Home / New Jersey / Old Bridge
Reformed Church Home
1990 Route 18 North, Old Bridge, NJ 08857 · Middlesex County · (732) 607-9230
108 certified beds, about 100 residents a day · Non profit - Church related · Medicare and Medicaid since 1997
CMS Care Compare ratings, data as of September 1, 2026 · CCN 315417 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 27, 2026, inspectors cited 4 health deficiencies (the New Jersey average is 8.6, the national average 9.2).
None of its 8 health citations since August 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 3.75 hours per resident per day, against 3.85 across New Jersey and 3.86 nationally. Registered nurses accounted for 1.30 of those hours.
33.3% 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.
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.
April 27, 2026Standard inspection · 4 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, interview, and review of facility provided documents, it was determined that the facility failed to maintain proper kitchen sanitation practices to prevent the development of food borne illness. This deficient practice was evidenced by the following: On 4/21/26 at 9:50 AM, during a tour of the kitchen with the Food Service Director (FSD), the surveyor observed a stainless steel utility rack with stacked pans on each shelf, all turned upside-down. The FSD identified this as the pan rack. The surveyor observed the following:1. Eleven pans stacked together on the second shelf from the top. The FSD identified these as 2-inch full size pans. The FSD separated the 2nd and 3rd pans in the stack which revealed they were dripping a clear thin liquid. The pans were visibly wet on the inside and outside surfaces. [...]
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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 complete a background check for 1 out of 48 employees (Employee #1). This deficient practice was identified for newly hired employees reviewed since last survey of 12/11/24. This deficient practice was evidenced by the following:On 4/21/26 at approximately 10:16 AM, during the entrance conference, the surveyor requested from the Licensed Nursing Home Administrator (LNHA) and the Director of Nursing (DON), all newly hired employee files for active and inactive employees from 12/11/24 to the current date. [...]
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview, record review, and review of facility provided documents, it was determined that the facility failed to ensure professional standards of nursing practice were followed by offloading (use of a device or specialized surface to decrease the risk of pressure injury) a resident's heels according to the physician's order. This deficient practice was identified for 1 of 1 resident (Resident #14) reviewed for prevention of pressure injury 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: [...]
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to ensure professional standards of nursing practice were followed by administering oxygen therapy according to the physician's order. This deficient practice was identified for 1 of 1 resident (Resident #52) reviewed for respiratory 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: [...]
December 11, 2024Standard inspection, Complaint inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteComplaint # NJ 179632 Based on observation, interviews, review of medical records and facility documents, it was determined that the facility failed to follow fall prevention interventions as written on the resident's individual comprehensive care plan (ICCP). This deficient practice was identified for 1 of 4 residents (Resident # 44) reviewed for accidents. This deficient practice was evidenced by the following: On 12/04/24 at 12:30 PM, during the initial tour of the 1st floor unit, the surveyor observed Resident #44 in a reclining chair in the day room with other residents and staff members. The surveyor observed a thick cushioned fall mat leaning against the wall in the resident's room. The surveyor reviewed the electronic medical record (EMR) for Resident # 44. [...]
August 17, 2023Standard inspection · 3 citations
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on observation, interview and record review it was determined that the facility failed to report a bruise of unknown origin to the New Jersey Department of Health (NJDOH) for 1 of 1 resident reviewed for bruise of unknown origin (Resident #21).
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on observation, interview, record review and review of pertinent facility documents, it was determined that the facility failed to thoroughly investigate a bruise of unknown origin that was identified on 07/27/27. This deficient practice was identified for 1 of 1 resident (Resident #21) reviewed for a bruise of unknown origin and was evidenced by the following: On 08/02/23 at 10:00 AM, the surveyor observed Resident #21 with a bluish discoloration to the left chin. The surveyor inquired about the discoloration, the resident stated, I don't know. On 08/02/23 at 1:15 PM, the surveyor interviewed a CNA about Resident #21. Upon inquiry, the CNA informed the surveyor that Resident #21 could be combative with care, but if you explained what you were about to do the resident would cooperate. [...]
- D Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, interview and document review it was determined that the facility failed to serve foods at an acceptable temperature for 1 of 18 residents reviewed (Resident #67) and for 1 of 3 resident units (2nd floor). The deficient practice was evidenced by the following: On 08/02/23 at 10:33 AM, during an interview with Resident #67, the resident expressed concerns over the meal temperature. On 08/04/23 at 7:24 AM, the surveyor observed the breakfast meal distribution from the 2nd floor remote food service kitchen. Three meal trucks left the kitchen at that time and arrived on A, B, C Wings and the surveyor observed the meal cart that arrived on the B Wing at 7:26 AM. The cart contained seven trays and was left on the unit for distribution. On 08/04/23 at 7:27 AM, one staff member removed a meal tray for service to a resident. [...]
