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Arnold Walter Nursing & Rehabilitation Center

622 S Laurel Avenue, Hazlet, NJ 07730 · Monmouth County · (732) 787-6300

202 certified beds, about 172 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1975

Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 315119 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 25, 2026, inspectors cited 12 health deficiencies (the New Jersey average is 8.6, the national average 9.2).

None of its 31 health citations since December 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.26 hours per resident per day, against 3.85 across New Jersey and 3.86 nationally. Registered nurses accounted for 0.50 of those hours.

54.1% of nursing staff left within the year CMS measured (New Jersey average 39.7%).

CMS links it to Excelsior Care Group, an affiliated group of 33 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 31 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
24D
6E
1F
Potential for minimal harm
0A
0B
0C
June 25, 2026Standard inspection, Complaint inspection · 12 citations
  1. E
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 11, 2026
    Inspectors wroteBased on observations, interviews, record review, and review of pertinent facility documents, it was determined that the facility failed to follow professional standards of practice and physician orders to ensure resident's receiving enteral feeding received appropriate care and services to prevent complications of enteral feeding. This deficient practice was identified for 3 of 3 residents (Residents #2, #8 and #75), reviewed for tube feeding. This deficient practice was evidenced by the following: 1. On 6/9/26 at 10:17AM, the surveyor observed Resident #2 lying in bed with a tube feeding (a medical device that delivers nutrition, fluids, and medications directly into the digestive system when a person cannot eat or swallow safely) in place and the pump turned off. The tube feed bottle was labeled Glucerna 1.5 and was dated for 6/7/26 at 9 AM. [...]
  2. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 11, 2026
    Inspectors wroteBased on observations, interviews, and review of pertinent facility documentation, it was determined that the facility failed to maintain infection control practices implemented to prevent the spread of infection in accordance with accepted national standards, Centers for Disease Control (CDC) guidelines by ensuring a.) proper sanitizing of point of care equipment, (blood pressure machine) between residents during the medication administration observation for one (1) of two (2) nurses observed while administering medications, b.) performing appropriate hand washing technique during the medication administration observation for one (1) of two (2) nurses observed while administering medications, c.) appropriate handling of medications during the medication administration observation for one (1) of two (2) nurses observed while administering medications to one (1) resident, d.) posting [...]
  3. D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 11, 2026
    Inspectors wroteComplaint #s: NJ2676162, NJ2786980Based on observation and interview, it was determined that the facility failed to maintain the facility in a clean and sanitary environment. This deficient practice was identified for 1 of 4 units, (D Wing) and was evidenced by the following: On 6/09/2026 at 10:19 AM, during initial tour of D wing, the surveyor observed dark brown areas on the floors throughout the hallways. On 6/10/2026 at 8:58 AM, the surveyor observed the D wing hallways to have multiple dark brown areas on the floors. On 6/11/2026 at 10:01 AM, the surveyor observed the D wing hallways with wet floor signs in front of the nurse's station. The floor around the wet floor sign was observed with multiple dark brown areas. On 6/11/2026 at 10:15 AM, the surveyor interviewed a porter who stated that the floors were mopped daily as were the hallways. [...]
  4. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 11, 2026
    Inspectors wroteBased on interviews, review of the facility's policy, and other pertinent facility documents, it was determined that the facility failed to implement their abuse policy to a.) complete reference checks for 10 out of 102 employees (Employee #7, #21, #22, #26, #33, #35, #50, #72, #91, #97) and b.) complete background checks for 14 out 102 employees (Employee #2, #19, #23, #29, #30, #35, #41, #50, #62, #70, #72, #76, #84, #97). This deficient practice was identified for newly hired employees reviewed since the last Department of Health recertification survey of 1/24/25. This deficient practice was evidenced by the following:On 6/9/26 at approximately 10:31 AM, during the entrance conference, the surveyor requested from the Licensed Nursing Home Administrator (LNHA), all newly hired employee files for active and inactive employees from 1/24/25 to the current date. [...]
