Above 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 Manor, The during CMS and state inspections, most recent first.
Surveyors found that kitchen equipment and food storage areas were not maintained in a clean and sanitary manner, including a slicer with food debris, unlabeled and unsealed food boxes in the freezer, dirty stove and griddle trays, a soiled utensil cart, a chipped and dirty can opener blade, and ice machines with visible discoloration. Facility leadership and staff acknowledged these issues and confirmed they were not in line with facility policy.
A resident with a PICC line for IV antibiotic therapy, admitted with multiple diagnoses including osteomyelitis and heart failure, did not have the PICC line addressed in their individualized care plan. Despite physician orders for PICC line care and confirmation from the RN/UM that such care should be care planned, the omission was identified during a survey and was not explained by facility staff.
A resident with chronic heart failure and chronic kidney disease was receiving hospice care without a required physician order. The care plan documented hospice services, but the physician order summary only included orders for hospice education and a palliative consult, not hospice care itself. The DON confirmed that a physician order is necessary for hospice enrollment, and the facility's policy did not require such an order before starting hospice services.
A resident with COPD and emphysema did not have their oxygen and nebulizer tubing labeled or dated as required, and there was no documentation of when the equipment was last changed. Staff confirmed that facility policy and physician orders required weekly changes and proper labeling, but these procedures were not followed.
Surveyors found that the facility did not follow pharmacy consultant recommendations for two residents, resulting in medication orders not being updated as advised. Recommendations regarding clarification and administration of medications, including pain management and specific dosing instructions, were not implemented or properly documented, despite facility policy requiring timely review and action by nursing and medical staff.
Failure to Maintain Kitchen Equipment and Food Storage in Sanitary Condition
Penalty
Summary
Surveyors observed multiple failures in maintaining kitchen equipment and food storage areas in a clean and sanitary manner. The slicer was found with food debris under the blade and on the food holder prongs, and the Food Service Director (FSD) acknowledged it was not cleaned according to facility policy. In the walk-in freezer, two open boxes of food were found unlabeled and unsealed, contrary to policy requirements for labeling with name, date of opening, and discard date. The six-burner stove and griddle catch trays had significant food sediment, burnt liquid, and peeling foil, all of which the FSD confirmed were not cleaned as per policy. Additionally, a utensil cart contained trays with crumbs and debris, and the can opener blade was chipped and soiled, with no maintenance log or replacement blades available. Further inspection of unit kitchenettes revealed both ice machines had brown and black discoloration inside the water and ice dispensers, which was acknowledged by the DON and Infection Preventionist as inappropriate. The Maintenance Director also confirmed that equipment should be cleaned and maintained per policy, and the LNHA acknowledged the surveyors' concerns after reviewing photographic evidence. Review of facility policies confirmed requirements for cleaning and labeling that were not followed, leading to the cited deficiencies.
Failure to Address PICC Line in Resident Care Plan
Penalty
Summary
The facility failed to develop and implement a comprehensive, person-centered care plan for a resident with a peripherally inserted central catheter (PICC) line. The resident, who was admitted with diagnoses including osteomyelitis, congestive heart failure, and hypertension, was receiving intravenous antibiotic treatments via the PICC line. Despite having an active physician order for PICC line dressing changes and daily intravenous antibiotics, there was no documented evidence that the PICC line was addressed in the resident's individualized comprehensive care plan. During the survey, the resident was observed with the PICC line in place and was cognitively intact according to the Minimum Data Set assessment. The Registered Nurse/Unit Manager confirmed that residents with a PICC line should have this addressed in their care plan and stated that Unit Managers are responsible for initiating and updating care plans. However, the RN/UM could not explain why the PICC line was not included in the care plan. Review of facility policy indicated that care plans should be based on admission orders and information from the transferring provider, but this was not followed in this case.
