Cycle 1
Health 2025-07-24 · Fire 2025-07-24
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Monroe Township, NJ
Village Point
5-star overall rating with 3-star inspections with $55,185 in total fines with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Three David Brainerd Drive, Monroe Township, NJ
(732) 521-6407
Overall
5 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
103
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Springpoint Senior Living
Operator or chain grouping
Approved since
1988-10-03
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
8 facilities
Chain averages 4 overall / 3 health / 5 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
0.76
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.98
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.56
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
4.31
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.75
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.90
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.52
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.82
CMS adjusted RN staffing hours
Adjusted total hours
4.63
CMS adjusted total nurse staffing hours
Case-mix index
1.27
Higher values indicate more complex resident acuity
RN turnover
21%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
21%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,890
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
53.23
Composite VBP score used to determine payment impact.
Payment multiplier
1.0079
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 21.11% · Performance 21.58% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
7.28
Baseline 5.57% · Performance 5.66% · Measure score 7.28 · Achievement 7.28 · Improvement 0
Total nurse turnover
10
Baseline 27.59% · Performance 24.44% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
4.01
Baseline 4.80 hours · Performance 4.22 hours · Measure score 4.01 · Achievement 4.01 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.15% |
10.72%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 456 · Observed rate 10.96% · Lower 95% interval 8.96% |
| Discharge to community | 69.23% |
50.57%
18.7 pts better
|
Better than the National Rate · Eligible stays 467 · Observed rate 62.31% · Lower 95% interval 63.63% |
| Medicare spending per beneficiary | 0.81 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 97% |
95.27%
1.7 pts better
|
Numerator 291 · Denominator 300 |
| Falls with major injury | 0.33% |
0.77%
0.4 pts better
|
Numerator 1 · Denominator 300 |
| Discharge self-care score | 48.57% |
53.69%
5.1 pts worse
|
Numerator 119 · Denominator 245 |
| Discharge mobility score | 56.33% |
50.94%
5.4 pts better
|
Numerator 138 · Denominator 245 |
| Pressure ulcers or injuries, new or worsened | 1.67% |
2.29%
0.6 pts better
|
Numerator 5 · Denominator 300 · Adjusted rate 1.75% |
| Healthcare-associated infections requiring hospitalization | 5.66% |
7.12%
1.5 pts better
|
No Different than the National Rate · Eligible stays 303 · Observed rate 4.62% · Lower 95% interval 3.8% |
| Staff COVID-19 vaccination coverage | 1.32% |
8.2%
6.9 pts worse
|
Numerator 2 · Denominator 151 |
| Staff flu vaccination coverage | 74.52% |
42%
32.5 pts better
|
Numerator 117 · Denominator 157 |
| Discharge function score | 57.55% |
56.45%
1.1 pts better
|
Numerator 141 · Denominator 245 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 58 · Denominator 58 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 214 · Denominator 214 |
| Resident COVID-19 vaccinations up to date | 10.22% |
25.2%
15 pts worse
|
Numerator 14 · Denominator 137 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
2.1
0.8 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 0.7 · Expected 1.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.8 |
1.1
0.7 pts worse
|
1.8
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.2 · Expected 1.1 · Used in QM five-star |
| 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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 | 1.6% |
2.4%
0.8 pts better
|
3.3%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 1.2% · Q3 1.3% · Q4 1.3% · 4Q avg 1.6% · 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 | 0.8% |
4.6%
3.8 pts better
|
5.4%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.6% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26.5% |
19.0%
7.5 pts worse
|
19.6%
6.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.5% · Q2 26.6% · Q3 25.9% · Q4 27.1% · 4Q avg 26.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.5% |
13.5%
7 pts better
|
16.7%
10.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 7.3% · Q3 5.8% · Q4 3.9% · 4Q avg 6.5% · 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 | 6.3% |
9.8%
3.5 pts better
|
16.3%
10 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 9.2% · Q3 6.3% · Q4 6.8% · 4Q avg 6.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 3.9% |
9.7%
5.8 pts better
|
14.9%
11 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 3.4% · Q3 3.6% · Q4 5.5% · 4Q avg 3.9% · 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 | 3.5% |
0.8%
2.7 pts worse
|
1.7%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 3.8% · Q3 2.6% · Q4 5.3% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 10.1% |
15.9%
5.8 pts better
|
19.8%
9.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 13.7% · Q3 12.5% · Q4 7.7% · 4Q avg 10.1% |
| 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 4.7% · Q2 5.6% · Q3 4.1% · Q4 2.0% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.5% |
78.7%
17.8 pts better
|
81.7%
