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 Aster Creek Nursing And Rehabilitation Center during CMS and state inspections, most recent first.
An agency LPN administered another resident’s medications to a resident with dementia and dysphagia, including Amlodipine 10 mg, Aspirin, Divalproex Na, Zoloft, and Iron, in addition to the resident’s ordered Amlodipine 2.5 mg. The resident had moderately impaired cognition and was later sent to the ER for observation after a blood pressure drop was documented. The error occurred when the LPN failed to correctly identify the resident during med pass.
The facility was found to have multiple deficiencies in food storage and hygiene practices. Bread was improperly stored on the ground, and the Food Service Director failed to perform proper hand hygiene. Expired food items and unsanitary conditions were observed in the kitchen, including a bug trap with dead bugs, caked-on debris in the microwave, and pitted cutting boards. In the food storage room, items were stored directly on a soiled floor, and mold was found on breadcrumbs. The LNHA acknowledged these issues.
The facility failed to maintain a clean and safe environment, with issues such as disconnected handrails, peeling wallpaper, and uneven flooring on the 300 nursing unit. A resident's room had a buildup of brown substance and tripping hazards due to sunken tiles. The LNHA acknowledged these safety hazards, and the maintenance policy was not followed.
The facility failed to properly dispose of and maintain waste in the garbage dumpster areas. Observations revealed a lack of a lid on the cardboard dumpster, scattered garbage debris, and waste surrounding other dumpsters. Interviews with the FSD and HKD indicated that both housekeeping and kitchen staff were responsible for maintaining the area, but it was sometimes neglected. The facility's policy emphasized cleanliness, but the observed conditions did not align with this standard.
A resident with a history of falls and medical conditions such as depression and schizophrenia experienced a fall after tripping over shoes. Despite no injuries being observed, the facility failed to update the resident's comprehensive care plan to reflect this incident, contrary to their policy. The oversight was acknowledged by the facility's administration during a survey.
A resident with a history of smoking and intact cognition was not assessed for smoking safety in a timely manner, as required by the facility's policy. The Smoking Safety Screen was last completed in May, and the September assessment was missed due to a change in Activities Directors, only being completed in October after the oversight was identified.
A resident's oxygen tubing was not labeled or dated as required by the facility's policy, which mandates weekly changes and dating. Despite the resident's medical conditions requiring oxygen therapy, the tubing remained undated over several days of observation. The Unit Manager confirmed the policy but could not explain the oversight, and the issue was reported to the facility's administration.
A resident with multiple ulcers did not receive proper wound care due to an LPN's failure to perform hand hygiene between glove changes. The resident, admitted with conditions like acute respiratory failure and muscle weakness, had a care plan requiring specific wound care interventions. Despite initial hand hygiene, the LPN neglected to wash hands between glove changes, a lapse confirmed by the Unit Manager and ADON, violating the facility's infection control policy.
Significant Medication Error During Med Pass
Penalty
Summary
A significant medication error occurred when an agency LPN administered medications intended for one resident to another resident during medication pass. The medications given in error included Amlodipine 10 mg, Aspirin 81 mg, Divalproex Na 125 mg, Zoloft 50 mg, and Iron 325 mg, in addition to the resident’s prescribed Amlodipine 2.5 mg, resulting in a total Amlodipine dose of 12.5 mg. The facility’s report stated that the LPN believed the medications had been given to the wrong resident after being questioned by a CNA. The resident who received the medications in error had diagnoses including unspecified dementia and dysphagia. The resident’s MDS showed a BIMS score of 9 out of 15, indicating moderately impaired cognition. The care plan identified impaired cognitive function/dementia and included interventions to use the resident’s preferred name, identify staff at each interaction, face the resident when speaking, make eye contact, and provide cues as needed. The resident’s physician order for Amlodipine was 2.5 mg daily with instructions to hold if systolic blood pressure was less than 110. The resident’s vital signs showed a blood pressure of 137/60 at 12:10 PM and 99/47 at 12:37 PM before transport to the hospital. The resident was assessed and sent to the emergency room and admitted for observation, then returned to the facility two days later.