  5. D
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    F636 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 11, 2026
    Inspectors wroteBased on interview, record review, and review of the Resident Assessment Instrument (RAI) User's Manual, it was determined that the facility failed to complete the Comprehensive Minimum Data Set (MDS), a periodic and federally mandated, standardized assessment tool, within the required time frame. This deficient practice was identified for 2 of 10 residents (Resident #22 and Resident #153) reviewed for timing of assessments and was evidenced by the following: On 6/10/26, the surveyor reviewed the electronic medical records (EMR) of the residents in the Resident Assessment task which revealed:Resident #22 had an annual MDS with a date of 3/19/26 which was completed on 4/6/26 (due 4/2/26). Resident #153 had an annual MDS with a date of 5/14/26 which was completed on 5/29/26 (due 5/28/26). [...]
  6. D
    Assure that each resident’s assessment is updated at least once every 3 months.
    F638 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 11, 2026
    Inspectors wroteBased on interview, record review, and review of the Resident Assessment Instrument (RAI) User's Manual, it was determined that the facility failed to complete the Comprehensive Minimum Data Set (MDS), a periodic and federally mandated, standardized assessment tool, within the required time frame. This deficient practice was identified for 1 of 9 residents (Resident #121) reviewed for timing of assessments and was evidenced by the following: On 6/10/26, the surveyor reviewed the electronic medical records (EMR) of the residents in the Resident Assessment task which revealed: Resident #121 had a Quarterly MDS with a date of 2/5/26 was completed on 2/21/26 (due 2/19/26). On 6/11/26 at 10:54 AM, the surveyor interviewed the Regional MDS Coordinator (RMDSC), who stated Resident #121's MDS should have been completed by 2/19/26. [...]
  7. D
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 11, 2026
    Inspectors wroteBased on interviews, review of medical records, and review of the Resident Assessment Instrument (RAI) User's Manual, it was determined that the facility failed to electronically transmit the Minimum Data Set (MDS, an assessment tool), within 14 days of completing the resident's assessment. This deficient practice was identified for 6 of 9 residents, (Sampled Resident # 8 and #22, Unsampled Resident #40, #60, #100, and #121) reviewed in the Resident Assessment Task for MDS record over 120 days old. This deficient practice was evidenced by the following:On [DATE] and [DATE], the surveyor reviewed the MDS history in the electronic medical records for the residents in the Resident Assessment task which revealed the following:Resident #8's Quarterly MDS dated [DATE] was completed on [DATE] and transmitted on [DATE] (due [DATE]). [...]
  8. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 11, 2026
    Inspectors wroteBased on observations, interviews, record review and facility documents it was determined the facility failed to ensure a Preadmission Screening and Resident Review (PASRR) Level 1 a.) was completed and b.) was accurate for a newly admitted resident. This deficient practice was identified for one of three residents reviewed for PASRR (Resident #68) and was evidenced by the following: On 6/9/2026 at 11:40 AM, during the initial tour, the surveyor observed Resident #68 lying in bed, with their eyes closed. On 6/10/2026 at 10:54 AM, the surveyor reviewed the electronic medical record (EMR) for Resident #68. A review of the admission Record (an admission summary) revealed the resident was admitted to the facility in April of 2026 with diagnoses which included but were not limited to; [...]
  9. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 11, 2026
    Inspectors wroteComplaint #: NJ00187199 (406115), 2676162Based on observation, interview, record review, and review of facility documents, it was determined that the facility failed to timely provide incontinence care to residents who required assistance with the activities of daily living (ADL). This deficient practice was identified for 2 of 9 residents (Resident #7 and 141) reviewed for Incontinence care. This deficient practice was evidenced as follows:This deficient practice was evidenced as follows:1.) On 6/12/26 at 9:13 AM, during incontinence rounds with the Licensed Practical Nurse Unit Manager (LPN UM), Resident #7 was agreeable to be checked, and it was noted that the resident's incontinence brief was saturated with urine, the draw sheet was soaked with urine, and the bed pad was soaked with urine. [...]
