state 39% · national 45%

Total nurse turnover

38%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,361

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

50.01

Composite VBP score used to determine payment impact.

Payment multiplier

1.0041

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.90

Baseline 17.12% · Performance 20.09% · Measure score 2.90 · Achievement 2.90 · Improvement 0

Healthcare-associated infections

6.21

Baseline 5.03% · Performance 5.98% · Measure score 6.21 · Achievement 6.21 · Improvement 0

Total nurse turnover

7.76

Baseline 96.00% · Performance 37.26% · Measure score 7.76 · Achievement 6.47 · Improvement 7.76

Adjusted total nurse staffing

3.14

Baseline 4.95 hours · Performance 3.97 hours · Measure score 3.14 · Achievement 3.14 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.97%
10.72%
1.2 pts worse
No Different than the National Rate · Eligible stays 349 · Observed rate 10.32% · Lower 95% interval 9.36%
Discharge to community 60.58%
50.57%
10 pts better
Better than the National Rate · Eligible stays 332 · Observed rate 60.84% · Lower 95% interval 56.1%
Medicare spending per beneficiary 0.98
1.02
About the same
Drug regimen review with follow-up 98.1%
95.27%
2.8 pts better
Numerator 206 · Denominator 210
Falls with major injury 0.48%
0.77%
0.3 pts better
Numerator 1 · Denominator 210
Discharge self-care score 46.15%
53.69%
7.5 pts worse
Numerator 78 · Denominator 169
Discharge mobility score 34.32%
50.94%
16.6 pts worse
Numerator 58 · Denominator 169
Pressure ulcers or injuries, new or worsened 4.29%
2.29%
2 pts worse
Numerator 9 · Denominator 210 · Adjusted rate 5.05%
Healthcare-associated infections requiring hospitalization 5.98%
7.12%
1.1 pts better
No Different than the National Rate · Eligible stays 216 · Observed rate 3.7% · Lower 95% interval 4.11%
Staff COVID-19 vaccination coverage 2.67%
8.2%
5.5 pts worse
Numerator 2 · Denominator 75
Staff flu vaccination coverage 92%
42%
50 pts better
Numerator 69 · Denominator 75
Discharge function score 43.79%
56.45%
12.7 pts worse
Numerator 74 · Denominator 169
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 33 · Denominator 33
Transfer of health information to patient 100%
96.28%
3.7 pts better
Numerator 152 · Denominator 152
Resident COVID-19 vaccinations up to date 17.27%
25.2%
7.9 pts worse
Numerator 19 · Denominator 110

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.9
2.1
1.2 pts better
1.9
1 pts better
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.7 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.1
1.1
About the same
1.8
0.7 pts better
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 0.9 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 81.9%
93.0%
11.1 pts worse
93.4%
11.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 74.3% · Q2 66.7% · Q3 85.7% · Q4 100.0% · 4Q avg 81.9%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
97.2%
2.8 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 8.0%
2.4%
5.6 pts worse
3.3%
4.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 6.1% · Q3 8.6% · Q4 11.4% · 4Q avg 8.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.0%
11.4%
11.4 pts better
11.4%
11.4 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 who lose too much weight 7.2%
4.6%
2.6 pts worse
5.4%
1.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 4.3% · Q3 0.0% · Q4 12.0% · 4Q avg 7.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 28.4%
19.0%
9.4 pts worse
19.6%
8.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 25.9% · Q2 25.0% · Q3 28.0% · Q4 34.6% · 4Q avg 28.4%
Percentage of long-stay residents who received an antipsychotic medication 12.8%
13.5%
0.7 pts better
16.7%
3.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 17.4% · Q3 9.5% · Q4 13.0% · 4Q avg 12.8% · 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 36.9%
9.8%
27.1 pts worse
16.3%
20.6 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 36.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 21.4%
9.7%
11.7 pts worse
14.9%
6.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 29.6% · Q2 21.7% · Q3 12.5% · Q4 20.8% · 4Q avg 21.4% · 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.0%
0.8%
0.8 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 42.9%
15.9%
27 pts worse
19.8%
23.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 50.6% · Q2 53.3% · Q3 37.4% · Q4 31.3% · 4Q avg 42.9%
Percentage of long-stay residents with pressure ulcers 5.4%
6.0%
0.6 pts better
5.1%
0.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 11.3% · Q3 0.0% · Q4 5.8% · 4Q avg 5.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 89.2%
78.7%
10.5 pts better
81.7%
7.5 pts better
Short Stay · 2024Q4-2025Q3 · Q1 83.7% · Q2 84.1% · Q3 91.3% · Q4 98.2% · 4Q avg 89.2%
Percentage of short-stay residents who had an outpatient emergency department visit 8.1%
8.2%
0.1 pts better
12.0%
3.9 pts better
Short Stay · 20240701-20250630 · Adjusted 8.1% · Observed 6.8% · Expected 9.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.8%
1.2%
0.4 pts better
1.6%
0.8 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.0% · Q3 1.1% · Q4 1.2% · 4Q avg 0.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 77.1%
80.1%
3 pts worse
79.7%
2.6 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 77.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 28.3%
25.4%
2.9 pts worse
23.9%
4.4 pts worse
Short Stay · 20240701-20250630 · Adjusted 28.3% · Observed 23.0% · Expected 19.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-29 · Fire 2025-08-29