Fire safety inspections
14 fire safety citations on file: 7 on April 27, 2026, 3 on December 11, 2024, 4 on August 17, 2023.
Every fire safety citation14 citations
- F Provide properly protected cooking facilities.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Ensure that testing and maintenance of electrical equipment is performed.
- C Properly select, install, inspect, or maintain portable fire extinguishes.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Have elevators that firefighters can control in the event of a fire.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have elevators that firefighters can control in the event of a fire.
- E Install corridor and hallway doors that block smoke.
- E Have generator or other power source capable of supplying service within 10 seconds.
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.
| Measure | This home | New Jersey | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.75 | 3.85 | 3.86 |
| Registered nurses | 1.30 | 0.68 | 0.69 |
| All nursing staff on weekends | 3.41 | 3.50 | 3.42 |
| Nurse aides | 2.06 | ||
| Licensed practical nurses | 0.39 | ||
| Nursing staff turnover (share who left in a year) | 33.3% | 39.7% | 45.8% |
| Registered nurse turnover | 30.0% | 37.7% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.87 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 3.88 on weekdays and 3.41 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.16 in April to June 2025 to 3.75 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 | 3.75 | 1.30 | 3.88 | 3.41 | 0.2% | 0 of 90 | 100 |
| Oct to Dec 2025 | 4.11 | 1.40 | 4.26 | 3.73 | 0.9% | 0 of 92 | 96 |
| Jul to Sep 2025 | 4.18 | 1.45 | 4.34 | 3.75 | 0.6% | 0 of 92 | 95 |
| Apr to Jun 2025 | 4.16 | 1.45 | 4.31 | 3.79 | 0.7% | 0 of 91 | 96 |
| 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
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
| 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.
Quality measures
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 | 13.4 | 8.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.4 | 0.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.8 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.7 | 2.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.3 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 17.4 | 8.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.2 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.0 | 12.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.0 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.2 | 8.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.1 | 1.8 |
Owners and operators
Legal business name: REFORMED CHURCH MINISTRIES TO THE AGING, THE PARTICULAR SYNOD OF THE M.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Anastos, Ruby | W-2 managing employee | Individual | 04/28/2003 | |
| Shepard, Katherine | W-2 managing employee | Individual | 04/03/2000 | |
| Anastos, Ruby | Corporate director | Individual | 04/28/2003 | |
| Shepard, Katherine | Corporate director | Individual | 04/03/2000 |
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.
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on April 27, 2026: "Develop and implement policies and procedures to prevent abuse, neglect, and theft."
- 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 April 27, 2026: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
- 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 April 27, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.41 hours per resident per day, below the New Jersey average of 3.50.
Other nursing homes nearby
- Preferred Care at Old Bridge, LLC Old Bridge, 1.1 mi · 5 of 5 stars · 15 citations
- Roosevelt Care Center at Old Bridge Old Bridge, 1.7 mi · 5 of 5 stars · 16 citations
- Autumn Lake Healthcare at Old Bridge Old Bridge, 2 mi · 4 of 5 stars · 20 citations
- Careone at East Brunswick East Brunswick, 4.8 mi · 3 of 5 stars · 13 citations
- Complete Care at Madison, LLC Matawan, 4.9 mi · 5 of 5 stars · 23 citations
- Accela Rehab and Care Center at Manalapan Manalapan, 4.9 mi · 2 of 5 stars · 45 citations
- Meadowbrook Respiratory and Nursing Center Matawan, 5.2 mi · 4 of 5 stars · 18 citations
- Village Point Monroe Township, 6.2 mi · 3 of 5 stars · 15 citations
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.
- Inspections and complaints: New Jersey Department of Health, Health Facilities, License Surveys and Inspections, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: New Jersey Long-Term Care Ombudsman, 1-877-582-6995. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: New Jersey Long Term Care Facilities Search, where New Jersey publishes its own records on licensed homes.
Common questions
- What is Reformed Church Home's Medicare star rating?
- CMS rates Reformed Church Home 5 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Reformed Church Home get at its last inspection?
- 4 health deficiencies at the standard inspection on April 27, 2026. The New Jersey average is 8.6.
- Has Reformed Church Home been fined?
- CMS lists no fines in the last three years.
- Does Reformed Church Home 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 Reformed Church Home?
- CMS lists 4 owners and managers. Legal business name: REFORMED CHURCH MINISTRIES TO THE AGING, THE PARTICULAR SYNOD OF THE M.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.