14.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 94.3% · Q2 96.3% · Q3 98.3% · Q4 96.9% · 4Q avg 96.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.6% |
8.2%
0.6 pts better
|
12.0%
4.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.6% · Observed 6.7% · Expected 9.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.2%
0.7 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 0.6% · Q3 0.0% · Q4 0.6% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.9% |
80.1%
16.8 pts better
|
79.7%
17.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.5% |
25.4%
5.9 pts better
|
23.9%
4.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.5% · Observed 17.8% · Expected 21.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-11-20 · Fire 2023-11-20
8 health deficiencies
Top issue: Administration (2 deficiencies)
15 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Cycle 3
Health 2021-12-03 · Fire 2021-12-03
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-07-24
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-08-15
F · Potential for more than minimal harm
2023-11-20
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 2023-12-20
F · Potential for more than minimal harm
2023-11-20
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-01-12
F · Potential for more than minimal harm
2023-11-20
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-12-01
F · Potential for more than minimal harm
2023-11-20
K915 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper power supply for life support equipment.
Corrected 2023-12-15
F · Potential for more than minimal harm
2023-11-20
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-01-10
E · Potential for more than minimal harm
2023-11-20
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-12-29
E · Potential for more than minimal harm
2023-11-20
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2023-12-22
E · Potential for more than minimal harm
2023-11-20
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 2024-01-12
E · Potential for more than minimal harm
2023-11-20
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-12-21
E · Potential for more than minimal harm
2023-11-20
K362 · Smoke Deficiencies
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2024-01-12
E · Potential for more than minimal harm
2023-11-20
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-11-22
E · Potential for more than minimal harm
2023-11-20
K379 · Smoke Deficiencies
Fire Safety
Have proper openings in smoke barrier doors.
Corrected 2024-01-12
D · Potential for more than minimal harm
2023-11-20
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-11-21
D · Potential for more than minimal harm
2023-11-20
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2023-11-21
D · Potential for more than minimal harm
2023-11-20
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-11-22
D · Potential for more than minimal harm
2021-12-03
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2021-12-20
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-07-24
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 2025-08-20
D · Potential for more than minimal harm
2025-07-24
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 2025-08-20
D · Potential for more than minimal harm
2025-07-24
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-08-20
D · Potential for more than minimal harm
2025-07-24
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 2025-08-20
G · Actual harm
2023-11-20
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-01-12
F · Potential for more than minimal harm
2023-11-20
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 2023-12-29
E · Potential for more than minimal harm
2023-11-20
F865 · Administration Deficiencies
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2023-12-29
E · Potential for more than minimal harm
2023-11-20
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-29
D · Potential for more than minimal harm
2023-11-20
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2023-12-29
D · Potential for more than minimal harm
2023-11-20
F710 · Nursing and Physician Services Deficiencies
Health
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2023-12-29
D · Potential for more than minimal harm
2023-11-20
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-12-29
D · Potential for more than minimal harm
2023-11-20
F868 · Administration Deficiencies
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2023-12-29
F · Potential for more than minimal harm
2021-12-03
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 2022-01-03
D · Potential for more than minimal harm
2021-12-03
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-01-03
Penalties and ownership
What sits behind the stars
$55,185
2023-11-20
Fine
Fine · fine $55,185
Fine
Ownership
Argondizza, Anthony
Corporate Officer · Individual
Kopec, Marybeth
Operational/Managerial Control · Individual
Midgett, Garrett
Operational/Managerial Control · Individual
Midgett, Garrett
Corporate Officer · Individual
Springpoint Senior Living Inc
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
Cranbury Center
Monroe Township, NJ
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
Careone At East Brunswick
East Brunswick, NJ
4-star overall rating with 3-star inspections with 9 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#3
The Elms Rehab And Healthcare Center Of Cranbury
Cranbury, NJ
4-star overall rating with 3-star inspections with $57,282 in total fines with 2 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
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