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Medford Leas

One Medford Leas Way, Medford, NJ 08055 · Burlington County · (609) 654-3000

24 certified beds, about 9 residents a day · Non profit - Corporation · Medicare since 1973

CMS high performing icon Part of a continuing care retirement community Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 315144 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 30, 2026, inspectors cited 0 health deficiencies (the New Jersey average is 8.6, the national average 9.2).

None of its 8 health citations since January 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 10.92 hours per resident per day, against 3.85 across New Jersey and 3.86 nationally. Registered nurses accounted for 5.28 of those hours.

25.9% 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 8 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
3D
4E
1F
Potential for minimal harm
0A
0B
0C
April 30, 2026Standard inspection · 0 citations
February 25, 2025Standard inspection · 6 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) May 6, 2025
    Inspectors wroteBased on observation, interview and document review, it was determined that the facility failed to to maintain the kitchen environment and equipment in a sanitary manner and ensure all staff performed hand hygiene appropriately to prevent potential contamination from foreign substances and potential for the development a food borne illness. This deficient practice was evidenced by the following: On 02/20/25 at 12:01 PM, the surveyor conducted an initial tour of the kitchen with the Executive Chef (EC), Director of Dining (DD), and the Dining Manager (DM) and observed debris affixed to the ceiling tiles in the pot washing area. On 02/24/25 at 10:08 AM, the surveyor conducted a follow-up tour of the kitchen with the DD and the EC and observed the following: [...]
  2. E
    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, pattern · Corrected (the home has a date of correction) April 18, 2025
    Inspectors wroteBased on observation, interview and document review, it was determined that the facility failed to: a) ensure controlled drugs (narcotics) were stored in a permanently affixed compartment, and b) have a system in place to ensure that the emergency crash cart (a portable wheeled cabinet that contained emergency medical supplies and drugs) did not contain expired emergency supplies. This deficient practice was identified for 1 of 1 medication storage room, and for 1 of 1 emergency crash carts (ECC) reviewed for medication storage. The deficient practice was evidenced by the following: 1. On [DATE] at 9:30 AM, in the presence of the Registered Nurse (RN) the surveyor inspected the ECC and observed a mechanical suction machine and a Bag Valve Mask (BGM- a manual resuscitator device used in emergencies to provide breathing support to patients who are not breathing). [...]
  3. E
    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
    F838 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 11, 2025
    Inspectors wroteBased on observation, interview and document review, it was determined that the facility did not address the resident population, identify the specific care related to the type of diseases or conditions that were present in the resident population and did not identify the staff competencies and skill sets that were necessary to provide care for the specific resident population to the specific resident population and was evidenced by the following: On 02/20/25 at 1:30 PM, the facility provided the survey team with a copy of the Facility Assessment (FA), Updated 2/2024. The surveyor reviewed the FA which revealed: Facility Assessment and Overview: . There are three healthcare buildings . containing nursing care. Sub-acute Rehabilitation/ [Long Term Care] .Employee's licensure and certifications to manage resident care needs, physical, psychological, spiritual and social needs . [...]
  4. E
    Have a plan that describes the process for conducting QAPI and QAA activities.
    F865 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 14, 2025
    Inspectors wroteBased on observations, interview, and review of pertinent facility documents, it was determined that the facility failed to identify and consistently implement an effective Quality Assurance and Performance Improvement (QAPI) program to: a)ensure medication carts and emergency carts for identified and monitored for expired supplies and medications, b) ensure secure storage of all narcotic medications, and c) ensure that competencies required for all staff who worked in resident care areas were identified and addressed. This deficient practice was evidenced by the following: 1. On 2/21/25 at 10:30 AM, two surveyors conducted an inspection of the nursing unit emergency cart and observed that the bag valve mask (an instrument to force air into the lungs) was expired in 7/2023; four suction catheters expired 4/2024; four suction tubing marked with an expiration date of 7/2023; [...]
  5. E
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 11, 2025
    Inspectors wroteBased on observation, interview and document review, it was determined that the facility failed to ensure a system was in place, and consistently followed to incorporate feedback from all departments and direct care staff for their Quality Assurance Performance Improvement (QAPI) program. Refer to 761E, 812F This deficient practice was evidenced by the following: On [DATE] at 12:54 PM, during entrance conference the facility provided documentation which included their QAPI plan and three months of attendance sheets. A review of the attendance sheets documented no direct care staff or maintenance staff. On [DATE] between 9:30 AM to 10:20 AM, two surveyors identified concerns regarding expired supplies on the emergency cart, no inspections of the emergency cart, and a narcotic lock box which was not permanently affixed in the medication refrigerator. [...]
  6. 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) April 11, 2025
    Inspectors wroteBased on observation, interview, and document review, it was determined that the facility failed to follow appropriate hand hygiene during the meal service to prevent the potential spread of infection. This deficient practice was observed on 2/20/25 and 2/21/25, during the meal observation, as was evidenced by the following: On 2/20/25 at 12:40 PM, the surveyor observed Certified Nursing Aide (CNA #1) assisted Resident #60 to the Dining Room with the rolling walker. The resident sat at the table and proceeded to read the newspaper. At 12:48 the lunch cart arrived on the floor. The surveyor observed another resident along with Resident #60 at the table. The staff did not provide the residents with hand hygiene prior to the lunch meal. [...]
January 9, 2023Standard inspection · 2 citations
  1. 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) February 28, 2023
    Inspectors wroteBased on interviews, facility policy review, record review, and document review, it was determined that the facility failed to complete and transmit Minimum Data Set (MDS) assessments in a timely manner for 2 (Resident #6 and Resident #9) of 12 residents reviewed for MDS assessments.
  2. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 28, 2023
    Inspectors wroteBased on interviews, record review, and facility policy review, it was determined that the facility failed to include pertinent information on the baseline care plan for 1 (Resident #22) of 8 residents reviewed for care plans. Specifically, the facility failed to include the diagnosis and treatment of clostridium difficile (C-diff) on Resident #22's baseline care plan.