  10. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 11, 2026
    Inspectors wroteBased on observations, interviews, record review and pertinent facility documents, it was determined that the facility failed to ensure that all medications were administered without error of 5% or more. During the morning medication administration observation on 6/10/26, the surveyor observed two (2) nurses administered medications to four (4) residents. There were 27 opportunities, and two (2) errors were observed which calculated to a medication administration error rate of 7.41%. The deficient practice was identified for two (2) of four (4) unsampled Residents, (unsampled Resident #147 and #128), that were administered medications by one (1) of two (2) nurses that were observed. The deficient practices were evidenced by the following: 1. [...]
  11. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 11, 2026
    Inspectors wroteBased on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to ensure insulin was administered in accordance with physician ordered parameters to prevent significant medication (med) errors. This deficient practice was identified for 1 of 1 resident (Resident #19) reviewed for insulin administration. This deficient practice was evidenced by the following: Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. The Nurse Practice Act for the State of New Jersey states: [...]
  12. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 11, 2026
    Inspectors wroteBased on observations, interviews, record review, and pertinent facility documentation, it was determined that the facility failed to ensure a.) a medication (Lactulose solution) was properly labelled for one (1) of four (4) medication carts inspected and b.) an expired refrigerated medication (Omeprazole solution) was removed from active inventory for one (1) of two (2) medication refrigerators inspected. The deficient practices were evidenced by the following: 1. On 6/10/26 at 8:16 AM, during the medication administration observation, the Licensed Practical Nurse (LPN #1) was preparing medications for unsampled Resident #64. LPN #1 stated there was a physician's order for Lactulose solution (a medication used to relieve constipation) and removed the bottle from the medication cart. The surveyor with LPN #1 reviewed the bottle for a label. [...]
October 30, 2025Complaint inspection · 1 citation
  1. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 1, 2025
    Inspectors wroteBased on interviews, record review, and review of other pertinent facility documents, it was determined that the facility failed to: ensure a physician's order to administer medication was followed for one of two residents reviewed, Resident # 2. Resident #2 did not received their Liothyronine medication (medication used to treat hypothyroidism) insufficient thyroid hormone. The deficient practice was evidenced by the following:Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. The Nurse Practice Act for the State of New Jersey states: [...]
January 24, 2025Standard inspection, Complaint inspection · 10 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) March 5, 2025
    Inspectors wroteBased on observation, interview, and review of pertinent facility documentation, it was determined that the facility failed to maintain kitchen sanitation in a safe and consistent manner to prevent food borne illness. This deficient practice was evidenced by the following: On 1/16/25 at 9:23 AM, during the initial tour of the facility kitchen in the presence of the Food Service Director (FSD) and the Regional FSD (RFSD), the surveyor observed the following: The FSD performed hand hygiene at the hand washing station and was timed by the surveyor using a digital stopwatch to lather her hands with soap for 16 seconds prior to rinsing. The trash receptacle by the hand wash station was positioned under a stainless-steel shelf which had a tray of clean plastic cups stacked. When the FSD used the foot pedal to open the receptacle lid, it hit against the tray of clean cups. [...]
  2. E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 5, 2025
