Above average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
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 Barclays Rehabilitation And Healthcare Center during CMS and state inspections, most recent first.
A resident with dementia and Type 2 DM had physician orders for sliding-scale insulin lispro before meals, but the eMAR was plotted at times that did not match meals and had no area to document the dinner dose. Nursing staff and the DON confirmed the timing was incorrect, the resident was not receiving the dinner-time insulin lispro for most of the reviewed days, and an evening LPN stated she had only been checking blood glucose rather than giving the ordered dinner dose.
The facility failed to timely respond to a CP’s monthly recommendations for a resident with dementia and DM. The resident’s insulin lispro sliding scale order and eMAR times did not match mealtimes, and CP reports repeatedly noted the insulin should be given within 15 minutes before or immediately after meals. An LPN and the DON both acknowledged the eMAR timing was incorrect, and the DON stated the CP reports had not been reviewed for three months until surveyor inquiry.
The facility failed to document that two residents and/or their RPs were informed about ADs or offered educational material upon admission. One resident had diagnoses including epilepsy, DM, altered mental status, and cerebral infarction with a BIMS of 9/15, while the other had atrial fibrillation and cerebral infarction with a BIMS of 15/15 and stated no one had spoken to them about ADs and they wanted information. The DON stated the facility relied on POLST forms for code status and acknowledged that AD discussions were not documented for either resident.
A resident with hemiplegia, hemiparesis, CVA, and depression had a wheelchair that was visibly dirty with food-like debris and a worn-through right armrest with exposed padding. The resident also had bathroom floor molding hanging off the wall. The CNA did not notice the issues, while the LPN acknowledged the soiled wheelchair, needed armrest repair, and loose molding; the resident stated he would not refuse wheelchair cleaning and wanted it cleaned more.
A resident with moderate cognitive impairment reported that agency CNAs were stealing perfume and soap from a locked drawer, and the resident’s representative said the issue had been reported to the LNHA months earlier. Staff interviews showed the complaint was known to multiple employees, but the LNHA did not investigate or report the allegation to NJDOH or police, stating he did not have a time frame. The facility policy required immediate reporting of alleged misappropriation of resident property.
A resident with ESRD, HTN, and moderate cognitive impairment reported that agency CNAs were entering a locked drawer and stealing personal items such as perfume and soap. The resident and RP said the allegations were reported to the LNHA and nursing staff, but the items were not replaced, police were not notified, and no written statements or completed investigation were obtained. Staff interviews showed inconsistent awareness of the complaints, and the LNHA admitted he did not investigate or report the missing property allegation as required by facility policy.
A resident with COPD and moderate cognitive impairment was admitted on oxygen, but the facility did not obtain a physician order until later and the resident was documented as receiving O2 without an order. Surveyors observed the resident on 3.5 L via NC even though the order and care plan reflected 2 L continuously, and an LPN confirmed the concentrator was set to the wrong dosage.
Incorrect Insulin Timing and Missing Dinner Dose Documentation
Penalty
Summary
The facility failed to provide necessary treatment services consistent with professional standards of practice for a resident with dementia, severe cognitive impairment, and Type 2 diabetes mellitus. The resident had physician orders for insulin lispro sliding scale before meals, Basaglar at bedtime, and blood sugar checks twice daily. The resident was observed confused and unable to respond during the surveyor’s visit, and the record showed the resident was receiving hypoglycemic medication during the assessment period. Review of the eMAR showed the insulin lispro order was plotted at times that did not match the meal schedule. The breakfast, lunch, and dinner timing on the eMAR did not align with the physician’s order for insulin to be given before meals, and there was no designated area to document the dinner blood sugar or the corresponding insulin dose. Nursing staff confirmed the mismatch between the order and the eMAR, and the DON acknowledged the eMAR timing did not reflect the appropriate mealtime schedule. The DON also confirmed that the resident did not receive the dinner-time insulin lispro dose on 30 of 31 days in July and on 18 of 18 days in August, and stated there was no way to know whether a 4:00 PM dose had been given because there was no plotting area for it. The evening LPN stated the dinner-time insulin lispro dose had been restarted but that for about the prior month the resident had only been monitored for blood glucose and had not been given the dinner-time insulin lispro. The consultant pharmacist stated the insulin should have been timed within 15 minutes of meals and that the plotted times appeared incorrect. The Medical Director also stated the order was confusing and that he had learned of the incorrect insulin order from the DON.