Deficiencies in Food Storage and Hygiene Practices
Penalty
Summary
The facility failed to adhere to proper food storage and hygiene practices, as observed by the surveyor. Upon arrival, the surveyor noted that boxes of bread were delivered and placed directly on the ground in the parking lot, which was confirmed by the Acting Director of Nursing (ADON) as inappropriate. The Food Service Director (FSD) admitted that the bread company routinely delivered bread in this manner and mistakenly believed it was acceptable since the bread was in boxes. Additionally, the FSD failed to perform proper hand hygiene after returning to the kitchen from the stock room, acknowledging the oversight only after being prompted by the surveyor. During a tour of the kitchen, several deficiencies were noted. A bug trap with over twenty dead bugs was found open, exposing the kitchen area. Expired food items, including egg salad and macaroni salad, were found in the refrigerator, along with an opened container of cottage cheese without a proper use-by date. The microwave was observed to have caked-on debris, and several cutting boards were deeply pitted and discolored, posing a risk of cross-contamination. Dented cans were found in dry storage, and the walk-in freezer was missing vinyl strip curtains, which are essential for maintaining temperature and cleanliness. Further inspection revealed additional issues in the food storage room, where the floor was soiled and tiles were coming up due to condensation from the air conditioner. Food items, including a box of cereal and a bag of breadcrumbs, were stored directly on the floor, with the breadcrumbs showing signs of mold and insect activity. A condiment bottle pump was also found caked with a brownish/black substance. The Licensed Nursing Home Administrator (LNHA) acknowledged these concerns in the presence of the survey team.
Facility Fails to Maintain Safe and Homelike Environment
Penalty
Summary
The facility failed to maintain a clean, comfortable, and homelike environment for residents, as evidenced by several observations made by the surveyor. On the 300 nursing unit, the handrail on the ramp was found to be disconnected in three areas, exposing metal framing and posing a safety hazard. Additionally, the wallpaper was peeling and bubbling, and the threshold connecting the ramp to the corridor had missing tiles and uneven elevations, creating a tripping hazard. A hole in the wall by the doorframe of the unit's entrance was also noted, with crumbling debris around it. Further observations on the 300 nursing unit revealed a split in the wallpaper along a corner seam, exposing black and white dust debris. A soffit enclosure had a cutout hole, exposing its interior. In a resident's room, the doorway threshold had cracked and sunken tiles, creating an uneven entryway. The Licensed Nursing Home Administrator acknowledged these issues and confirmed that they posed safety hazards, such as potential cuts from the handrail and tripping hazards from the flooring. In another resident's room, a thick buildup of a brown substance was observed on the floor, along with a sunken tile creating a tripping hazard. The bathroom in this room had a missing tile corner, a loose tile, and a dark brown substance around the toilet base. The Housekeeping Director stated that the worst rooms were cleaned first, but a room checklist marked the room as unsatisfactory. A maintenance request for a water leak was noted, but the maintenance log indicated no leaks, only a dirty floor. The facility's maintenance policy requires maintaining the building in good repair and free from hazards, which was not adhered to in these instances.
Improper Waste Disposal and Maintenance in Garbage Area
Penalty
Summary
The facility failed to properly dispose of and maintain waste in the garbage dumpster areas, as observed by a surveyor. During a tour of the facility's outside garbage disposal area, it was noted that the cardboard dumpster lacked a lid, and garbage debris was scattered around it. The Food Service Director (FSD) acknowledged the issue, stating that the facility was attempting to have the lid replaced. Additionally, three other dumpsters had paper and food waste surrounding them, and a storage container in the area was surrounded by food and paper debris, wooden boards, and an unidentifiable large object. The wooded area adjacent to the dumpster area contained trash, including food products, paper waste, broken wooden boards, and a mattress. Furthermore, the fence along the garbage area was cluttered with pallets and other debris, and the fence itself was dirty and falling down. Interviews with the FSD and the Housekeeping Director (HKD) revealed that both housekeeping and kitchen staff were responsible for maintaining the garbage area. The HKD admitted that while they aimed to clean the area daily, it was sometimes forgotten, and the pallets had been left by delivery personnel for at least two to three months. The HKD acknowledged the importance of maintaining the garbage area to prevent injuries and rodent attraction and admitted that the condition observed by the surveyor was unacceptable. The facility's policy on maintaining the outdoor trash area emphasized the importance of keeping the area clean and free of debris, but the observations indicated a failure to adhere to this policy.
