Deficiency Index

Bayonne University Hospital

Bayonne, New Jersey · CCN 315532

1 survey since 2025, and no finding has been recorded at harm level.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
3
Surveys
1
Harm or worse
0
Immediate jeopardy
0
The record, 2025–2025
’25
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Citations on record3

Across 1 surveys carrying at least one finding.

The facility

Certified beds
17
Ownership
For profit - Limited Liability company
Chain
Independent
County
Hudson
Medicare-certified since
2025

CMS ratings

Overall
5
Health inspection
5
Staffing
5
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=3, floor 20).

Last survey on record

Sep 9, 2025

426 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day7.894.39
Registered-nurse hours per resident day3.52—

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD133.3%E—F133.3%
No harm, potential for minimalA—B133.3%C—
CMS’s current file: 3 of the 3 citations on record.

In the surveyor’s words

From the most serious findings on record at Bayonne University Hospital, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF851Sep 9, 2025

    Based on interview and record review it was determined that the facility failed to submit their Payroll Based Journal (PBJ) Report to the Centers for Medicare and Medicaid Services (CMS) within a timely manner. This deficient practice was identified for the PBJ Staffing Data Report CASPER Report 1705D FY (Fiscal Year) Quarter 3 2025 (April 1 - June 30, could affect all residents, and was evidenced by the following:On 9/9/25 at 11:20 AM, Surveyor #1 (S#1) reviewed the PBJ Staffing Data Report CASPER Report 1705D FY Quarter 3 2025 (April 1-June 30), reflected a triggered area that the facility failed to submit data for the Fiscal Year Quarter 3 to CMS =No Data Submitted for Quarter. […]

  • No harm, potential for more than minimal, isolatedF628Sep 9, 2025

    Based on interview, record review, and review of other pertinent facility documents, it was determined that the facility failed to provide the resident or resident representative written notification of the reason for transfer to the hospital and provide a copy of the notification to a representative of the Office of the State Long-Term Care Ombudsman (LTCO) for 1 of 1 resident (Resident #33) reviewed for hospitalization. This deficient practice was evidenced by the following:On 9/9/25 at 9:59 AM, the surveyor reviewed Resident #33's closed hybrid medical record (paper and electronic) which included the following:A review of a progress note dated 8/12/25, indicated that the resident was transferred to the hospital. […]

  • No harm, potential for minimal, patternF732Sep 9, 2025

    Based on observation, interview, and review of pertinent facility documentation it was determined that the facility failed to ensure the daily report of licensed nurses, certified nursing assistant staffing, and the resident census, was posted at the beginning of the current shift for 1 of 3 days during the annual recertification survey. This deficient practice was evidenced by the following:On 9/5/25 at 8:45 AM, upon entry to the facility, the surveyor observed a Nursing Home Resident Care Staffing Report (NHRCSR) posted at the nursing station of the Transitional Care Unit (TCU). The NHRCSR posted was dated 8/29/25, for the [7:00 AM to 7:00 PM] shift. There was no NHRCSR for 9/5/25 posted. […]

Read all 3 findings in full →

Every survey on record

FindingsAt actual harm or above

  • Sep 9, 2025Standard3 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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