    Inspectors wroteBased on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to maintain the resident's living environment in a clean, comfortable, homelike manner. This deficient practice was identified on 2 of 4 nursing units (A Wing and D Wing) reviewed for environmental concerns, and was evidenced by the following: 1. On 1/16/24 at 9:24 AM, the surveyor observed the A-wing nursing unit and identified the following concerns: The Shower Room was a large room with two shower stalls, three windows, and three metal wall heaters. The left shower stall had copious amount of standing water with a white milky coloring that filled half of the shower floor. Two of the three metal wall heaters had a red/orange discoloration on the heaters and on the tile under the heaters. [...]
  3. E
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 5, 2025
    Inspectors wroteBased on observation, interview, and reviewed of pertinent facility documents, it was determined that the facility failed to a) label, date, and store respiratory equipment in a manner to prevent contamination for infection control; b) obtain a physician's order for the administration of oxygen; c.) document the assessment of vital signs as ordered for a nebulizer treatment; and d) perform tracheotomy care with aseptic (sterile) technique to prevent infection. This deficient practice was identified for 3 of 4 residents reviewed for respiratory care (Resident #71, #73, and #85) and 1 of 1 resident reviewed for tracheostomy care (Resident #115), and was evidenced by the following: 1. On 1/16/25 at 10:15 AM, during the initial tour of the facility, the surveyor observed Resident #85 sleeping in their bed. [...]
  4. E
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 5, 2025
    Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to ensure a.) that a physician's ordered pain medication specified a pain level and b.) appropriate monitoring of pain with adequate assessment and re-assessment was consistently completed for a resident who exhibited pain. This deficient practice was identified for 1 of 1 resident reviewed for pain management (Resident #133), and was evidenced by the following: On 1/16/25 at 9:39 AM, the surveyor interviewed Resident #133 who was sitting at the side of the bed. The resident was cognitively intact and stated that they were admitted to the facility with a right below knee amputee (BKA). The surveyor observed that the resident had a dressing intact to the right stump area and that was wrapped in a bandage. The resident reported that they had frequent pain in the surgical area of the right stump. [...]
  5. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 5, 2025
    Inspectors wroteBased on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to maintain a resident's dignity while providing feeding assistance. This deficient practice was identified for 1 of 29 residents observed for dignity (Resident #7), and was evidenced by the following: On 1/16/25 at 12:09 PM, during initial tour of the facility, the surveyor observed Resident #7 in bed in their room with a Certified Nurses Aid (CNA #3) providing feeding assistance to the resident. CNA #3 had the tray table with the lunch tray back and slightly to the side behind her while she stood over Resident #7 feeding them. CNA #1 was observed turning away from the resident to obtain a spoonful of food which was positioned away from the resident and she was not seated alongside the resident during this care. [...]
  6. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 5, 2025
    Inspectors wroteBased on interview and review of pertinent facility documents, it was determined that the facility failed to a) revise an individual comprehensive care plan (ICCP) for a resident with floor mats and b) revise an ICCP for residents who received oxygen. This deficient practice was identified for 2 of 29 residents reviewed for care plans (Resident #71 and Resident #85), and was evidenced by the following: 1. On 1/16/25 at 10:15 AM, during the initial tour of the facility, the surveyor observed Resident #85 sleeping in their bed. Resident #85 was receiving oxygen via nasal cannula (device that gives additional oxygen through the nose) at 2 liters per minute (lpm). The surveyor observed floor mats folded up in the resident's room. On 1/17/25 at 11:12 AM, the surveyor observed Resident #85 lying in bed awake looking around the room. Resident #85 was receiving oxygen via nasal cannula at 2 lpm. [...]
  7. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 5, 2025
    Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to: a) properly secure medication being administered during medication pass and b) ensure that a resident received care and services for the provision of dressing changes to a peripherally inserted central catheter (PICC) site consistent with professional standards of practice. The deficient practice was identified for 2 of 29 residents reviewed for medication administration (Resident #77 and Resident #127) . Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. The Nurse Practice Act for the State of New Jersey states: [...]
