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Childrens Specialized Hospital Toms River

94 Stevens Road, Toms River, NJ 08755 · Ocean County · (732) 797-3800

26 certified beds, about 16 residents a day · Non profit - Other · Medicare and Medicaid since 1997

Inside a hospital Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 315443 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on September 13, 2024, inspectors cited 2 health deficiencies (the New Jersey average is 8.6, the national average 9.2).

None of its 7 health citations since August 2021 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 6.72 hours per resident per day, against 3.85 across New Jersey and 3.86 nationally. Registered nurses accounted for 2.49 of those hours.

30.3% of nursing staff left within the year CMS measured (New Jersey average 39.7%).

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 7 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
1E
1F
Potential for minimal harm
0A
0B
0C
September 13, 2024Standard inspection · 2 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 · Corrected (the home has a date of correction) October 1, 2024
    Inspectors wroteBased on observation, interview, and review of other facility documents, it was determined that the facility failed to handle potentially hazardous food and maintain sanitation in a safe and consistent manner to prevent food borne illness. This deficient practice was evidenced by the following: On 09/10/2024 at 07:50 AM, the surveyors observed the Director of Maintenance (DOM) in the kitchen area. The DOM had a mustache and beard. The DOM was not wearing a beard restraint. When interviewed at that time by the surveyor the DOM said while in the kitchen he should have on a beard restraint. On 09/10/2024 from 8:03 AM to 8:37 AM, the surveyors, accompanied by the Swing [NAME] (SC), observed the following: [...]
  2. 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 · Corrected (the home has a date of correction) October 25, 2024
    Inspectors wroteBased on observation, interview, and review of pertinent facility documents it was determined that the facility failed to provide a clean environment for 2 of 7 occupied resident rooms. The deficient practice was evidenced by the following: On 09/10/2024 at 09:41 AM during the initial tour, the surveyor entered room [ROOM NUMBER] which was occupied by residents. At that time, the surveyor observed an unpackaged, oral syringe on the floor, an unpackaged nutritional formula bag left on a bed occupied by a resident, and residue stains on the floor. On 09/11/2024 at 08:59 AM, the surveyor entered room [ROOM NUMBER]. At that time, the surveyor observed the closed-top trash bin partially open with disposable gowns visible over the brim of the bin. On 09/12/2024 at 08:53 AM, the surveyor entered room [ROOM NUMBER]. At that time, the surveyor observed a bedside table. [...]
June 15, 2023Standard inspection · 3 citations
  1. E
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 14, 2023
    Inspectors wroteBased on observation, interview, review of medical records and other pertinent facility documentation it was determined that the facility failed to: a.) assure that a pressure relieving device was in place to prevent the development of a pressure ulcer b.) timely notify the physician regarding the resident change in skin condition consistent with professional standards of practice and c.) accurately document a skin assessment. This deficient practice was identified for 1 of 1 resident, (Resident #9) reviewed for pressure ulcer care and was evidenced by the following: A review of Resident #9's admission Record indicated that the resident was admitted to the facility with diagnoses which included but was not limited to encephalopathy (a broad term for any brain disease that alters brain function or structure) and right distal femur fracture. [...]
  2. D
    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, isolated · Corrected (the home has a date of correction) July 14, 2023
    Inspectors wroteBased on observation, interview, and review of medical record it was determined that the facility failed to assure that 1 of 3 residents, (Resident #17) reviewed for respiratory care was administered a nebulizer (a medication delivery system for aerosolized inhaled medication) treatment appropriately. This deficient practice is evidenced by the following: A review of the admission record reflected that Resident #17 was admitted in April of 2023 with diagnoses that included but were not limited to failure to thrive, tracheostomy (a surgical opening in the neck which allows air to fill the lungs) status, stridor (high pitched sound during breathing usually caused by an obstruction in the airway), paralysis of vocal cords and larynx, personal history of other diseases of the respiratory system, preterm newborn, and gestational age [AGE] completed weeks. [...]
  3. D
    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, isolated · Corrected (the home has a date of correction) June 23, 2023
    Inspectors wroteBased on observation, interviews and review of facility documentation it was determined that the facility failed to: a.) properly handle and store potentially hazardous foods in a manner intended to prevent the spread of food borne illnesses, b.) maintain equipment and kitchen areas in a manner to prevent microbial growth and cross contamination, and c.) maintain adequate infection control practices during food service in the kitchen. This deficient practice was observed and was evidenced by the following: On 06/09/23 at 09:46 AM, in the presence of the Director of Nutritional Services (DNS), the surveyor toured the kitchen and observed the following: 1.) In the walk-in refrigerator #1, there was a rolling metal rack with a tray containing yellow cut squash that was uncovered and exposed to air. [...]
August 3, 2021Standard inspection · 2 citations
  1. D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 17, 2021
    Inspectors wroteBased on observation, interview, medical record review and review of other facility documentation, it was determined that the facility failed to apply bilateral upper extremity splints based on the person-centered care plan for 1 of 2 residents reviewed for limited range of motion, (Resident #13). This deficient practice was evidenced by the following: On 07/27/21 at 10:48 AM, during the initial tour, the surveyor observed Resident #13 in the activities room with splints on his/her right and left arms. On 07/28/21 at 01:15 PM, the surveyor observed Resident #13 in his/her room seated in a wheelchair. There were no splints on his/her right and left arms at this time. On 7/29/21 at 12:31 PM, the surveyor observed Resident #13 in his/her room seated in a wheelchair. There were no splints on his/her right or left arms. [...]
  2. 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) September 9, 2021
    Inspectors wroteBased on observation, interview, record review and review of other facility documentation, it was determined that the facility failed to ensure an enteral feeding pump set (bags that are designed to be used with feeding pumps) were set up according to manufacturer's directions, to minimize the risk of contamination during the administration of enteral feedings for 2 of 10 sampled residents (Resident #14 and #18). This deficient practice was evidenced by the following: 1. During the initial tour on 7/27/21 at 10:14 AM, the surveyor observed a tube feeding pump set connected to Resident #18's gastrostomy tube (GT), (a tube inserted through the belly that brings nutrition directly to the stomach). The top cap of the pump set was opened and exposed the nutritional formula to potential contamination. [...]

