Nursing homes across Middlesex County, New Jersey, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Embassy Manor runs 280 beds in Edison under for-profit LLC ownership, and the numbers pull in different directions. Nurse staffing sits at 3.31 hours per resident day, roughly 14% under the national average, and weekends dip about 11% below the home's own weekday coverage, so the hours get thinnest exactly when families tend to visit. The inspection record is the bigger concern: 25 deficiencies, including two at harm or jeopardy level and three tied to abuse, plus a $102,840 fine. Staff turnover at 39.8% actually beats the national 45.8%, and the quality measure rating is strong, but a 2/5 inspection score with recent trouble on record is what a family should weigh first.
Spring Creek runs about 3.31 nurse hours per resident day, roughly 14% under the national average of 3.86, and weekend coverage drops another 13% below its own weekday levels. That thin margin matters more than the inspection record, which is solid: 15 deficiencies on file with three at the harm level and none tied to abuse, and a survey completed in April 2025. Staff turnover sits at 48.5%, a few points above the national figure, so the people around your family member change often. It's an individually owned, for-profit home with 179 beds, and the staffing numbers are the piece worth watching.
Cranbury Center runs 154 beds in Monroe Township under corporate ownership, and the numbers to focus on are staffing and safety. Nurses give residents 3.21 hours of care per day, about 17% under the national average, and weekends drop roughly 13% below the home's own weekday level. Staff turnover sits at 52.5% against a national 45.8%. The inspection record shows 20 deficiencies, including 2 at the harm or jeopardy level and 5 tied to abuse, with $10,361 in fines and a December 2025 inspection. Two stars each for health inspections and staffing say the same thing the deficiency count does: this home has unresolved problems, and families should ask pointed questions before choosing it.
The Elms in Cranbury runs 120 beds under for-profit LLC ownership, and its staffing numbers are the first thing to look at: 3.82 nurse hours per resident day, just under the national average, with weekends running about 7% thinner than weekdays. More striking is turnover, 62.5% of staff leaving annually against a national average of 45.8%, which means the people caring for residents are, more often than not, still learning the building. The inspection record shows 11 deficiencies, three of them serious enough to involve harm or jeopardy and two tied to abuse, plus a $57,282 fine. A recent November 2025 inspection and strong quality measures don't erase that combination.
The staffing numbers at this Piscataway home look decent on paper, 3.94 nurse hours per resident day, a bit above the national average, but weekends drop about 9% below weekday coverage, and a 1-out-of-5 inspection rating tells you the care isn't matching the payroll. Thirty-seven deficiencies sit on the current record, four of them serious enough to put residents in harm's way and five tied to abuse. CMS has placed it in the Special Focus Facility program, reserved for the country's poorest performers, and the most recent inspection was in December 2024. Ownership is for-profit, through a limited liability company. Staff turnover, at 41.9%, is actually slightly better than average, the problem here isn't retention, it's what's happening on the floor.