Average — CMS composite of the measures below.
A standard survey is most likely before around September 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 Laurelton, Llc during CMS and state inspections, most recent first.
A resident with schizophrenia, muscle wasting, difficulty walking, and moderate cognitive impairment was discharged home despite prior documentation that their house had no utilities, was in disarray, and had insect infestation. The IDT discussed the need to repair a burst water pipe and relied on the resident’s assurance that repairs would occur, but did not verify that plumbing, heat, or utilities were restored before discharge. Discharge instructions referenced HHA and APS involvement and anticipated HVAC repairs, yet were unsigned, and the HHA later confirmed it had declined the referral and notified the facility. The resident ultimately left via cab without signing the discharge summary, and there was no documented APS referral or confirmation of home safety. After discharge, PD and a social worker found the resident in a home without running water or heat, with limited electricity and expired food, and observed the resident could only descend stairs by scooting on their buttocks, leading to the determination that the facility failed to ensure a safe discharge destination in accordance with its own policy.
A resident with advanced respiratory conditions did not receive a scheduled dose of Morphine Sulfate as ordered for air hunger, and there was no documentation of administration or refusal on the eMAR. Staff interviews and record reviews confirmed that the medication was not given and that this violated both professional standards and facility policy requiring timely administration and documentation of all medications.
The facility did not have an RN on duty for at least eight consecutive hours on one reviewed day, as required by policy and regulation. Staffing reports confirmed the absence of RN coverage for all shifts on that day.
A resident's medication was frequently administered late, contrary to physician orders, as evidenced by the eMAR. The resident reported dissatisfaction with the timing, and staff interviews confirmed the issue. Despite the delays, no harm was documented.
The facility did not meet the required CNA staffing ratios for the day shift as mandated by New Jersey law. Over a two-week period, the facility was understaffed on 9 out of 14 day shifts, with the most significant shortfall occurring when only 5 CNAs were available for 98 residents, requiring at least 12 CNAs.
Failure to Ensure Safe Discharge Home for Cognitively Impaired Resident
Penalty
Summary
The deficiency involves the facility’s failure to ensure a safe and appropriate discharge home for a resident with schizophrenia, muscle wasting, difficulty walking, and moderate cognitive impairment (BIMS 11/15). The resident had been admitted from an inpatient psychiatric facility after being found by neighbors living in deplorable conditions at home, including a burst water pipe causing water to leak from the house, utilities turned off, the house in complete disarray, and insect infestation. Hospital psychological and social services documentation noted the resident was disheveled, malodorous, had not showered in five years due to fear of slipping, had poor functional status, and had no insight into their condition or deterioration. The facility’s own Social Services Assessment reiterated that the resident’s home had no electricity or water and was in deplorable condition prior to admission. During the stay, the resident’s care plan documented a goal to return to the community and interventions to evaluate and discuss prognosis for independent or assisted living, including identifying and addressing limitations, risks, and needs for maximum independence. The Social Services Director (SSD) and Administrator discussed with the resident the need to fix the broken water pipe before discharge and delayed discharge for the resident to arrange repair. The DON reported receiving a call from the local police department (PD) stating the building was no longer red taped and that the resident could go home anytime if the water pipe was fixed, but this conversation was not documented in the electronic medical record. The SSD stated that the resident was adamant the house was safe to return to and that she arranged home health care and transportation for discharge, relying on the resident’s report that repairs would occur on the day of discharge. The facility did not verify that the water pipe or utilities had actually been repaired or that the home environment was safe before discharge. On the day of discharge, the discharge instructions indicated the resident was to go home via ambulette, that a home health agency (HHA) and Adult Protective Services (APS) would be called for home care, and that an HVAC company would be on-site for repairs the next day per the resident. The discharge instructions were not signed by a nurse or the resident. A progress note documented that the resident left the facility via cab, left before signing the discharge summary, and that attempts to contact the resident afterward were unsuccessful. The HHA later confirmed that it had declined the referral and had notified the facility by email, meaning no home health services were in place. APS confirmed that the conversation with the SSD was not a formal referral and that there was no open APS case or follow-up visit. After discharge, the local PD and a social worker hired by the PD found the resident at home with no running water, no working heat, limited electricity, expired food, and unable to walk down the stairs except by scooting on their buttocks. The PD subsequently contacted the facility questioning why the resident had been discharged home under those conditions. The facility’s own policy required that discharge destinations meet health and safety needs, that unsafe settings be treated similarly to refusal of care with documentation of options offered, and that AMA and APS referral procedures be followed when appropriate; these requirements were not met in this case, leading to the cited deficiency for failure to ensure a safe discharge.
Failure to Administer and Document Ordered Medication
Penalty
Summary
The facility failed to follow professional standards of clinical practice and its own policy regarding medication administration for a resident with significant respiratory conditions, including acute and chronic respiratory failure, COPD, and hypertension. The resident, who was cognitively intact, had a physician order for Morphine Sulfate oral solution to be administered four times daily for air hunger. Review of the electronic Medication Administration Record (eMAR) and the controlled substance administration record revealed that the 4:00 A.M. dose was not administered as ordered, and there was no documentation of administration or resident refusal for that dose. Interviews with facility staff confirmed that medications should be administered and documented according to physician orders and facility policy, with no blank spaces left on the eMAR. The Director of Nursing verified that the blank space on the eMAR indicated the medication was not given as ordered. The facility's policy requires that all medications be signed for after administration, and the failure to do so for this resident's Morphine dose constituted a breach of both professional standards and facility policy.