  8. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 5, 2025
    Inspectors wroteBased on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to: a.) ensure the accountability of the narcotic shift count logs were completed and b.) accurately document the administration of controlled medications. This deficient practice was identified on 2 of 4 medication carts reviewed for medication storage, and was evidenced by the following: During medication storage review on 1/22/25 at 11:15 AM, the surveyor in the presence of the Licensed Practical Nurse (LPN #1), reviewed the D Wing medication cart #2's November 2024, December 2024 and January 2025 Change of Shift Controlled Medication Accountability Record (a shift-to-shift controlled substance and narcotics (narc) count sheet signed by the outgoing and incoming nurses each shift) which revealed the following: [...]
  9. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 5, 2025
    Inspectors wroteBased on observation, interview, and review of pertinent facility documentation, it was determined that the facility failed to a) properly label opened multidose medications and b) properly secure prefilled normal saline syringes. This deficient practice was identified in 2 of 4 medication carts reviewed for medication storage and labeling and 1 of 4 nursing units (D Wing) and was evidenced by the following: 1. On 1/22/25 at 11:15 AM, the surveyor, in the presence of the Licensed Practical Nurse (LPN #1), observed the D Wing nursing unit's medication cart #2. The following was observed: Two (2) opened foil pouches of ipratropium bromide 0.5 milligram (mg)/albuterol sulfate 3 mg inhalation solution (medication used to treat symptoms of lung disease), which were not dated with an opened date. [...]
  10. D
    Have a policy regarding use and storage of foods brought to residents by family and other visitors.
    F813 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 5, 2025
    Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to ensure that food brought in to residents by family and visitors were stored and handled in a safe and sanitary condition. This deficient practice was identified for 1 of 2 facility freezers reviewed during kitchen tour, and was evidenced by the following: On 1/16/25 at 9:23 AM, during initial tour of the facility kitchen, the surveyor, in the presence of the Food Service Director (FSD) and the Regional FSD (RFSD), observed a one and a half (1.5) quart container of black raspberry ice cream which was approximately three quarters (3/4) empty dated opened 9/23/24, stored in the ice cream freezer. On 1/16/25 at 9:24 AM, the RFSD informed the surveyor that this was a specific resident's personal ice cream that was being stored by the facility. [...]
December 14, 2023Standard inspection, Complaint inspection · 8 citations
  1. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) January 19, 2024
    Inspectors wroteComplaint # NJ166916 Based on interview, medical record review and other pertinent documentation, it was determined that the facility failed to a.) ensure skin conditions were addressed in accordance with professional standards by failing to obtain physician's orders and treatments for a surgical site dressing, leg wound, and skin tear; assess and document monitoring of a surgical site, leg wound and heel blister b.) ensure a care plan was in place which addressed actual skin impairment c.) complete an incident report for a skin tear and d.) ensure timely physician notification and timely transfer of a resident to the hospital. This deficient practice was identified for 1 of 28 residents (Resident #287) reviewed for quality of care and was evidenced by the following: 1. [...]
  2. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 19, 2024
    Inspectors wroteComplaint #NJ 161020 Based on interview, record review, and review of pertinent documents, it was determined that the facility failed to report an allegation of abuse to the New Jersey Department of Health (NJDOH) for 1 of 5 residents reviewed for investigations and was evidence by the following: On 12/4/23 at 12:30 PM, the surveyor interviewed Resident #93, who stated that while at the facility, they had broken their arm. The resident further said a resident had pushed them at the nurse's station and caused the broken arm. A review of Resident #93's Face Sheet (an admission summary) reflected that the resident was admitted to the facility with diagnoses that included but not limited to hypertension, open-angle glaucoma, and left eye cataract. [...]
  3. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 19, 2024
