Home / New Jersey / Freehold
689 West Main St., Freehold, NJ 07728 · Monmouth County · (732) 431-5200
123 certified beds, about 57 residents a day · Non profit - Corporation · Medicare and Medicaid since 1974
CMS Care Compare ratings, data as of September 1, 2026 · CCN 315153 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on June 24, 2025, inspectors cited 5 health deficiencies (the New Jersey average is 8.6, the national average 9.2).
None of its 8 health citations since July 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 4.14 hours per resident per day, against 3.85 across New Jersey and 3.86 nationally. Registered nurses accounted for 0.82 of those hours.
23.9% of nursing staff left within the year CMS measured (New Jersey average 39.7%).
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.
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 8 health citations on file.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to maintain kitchen equipment in a clean and sanitary manner as evidenced by the following: On 6/16/25 at 10:01 AM, in the presence of the Food Service Director (FSD), the surveyor observed the following: 1. The slicer had food debris under the blade and on the food holder prongs. The FSD acknowledged and stated, it was not cleaned according to facility policy. 2. The walk-in freezer had two (2) boxes (one box of [NAME] and one box of Tilapia) that were open, unlabeled and not sealed. The FSD stated, the boxes should be sealed and labeled with an open and expiration date. The FSD acknowledged and stated they should be labeled according to policy, with name, date of opening and discard date. [...]
Inspectors wroteBased on interviews and review of pertinent facility documentation it was determined that the facility failed to develop and implement a comprehensive person-centered care plan for a resident with a peripherally inserted central catheter (PICC) (a tube inserted into a vein in the upper arm and threaded into a larger vein near the heart used for medications, fluids, and blood draws). This deficient practice was identified for 1 of 16 residents reviewed for care plans (Resident #49) and was evidenced by the following: On 06/18/25 at 11:47 AM, the surveyor observed the resident in the room in a chair. The resident showed the surveyor the PICC line in the upper arm. The surveyor reviewed the medical record for Resident #49. A review of the Face Sheet (an admission summary) reflected that the resident was admitted to the facility with diagnoses which included but not limited to; [...]
Inspectors wroteBased on interview and record review, it was determined that the facility failed to follow professional standards of clinical practice by not obtaining a physician's order for hospice care. This was observed for 1 of 1 resident (Resident #12) reviewed for hospice and end of life care and 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: The practice of nursing as a registered professional nurse is defined as diagnosing and treating human responses to actual and potential physical and emotional health problems, through such services as case finding, health teaching, health counseling, and provision of care supportive to or restorative of life and wellbeing, and executing medical regimens as prescribed by a licensed or otherwise legally authorized physician or dentist. [...]
Inspectors wroteBased on observation, interview, medical record review, and review of other pertinent facility documents, it was determined that the facility failed to provide the necessary care and services for one (1) of 1 resident (Resident #11) reviewed for respiratory care and was evidenced by the following: Review of the admission Record (admission summary) reflected that Resident #11 was admitted to the facility with the diagnoses that included but was not limited to; emphysema (a chronic lung condition that causes shortness of breath) and chronic obstructive pulmonary disease (COPD) (a chronic lung condition that makes breathing difficult). [...]
Inspectors wrote2. On 6/16/25 at 10:33 AM, the surveyor observed Resident # 43 in bed. The surveyor reviewed the medical record for Resident #43. A review of the Face Sheet revealed the resident was admitted to the facility with diagnoses which included but not limited to, diabetes, congestive heart failure, paranoid schizophrenia, difficulty in walking, and hypertension. A review of the comprehensive admission MDS section C for cognitive patterns revealed the resident had a Brief Interview of Mental Status of 14 out of 15, indicating the resident was cognitively intact. On 06/18/25 at 09:24 AM, the surveyor reviewed the pharmacy consultant recommendations for Resident #43 which included: - Pharmacy consultant recommendations made by the consultant pharmacist on 4/2/25, 5/5/25, and 6/5/25, that Potassium Chloride should be mixed with 3 to 6 ounces of water or juice. [...]
