Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Alaris Health At Hamilton Park during CMS and state inspections, most recent first.
A facility failed to ensure timely documentation by a physician for a resident with severe cognitive impairment. The physician admitted to delaying progress note entries due to a busy schedule, contrary to the facility's policy requiring documentation at each visit.
A facility failed to accurately code the MDS for a resident with schizophrenia, leading to a deficiency. The resident was receiving Risperdal, an antipsychotic medication, since September 2024, but the MDS assessments incorrectly indicated no antipsychotic medications were received. This error was confirmed by the MDS Coordinator, who admitted to accidentally omitting the medication assessment.
The facility failed to follow Physician's Orders for oxygen therapy for two residents, resulting in incorrect oxygen flow rates. One resident received 4 L/min instead of the prescribed 2 L/min, while another received 2 L/min instead of 3 L/min. Both residents had cognitive impairments and required specific oxygen levels as per their medical conditions. The facility's policy on oxygen therapy was not adhered to, as confirmed by staff interviews.
The facility failed to maintain proper infection control practices for a resident receiving tube feeding. A surveyor observed a splash of a creamy substance on the suction canister lid and feeding pole feet, which the RN did not notice. The UM/LPN mentioned that cleaning is usually done by the night shift, with no specific schedule for the pole. The facility's policy requires equipment cleaning after use, which was not followed.
A resident with severe cognitive impairment sustained a left femur fracture during incontinence care after kicking their leg, but the incident was not reported to the State Survey Agency as potential abuse within the required two-hour timeframe. The Administrator did not recognize the injury as a possible staff-to-resident abuse case, resulting in delayed notification and a deficiency in abuse reporting procedures.
A resident with severe cognitive impairment sustained a left femur fracture during care provided by a CNA, who was not suspended during the subsequent abuse investigation as required by facility policy. The CNA continued to work on the same floor while the investigation was ongoing, and the administrator did not consider the incident as potential abuse, despite the facility's policy mandating immediate suspension of staff under investigation.
A resident admitted with two stage three pressure ulcers did not receive timely and complete wound assessments as required by facility policy. After the initial documentation, no further comprehensive wound assessments were recorded, even when the resident was started on antibiotics for a wound infection. Staff confirmed that required ongoing assessments and documentation were not completed.
A resident with an indwelling urinary catheter for wound healing did not have timely physician orders or documentation for catheter care and urinary output monitoring upon readmission. Although the care plan included interventions for catheter management, these were not implemented or documented until several days later, as confirmed by an LPN/Unit Manager. This lapse did not follow CDC guidelines for catheter care.
A resident with stage three pressure ulcers was prescribed and administered Keflex for a wound infection without documentation of infection signs or symptoms, as required by facility policy and CDC guidance. Staff confirmed the absence of supporting documentation prior to the antibiotic order.
Physician Documentation Delays
Penalty
Summary
The facility failed to ensure that the primary physician accurately dated their progress notes during visits for a resident, leading to a deficiency. This was observed for one resident who was admitted with dementia and had a severe cognitive impairment, as indicated by a BIMS score of 6 out of 15. The surveyor noted that the physician progress notes were not documented on the effective date of service, with several entries being recorded days or even months after the actual visit. During an interview, the physician admitted to being too busy to document during visits and instead completed the documentation days later. The facility's policy requires that progress notes and orders be written, signed, and dated at each physician visit, which was not adhered to in this case. The surveyor's review of the facility's policy and the physician's admission of delayed documentation contributed to the identification of this deficiency.
Inaccurate MDS Coding for Antipsychotic Medication
Penalty
Summary
The facility failed to accurately code the Minimum Data Set (MDS) for a resident, leading to a deficiency in the management of care. The resident, who was admitted with schizophrenia, was observed to be moderately impaired in cognition with a Brief Interview for Mental Status (BIMS) score of 12 out of 15. However, the MDS assessments incorrectly indicated that the resident did not receive antipsychotic medications, despite an active order for Risperdal, which had been administered since September 2024. The error was confirmed during interviews with the Unit Manager/Licensed Practical Nurse and the MDS Coordinator/Registered Nurse, who admitted to accidentally omitting the psychotropic medication assessment. This oversight was identified during a review of the resident's electronic Medical Record and Medication Administration Record, which showed consistent administration of Risperdal. The deficiency was discussed with the facility's administration and quality assurance team, but no further information was provided.