    Inspectors wroteComplaint #NJ 161020 Based on interviews, record review, and review of pertinent documents, it was determined that the facility failed to thoroughly investigate an allegation of abuse for 1 of 5 residents reviewed for investigations and was evidenced by the following: On 12/4/23 at 12:30 PM, the surveyor interviewed Resident #93, who stated that while at the facility, they had broken their arm. The resident further said a resident had pushed them at the nurse's station and caused the broken arm. A review of Resident #93 Face Sheet (an admission summary) reflected that the resident was admitted to the facility with a diagnosis that included hypertension, open-angle glaucoma, and left eye cataract. [...]
  4. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 19, 2024
    Inspectors wroteBased on observation, interview, review of medical records and other facility documentation, it was determined that the facility failed to accurately complete the Minimum Data Set (MDS), an assessment tool, for 2 of 27 residents reviewed (Resident #116 and #97). This deficient practice was evidenced by the following: 1. On 11/30/2023 at 9:40 AM, the surveyor observed Resident #116 in bed eating lunch. The surveyor reviewed the medical record for Resident #116. A review of the Resident Face Sheet (an admission summary) reflected that the resident was admitted to the facility with diagnoses that included chronic congestive heart failure and essential hypertension. A review of Resident #116's August 2023 Nursing Progress Notes included an entry dated 8/14/2023 at 12:37 PM, which indicated the resident was admitted to the facility for longterm care and was receiving Hospice services. [...]
  5. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 19, 2024
    Inspectors wroteBased on interview, review of medical records and other facility documentation, it was determined that the facility failed to a) properly transcribe a physician's order for 2 of 27 residents reviewed for medications (Resident #59 and #388); b) failed to follow physician's order to obtain blood sugar and administer insulin for 1 of 27 residents reviewed for medications (Resident #388). These deficient practices were evidenced by the following: Reference: New Jersey Statutes, Annotated Title 45, Chapter 11. Nursing Board. The Nurse Practice Act for the state of New Jersey states: [...]
  6. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 19, 2024
    Inspectors wroteComplaint # NJ166083 Based on observation, interview, and record review, it was determined that the facility failed to provide pharmaceutical services in accordance with professional standards to ensure that a dispensed and administered controlled substance medication was accurately accounted for 1 of 1 residents reviewed, Resident #187. This deficient practice was evidenced by the following: Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. The Nurse Practice Act for the State of New Jersey states: [...]
  7. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 19, 2024
    Inspectors wroteBased on interview and record review and review of other facility documentation, it was determined that the facility failed to address the recommendations made by the Consultant Pharmacist (CP) in a timely manner. This deficient practice was identified for 1 of 5 residents reviewed for unnecessary medications (Resident #116), and was evidenced by the following: On 11/29/2023 at 1:02 PM, the surveyor observed Resident #97 sitting on the bed eating lunch. The surveyor observed the resident wearing oxygen. The surveyor reviewed the medical record for Resident #97. A review of the Resident Face Sheet (an admission summary) reflected that the resident was admitted to the facility with diagnosis that included Chronic Obstructive Pulmonary Disease with (acute) exacerbation. [...]
  8. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 19, 2024
    Inspectors wroteBased on observation, interview, record review, and review of other documentation, it was determined that the facility failed to maintain infection control standards and procedures when performing a wound care treatment for 1 of 1 residents (Resident #4) performed by 1 of 1 nurses observed providing a wound care treatment. This deficient practice was evidenced by the following: On 11/29/23 at 11:41 am, the surveyor observed Resident #4 sitting in bed eating lunch. A review of the Resident Face Sheet, Resident #4 was admitted to the facility in 9/2021 with diagnoses that included cerebral infarction (damage to the brain due to loss of oxygen), hemiplegia (one-sided paralysis of the body) and stage 4 pressure ulcer to the sacrum. [...]