Failure to Revise Care Plan After Resident Fall
Penalty
Summary
The facility failed to revise the comprehensive care plan for a resident with a history of falls, which was identified during a survey. The resident, who was cognitively intact with a BIMS score of 14 out of 15, had a history of medical conditions including depression, schizophrenia, hypertension, and low back pain. Despite being independent with toileting and hygiene, the resident experienced a fall on August 19, 2024, after tripping over their shoes. Although no injuries were observed, and neurological checks were initiated, the incident was not reflected in the resident's individualized comprehensive care plan (ICCP). The ICCP, which was last revised on May 14, 2024, did not include the fall from August 19, 2024, and was not updated following the incident. The facility's policy requires care plan revisions based on resident assessments when a problem, goal, or approach changes. However, the Unit Manager/LPN confirmed that the ICCP was not updated post-fall until the surveyor's inquiry. The Licensed Nursing Home Administrator, along with the Acting Director of Nursing, acknowledged the oversight during the survey.
Failure to Conduct Timely Smoking Safety Assessment
Penalty
Summary
The facility failed to ensure that a resident who smoked cigarettes was assessed for safety, which was identified for one of the residents reviewed for accidents. The resident, who had diagnoses including hypertension, depression, and hyperlipidemia, was observed to have a fully intact cognition and was a current tobacco user. The resident's comprehensive care plan included interventions for smoking safety, such as requiring supervision while smoking and being assessed quarterly for smoking safety. However, the most recent Smoking Safety Screen was completed on 5/31/24, and there was no assessment completed in September as required. The Activities Director acknowledged that a smoking assessment should have been completed in the first week of September, but it was missed due to a change in Activities Directors. The Licensed Nursing Home Administrator confirmed that the Smoking Safety Screening was due in September and was not completed until 10/7/24, after the issue was brought to their attention. The facility's Resident Smoking Policy required evaluations upon admission, re-admission, quarterly, or upon any significant change to a resident's physical or cognitive status, which was not adhered to in this case.
Failure to Date and Label Oxygen Tubing
Penalty
Summary
The facility failed to properly label, date, and initial a resident's oxygen tubing, which was identified during a survey. The deficiency was observed in a resident who was using a portable oxygen tank and an oxygen concentrator. The surveyor noted that the oxygen tubing connected to both the portable tank and the concentrator was not dated, despite the facility's policy requiring weekly changes and dating of the tubing. The resident, who was cognitively intact, had medical diagnoses including chronic obstructive pulmonary disease and respiratory failure, and was observed using oxygen at three liters per minute. The surveyor's observations spanned several days, during which the resident's oxygen tubing remained undated. The Unit Manager/LPN confirmed that the tubing should be changed and dated every Sunday night, but could not explain why the tubing was not dated during the surveyor's observations. The Licensed Nursing Home Administrator and Acting Director of Nursing were informed of the issue, but no additional information was provided to address the deficiency. The facility's Oxygen Administration policy, revised in July 2023, mandates that staff date and initial tubing and humidifiers weekly, which was not adhered to in this case.
Failure in Hand Hygiene During Wound Care
Penalty
Summary
The facility failed to adhere to proper hand hygiene protocols during wound care for a resident with multiple ulcers. The resident, who was admitted with conditions including acute respiratory failure, metabolic encephalopathy, and muscle weakness, had a history of skin integrity issues and was at risk for pressure injuries. The resident's care plan included specific interventions for wound care, such as the use of Betadine and Dakins solutions for cleansing and dressing wounds on the feet and heel. On the day of the observation, a Licensed Practical Nurse (LPN) was seen performing wound care on the resident's left and right foot without following proper hand hygiene procedures. The LPN initially performed hand hygiene before donning gloves and a gown but failed to wash hands or use an alcohol-based hand rub between glove changes while treating the wounds. This lapse in protocol was acknowledged by both the LPN and the Unit Manager, who confirmed that hand hygiene should have been performed between each glove change. The Acting Director of Nursing (ADON) and the Licensed Nursing Home Administrator (LNHA) were interviewed and confirmed that the facility's expectations for hand hygiene were not met during the wound care process. The facility's Infection Control Policy emphasizes the importance of hand hygiene as a critical step in preventing healthcare-associated infections, highlighting the deficiency in the LPN's actions during the observed wound care session.
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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.
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Nursing homes near Tinton Falls
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Continuing Care At Seabrook | 0.6 mi | ★★★★★ | 0 | 0 |
| Imperial Care Center | 1.5 mi | ★★★★★ | 17 | 0 |
| Tower Lodge Care Center | 2.6 mi | ★★★★★ | 0 | 0 |
| Jersey Shore Post Acute Rehabilitation And Nursing | 2.9 mi | ★★★★★ | 0 | 0 |
| King Manor Care And Rehabilitation Center | 3.1 mi | ★★★★★ | 2 | 0 |
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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.