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Community Medical Center Tcu

99 Route 37 West, Toms River, NJ 08755 · Ocean County · (732) 557-8000

25 certified beds, about 22 residents a day · Non profit - Corporation · Medicare since 2005

CMS high performing icon Inside a hospital Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 315490 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 2, 2025, inspectors cited 3 health deficiencies (the New Jersey average is 8.6, the national average 9.2).

None of its 5 health citations since September 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 6.93 hours per resident per day, against 3.85 across New Jersey and 3.86 nationally. Registered nurses accounted for 4.01 of those hours.

9.1% 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 5 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
2D
1E
2F
Potential for minimal harm
0A
0B
0C
July 2, 2025Standard inspection · 3 citations
  1. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 1, 2025
    Inspectors wroteBased on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to develop and implement care plans that are comprehensive and individualized for a.) residents who were placed on Enhanced Barrier Precautions (EBP) (an infection control intervention designed to reduce transmission of multidrug-resistant organisms in skilled nursing facilities) and b.) residents who received antianxiety medications. This deficient practice was identified for 4 of 16 residents reviewed (Resident #157, Resident #158, Resident #163, and Resident #166) and was evidenced by the following: 1.) On 6/27/2025 at 10:55 AM, the surveyor observed Resident #157 sitting in room with their shirt half-covering a urostomy bag (a bag used to collect urine after an opening is created in the abdomen to divert urine) filled with reddish colored liquid. [...]
  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) August 1, 2025
    Inspectors wroteBased on observation, interviews, record reviews and reviews of facility provided documents, it was determined that the facility failed to obtain a physician order for supplemental oxygen. This deficient practice occurred for 1 of 1 resident (Resident #110) reviewed for respiratory care. The deficient practice was evidenced by the following: On 06/27/2025 at 09:12 AM Resident #110 was observed to be seated in a chair next to the bed. Resident #110 was observed to actively receive oxygen via nasal cannula (a medical device used to deliver medical-grade supplemental oxygen to a user who requires oxygen therapy). Resident #110 did not have any complaints and was not in any respiratory distress. [...]
  3. 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) September 1, 2025
    Inspectors wroteBased on observation, interview, and review of facility documents, it was determined that the facility failed to follow policy and procedure to provide a rationale for rejection of consultant pharmacist recommendations. This deficient practice was observed for 1 of 5 residents (Resident #105) reviewed for unnecessary medications and was evidenced by the following: On 06/27/2025 at 09:41 AM the surveyor observed Resident #105 lying in bed. Resident #105 offered no complaints and did not display any maladaptive behaviors. According to the admission record/face sheet, Resident #105 was admitted to the facility with a diagnosis of acute kidney injury. A review of the Admission, Transfer, Discharge Orders (From admission on ward) revealed the following physician orders: Metoprolol succinate XL (Toprol XL) 24 hr (hour) tablet 75 mg (milligrams) Freq: 2 times daily with meals Route: Oral Start: [...]
January 31, 2024Standard inspection · 1 citation
  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) February 14, 2024
    Inspectors wroteBased on observation and interview it was determined that the facility failed to: a.) maintain sanitation in cooking areas in a safe consistent manner; b.) label, date, and store potentially hazardous foods appropriately to prevent food borne illness; c.)maintain multiuse food-contact surface cutting board in a manner to prevent microbial growth; and d.) maintain kitchen equipment in a manner to prevent microbial growth. This deficient practice was evidenced by the following: On 1/26/24 at 11:05 AM, the surveyor in the presence of the Administrative Director Hospitality Services (ADHS) and Quality Coordinator (QC), toured the kitchen and observed the following: 1. On a preparation table, one large light blue cutting board that was deeply pitted and discolored black. The ADHS confirmed the facility should not be using that cutting board. 2. [...]
September 20, 2021Standard inspection · 1 citation
  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 15, 2021
    Inspectors wroteBased on observation, interview and review of documentation, it was determined that the facility failed to a.) properly clean and store dishes and food service equipment and b.) label and date food in a manner to prevent food-borne illness and cross contamination. This deficient practice was evidenced by the following: On 9/8/2021 at 9:58 AM, during the initial tour of the kitchen in the presence of the Hospitality Services Administrative Director (HSAD) and the Quality Resource Services Outcomes Coordinator, the surveyor observed the following: 1. There was a two-compartment plastic dolly holding disposable resident meal trays in one of the compartments. The empty compartment adjacent to the clean trays was visibly soiled with dust and debris. 2. There was a three-compartment, heated plate lowerator that was plugged in and turned on with two of the compartments heating clean dishes. [...]

