Homes where the federal record contains at least one of the following: a CMS abuse icon, Special Focus
Facility status or candidacy, or a citation scored at actual harm or immediate jeopardy. Ordered with
Special Focus homes first.
Read this as a prompt, not a verdict. A citation can be years old and the management
responsible may have gone. It means you ask what happened and what changed, and you get a specific answer
before you sign anything.
Masonic Village at Burlington runs on a contradiction. The nursing hours are genuinely high, 5.24 per resident day, roughly a third more than the national average, and CMS gives it top marks for staffing. But inspections tell a different story: 14 deficiencies on record, six of them serious enough to endanger residents, three tied to abuse, plus $178,446 in fines and a spot in the federal Special Focus Facility program, which CMS reserves for the worst-performing homes. Turnover sits at 46%, about even with the national rate, and weekend coverage drops roughly 11% below weekday levels. Quality scores look strong at 4 out of 5, but a home with three abuse citations and active federal monitoring has problems that staffing numbers alone don't fix.
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.
Belle Care is a 106-bed for-profit home in Trenton that CMS has placed in its Special Focus Facility program, a designation reserved for the homes with the most persistent compliance problems. The record backs that up: 75 deficiencies, seven of them serious enough to put residents in harm's way, and ten tied to abuse. Nurse staffing sits about 18% under the national average, weekend coverage drops further, and more than half the nursing staff turned over in a year. A four-star quality measure score doesn't offset inspection and staffing ratings of one and two. If you're considering this home, ask hard questions before you sign anything.
Crystal Lake runs 235 beds in Bayville under for-profit LLC ownership, and the staffing numbers are thin: 3.50 nurse hours per resident day against a national average of 3.86, with weekends dipping about 8% below its own weekdays. That shortfall matters more given what inspectors have found, 55 deficiencies on record, 10 of them at harm or jeopardy level and 9 abuse-related, plus four CMS fines totaling $418,269. Annual turnover sits at 54.4%, well above the 45.8% national figure, so the people providing care keep changing. CMS has placed the home in its Special Focus Facility program, a designation reserved for the country's most persistently troubled nursing homes. The most recent inspection was May 8, 2025.
The Pines at Medford is a 180-bed for-profit home in Burlington County that federal regulators have placed in the Special Focus Facility program, a designation reserved for the small share of nursing homes with a persistent record of serious problems. Its current inspection history shows 44 deficiencies, including six at the harm or jeopardy level and four tied to abuse, along with a $165,409 fine. Nurse staffing runs 2.94 hours per resident day, roughly a quarter below the national average, and weekends drop about 11% below its own weekday level, with turnover at 48.3%. The five-star quality measure score reflects what the home reports on paper; the one-star inspection and staffing ratings reflect what surveyors and hours actually show.
Manahawkin Health and Rehabilitation Center runs a 120-bed for-profit operation, and the staffing numbers tell a story worth sitting with. At 2.81 nurse hours per resident day, it sits roughly 27% under the national average of 3.86, and weekends drop another 12% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover at 51.3% tops the national figure, and the inspection record shows 51 deficiencies, four at harm or jeopardy level, with two tied to abuse. Federal fines total $297,722, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the poorest performers. The most recent inspection was December 2024.
Sinai Post-Acute runs 430 beds in Newark, and its nursing hours come in at 2.79 per resident day, roughly 28% under the national average of 3.86. Weekends are thinner still, about 7% below its own weekday levels, so the coverage gap families notice on a Saturday isn't imagined. The inspection record is where the real trouble sits: 44 deficiencies, six of them serious enough to put residents in harm's way, two tied to abuse, and a single $329,910 fine. Last inspection was June 2025. Turnover at 33.6% is actually better than the 45.8% national figure, which tells you staff aren't fleeing, but with that many problems on the books, ask hard questions before choosing it.
Whiting Gardens runs 200 beds, and its recent inspection history is the part that worries me most. Forty deficiencies on the current record, ten of them serious enough to involve actual harm or jeopardy, plus five tied to abuse, that pattern is why CMS has placed it in the Special Focus Facility program, a designation reserved for the homes with the most persistent problems. Nurse staffing sits at 3.09 hours per resident day, roughly a fifth below the national average, and weekends drop another 11 percent below its own weekdays, so coverage thins exactly when families tend to visit. Turnover at 43.7 percent is slightly better than average, but four fines totaling $235,564 tell you the state has been watching closely.
