Above average — CMS composite of the measures below.
The next survey window likely opens around February 2027
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 Hampton Ridge Healthcare And Rehabilitation during CMS and state inspections, most recent first.
Improper Garbage Disposal and Uncovered Dumpsters: The facility failed to maintain a sanitary trash disposal area when a surveyor observed Garbage Disposal Area #2 with trash dumped on the ground and two dumpsters left uncovered. The debris included boxes, a chair, soiled adult briefs, PPE, cups, lids, gloves, masks, papers, pipes, and wooden pallets. The EC/FSD, HD, and LNHA stated garbage should be placed in dumpsters, dumpsters should remain covered, and the area should be kept free of debris; the EC/FSD also acknowledged the condition posed an odor and safety hazard and could harbor pests.
Surveyors found infection control failures involving uncovered respiratory equipment, improper PPE use during EBP care, and a urinary catheter drainage bag left on the floor. Multiple residents had nebulizer masks, mouthpieces, or oxygen tubing left exposed instead of stored in bags, two CNAs provided high-contact care without gowns despite EBP signage, and a resident's catheter bag was not kept off the floor as ordered.
A resident with dementia, depression, mixed anxiety disorder, and severely impaired cognition, who depended on staff for ADLs and communicated via written questions due to hearing impairment, reported that a male CNA had touched them inappropriately in the groin while providing a shower and that they had informed staff or the administrator shortly thereafter. The resident’s care plan was later updated to prohibit male CNAs, and documentation showed showers were provided by a male CNA on several occasions. The facility conducted an internal investigation and concluded there was no evidence to support sexual abuse, but did not notify the NJDOH as required by its abuse/neglect policy and state regulations, a failure confirmed by the DON and administrator during surveyor interviews.
Missing Pre-Employment Screening Documentation: The facility failed to complete and document required pre-employment screening for multiple hires, including reference checks and criminal background checks, before employment. Record review found 23 of 108 personnel files missing documented reference checks, and some files also lacked evidence of a completed background screening prior to the start date. HR stated that personal references were not routinely checked or documented, and the LNHA acknowledged the need for a check-off list going forward.
A resident receiving tube feeding was observed with the formula hanging from a pole and the label left blank, missing the resident’s name, room number, date, start time, and rate per hour. The resident’s orders called for enteral nutrition via pump at 65 ml/hr, and the care plan noted the resident was receiving enteral feedings to meet nutrition and hydration needs. An LPN UM acknowledged that the bottle should be dated and labeled, and facility policy required the feeding bag or bottle to be labeled with the start date/time, amount, and nurse’s initials.
A resident with a midline for IV fluids and a care plan for IV access complications had a dressing observed with a handwritten date that was not consistent with the ordered change schedule. The resident stated the dressing had not been changed since that date, and the DON later showed the surveyor the removed dressing and said a new dressing had been applied that day. Facility policy required midline dressings to be changed 24 hours after insertion and then every 5-7 days or as needed.
Failure to post the NHRCSR daily in a location readily accessible to residents and visitors. Surveyors observed an outdated staffing report posted in the front lobby, and the SC said she normally sends the report to the receptionist daily but forgot to send it over the weekend. The LNHA stated daily posting is important for families and prospective families, and the facility had no policy for daily posting.
Incomplete controlled drug documentation was identified when an LPN administered oxycodone to a resident and the CDS inventory sheet reflected the correct tablet count but did not include the date or time of administration. The MAR showed the medication was given at 8:28 AM, and the DON stated documentation is expected at the time the nurse administers the medication. The facility policy required declining inventory sheets to be signed when the medication is prepared for administration.
Medication Administration Error Rate Exceeded: An LPN prepared a resident’s scheduled metoprolol and, when folic acid was unavailable, used another resident’s prescribed folic acid tablet after stating that this was normal practice. The LPN also stated that morning medications may be given as late as 10:00 AM and was unsure about the one-hour administration window. Facility policy required medications to be given within one hour of the ordered time and prohibited giving one resident’s medication to another resident.
A facility failed to include necessary care for an indwelling catheter in a resident's care plan, despite the resident's medical conditions requiring it. Interviews with an LPN and the DON confirmed the omission, which was against the facility's policy for comprehensive care plans.