Fire safety inspections

6 fire safety citations on file: 4 on July 2, 2025, 2 on January 31, 2024.

Every fire safety citation6 citations
  1. F
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · July 2, 2025 · Corrected (the home has a date of correction)
  2. F
    Provide properly protected cooking facilities.
    K 324 · July 2, 2025 · Corrected (the home has a date of correction)
  3. F
    Have elevators that firefighters can control in the event of a fire.
    K 531 · July 2, 2025 · Corrected (the home has a date of correction)
  4. D
    Install corridor and hallway doors that block smoke.
    K 363 · July 2, 2025 · Corrected (the home has a date of correction)
  5. D
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · January 31, 2024 · Corrected (the home has a date of correction)
  6. D
    Have properly located and lighted "Exit" signs.
    K 293 · January 31, 2024 · 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)6.933.853.86
Registered nurses4.010.680.69
All nursing staff on weekends6.863.503.42
Nurse aides2.92
Licensed practical nurses0.00
Nursing staff turnover (share who left in a year)9.1%39.7%45.8%
Registered nurse turnover10.0%37.7%42.9%
Administrators who left0

CMS expects 4.50 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 6.96 on weekdays and 6.86 on weekends, 1% 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 7.04 in April to June 2025 to 6.93 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20266.934.016.966.86 0.0%0 of 9022
Oct to Dec 20256.683.986.836.29 0.0%0 of 9222
Jul to Sep 20256.824.146.946.51 0.0%0 of 9221
Apr to Jun 20257.044.207.176.71 0.0%0 of 9122
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.

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.

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 short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.21.6
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
26.624.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
6.78.112.0

Owners and operators

Legal business name: COMMUNITY MEDICAL CENTER, INC..

NameRoleTypeShareSince
Henwood, RichardCorporate directorIndividual01/01/2019
Alexiades, NikolasCorporate officerIndividual01/01/2019
Hajart, AaronCorporate officerIndividual01/01/2026
Manigan, MarkCorporate officerIndividual01/01/2019
Community Medical Center, Inc.Operational/managerial controlOrganization06/30/2025
Rwj Barnabas Health IncOperational/managerial controlOrganization04/12/2007
Alexiades, NikolasOperational/managerial controlIndividual01/01/2019
Horath, JenniferOperational/managerial controlIndividual01/01/2025
Santangelo, DonatoOperational/managerial controlIndividual01/01/2025
Manigan, MarkIndividual is an owner, partner or trustee of any ADP of the SNFIndividual10/23/2025
Community Medical Center, Inc.Adp of the SNFOrganization01/01/1998
Rwj Barnabas Health IncAdp of the SNFOrganization04/12/2007
Alexiades, NikolasAdp of the SNFIndividual01/01/2019
Horath, JenniferAdp of the SNFIndividual01/01/2025
Santangelo, DonatoAdp of the SNFIndividual01/01/2025

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. 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 January 31, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on July 2, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on July 2, 2025: "Provide safe and appropriate respiratory care for a resident when needed."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on July 2, 2025: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."

Other nursing homes nearby

New Jersey contacts for a concern about a nursing home

These are the official offices in New Jersey. NursingHomeClear cannot take or act on complaints.

Common questions

What is Community Medical Center Tcu's Medicare star rating?
CMS rates Community Medical Center Tcu 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Community Medical Center Tcu get at its last inspection?
3 health deficiencies at the standard inspection on July 2, 2025. The New Jersey average is 8.6.
Has Community Medical Center Tcu been fined?
CMS lists no fines in the last three years.
Does Community Medical Center Tcu accept Medicaid?
CMS lists it as "Medicare", so it is not certified for Medicaid.
Who owns Community Medical Center Tcu?
CMS lists 15 owners and managers. Legal business name: COMMUNITY MEDICAL CENTER, INC..

Sources

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