Delayed Response to Consultant Pharmacist Recommendations for Insulin Timing
Penalty
Summary
The facility failed to respond in a timely manner to the Consultant Pharmacist’s monthly recommendations for Resident #24, who was admitted with diagnoses including dementia with agitation, major depressive disorder, and Type 2 diabetes. The resident was observed on 8/15/2025 seated in a wheelchair, self-propelling down the hallway, talking to themselves, appearing confused, and not responding when the surveyor attempted to interview them. The medical record showed an order for insulin lispro sliding scale before meals, and the eMAR reflected administration times of 7:30 AM, 8:00 AM, and 11:00 AM. The Consultant Pharmacist’s Nursing Summary Reports from 5/15/25, 6/13/25, and 7/15/25 each recommended that insulin lispro be administered within 15 minutes before a meal or immediately after a meal. During interview, an LPN acknowledged the eMAR administration times did not coincide with the physician order for pre-meal administration and stated the eMAR should be changed to reflect the appropriate times. The DON confirmed the timing on the eMAR did not reflect the mealtime schedule and acknowledged the CP reports had not been reviewed for the three months until surveyor inquiry. The Medical Director later stated he had been informed the resident had an incorrect insulin order and described the order as confusing.
Failure to Offer Advance Directive Education and Documentation
Penalty
Summary
The facility failed to inform and offer educational material regarding Advance Directives (AD) to two residents and/or their legal representatives upon admission. For Resident #25, the record showed diagnoses including epilepsy, diabetes mellitus, altered mental status, and cerebral infarction, with a BIMS score of 9/15 indicating moderately impaired cognition. The resident was listed as Full Code, but there was no documentation that the facility determined whether an AD existed or whether the resident or resident representative wished to formulate one. There was also no New Jersey Practitioner Orders for Life-Sustaining Treatment (POLST) in the record. For Resident #24, the admission record showed diagnoses including atrial fibrillation and cerebral infarction, and the resident was listed as Full Code. The record contained a POLST signed by the resident representative on 6/2/2025, and the resident had a BIMS score of 15/15, indicating cognitive intactness. However, there was no documented evidence on admission that the facility determined whether the resident had an AD or, if not, whether the resident was offered the opportunity to formulate one. When interviewed, Resident #24 stated that no one had spoken to them about AD and that they would like information about it. During interviews, the DON stated that the POLST could take the place of an AD and that the facility relied on POLST forms for code status orders. He also stated he was not aware of documentation or education provided about AD when no AD existed, and acknowledged that Social Services should have met with new admissions to discuss AD. The LNHA, DON, and CNO later acknowledged that Residents #24 and #25 did not have AD discussions documented and that AD should have been addressed upon admission. The facility policy stated that upon admission residents and/or their responsible party are asked if an AD or Living Will exists, and if not, a mentally competent resident is asked whether they wish to complete one and is given information about their rights regarding AD/Living Will.
Dirty wheelchair, damaged armrest, and loose bathroom molding
Penalty
Summary
The facility failed to maintain a resident's wheelchair, wheelchair right armrest, and bathroom in a clean and homelike condition for Resident #44, who was admitted with hemiplegia, hemiparesis, cerebral infarct, and major depressive disorder. During the initial tour, the resident stated that the wheelchair was pretty dirty and was unsure when it had last been cleaned. The surveyor observed visible debris and food-like particles on the wheelchair, and the right armrest was worn through with exposed padding. The surveyor also observed approximately eight inches of rubber-like floor molding hanging off the wall in the resident's bathroom. The CNA assigned to the resident stated wheelchairs were cleaned regularly but did not notice dirt, damage, or the hanging molding. The LPN caring for the resident acknowledged that the wheelchair was soiled, the armrest needed repair, and the bathroom molding was hanging loose. The Maintenance Director later stapled the molding back onto the wall and stated room audits were conducted weekly, while the Housekeeping Director and Director of Physical Therapy described wheelchair cleaning and repair coordination but did not document refusals. The resident stated, "I would never refuse to have my wheelchair cleaned, I want it cleaned more."