Failure to Follow Physician's Orders for Oxygen Therapy
Penalty
Summary
The facility failed to adhere to a Physician's Order for oxygen therapy for two residents, leading to a deficiency in providing safe and appropriate respiratory care. For one resident, the surveyor observed that the oxygen was set at 4 liters per minute (L/min) instead of the prescribed 2 L/min. This resident had been admitted with conditions including hypoxic-ischemic encephalopathy and had severely impaired cognition. The Licensed Practical Nurse responsible for this resident admitted to not having checked the oxygen settings, which was confirmed by the unit manager. For another resident, the surveyor noted that the oxygen was set at 2 L/min, contrary to the prescribed 3 L/min. This resident had a history of acute respiratory failure with hypoxia and was moderately impaired in cognition. The Unit Manager/LPN acknowledged that the oxygen should be checked to ensure compliance with the doctor's order. The facility's policy on oxygen therapy, which requires checking the physician's order and setting the prescribed flow rate, was not followed in these instances.
Inadequate Infection Control Practices for Equipment Cleaning
Penalty
Summary
The facility failed to establish appropriate infection control practices for environmental cleaning, specifically for a resident receiving tube feeding. During an observation, a surveyor noted a splash of a creamy substance on the suction canister lid and the feet of the feeding pole in the resident's room. The Registered Nurse on duty did not notice the splashed substance, and the Unit Manager/LPN stated that the cleaning of the pole is typically done by the night shift, with no specific schedule for cleaning the pole, only a monthly schedule for cleaning the room. The facility's policy requires staff to clean equipment after use and as needed, but this was not adhered to in this instance.
Failure to Timely Report Potential Abuse Following Resident Injury
Penalty
Summary
The facility failed to ensure timely reporting of a potential allegation of physical abuse to the State Survey Agency (SSA) after a resident sustained an injury during incontinence care. The incident involved a resident with severe cognitive impairment, as indicated by a Brief Interview for Mental Status (BIMS) score of 6 out of 15, who was admitted with multiple diagnoses including osteoporosis, atrial fibrillation, hypertension, and abnormal gait. During morning care, a certified nurse aide (CNA) reported that the resident kicked their leg in the air, resulting in a snapping sound in the left knee area. The resident subsequently complained of moderate pain in the left leg, and an assessment was performed by a licensed practical nurse (LPN). The resident was later found to have a closed displaced spiral fracture of the left femur and was transferred to the hospital for further treatment. Despite the nature of the injury and the resident's inability to explain the event, the incident was not reported to the SSA within the required two-hour timeframe for potential abuse or serious bodily injury. The facility's policy mandates immediate reporting of any alleged violations involving abuse, neglect, or mistreatment, including injuries of unknown source, within two hours if serious bodily injury is involved. However, the former Administrator did not identify the injury as a potential staff-to-resident abuse case and did not submit the report to the SSA until several days after the incident occurred. Interviews with facility staff and review of documentation confirmed that the delay in reporting was due to the Administrator's failure to recognize the incident as a potential abuse situation, despite the lack of witnesses and the resident's nonverbal status. The event was ultimately reported as an injury rather than as a potential abuse case, and the required notification to the SSA was not made within the mandated timeframe, constituting a deficiency in the facility's abuse reporting procedures.
Failure to Suspend Staff During Abuse Investigation
Penalty
Summary
The facility failed to protect other residents by not suspending a certified nurse aide (CNA) who was involved in an incident resulting in a resident sustaining a left femur fracture during care. The resident, who was severely cognitively impaired with a BIMS score of 6, was being changed by the CNA when the CNA reported hearing a snap in the resident's left knee area after the resident kicked her leg. The resident complained of moderate pain, and subsequent assessment and x-rays confirmed a spiral distal femoral shaft fracture, leading to hospital admission and surgical intervention. Despite the serious injury and the facility's policy requiring immediate suspension of staff under investigation for possible abuse, the CNA continued to work during the investigation and was not suspended. The CNA's time card showed she worked on multiple days following the incident, including after the resident returned from the hospital. The CNA confirmed in an interview that she was not suspended and continued to work on the same floor, though she was not assigned to the injured resident again. The former Administrator, who was the abuse coordinator at the time, stated that he did not consider the injury as potential staff-to-resident abuse and therefore did not suspend the CNA. This decision was based on interviews with staff regarding the resident's behaviors and a review of the resident's medical record. However, the facility's abuse prevention policy clearly states that staff being investigated for possible involvement in abuse should be immediately suspended pending the results of the investigation.