Inspectors wroteBased on record review, and staff interviews, the facility failed to ensure Code Status was correct for one (Resident (R) R51) out of two residents reviewed for Advance Directives/Code Status. There was no documentation in the record to indicate the resident's Code Status (whether to initiate Cardiopulmonary Resuscitation (CPR) or not in the event the resident was found not breathing and/or without a pulse.
Inspectors wroteBased on observation, interview, and record review it was determined that the facility failed to follow facility policy and procedures regarding wander guards (a monitoring device, such as a bracelet used to help ensure safety of the resident at risk for elopement) for function. This practice was identified for 1 of 1 resident (Resident #50), reviewed for elopement. Reference: New Jersey Statutes Annotated, Title 45, Chapter 11. Nursing Board. The Nurse Practice Act for the State of New Jersey states: [...]
Inspectors wroteBased on observation, interview, and record review, and review of other facility documentation, it was determined the facility failed to ensure the required Federal narcotic acquisition forms (DEA 222 form) were 1.) completed with sufficient detail to enable accurate reconciliation for 14 of 14 forms reviewed and 2.) dated and signed by the Medical Director as of the day it was submitted for filling for 4 of 4 forms provided. This deficient practice was evidenced by the following: 1. On 7/27/21 at 10:05 AM, a review of the facility's DEA 222 forms revealed an inconsistent pattern in regard to ordering the medication package size versus the number of packages being ordered. This inconsistency was identified on the following order forms: Order Form: [...]
11 fire safety citations on file: 9 on June 24, 2025, 2 on July 27, 2021.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | New Jersey | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.14 | 3.85 | 3.86 |
| Registered nurses | 0.82 | 0.68 | 0.69 |
| All nursing staff on weekends | 3.66 | 3.50 | 3.42 |
| Nurse aides | 2.38 | ||
| Licensed practical nurses | 0.95 | ||
| Nursing staff turnover (share who left in a year) | 23.9% | 39.7% | 45.8% |
| Registered nurse turnover | 18.2% | 37.7% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.35 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 4.33 on weekdays and 3.66 on weekends, 15% 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 4.47 in April to June 2025 to 4.14 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.14 | 0.82 | 4.33 | 3.66 | 0.0% | 0 of 90 | 57 |
| Oct to Dec 2025 | 4.15 | 0.64 | 4.35 | 3.62 | 0.0% | 0 of 92 | 57 |
| Jul to Sep 2025 | 4.42 | 0.66 | 4.65 | 3.83 | 0.0% | 0 of 92 | 56 |
| Apr to Jun 2025 | 4.47 | 0.63 | 4.72 | 3.85 | 0.0% | 0 of 91 | 66 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| New Jersey, Jan to Mar 2026 | 3.68 | 0.59 | 3.82 | 3.34 | 11.6% | 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
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.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| New Jersey, all employers | |||
| CNAs (nursing assistants) | $22.52 | $21.13 to $23.44 | 32,400 |
| LPNs and LVNs | $36.13 | $32.16 to $38.45 | 17,410 |
| Registered nurses | $51.20 | $47.94 to $61.41 | 92,680 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
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.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | New Jersey | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 4.3 | 8.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.8 | 0.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.5 | 2.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.4 | 1.2 | 1.6 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.9 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 1.4 | 12.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 19.6 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.7 | 8.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.5 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Manor, the's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (67.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
67.3% this home
Better than 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. 512 eligible stays.
10.3% 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. 503 eligible stays.
6.1% this home
No different from 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. 337 eligible stays.
36.6% 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. 235 residents counted.
0.9% 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.
2.6% 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.
100.0% 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. 217 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.
Legal business name: HEALTH AFFILIATES, INC..
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Atlantic Health System | 5% or greater direct ownership interest | Organization | 51% | 01/01/2022 |
| McAvenia, Janice | W-2 managing employee | Individual | 02/06/2017 | |
| Davis, Toni Lynn | Corporate director | Individual | 02/06/2017 | |
| McAvenia, Janice | Corporate director | Individual | 02/06/2017 | |
| Dellocono, John | Corporate officer | Individual | 10/22/2009 |
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.
Chosen from this home's own inspection record.
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