Fire safety inspections

33 fire safety citations on file: 8 on June 25, 2026, 3 on August 4, 2025, 22 on January 24, 2025.

Every fire safety citation33 citations
  1. F
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · June 25, 2026 · Corrected (the home has a date of correction)
  2. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · June 25, 2026 · Corrected (the home has a date of correction)
  3. F
    Install an approved automatic sprinkler system.
    K 351 · June 25, 2026 · Corrected (the home has a date of correction)
  4. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 25, 2026 · Corrected (the home has a date of correction)
  5. F
    Install corridor and hallway doors that block smoke.
    K 363 · June 25, 2026 · Corrected (the home has a date of correction)
  6. F
    Ensure proper usage of power strips and extension cords.
    K 920 · June 25, 2026 · Corrected (the home has a date of correction)
  7. E
    Have properly located and lighted "Exit" signs.
    K 293 · June 25, 2026 · Corrected (the home has a date of correction)
  8. E
    Have power receptacles that are properly grounded.
    K 912 · June 25, 2026 · Corrected (the home has a date of correction)
  9. F
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · August 4, 2025 · Corrected (the home has a date of correction)
  10. F
    Conduct risk assessment and an All-Hazards approach.
    E 6 · August 4, 2025 · Corrected (the home has a date of correction)
  11. F
    Develop a communication plan.
    E 29 · August 4, 2025 · Corrected (the home has a date of correction)
  12. F
    Conduct testing and exercise requirements.
    E 39 · January 24, 2025 · Corrected (the home has a date of correction)
  13. F
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · January 24, 2025 · Corrected (the home has a date of correction)
  14. F
    Have stairways and smokeproof enclosures used as exits that meet safety requirements.
    K 225 · January 24, 2025 · Corrected (the home has a date of correction)
  15. F
    Install proper backup exit lighting.
    K 281 · January 24, 2025 · Corrected (the home has a date of correction)
  16. F
    Have properly located and lighted "Exit" signs.
    K 293 · January 24, 2025 · Corrected (the home has a date of correction)
  17. F
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · January 24, 2025 · Corrected (the home has a date of correction)
  18. F
    Provide properly protected cooking facilities.
    K 324 · January 24, 2025 · Corrected (the home has a date of correction)
  19. F
    Install an approved automatic sprinkler system.
    K 351 · January 24, 2025 · Corrected (the home has a date of correction)
  20. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 24, 2025 · Corrected (the home has a date of correction)
  21. F
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · January 24, 2025 · Corrected (the home has a date of correction)
  22. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · January 24, 2025 · Corrected (the home has a date of correction)
  23. F
    Have elevators that firefighters can control in the event of a fire.
    K 531 · January 24, 2025 · Corrected (the home has a date of correction)
  24. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · January 24, 2025 · Corrected (the home has a date of correction)
  25. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · January 24, 2025 · Corrected (the home has a date of correction)
  26. F
    Have proper medical gas storage and administration areas.
    K 923 · January 24, 2025 · Corrected (the home has a date of correction)
  27. E
    Ensure proper usage of power strips and extension cords.
    K 920 · January 24, 2025 · Corrected (the home has a date of correction)
  28. D
    Have correct number of accessible exits for each story.
    K 241 · January 24, 2025 · Corrected (the home has a date of correction)
  29. D
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · January 24, 2025 · Corrected (the home has a date of correction)
  30. D
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · January 24, 2025 · Corrected (the home has a date of correction)
  31. D
    Install corridor and hallway doors that block smoke.
    K 363 · January 24, 2025 · Corrected (the home has a date of correction)
  32. D
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · January 24, 2025 · Corrected (the home has a date of correction)
  33. D
    Have a battery powered remote alarm panel in a location accessible by operating personnel.
    K 916 · January 24, 2025 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeNew JerseyUnited States
All nursing staff (RN, LPN and aides)3.263.853.86
Registered nurses0.500.680.69
All nursing staff on weekends3.313.503.42
Nurse aides1.82
Licensed practical nurses0.94
Nursing staff turnover (share who left in a year)54.1%39.7%45.8%
Registered nurse turnover65.4%37.7%42.9%
Administrators who left1

CMS expects 3.92 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.25 on weekdays and 3.31 on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 34.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.53 in April to June 2025 to 3.26 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.260.503.253.31 34.7%0 of 90172
Oct to Dec 20253.350.523.343.35 33.3%0 of 92146
Jul to Sep 20253.370.553.333.45 31.4%0 of 92140
Apr to Jun 20253.530.623.503.60 36.0%0 of 91152
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
New Jersey, Jan to Mar 20263.680.593.823.3411.6%0.2% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for New Jersey

JobMedianMiddle halfEmployed
New Jersey, all employers
CNAs (nursing assistants)$22.52$21.13 to $23.4432,400
LPNs and LVNs$36.13$32.16 to $38.4517,410
Registered nurses$51.20$47.94 to $61.4192,680
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Arnold Walter Nursing & Rehabilitation Center. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeNew JerseyUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
11.58.713.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.60.60.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.90.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.12.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.21.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
14.28.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.75.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
16.212.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
15.924.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
4.48.112.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.22.11.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.31.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Arnold Walter Nursing & Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (52.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

52.8% this home

No different from the national rate

US median of homes 51.5% · New Jersey: 130 better, 19 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 291 eligible stays.