4 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-02-20 · Fire 2024-02-20

8 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

2 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 3 Health 2021-11-05 · Fire 2021-11-05

6 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-08-29

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-09-02

F · Potential for more than minimal harm 2025-08-29

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-09-02

E · Potential for more than minimal harm 2025-08-29

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2025-10-31

D · Potential for more than minimal harm 2025-08-29

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-09-18

D · Potential for more than minimal harm 2025-08-29

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-09-30

F · Potential for more than minimal harm 2024-02-20

K321 · Smoke Deficiencies

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 2024-03-29

F · Potential for more than minimal harm 2024-02-20

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2024-03-29

E · Potential for more than minimal harm 2021-11-05

K927 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

Corrected 2021-12-14

D · Potential for more than minimal harm 2021-11-05

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-12-14

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-08-29

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 2025-09-26

D · Potential for more than minimal harm 2025-08-29

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-09-26

D · Potential for more than minimal harm 2025-08-29

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 2025-09-26

D · Potential for more than minimal harm 2025-08-29

F690 · Quality of Life and Care Deficiencies

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 2025-09-26

F · Potential for more than minimal harm 2024-02-20

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 2024-03-25

E · Potential for more than minimal harm 2024-02-20

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-03-25

E · Potential for more than minimal harm 2024-02-20

F809 · Nutrition and Dietary Deficiencies

Health

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Corrected 2024-03-25

D · Potential for more than minimal harm 2024-02-20

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-03-25

D · Potential for more than minimal harm 2024-02-20

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-03-25

D · Potential for more than minimal harm 2024-02-20

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 2024-03-25

D · Potential for more than minimal harm 2024-02-20

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-03-25

D · Potential for more than minimal harm 2024-02-20

F947 · Nursing and Physician Services Deficiencies

Health

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2024-03-25

D · Potential for more than minimal harm 2023-05-17

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2023-07-06

D · Potential for more than minimal harm 2023-05-17

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-07-06

D · Potential for more than minimal harm 2023-05-17

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 2023-07-06

D · Potential for more than minimal harm 2023-05-17

F690 · Quality of Life and Care Deficiencies

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 2023-07-06

F · Potential for more than minimal harm 2021-11-05

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 2021-12-14

D · Potential for more than minimal harm 2021-11-05

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 2021-12-14

Penalties and ownership

What sits behind the stars

Ownership

Ellis, Julie

Operational/Managerial Control · Individual

0% 4 facilities 2005-10-14
Peterson, Robert

Operational/Managerial Control · Individual

0% 5 facilities 2019-09-16
Zauner, James

Operational/Managerial Control · Individual

0% 1 facilities 2021-08-09

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2-star overall rating with 2-star inspections with 8 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

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Health
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Staffing
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3-star overall rating with 3-star inspections with 10 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

Overall
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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 $49,754 in total fines with 12 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle

Overall
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Health
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Staffing
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Fines
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