The Fountains of Atco reports 7.70 nurse hours per resident day, roughly double the national average of 3.86, but that staffing number comes with real caveats. Weekend coverage drops about 10% below weekday levels, and CMS still rates staffing just 2 out of 5, with an inspection record of 1 out of 5 behind it. That record includes 34 deficiencies, two at harm or jeopardy level and two abuse-related, plus $153,458 in fines across two penalties. The quality measure score sits at 4 out of 5, which reflects resident health outcomes rather than the home's compliance history. CMS has placed this for-profit, individually owned 60-bed home in its Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems.
Trenton Gardens is a 215-bed for-profit home in Mercer County, and the number that should stop you is 47 deficiencies on its current record, 7 of them serious enough to put residents in harm's way, 3 tied to abuse. That's why CMS has it in the Special Focus Facility program, the agency's watch list for the homes with the worst sustained records, and why it carries $325,922 in fines. Nurse staffing runs 3.27 hours per resident day against a national average of 3.86, and weekends drop about 11% below its own weekday levels. Turnover at 36% is actually better than the 45.8% national figure, so the problem isn't retention, it's what's happening on the floor.
Homestead Rehabilitation runs a for-profit partnership home in Newton with 128 certified beds, and the staffing picture is genuinely mixed. Total nurse coverage sits at 4.16 hours per resident day, about 8% above the national average, and turnover of 30.2% beats the national 45.8%, those are real positives. But weekends run roughly 14% leaner than weekdays, and the inspection record is where things fall apart: 40 deficiencies, two at harm or jeopardy level, one abuse-related, $111,754 in fines, and a spot in CMS's Special Focus Facility program. A 2025 inspection is recent, so this isn't stale data. Strong quality scores don't offset a harm-level citation and active federal monitoring.
Allaire Rehab & Nursing has the kind of staffing numbers most homes would envy, 4.87 nurse hours per resident day, well above the national average, but the inspection record tells a different story. Over 33 deficiencies, nine of them involving actual harm or jeopardy, five tied to abuse, and $198,526 in fines have landed this Freehold home in CMS's Special Focus Facility program, a designation reserved for the country's most persistently troubled nursing homes. Weekend staffing drops roughly 19% below weekday levels, and 50.8% of nursing staff turned over in a year, so the coverage on paper may not be what your family member experiences on a Saturday. The most recent inspection was November 2024.
Atlantic Coast Rehab & Health runs 160 beds in Lakewood under for-profit LLC ownership, and its record shows two very different stories. The staffing side is mixed: 3.13 nurse hours per resident day sits about 19% under the national average, and weekends dip roughly 8% below its own weekday levels, but turnover at 35.7% actually beats the national 45.8%, which suggests people who take jobs here tend to stay. The trouble is everything else. Inspectors have cited 20 deficiencies, including one at harm or jeopardy level and two tied to abuse, with a $101,112 fine on record and a February 2025 inspection that left the health and quality ratings at the bottom of the scale.
Mount Holly Rehabilitation & Healthcare Center runs 180 certified beds in Lumberton under for-profit LLC ownership, and its nurses provide about 3.43 hours of care per resident each day, roughly 11 percent below the national average of 3.86. Weekends get thinner still, with staffing about 7 percent under its own weekday level, while annual turnover sits at 44.9 percent, close to the national 45.8 percent. The current record carries 32 deficiencies, including five at the harm or jeopardy level and two tied to abuse, and the most recent inspection was February 7, 2025. Its quality measure score is strong; the health inspection score is not, and that gap is worth asking about directly.
Bridgeway Care and Rehab Center at Bridgewater runs 151 certified beds under corporate ownership, and its nurse staffing sits at 3.99 hours per resident day, a bit above the national average of 3.86, though weekends drop roughly 12% below what the home staffs on weekdays. Turnover is 45.3%, essentially in line with the national figure. The current inspection record shows 11 deficiencies, including 2 at the harm or jeopardy level and 2 tied to abuse, with one fine of $7,901. The most recent inspection was March 31, 2025, so the picture is current. A 4-star health inspection rating and 4-star staffing rating sit alongside a 3-star quality measure rating, which is where the mixed signals come from.
Mountainside Skilled Nursing and Rehab runs 151 certified beds under for-profit LLC ownership, and its numbers pull in two directions. The health inspection side is the weak spot: a 2-out-of-5 federal rating, 32 deficiencies on the current record, including three tied to abuse, though none rose to actual harm or jeopardy, and the last inspection was recent, in March 2025. Staffing sits at 3.67 nurse hours per resident day, roughly 5 percent under the national figure, and weekends run about 11 percent thinner than weekdays. What keeps the overall picture up is retention, 33 percent turnover against a 45.8 percent national rate, and strong quality measures.