Potentially preventable readmissions

9.9% this home

No different from the national rate

US median of homes 10.7% · New Jersey: 2 better, 8 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 281 eligible stays.

Infections that led to a hospital stay

9.7% this home

Worse than the national rate

US median of homes 7.1% · New Jersey: 3 better, 13 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 234 eligible stays.

Self-care and mobility at discharge

69.8% this home

Median of homes: New Jersey68.7% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 215 residents counted.

Falls with major injury

0.3% this home

Median of homes: New Jersey0.6% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 322 residents counted.

New or worsened pressure ulcers

3.0% this home

Median of homes: New Jersey1.7% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 322 residents counted.

Medication list given at discharge

93.8% this home

Median of homes: New Jersey99.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 80 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: HOLMDEL GARDEN GROUP LLC. CMS links this home to Excelsior Care Group, a group of 33 nursing homes averaging 2.6 stars overall.

NameRoleTypeShareSince
Gitberk LLC5% or greater direct ownership interestOrganization01/01/2026
Jbl 120 LLC5% or greater direct ownership interestOrganization01/01/2026
Jm and Mazel LLC5% or greater direct ownership interestOrganization01/01/2026
Berkowitz, Sam5% or greater direct ownership interestIndividual02/01/2021
Springberg, Susan5% or greater direct ownership interestIndividual02/01/2021
Zupnick, Joel5% or greater direct ownership interestIndividual02/01/2021
Berkowitz, SamManaging control - governing bodyIndividual02/01/2021
Excelsior Care GroupOperational/managerial controlOrganization07/21/2019
Mahadeo, SarahOperational/managerial controlIndividual11/19/2024
Ribiat, YitzchokOperational/managerial controlIndividual03/12/2024
Steinberg, MosheOperational/managerial controlIndividual07/12/2019
Stern, SamuelOperational/managerial controlIndividual02/01/2021
Tasharofi, KamranOperational/managerial controlIndividual09/01/2025
Excelsior Care GroupAdp of the SNFOrganization12/25/2025
Gitberk LLCAdp of the SNFOrganization01/01/2026
Jbl 120 LLCAdp of the SNFOrganization01/01/2026
Jm and Mazel LLCAdp of the SNFOrganization01/01/2026
Berkowitz, SamAdp of the SNFIndividual01/01/2026
Mahadeo, SarahAdp of the SNFIndividual11/19/2024
Ribiat, YitzchokAdp of the SNFIndividual03/12/2024
Springberg, SusanAdp of the SNFIndividual01/01/2026
Steinberg, MosheAdp of the SNFIndividual07/12/2019
Stern, SamuelAdp of the SNFIndividual02/01/2021
Tasharofi, KamranAdp of the SNFIndividual09/01/2025
Zupnick, JoelAdp of the SNFIndividual01/01/2026

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 9 problems in this area, most recently on June 25, 2026: "Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 7 problems in this area, most recently on June 25, 2026: "Ensure medication error rates are not 5 percent or greater."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on June 25, 2026: "Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on June 25, 2026: "Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.31 hours per resident per day, below the New Jersey average of 3.50.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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Common questions

What is Arnold Walter Nursing & Rehabilitation Center's Medicare star rating?
CMS rates Arnold Walter Nursing & Rehabilitation Center 3 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Arnold Walter Nursing & Rehabilitation Center get at its last inspection?
12 health deficiencies at the standard inspection on June 25, 2026. The New Jersey average is 8.6.
Has Arnold Walter Nursing & Rehabilitation Center been fined?
CMS lists no fines in the last three years.
Does Arnold Walter Nursing & Rehabilitation Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Arnold Walter Nursing & Rehabilitation Center?
CMS lists 25 owners and managers, and links the home to Excelsior Care Group. Legal business name: HOLMDEL GARDEN GROUP LLC.

Sources

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