Failure to Timely Assess and Monitor Pressure Ulcers
Penalty
Summary
A resident was admitted to the facility with a history of a hip fracture requiring surgical repair and two stage three pressure ulcers, one on the sacrum and one on the right buttock. Upon admission, the resident's wounds were measured and documented, and the care plan included monitoring for infection, regular wound assessments, and physician notification for any changes. The initial wound report documented the size and condition of the ulcers, and treatments were initiated as ordered. However, after the initial assessment and wound report, there were no further complete wound assessments documented for the resident's pressure ulcers. Although the care plan and facility policy required at least weekly wound assessments and documentation with each dressing change, the medical record did not contain updated measurements or descriptions of the wounds after the initial report. The resident was started on an antibiotic for a wound infection, but there was no documentation specifying which wound was infected or describing the clinical signs that led to this intervention. Interviews with facility staff confirmed the lack of ongoing wound assessments and documentation. The LPN/Unit Manager acknowledged that additional wound assessments should have been completed and documented, particularly when the resident was started on antibiotics for a wound infection. The facility's policy required daily monitoring and at least weekly documentation of pressure ulcers, including detailed descriptions and any changes, but these requirements were not met for this resident.
Failure to Initiate Timely Catheter Care and Output Monitoring
Penalty
Summary
A resident with severe cognitive impairment was readmitted to the facility with an indwelling urinary catheter for wound healing. The resident's care plan included specific interventions for catheter care, such as changing the catheter and drainage bag at set intervals, positioning the catheter bag below the bladder, checking tubing for kinks, and monitoring for signs and symptoms of urinary tract infection (UTI). However, upon review, it was found that there were no physician orders or documentation for catheter care and monitoring of urinary output until several days after the resident's readmission. The lack of timely orders and documentation for catheter care and urinary output monitoring was confirmed by an LPN/Unit Manager, who stated that the order for the Treatment Administration Record (TAR) was missed during the readmission process. This failure to implement and document catheter care and output monitoring as outlined in the care plan did not align with CDC guidelines, which recommend regular emptying of the collection bag, daily cleaning of the catheter and surrounding area, and regular monitoring of urine output and the drainage system.
Antibiotic Prescribed Without Documented Infection Criteria
Penalty
Summary
A deficiency occurred when a resident was prescribed the antibiotic Keflex for a wound infection without documentation supporting that the resident met the clinical criteria for infection prior to the prescription. The resident, who was cognitively intact and admitted with two stage three pressure ulcers, had no documented signs or symptoms of infection in the wound reports or physician progress notes. The wound assessments indicated no evidence of infection, and there was no record of wound assessment or measurements at the time the antibiotic was started. Further review of the facility's Infection and Antibiotic Start Log and Medication Administration Record confirmed the antibiotic was administered without supporting documentation of infection. Interviews with facility staff, including an LPN/Unit Manager and the Infection Preventionist, confirmed that there was no documentation of infection criteria being met prior to the antibiotic order, which was contrary to facility policy and CDC guidance for wound infection management.
What surveyors are citing around you — mapped
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Illustrative
What surveyors actually found near you
We read the 1,631 citations issued within 25 miles in the last 12 months — including the 22 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Jersey City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Peace Care St Joseph's | 0.6 mi | ★★★★★ | 14 | 0 |
| Optima Care Harborview | 0.8 mi | ★★★★★ | 20 | 0 |
| Hoboken University Medical Center Tcu | 1.1 mi | ★★★★★ | 0 | 0 |
| West Village Rehabilitation And Nursing Center | 2.3 mi | ★★★★★ | 0 | 0 |
| Optima Care Castle Hill | 2.8 mi | ★★★★★ | 2 | 1 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.