Failure to Immediately Report Alleged Misappropriation of Resident Property
Penalty
Summary
The facility failed to immediately report an allegation of misappropriation of resident property involving a resident with end stage renal disease, hypertension, and moderate cognitive impairment. The resident’s quarterly MDS dated 8/8/25 showed a BIMS score of 10 out of 15, and the care plan did not reflect accusatory behavior or fabricated stories. During interview, the resident stated that agency CNAs were breaking into a locked drawer and stealing personal items such as perfume and soap, and that the administration and nurses were aware but had not done anything about it. The surveyor observed that the lock on the drawer was broken. The resident stated that the missing soap had been reported to nursing staff and CNAs, that police were not notified, and that the items were not replaced. The resident’s representative stated that the resident had reported the missing perfume to the LNHA in May and that the theft had been ongoing since then. The representative also stated that the facility did not have the resident or representative complete paperwork or statements, police were not notified, and no one from the facility followed up with a conclusion of the investigation. Staff interviews reflected that the resident had reported missing soap and perfume to multiple staff members, and one CNA stated she was aware another CNA had been looking for the resident’s missing soap. The DON stated that the process for misappropriation allegations included an incident report, staff and resident statements, and reporting to DOH within 2 hours. The LNHA stated that he did not investigate or report the missing perfume allegation because he did not have a time frame, and later admitted he should have reported the allegation to NJDOH within two hours and called the police. He also stated he should have obtained statements from staff, the resident, and other alert residents in the area. The facility policy stated that allegations of misappropriation of resident property were to be reported immediately to the Administrator/designee and to other officials in accordance with state law, including the state survey and certification agency.
Failure to Investigate Alleged Misappropriation of Resident Property
Penalty
Summary
The facility failed to implement its abuse policy and to thoroughly and timely investigate an allegation of misappropriation of property involving a resident with end stage renal disease, hypertension, and moderate cognitive impairment. The resident’s quarterly MDS dated 8/8/25 showed a BIMS score of 10/15 and noted behaviors such as refusal of care. The care plan did not reflect accusatory behavior or fabricated stories. The resident reported that agency CNAs were breaking into a locked drawer and stealing personal items, including perfume and soap, and stated that administration and nursing staff were aware but had not acted. The surveyor observed that the drawer lock was broken. The resident told the surveyor that missing soap had been reported to nursing staff and CNAs, that police were not notified, and that the items were not replaced. The resident’s representative stated that the theft of soap and perfume had been reported to the LNHA months earlier, that the perfume had been purchased for the resident and later went missing, and that the facility did not have the resident or representative complete statements or paperwork. The representative also stated that police were not notified and that no one from the facility followed up with a conclusion of any investigation. Staff interviews reflected inconsistent awareness of the allegations, with one CNA stating she had not been told of theft complaints, while another CNA said the resident had reported missing perfume months earlier and missing soap on 8/11/25. The RN stated that the resident reported missing soap that morning and that the LNHA had come to see the resident about the complaint. The DON stated he was not aware of the missing items until the soap complaint was raised and described the process for misappropriation investigations as including incident reports, interviews, written statements, and notification to family and DOH within 2 hours. The DOM stated the LNHA had instructed him to place a lock on the resident’s drawer after the perfume issue, but he did not recall the date. The LNHA admitted he did not investigate or report the missing perfume allegation because he did not have a time frame, and acknowledged he should have reported it to NJDOH within 2 hours, called police, and obtained statements from staff, the resident, and other witnesses. The facility policy required timely and thorough investigation of alleged abuse, neglect, mistreatment, and misappropriation of property, including documentation and statements from relevant individuals.
Incorrect Oxygen Administration and Delayed Physician Order
Penalty
Summary
The facility failed to provide safe and appropriate respiratory care for one resident with COPD and depression who was admitted with moderate cognitive impairment and dependence on staff for all ADLs. The admission MDS dated 6/25/2025 indicated the resident was not on continuous or intermittent oxygen, yet progress notes documented that the resident had been receiving oxygen since 6/20/2025. A physician order for oxygen was not obtained until 7/1/2025, even though the resident had already been admitted on oxygen at 2 liters via nasal cannula. During survey observations on 8/13/2025 and 8/14/2025, the resident was seen in the room receiving oxygen via nasal cannula set at 3.5 liters per minute. The resident stated she was not sure how much oxygen should be administered, and the respirations were even and unlabored. The physician order summary and TAR reflected oxygen at 2 liters continuously, and the LPN confirmed that the concentrator was set incorrectly at 3.5 liters and that this was the wrong dosage. The MDS Coordinator/RN also confirmed that the resident had been receiving oxygen from 6/20/2025 until 7/1/2025 without a physician's order.
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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 Cherry Hill
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Dwellside Care And Rehab | 1.1 mi | ★★★★★ | 2 | 1 |
| Laurel Brook Rehabilitation And Healthcare Center | 1.6 mi | ★★★★★ | 9 | 0 |
| Silver Healthcare Center | 1.8 mi | ★★★★★ | 2 | 1 |
| Premier Cadbury Of Cherry Hill | 2.1 mi | ★★★★★ | 27 | 0 |
| Palace Rehabilitation And Care Center, The | 2.3 mi | ★★★★★ | 27 | 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.