Fire safety inspections

11 fire safety citations on file: 4 on September 13, 2024, 5 on June 15, 2023, 2 on August 3, 2021.

Every fire safety citation11 citations
  1. F
    Have properly located and lighted "Exit" signs.
    K 293 · September 13, 2024 · Corrected (the home has a date of correction)
  2. F
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · September 13, 2024 · Corrected (the home has a date of correction)
  3. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · September 13, 2024 · Corrected (the home has a date of correction)
  4. D
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · September 13, 2024 · Corrected (the home has a date of correction)
  5. F
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · June 15, 2023 · Corrected (the home has a date of correction)
  6. F
    Properly install and monitor supervisory attachments on automatic sprinkler systems.
    K 352 · June 15, 2023 · Corrected (the home has a date of correction)
  7. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 15, 2023 · Corrected (the home has a date of correction)
  8. F
    Ensure when modifications are made that breach pipelines, testing is conducted on downstream portions of the piping system.
    K 910 · June 15, 2023 · Corrected (the home has a date of correction)
  9. E
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · June 15, 2023 · Corrected (the home has a date of correction)
  10. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 3, 2021 · Waiver
  11. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · August 3, 2021 · 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)6.723.853.86
Registered nurses2.490.680.69
All nursing staff on weekends6.163.503.42
Nurse aides3.22
Licensed practical nurses1.01
Nursing staff turnover (share who left in a year)30.3%39.7%45.8%
Registered nurse turnover43.8%37.7%42.9%
Administrators who left0

CMS expects 4.59 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 6.95 on weekdays and 6.16 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 8.03 in April to June 2025 to 6.72 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20266.722.496.956.16 0.0%0 of 9016
Oct to Dec 20256.672.537.015.83 0.0%0 of 9216
Jul to Sep 20257.353.077.915.95 0.0%0 of 9215
Apr to Jun 20258.033.758.646.52 0.0%0 of 9114
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.

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 with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.60.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.00.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.02.33.2
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.25.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
4.912.815.4

Owners and operators

Legal business name: Legal Business Name Not Available.

NameRoleTypeShareSince
Ownership data not available

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. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on June 15, 2023: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
  2. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on September 13, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on September 13, 2024: "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."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on August 3, 2021: "Provide and implement an infection prevention and control program."

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Common questions

What is Childrens Specialized Hospital Toms River's Medicare star rating?
CMS rates Childrens Specialized Hospital Toms River 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Childrens Specialized Hospital Toms River get at its last inspection?
2 health deficiencies at the standard inspection on September 13, 2024. The New Jersey average is 8.6.
Has Childrens Specialized Hospital Toms River been fined?
CMS lists no fines in the last three years.
Does Childrens Specialized Hospital Toms River 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 Childrens Specialized Hospital Toms River?
CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.

Sources

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