Voorhees Pediatric Facility runs on unusually heavy nurse staffing, 6.36 hours per resident day, roughly 65% above the national average, and its 25.7% turnover is well below the 45.8% norm, which matters in a place caring for medically fragile kids. The inspection record tells a different story: 27 deficiencies, including five tied to abuse and one flagged at harm or jeopardy level, with a $33,579 fine and a one-star health inspection rating. Its most recent inspection was in May 2025, so that record is current, not stale. For-profit LLC ownership. The quality measures look strong, but the survey history is what a family should be asking about.
Morris View runs 313 beds in Morristown under individual for-profit ownership, and its 47 deficiencies, six at the harm or jeopardy level, seven tied to abuse, are the number a family should sit with. Federal fines total $351,182 across three actions, and the most recent inspection came at the end of January 2026. Nurse staffing sits at 3.61 hours per resident day, roughly 7% under the national average, and weekends drop about 13% below the home's own weekday level, so coverage thins exactly when families tend to visit. Turnover at 41.7% is slightly better than the 45.8% national figure, and the quality measure score is strong, but inspection history and weekend staffing are where the risk concentrates.
Complete Care At Harborage is a 247-bed for-profit in North Bergen, and its numbers pull in two directions. The clinical quality scores are strong, but the inspection record is where the trouble sits: 28 deficiencies, two of them serious enough to involve harm or jeopardy, plus three tied to abuse, and a $27,378 fine. Nurse staffing runs about 3.48 hours per resident day, roughly 10% under the national average, and weekends drop another 12% below the home's own weekday levels, so coverage thins out exactly when families tend to visit.
The Meadows at Lawrence runs 180 beds under for-profit LLC ownership, and its staffing sits at 3.66 nurse hours per resident day, roughly 5% under the national average of 3.86. Weekends drop about 8% below its own weekday coverage, so the thinnest shifts land when families tend to visit.
The inspection record is the bigger concern: 32 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a $17,345 fine. Staff turnover at 37.7% is actually better than the 45.8% national figure, and quality measures rate well, but a recent September 2025 inspection and that harm-level finding are what you'd want to ask about directly before deciding.
Rose Garden runs about 3.70 nurse hours per resident per day, roughly 4% under the national average of 3.86, and weekends drop about 17% below its own weekday coverage. Turnover sits at 41.7%, a bit better than the 45.8% national figure, but the current record shows 21 deficiencies, including one at the harm level and two tied to abuse, plus a $17,345 fine. State inspectors were last on site September 18, 2025, and the health inspection rating came back 2 out of 5 even as the quality measure score hit 4 out of 5, a split worth asking about, since that quality number partly reflects how well the home reports its own data. The individual for-profit owner means no chain resources to lean on. Ask what changed since September.
Berlin Rehabilitation and Healthcare Center runs 128 certified beds under corporate for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.73 hours per resident day, about 3% under the national average, and weekends dip roughly 8% below its own weekday levels, worth asking about if your family visits on Saturdays or Sundays. Annual turnover of 43% is slightly better than the 45.8% national figure, but still means close to half the staff changes each year. The inspection record shows 14 deficiencies, two serious enough to involve harm or jeopardy, plus two fines totaling $71,204; the most recent inspection was May 2025. Quality measures score well, though staffing and inspection results are where the real questions live.
Cedar Crest/Mountainview Gardens runs on a nonprofit model with 113 certified beds, and its staffing numbers are genuinely strong, 4.18 nurse hours per resident day, roughly 8% above the national average, with weekend coverage dipping about 10% below its own weekday level. Turnover sits at 21.2%, less than half the national rate of 45.8%, which matters for continuity of care. The trouble is on the inspection side: 14 deficiencies on the current record, including 3 at the harm or jeopardy level and 1 abuse-related, plus $49,960 in fines across 3 penalties. A recent January 2026 inspection found a 2-out-of-5 health inspection rating, even as quality measures and staffing each earned 5 out of 5. Strong hands on deck, but a documented history of serious compliance problems.
Autumn Lake Healthcare at Voorhees is a for-profit, limited-liability operation with 120 beds, and its strongest number sits on the clinical side: a 5-out-of-5 quality measure rating. Staffing is thinner than it looks. At 3.82 nurse hours per resident day it runs just under the national average, and weekend coverage drops about 4% below its own weekday level, the stretch when problems tend to surface. Turnover at 28.7% is genuinely better than the 45.8% national figure, so the people who stay tend to stay. The concern is the inspection record: 25 deficiencies, including three tied to abuse and one serious enough to reach harm or jeopardy, plus an $84,835 fine. Ask about that harm-level citation directly.