Improper Garbage Disposal and Uncovered Dumpsters
Penalty
Summary
The facility failed to provide a sanitary environment by improperly disposing of garbage and refuse in one of two garbage disposal areas and by leaving both garbage dumpsters uncovered. During a tour of Garbage Disposal Area #2, the surveyor observed trash dumped on the ground and two dumpsters filled with trash and left uncovered. The garbage on the ground was exposed to the environment and included boxes, a chair, a plastic bag containing soiled adult incontinence briefs and PPE, plastic cups, plastic lids, used gloves, masks, papers, plastic pipes, and wooden pallets. During interviews, the EC/FSD stated that garbage should be placed in the designated dumpsters and that the dumpsters should be kept covered at all times, and confirmed that garbage should never be discarded on the ground and that the area should be maintained in a safe and sanitary manner. The EC/FSD acknowledged that the improperly disposed garbage posed an odor and safety hazard and could harbor pests. The HD stated that trash had not been collected because of approximately two feet of snow, and the LNHA stated staff had not cleaned the garbage area because of poison ivy and that a landscaping company was contracted to clean the area. The facility policy titled Cleaning the Dumpster Area/Loading Dock Area stated that the dumpster and loading dock areas were to be kept free of refuse and waste food products, and that assigned staff were to pick up debris and trash in the immediate area and place it in the dumpster.
Infection Control Failures With Respiratory Equipment, EBP PPE, and Catheter Bag Placement
Penalty
Summary
The facility failed to follow infection prevention and control practices for respiratory equipment, enhanced barrier precautions, and urinary catheter drainage bag placement. Surveyors observed multiple residents with respiratory tubing, nebulizer masks, or mouthpieces left uncovered and exposed to air, including tubing resting on the floor, masks lying on bedside tables, and equipment not stored in protective bags between uses. These observations involved residents who had diagnoses such as respiratory failure, COPD, pneumonia, acute respiratory infection, and stroke, and several had physician orders directing that respiratory equipment be stored in a bag after use. For one resident, surveyors observed nasal cannula tubing on the floor with the prongs touching the floor and an unbagged nebulizer mask on the side table. For other residents, surveyors observed unbagged nebulizer masks or mouthpieces on bedside tables or holders, with the internal surfaces exposed. The record review showed active orders for nebulizer treatments and instructions to store masks in drawstring bags after each use, and facility staff, including the UM, IP, and DON, stated that respiratory tubing and masks should be bagged when not in use. The facility also failed to ensure proper PPE use under enhanced barrier precautions for two residents. Surveyors observed CNAs providing high-contact care, including transferring and bathing/showering one resident and hygienic care for another resident, without wearing gowns even though EBP signs were posted and gowns were available outside the rooms. In addition, surveyors observed a resident with an indwelling urinary catheter whose drainage bag was lying on the floor rather than being kept off the floor in a dignity/privacy bag. Staff interviews confirmed that the catheter bag should not be placed on the floor and should be kept in a dignity bag away from the doorway, and the resident's orders and care plan included catheter care and privacy bag use.
Failure to Report Allegation of Sexual Abuse to State Authorities
Penalty
Summary
The facility failed to report an allegation of sexual abuse to the New Jersey Department of Health (NJDOH) as required by regulation and its own abuse/neglect policy. A resident with diagnoses including dementia, depression, and mixed anxiety disorder, and with severely impaired cognition per the most recent MDS, was dependent on staff for ADLs such as toileting hygiene, showering, and lower body dressing. During a surveyor interview conducted using written questions due to the resident’s hearing impairment, the resident stated they preferred only female CNAs to provide care and reported that a few months earlier a male CNA, whose name sounded like a specific individual, had touched them inappropriately in the groin area while giving a shower. The resident indicated they had reported this incident to either someone who changed them or to the administrator on or shortly after the day it occurred. The resident’s care plan, revised at a later date, included an intervention specifying no male CNAs, and point-of-care documentation showed the resident received showers on multiple dates, which the DON identified as having been provided by a specific male CNA. The facility initiated an internal investigation, including interviews, staff statements, and record reviews, and concluded there was no evidence to support the allegation of sexual abuse. However, the investigation file contained no documentation that the NJDOH was notified of the allegation. In interviews, the DON described the facility’s process for handling abuse allegations, including reporting to NJDOH within specified time frames if an event is deemed reportable, and the administrator acknowledged that the allegation should have been reported to NJDOH but was not. The facility’s written policy required immediate notification (as soon as possible but not to exceed 2 hours) to the Department of Health and Senior Services and the Office of the Ombudsman for residents 60 or over, followed by a written report within 5 days, which was not followed in this case.