Failure to Provide Required RN Coverage
Penalty
Summary
The facility failed to ensure that a Registered Nurse (RN) was on duty for at least eight consecutive hours in a 24-hour period for one of the 21 days reviewed. Specifically, review of the facility's Nurse Staffing Reports showed that there was no RN coverage for any shift on one particular day. The facility's own policy, updated in March 2025, requires sufficient staffing with appropriate competencies to assure resident safety and well-being, taking into account census, acuity, and resident diagnoses. This deficiency was identified through interviews and document review conducted by surveyors.
Medication Administration Delays
Penalty
Summary
The facility failed to provide pharmaceutical services in accordance with professional standards of practice by not ensuring that a medication was administered to a resident in a timely manner as ordered by a physician. The medication in question was to be administered before meals, but it was frequently given late, as evidenced by the electronic Medication Administration Record (eMAR) for Resident #1. The report details multiple instances where the medication was administered significantly later than the scheduled times, which were supposed to be at 7:30 a.m., 11:30 a.m., 4:30 p.m., and 9:00 p.m. Resident #1, who was admitted to the facility with various diagnoses, reported that their medication was often administered late, particularly in the morning. This was confirmed through interviews with the resident and staff, as well as a review of the eMAR. The resident expressed dissatisfaction with the timing of their medication administration, indicating that it had been a frequent issue over the past month. Interviews with nursing staff revealed that the facility's electronic system for medication administration involved marking medications as administered by changing the status from yellow to green in the eMAR. However, there was no documentation in the resident's progress notes indicating that the attending physician was notified of the late administration of medications. Despite the delays, there was no evidence of harm to the resident from the late administration of medications.
Plan Of Correction
Residents affected by deficient practice: The Facility failed to provide pharmaceutical services in accordance with professional standards of practice by not ensuring that a medication [R] an [R] medication, was administered to a resident, Resident #1, in a timely manner as ordered by a physician. Resident #1, MD was notified by Unit Manager and resident was assessed with [R] noted. Identify those individuals who could be affected by the deficient practice: All Residents receiving [R] have the potential to be affected. A facility-wide audit was conducted on 12/23/2024 to ensure all residents receiving [R] had appropriate orders and documentation in the Electronic Medical Records. No concerns were identified. What corrective action will be accomplished for those residents affected by the deficient practice: The Director of Nursing/designee provided education to Licensed Nurses on the policy of Medication Administration and the importance of following Physician orders, and notifying Residents attending Physician. The education was initiated on 12/23/2024 and will be ongoing. Measures or systemic changes to ensure that the deficiency will not recur: Director of Nursing or designee will audit Physician orders and Medication Administration records for three Residents receiving Sucralfate, weekly x4 weeks then monthly x 2 months. Results of the audit will be reviewed by the Director of Nursing or designee at the monthly Quality Assurance Meeting and Quarterly meeting over the duration of the audit process in the next 3 months. Based on the results of these audits a decision will be made regarding the need for continued submissions and reporting.
Failure to Meet CNA Staffing Ratios
Penalty
Summary
The facility failed to meet the mandatory staffing ratios as required by the State of New Jersey, specifically for the day shift. According to the New Jersey Department of Health memo dated 01/28/2021, the law mandates a minimum of one Certified Nurse Aide (CNA) for every eight residents during the day shift. However, during the survey conducted on 12/23/2024, it was found that the facility did not comply with these staffing requirements for 9 out of 14 day shifts between 12/01/2024 and 12/14/2024. The specific instances of non-compliance included having fewer CNAs than required for the number of residents present. For example, on 12/01/2024, there were 12 CNAs for 101 residents, whereas at least 13 CNAs were needed. Similar deficiencies were noted on other days, with the most significant shortfall occurring on 12/10/2024, when only 5 CNAs were available for 98 residents, requiring at least 12 CNAs. This consistent understaffing indicates a failure to adhere to the mandated staffing ratios, which is a violation of the state law.
Plan Of Correction
Residents affected by deficient practice: Facility failed to ensure staffing ratios were met to maintain the required minimum staff-to-resident ratio. No Residents were identified. Identify those individuals who could be affected by the deficient practice: All Residents have the potential to be affected. All Residents were monitored for any adverse effects with none noted. Director of Nursing, Human Resources, and Staffing Director were educated on the minimum staffing requirements by the administrator on 1/16/2025. What corrective actions will be accomplished for those residents affected by the deficient practice: The facility implemented an expedited, but robust onboarding process. The facility will use agency staff as needed to meet staffing needs. The facility will continue to participate in biweekly recruitment calls to review open positions, recruitment tactics, and changes to improve outcomes. All these efforts will provide an opportunity to meet the required staffing minimums. Measures or systemic changes to ensure that the deficiencies will not occur: Administrator/Designee will conduct two audits weekly for four weeks, then twice monthly for two months to ensure adequate staff is scheduled to accommodate resident needs. Results of the audits will be reviewed at the monthly quality assurance performance improvement meeting, and quarterly over the duration of the audit process 3 months to ensure compliance. Based on the results of these audits, a decision will be made regarding the need for continued submission and reporting.
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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 Brick
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Complete Care At Brick Llc | 0.4 mi | ★★★★★ | 14 | 0 |
| Willow Springs Rehabilitation And Healthcare Ctr | 1 mi | ★★★★★ | 14 | 0 |
| Concord Healthcare & Rehabilitation Center | 2.4 mi | ★★★★★ | 6 | 0 |
| Complete Care At Shorrock | 3.9 mi | ★★★★★ | 9 | 0 |
| Crest Pointe Rehabilitation And Healthcare Center | 3.9 mi | ★★★★★ | 10 | 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.