Fire safety inspections

27 fire safety citations on file: 7 on April 30, 2026, 17 on February 25, 2025, 3 on January 9, 2023.

Every fire safety citation27 citations
  1. E
    Have exits that are accessible at all times.
    K 271 · April 30, 2026 · Corrected (the home has a date of correction)
  2. E
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · April 30, 2026 · Corrected (the home has a date of correction)
  3. E
    Have properly located and lighted "Exit" signs.
    K 293 · April 30, 2026 · Corrected (the home has a date of correction)
  4. E
    Provide properly protected cooking facilities.
    K 324 · April 30, 2026 · Corrected (the home has a date of correction)
  5. E
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · April 30, 2026 · Corrected (the home has a date of correction)
  6. D
    Install an approved automatic sprinkler system.
    K 351 · April 30, 2026 · Corrected (the home has a date of correction)
  7. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · April 30, 2026 · Corrected (the home has a date of correction)
  8. F
    Develop a communication plan.
    E 29 · February 25, 2025 · Corrected (the home has a date of correction)
  9. F
    Provide rooms that can be unlocked from inside without a key.
    K 221 · February 25, 2025 · Corrected (the home has a date of correction)
  10. F
    Have stairways and smokeproof enclosures used as exits that meet safety requirements.
    K 225 · February 25, 2025 · Corrected (the home has a date of correction)
  11. F
    Install proper backup exit lighting.
    K 281 · February 25, 2025 · Corrected (the home has a date of correction)
  12. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · February 25, 2025 · Corrected (the home has a date of correction)
  13. 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 · February 25, 2025 · Corrected (the home has a date of correction)
  14. F
    Provide properly protected cooking facilities.
    K 324 · February 25, 2025 · Corrected (the home has a date of correction)
  15. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · February 25, 2025 · Corrected (the home has a date of correction)
  16. F
    Install an approved automatic sprinkler system.
    K 351 · February 25, 2025 · Corrected (the home has a date of correction)
  17. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 25, 2025 · Corrected (the home has a date of correction)
  18. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · February 25, 2025 · Corrected (the home has a date of correction)
  19. F
    Have elevators that firefighters can control in the event of a fire.
    K 531 · February 25, 2025 · Corrected (the home has a date of correction)
  20. F
    Have simulated fire drills held at unexpected times.
    K 712 · February 25, 2025 · Corrected (the home has a date of correction)
  21. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · February 25, 2025 · Corrected (the home has a date of correction)
  22. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · February 25, 2025 · Corrected (the home has a date of correction)
  23. F
    Ensure proper usage of power strips and extension cords.
    K 920 · February 25, 2025 · Corrected (the home has a date of correction)
  24. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · February 25, 2025 · Corrected (the home has a date of correction)
  25. D
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · January 9, 2023 · Corrected (the home has a date of correction)
  26. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · January 9, 2023 · Corrected (the home has a date of correction)
  27. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · January 9, 2023 · 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)10.923.853.86
Registered nurses5.280.680.69
All nursing staff on weekends8.483.503.42
Nurse aides4.92
Licensed practical nurses0.72
Nursing staff turnover (share who left in a year)25.9%39.7%45.8%
Registered nurse turnover15.4%37.7%42.9%
Administrators who left0

CMS expects 3.37 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 11.96 on weekdays and 8.48 on weekends, 29% 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 10.56 in April to June 2025 to 10.92 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 202610.925.2811.968.48 0.0%0 of 909
Oct to Dec 202510.325.2511.397.69 0.0%0 of 9210
Apr to Jun 202510.565.5211.587.97 0.0%0 of 9110
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 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
14.624.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
1.28.112.0

Owners and operators

Legal business name: THE ESTAUGH T/A MEDFORD LEAS.

NameRoleTypeShareSince
Loftus, AbbyCorporate directorIndividual05/18/2015
Cleaver, RichardCorporate officerIndividual10/14/2025
Jones, ScottCorporate officerIndividual10/29/2020
Kreider, RobertCorporate officerIndividual10/14/2025
Morgan, MargaretCorporate officerIndividual10/14/2025
Symcak, DianeCorporate officerIndividual10/29/2020
Vickers, JeremyCorporate officerIndividual10/11/2010
Damico, JamesOperational/managerial controlIndividual05/13/2019
Vickers, JeremyOperational/managerial controlIndividual10/11/2010
Damico, JamesAdp of the SNFIndividual05/13/2019
Vickers, JeremyAdp of the SNFIndividual03/11/2025

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. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 3 problems in this area, most recently on February 25, 2025: "Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on January 9, 2023: "Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on February 25, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on February 25, 2025: "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."

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 Medford Leas's Medicare star rating?
CMS rates Medford Leas 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Medford Leas get at its last inspection?
0 health deficiencies at the standard inspection on April 30, 2026. The New Jersey average is 8.6.
Has Medford Leas been fined?
CMS lists no fines in the last three years.
Does Medford Leas accept Medicaid?
CMS lists it as "Medicare", so it is not certified for Medicaid.
Who owns Medford Leas?
CMS lists 11 owners and managers. Legal business name: THE ESTAUGH T/A MEDFORD LEAS.

Sources

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