Failure to Obtain Physician Order for Hospice Care
Penalty
Summary
The facility failed to follow professional standards of clinical practice by not obtaining a physician's order for hospice care for a resident who was receiving hospice and end-of-life care. The resident, who was cognitively intact and had diagnoses including chronic heart failure and chronic kidney disease, was documented in the care plan as having a terminal prognosis and was receiving hospice services. However, a review of the physician order summary revealed that while there were orders for hospice education and a palliative consult, there was no specific physician order for hospice care at the time hospice services were initiated. During interviews, the DON confirmed that a physician's order is required for residents enrolled in hospice care, and acknowledged that such an order was missing for this resident. The facility's hospice care policy did not specify the need to obtain a physician's order prior to starting hospice services. The deficiency was identified when the surveyor reviewed the resident's records and discussed the findings with facility leadership.
Failure to Label and Change Respiratory Tubing as Required
Penalty
Summary
The facility failed to provide necessary and appropriate respiratory care for a resident with emphysema and COPD, as evidenced by the lack of proper labeling and dating of oxygen and nebulizer tubing. Observations over two consecutive days revealed that the resident's oxygen tubing and nebulizer tubing were not labeled or dated, despite the resident requiring continuous oxygen and intermittent nebulizer treatments. The resident was unable to recall when the tubing was last changed, and there was no documentation or visible indication of when the equipment had been replaced. A review of the resident's medical record showed a physician's order to change the nasal cannula weekly, but this order was not transcribed onto the Medication Administration Record or Treatment Administration Record. There were also no physician orders to change the nebulizer tubing, and the care plan did not include interventions for changing respiratory equipment. Interviews with staff, including an LPN and the DON, confirmed that facility policy required weekly changes, labeling, and dating of respiratory tubing, but these procedures were not followed for this resident. The facility's policy specified that both oxygen and nebulizer tubing should be changed every seven days to prevent infection.
Failure to Follow Pharmacy Consultant Recommendations for Medication Regimen Review
Penalty
Summary
Surveyors identified that the facility failed to follow pharmacy consultant recommendations for two residents regarding medication regimen reviews. For one resident with diagnoses including diabetes, congestive heart failure, paranoid schizophrenia, and hypertension, pharmacy consultant recommendations were made over several months to clarify and update medication orders for potassium chloride, glucagon, loperamide, and Voltaren gel. Despite these recommendations being communicated to the facility and relevant staff, the orders were not updated in accordance with the pharmacist's guidance. The facility's policy required nursing and/or medical staff to review and act upon these recommendations, with the Unit Manager responsible for tracking physician responses, but documentation showed that recommendations were not consistently addressed or properly recorded in the electronic medical record. For another resident with diagnoses including diabetes, liver and colon cancer, and chronic kidney disease, the pharmacy consultant recommended clarifying pain medication orders to specify indications for mild and severe pain, and to distinguish when to use oxycodone versus acetaminophen. Despite these recommendations, the physician's orders for oxycodone did not include the required pain level parameters at the time of the survey. The deficiency was confirmed through review of the medical record and interviews with facility staff, who acknowledged that the recommendations had not been implemented prior to the surveyor's inquiry. The surveyors found that the facility's process for handling pharmacy consultant recommendations was inconsistent, with recommendations not always being acted upon or documented as required by facility policy. Interviews with staff revealed a lack of clear procedure for tracking and following up on pharmacy consultant recommendations, and documentation in the electronic medical record was incomplete. This resulted in medication orders not being updated to reflect the consultant pharmacist's recommendations for two residents.
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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 Freehold
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Jewish Home For Rehabilitation And Nursing, The | 0.3 mi | ★★★★★ | 0 | 0 |
| Applewood Village, Inc | 0.9 mi | ★★★★★ | 4 | 0 |
| Wedgwood Gardens Care Center | 2 mi | ★★★★★ | 0 | 0 |
| Allaire Rehab & Nursing | 3.4 mi | ★★★★★ | 6 | 3 |
| Excel Care At Manalapan | 5.8 mi | ★★★★★ | 24 | 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.