Missing Pre-Employment Screening Documentation
Penalty
Summary
The facility failed to ensure that pre-employment screening procedures were completed for employees prior to hire, including reference checks and/or criminal background screenings, in accordance with its abuse prevention policy. During record review, the surveyor requested personnel files for employees hired since the last annual recertification survey, and 23 of 108 files reviewed were found to be missing documented reference checks. These employees included staff hired as CNAs, NAs, LPNs, and housekeepers, with hire dates spanning from 10/2024 through 12/2025. One employee file also had no evidence of a completed criminal background screening prior to the start date, and another had no documented reference checks and no evidence of a completed criminal background screening prior to the start date. During interviews, HR stated that if applicants did not have work history they looked at the background check for possible employment, that personal references were not something she had thought of checking, and that some applicants were verbally vouched for by friends who were employees but nothing was documented in writing. The LNHA stated that background checks and references were important and acknowledged that going forward there would be a check-off list.
Incomplete labeling of enteral feeding formula
Penalty
Summary
A resident receiving enteral feeding was found to have incomplete formula labeling while the feeding was in progress. The resident’s MDS indicated tube feeding, and the physician’s order directed nutritional formula via electronic pump at 65 ml/hr for a total volume of 700 ml, with the tubing to be taken down when the total volume was completed. The care plan identified the resident as at risk for alteration in nutrition related to therapeutic diet and receiving enteral feedings to meet nutrition and hydration needs. During observation, the resident was asleep in bed while the feeding pump was connected and sounding a Caution Cassette Error. The nutritional formula was hanging from a mobile pole, and the label on the formula was not filled out at all; it was missing the resident’s name, room number, date, start time, and rate per hour. When asked about labeling, the LPN Unit Manager stated that the formula bottle does need to be dated, labeled, and filled out. The facility policy required the nurse to label the feeding bag or bottle with the date and time the feeding was started, the amount of the feeding, and the nurse’s initials, and to input the ordered rate and total volume into the pump before the initial feeding was started.
Midline Dressing Not Maintained per Order and Policy
Penalty
Summary
The facility failed to ensure that a midline dressing was changed and maintained in accordance with professional standards of practice and facility policy for Resident #101, who had an order for a midline/PICC IV dressing, extension set, and cap to be changed 24 hours after insertion and then every week and as needed. The resident also had an order for a midline to provide IV fluids for acute kidney injury, and the care plan identified a focus for potential complications related to IV access site, IV therapy due to antibiotic treatment and hydration. The resident’s quarterly MDS indicated cognitive intactness with a brief interview for mental status score of 15/15. On observation, the surveyor saw the resident in bed with a midline catheter in the right arm and a translucent adhesive dressing over the insertion site that was handwritten with the date 3/2. During interview, the resident stated that no one had changed the midline dressing since then. Later the same day, the surveyor observed that the old dressing had been removed and a new dressing dated 3/11/26 was applied. The DON showed the surveyor the removed dressing, which had been recovered from a trash can, and stated that the new dressing had been applied that day. The facility policy titled Catheter Insertion and Care stated that midline catheter dressings are to be changed 24 hours after insertion, every 5-7 days, or if wet, dirty, not intact, or compromised.
