4 health deficiencies
Top issue: Resident Rights (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Freehold, NJ
4-star overall rating with 3-star inspections with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
3419 Highway 9, Freehold, NJ
(732) 677-1200
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
151
Certified beds
Average residents
96
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2008-12-17
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
0.79
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.77
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
1.75
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
3.31
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.55
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
2.76
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.60
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.83
CMS adjusted RN staffing hours
Adjusted total hours
3.48
CMS adjusted total nurse staffing hours
Case-mix index
1.30
Higher values indicate more complex resident acuity
RN turnover
35%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
41%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
7,854
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
28.59
Composite VBP score used to determine payment impact.
Payment multiplier
0.9851
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 22.52% · Performance 22.48% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
5.13
Baseline 9.19% · Performance 6.83% · Measure score 5.13 · Achievement 3.38 · Improvement 5.13
Total nurse turnover
4.68
Baseline 52.33% · Performance 44.55% · Measure score 4.68 · Achievement 4.68 · Improvement 2.33
Adjusted total nurse staffing
1.63
Baseline 3.4 hours · Performance 3.54 hours · Measure score 1.63 · Achievement 1.63 · Improvement 0.09
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.46% |
10.72%
1.7 pts worse
|
No Different than the National Rate · Eligible stays 296 · Observed rate 14.86% · Lower 95% interval 9.64% |
| Discharge to community | 44.32% |
50.57%
6.2 pts worse
|
Worse than the National Rate · Eligible stays 318 · Observed rate 35.53% · Lower 95% interval 38.81% |
| Medicare spending per beneficiary | 1.06 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 189 · Denominator 189 |
| Falls with major injury | 1.06% |
0.77%
0.3 pts worse
|
Numerator 2 · Denominator 189 |
| Discharge self-care score | 43.65% |
53.69%
10 pts worse
|
Numerator 55 · Denominator 126 |
| Discharge mobility score | 52.38% |
50.94%
1.4 pts better
|
Numerator 66 · Denominator 126 |
| Pressure ulcers or injuries, new or worsened | 4.23% |
2.29%
1.9 pts worse
|
Numerator 8 · Denominator 189 · Adjusted rate 3.49% |
| Healthcare-associated infections requiring hospitalization | 6.83% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 193 · Observed rate 7.25% · Lower 95% interval 4.45% |
| Staff COVID-19 vaccination coverage | 4.17% |
8.2%
4 pts worse
|
Numerator 5 · Denominator 120 |
| Staff flu vaccination coverage | 97.79% |
42%
55.8 pts better
|
Numerator 133 · Denominator 136 |
| Discharge function score | 57.14% |
56.45%
0.7 pts better
|
Numerator 72 · Denominator 126 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 60 · Denominator 60 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 83 · Denominator 83 |
| Resident COVID-19 vaccinations up to date | 45.65% |
25.2%
20.4 pts better
|
Numerator 42 · Denominator 92 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.5 |
2.1
0.4 pts worse
|
1.9
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.2 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
1.1
0.4 pts worse
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.3 · Expected 1.4 · 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 | 2.5% |
2.4%
0.1 pts worse
|
3.3%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 3.8% · Q3 2.4% · Q4 1.2% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.7% |
11.4%
10.7 pts better
|
11.4%
10.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.4% · Q4 1.4% · 4Q avg 0.7% |
| Percentage of long-stay residents who lose too much weight | 6.9% |
4.6%
2.3 pts worse
|
5.4%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 5.7% · Q3 6.6% · Q4 9.3% · 4Q avg 6.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.2% |
19.0%
8.8 pts better
|
19.6%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 7.9% · Q3 7.8% · Q4 12.8% · 4Q avg 10.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 1.3% |
13.5%
12.2 pts better
|
16.7%
15.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.3% · Q4 1.7% · 4Q avg 1.3% · 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 | 4.1% |
9.8%
5.7 pts better
|
16.3%
12.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.6% · Q3 10.3% · Q4 2.3% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.5% |
9.7%
4.2 pts better
|
14.9%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.2% · Q2 2.9% · Q3 5.7% · Q4 4.3% · 4Q avg 5.5% · 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 | 1.6% |
0.8%
0.8 pts worse
|
1.7%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.4% · Q3 2.5% · Q4 1.3% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.1% |
15.9%
7.2 pts worse
|
19.8%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.7% · Q2 18.6% · Q3 27.2% · Q4 26.1% · 4Q avg 23.1% |
| Percentage of long-stay residents with pressure ulcers | 7.3% |
6.0%
1.3 pts worse
|
5.1%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.3% · Q2 9.7% · Q3 5.1% · Q4 3.4% · 4Q avg 7.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.6% |
78.7%
16.9 pts better
|
81.7%
13.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 94.5% · Q2 97.5% · Q3 94.9% · Q4 95.5% · 4Q avg 95.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 3.9% |
8.2%
4.3 pts better
|
12.0%
8.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 3.9% · Observed 4.3% · Expected 12.3% · 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 0.0% · Q3 1.5% · Q4 1.9% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.5% |
80.1%
17.4 pts better
|
79.7%
17.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.1% |
25.4%
3.3 pts better
|
23.9%
1.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.1% · Observed 25.6% · Expected 27.7% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Pharmacy Service (3 deficiencies)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
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 2025-04-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-30
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-04-30
Fire Safety
Have properly sized and located compartments to protect residents from smoke.
Corrected 2025-04-29
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-05-05
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-04-12
Fire Safety
Have an externally vented heating system.
Corrected 2023-04-12
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-04-12
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-04-12
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-04-12
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-04-12
Inspection history
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-30
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-04-30
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-04-30
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2025-04-30
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-04-12
Health
Provide and implement an infection prevention and control program.
Corrected 2023-04-12
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-04-12
Health
Post nurse staffing information every day.
Corrected 2023-04-12
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-04-12
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-04-12
Health
Provide and implement an infection prevention and control program.
Corrected 2021-04-30
Penalties and ownership
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
Contracted Managing Employee · Individual
5% Or Greater Direct Ownership Interest · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
5% Or Greater Direct Ownership Interest · Individual
W-2 Managing Employee · Individual
5% Or Greater Direct Ownership Interest · Organization
Contracted Managing Employee · Individual
5% Or Greater Direct Ownership Interest · Organization
Nearby options
Freehold, NJ
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
Freehold, NJ
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Freehold, NJ
5-star overall rating with 4-star inspections with 2 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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