Above average — CMS composite of the measures below.
A standard survey is most likely before around October 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 Complete Care At Green Acres during CMS and state inspections, most recent first.
The facility did not maintain complete and accurate medical records for three residents, including missing or inconsistent documentation of transfer reasons and wound descriptions. Staff interviews revealed confusion about proper documentation requirements, and facility policies for transfer notices and skin assessments were not consistently followed.
Antibiotic Stewardship Program Deficiency: A resident with a history of heart failure was noted to have stayed in a wheelchair all night for two nights, prompting staff to notify the MD and obtain a UA and urine culture. The culture grew E. coli, and Bactrim DS was ordered, but the infection surveillance form was incomplete and indicated UTI criteria were not met; the RCD and IP confirmed the UA/C&S should not have been obtained based on the resident staying up in the wheelchair.
A CNA in a LTC facility was observed performing hand hygiene incorrectly, failing to use a paper towel to turn off the faucet as per CDC guidelines and facility policy. Despite receiving training and completing a hand hygiene course, the CNA did not adhere to the correct procedure, as confirmed by interviews with the IP and DON.
Incomplete and Inaccurate Medical Record Documentation
Penalty
Summary
The facility failed to maintain complete and accurate medical records for three out of 32 sampled residents, resulting in discrepancies and omissions in resident documentation. For one resident with heart failure, hypertension, and stroke, the electronic medical record (EMR) included progress notes describing a significant change in condition and subsequent transfer to the hospital, but the Notice of Emergency Transfer listed only 'General Weakness' as the reason for transfer, lacking specific clinical details. Another resident with bilateral above-the-knee amputation was transferred to the hospital for unrelieved pain, but the admission Minimum Data Set (MDS) was not completed prior to transfer, and the transfer documentation inconsistently listed the reason for transfer as 'Evaluation' rather than the specific clinical issue. Interviews with facility staff revealed that transfer paperwork was sometimes completed retrospectively and that staff misunderstood the requirement to document the specific reason for transfer. Additionally, a resident with an unstageable pressure ulcer of the sacral region had no documentation of the wound on the admission MDS, despite nursing progress notes indicating the presence of a pressure sore. An LPN acknowledged that the wound's appearance should have been documented, and the Director of Nursing confirmed that wound descriptions are required. Facility policies reviewed indicated that transfer/discharge notices must include the specific reason for transfer and that skin assessments should describe wounds, but these requirements were not consistently followed.
Antibiotic Stewardship Program Deficiency
Penalty
Summary
The facility failed to have an Antibiotic Stewardship Program that followed current standards of practice for prescribing an antibiotic for one resident reviewed for antibiotic stewardship. The facility’s policy stated that infection surveillance would use CDC NHSN Long Term Care Criteria, updated McGeer criteria, or other nationally recognized surveillance criteria to define infections. For the resident involved, the face sheet listed a history of heart failure, and nursing progress notes documented that the resident stayed in a wheelchair all night for two nights and that the medical doctor was notified by text and awaited response. The record also showed that a urinalysis and urine culture were obtained, with the urine culture later reporting Escherichia coli at 50,000 to 100,000 colonies. A nursing progress note then documented a new order for Bactrim DS twice daily for 7 days, and the power of attorney was made aware. However, the facility’s untitled infection surveillance form was not completed and indicated that UTI criteria were not met. During interview, the Regional Clinical Director and Infection Preventionist confirmed that obtaining a urinalysis with culture and sensitivity should not have been based on the resident staying up in a wheelchair all night, even though they stated this behavior was abnormal for the resident.
Improper Handwashing Technique Observed
Penalty
Summary
The facility failed to ensure proper handwashing techniques were followed according to their policy and CDC guidelines, as observed during a survey on 07/09/2024. This deficiency was identified with a Certified Nursing Assistant (CNA #1) who was observed performing hand hygiene incorrectly on two occasions. The CNA turned the water on and off using the faucet knob, applied soap, and performed hand friction for 20 seconds, but did not use a paper towel to turn off the faucet, which is against the facility's policy and CDC guidelines. The CNA stated she received an in-service on handwashing during a recent COVID-19 outbreak but did not follow the correct procedure. Interviews with the Infection Preventionist (IP) and the Director of Nursing (DON) revealed inconsistencies in the handwashing training provided to staff. The IP admitted that during the recent outbreak, the actual procedure for handwashing was not reviewed with the staff, although they signed an in-service sheet. The DON confirmed the expectation for staff to follow the facility's handwashing policy, which includes using a paper towel to turn off the faucet after drying hands. Despite having completed a hand hygiene course and clinical competency validation, CNA #1 did not adhere to the proper handwashing protocol, contributing to the deficiency.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 387 citations issued within 25 miles in the last 12 months — including the 18 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
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Toms River
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Hampton Ridge Healthcare And Rehabilitation | 0.8 mi | ★★★★★ | 9 | 0 |
| Childrens Specialized Hospital Toms River | 0.8 mi | ★★★★★ | 0 | 0 |
| Shore Gardens Rehabilitation And Nursing Center | 1.5 mi | ★★★★★ | 2 | 0 |
| Harrogate Village | 1.7 mi | ★★★★★ | 15 | 0 |
| Rose Garden Nursing And Rehabilitation Center | 1.8 mi | ★★★★★ | 20 | 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.