Failure to Post Daily Nursing Home Resident Care Staff Report
Penalty
Summary
The facility failed to routinely post the Nursing Home Resident Care Staff Report (NHRCSR) daily in a location readily accessible to residents and visitors, and the report states this had not been posted since 03/04/2026 for 4 days. On 03/08/2026, the surveyor observed an NHRCSR dated 03/04/2025 posted on a ledge to the left of the reception desk in the front lobby, showing day, evening, and night shift staffing with a census of 195 for each shift. During interview, the staffing coordinator stated she normally sends the NHRCSR to the receptionist daily and sends the whole weekend on Fridays, but said she was not there over the weekend and must have forgotten to send the schedule up to the receptionist. She also stated it is important to post daily so families can see the ratio of staff to residents. The LNHA later stated it is important to post the NHRCSR daily because families are interested in staffing ratios and prospective families may also view it. At the time of survey, the facility did not have a policy for the daily posting of the NHRCSR.
Incomplete Controlled Drug Documentation
Penalty
Summary
The facility failed to establish a system of records for controlled drugs in sufficient detail to allow an accurate reconciliation of controlled medication dispensing for 1 of 5 medication carts inspected. During observation of medication cart 1 on the North Wing unit, 6 oxycodone 5 mg tablets were seen in the blister pack inside the narcotic box for Resident #13. The oxycodone inventory sheet showed that 2 tablets had been administered, with a beginning balance of 8 and an ending balance of 6, matching the quantity remaining in the blister pack, but the record did not include the date or time of administration. When questioned, the LPN stated, "That was me rushing," and confirmed that the date and time were missing from the documentation. Review of Resident #13's MAR showed that the oxycodone was administered at 8:28 AM on 03/11/2026. The DON stated during interview that the expectation is for documentation to be completed at the time the nurse is administering the medication. The facility policy titled Controlled Dangerous Substance (CDS) Procedure, revised on 03/11/2026, stated that all CDS medication declining inventory sheets must be signed by the nurse administering the medication at the time the medication is prepared for administration.
Medication Administration Error Rate Exceeded
Penalty
Summary
The facility failed to ensure that medication error rates remained below 5 percent during medication administration for one resident on the North Wing. During observation, an LPN prepared a scheduled 8:00 AM dose of metoprolol for a resident and also prepared folic acid for the same resident. When the LPN found that the resident’s folic acid was not available, she asked whether she could use another resident’s prescribed folic acid tablet and stated, “That is what we normally do.” After being instructed to follow facility policy, she removed a folic acid tablet from a medication card labeled for another resident and placed it in the resident’s medication cup. During interview, the LPN stated that 7:00 AM and 8:00 AM medications can sometimes take until 10:00 AM to be administered and said she was unsure whether medications should be given after an hour had passed. She also stated that, rather than missing a resident’s dose, staff normally use another resident’s medication if it is the same. The LNHA stated the LPN should have met with the pharmacy, and the DON stated the physician could have been contacted for an order for an over-the-counter dose of folic acid. The facility policy stated medications must be administered according to the ordered time frame, within one hour of the prescribed time, and medications ordered for one resident may not be administered to another resident.
Failure to Include Indwelling Catheter Care in Resident's Care Plan
Penalty
Summary
The facility failed to develop and implement a comprehensive care plan for a resident with specific medical needs. Resident #5 was admitted with conditions including Benign Prostatic Hyperplasia and Obstructive and Reflux Uropathy, and had an indwelling catheter as noted in the Minimum Data Set. However, the resident's care plan did not include any focus area or interventions related to the care of the indwelling catheter, which is a critical aspect of managing the resident's medical condition. Interviews with facility staff, including an LPN and the Director of Nursing, confirmed that the care plan should have included specific focus on indwelling catheter care and risk for infection. The facility's policy on comprehensive person-centered care plans also mandates the inclusion of measurable objectives and timetables to meet the resident's needs, which was not adhered to in this case. This oversight was identified during a survey, highlighting a deficiency in the facility's care planning process.
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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 Toms River
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Childrens Specialized Hospital Toms River | 0 mi | ★★★★★ | 0 | 0 |
| Complete Care At Green Acres | 0.8 mi | ★★★★★ | 0 | 0 |
| Rose Garden Nursing And Rehabilitation Center | 1.3 mi | ★★★★★ | 20 | 1 |
| Complete Care At Bey Lea, Llc | 2 mi | ★★★★★ | 13 | 0 |
| Shore Gardens Rehabilitation And Nursing Center | 2 mi | ★★★★★ | 2 | 0 |
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