Deficiency Index

Manor, The

Freehold, New Jersey · CCN 315153

16 surveys since 2011, 4 of them producing a finding at harm level or worse.

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

Citations on record
41
Surveys
16
Harm or worse
4
Immediate jeopardy
1
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file13/16

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
123
Ownership
Non profit - Corporation
Chain
Independent
County
Monmouth
Medicare-certified since
1974

CMS ratings

Overall
4
Health inspection
4
Staffing
4
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=9, floor 20).

Last survey on record

Jun 24, 2025

503 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 day4.144.21
Registered-nurse hours per resident day0.82—
Annual nurse turnover23.9%34.3%

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 minimalD787.5%E—F112.5%
No harm, potential for minimalA—B—C—
CMS’s current file: 8 of the 41 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6582×

    Ensure services provided by the nursing facility meet professional standards of quality.

  • F6561×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6781×

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

  • F6951×

    Provide safe and appropriate respiratory care for a resident when needed.

  • F7551×

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

In the surveyor’s words

From the most serious findings on record at Manor, The, in the surveyor’s own words.

  • Immediate jeopardy, widespreadF880Jan 7, 2021

    Based on observation, interview, medical record review, and other facility documentation, it was determined that the facility failed to a.) identify all residents exposed to COVID-19 as persons under investigation (PUI), b.) implement mitigation strategies to prevent the transmission of COVID-19, and c.) create and implement a facility Contact Tracing Policy and Procedure to address the care of resident's who had been exposed to a COVID-19 positive individual. This deficient practice was identified for 25 out of 25 residents (Resident #8, #9, #10, #11, #12, #13, #14, #15, #16, #17, #18, #19, #20, #21, #22, #23, #24, #25, #26, #27, #28, #29, #30, #31, and #32) reviewed for a known exposure to COVID-19 on 2 of 2 nursing units during a survey conducted on 1/05/21. […]

  • No harm, potential for more than minimal, widespreadF812Jun 24, 2025

    Based on observation, interview, and record review, it was determined that the facility failed to maintain kitchen equipment in a clean and sanitary manner as evidenced by the following: On 6/16/25 at 10:01 AM, in the presence of the Food Service Director (FSD), the surveyor observed the following: 1. The slicer had food debris under the blade and on the food holder prongs. The FSD acknowledged and stated, it was not cleaned according to facility policy. 2. The walk-in freezer had two (2) boxes (one box of [NAME] and one box of Tilapia) that were open, unlabeled and not sealed. The FSD stated, the boxes should be sealed and labeled with an open and expiration date. The FSD acknowledged and stated they should be labeled according to policy, with name, date of opening and discard date. […]

  • No harm, potential for more than minimal, isolatedF656Jun 24, 2025

    Based on interviews and review of pertinent facility documentation it was determined that the facility failed to develop and implement a comprehensive person-centered care plan for a resident with a peripherally inserted central catheter (PICC) (a tube inserted into a vein in the upper arm and threaded into a larger vein near the heart used for medications, fluids, and blood draws). This deficient practice was identified for 1 of 16 residents reviewed for care plans (Resident #49) and was evidenced by the following: On 06/18/25 at 11:47 AM, the surveyor observed the resident in the room in a chair. […]

  • No harm, potential for more than minimal, isolatedF658Jun 24, 2025

    Based on interview and record review, it was determined that the facility failed to follow professional standards of clinical practice by not obtaining a physician's order for hospice care. This was observed for 1 of 1 resident (Resident #12) reviewed for hospice and end of life care and was evidenced by the following: Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. The Nurse Practice Act for the State of New Jersey states: The practice of nursing as a registered professional nurse is defined as diagnosing and treating human responses to actual and potential physical and emotional health problems, through such services as case finding, health teaching, health counseling, and provision of care supportive to or restorative of life and wellbeing, and executing… […]

  • No harm, potential for more than minimal, isolatedF695Jun 24, 2025

    Based on observation, interview, medical record review, and review of other pertinent facility documents, it was determined that the facility failed to provide the necessary care and services for one (1) of 1 resident (Resident #11) reviewed for respiratory care and was evidenced by the following: Review of the admission Record (admission summary) reflected that Resident #11 was admitted to the facility with the diagnoses that included but was not limited to; emphysema (a chronic lung condition that causes shortness of breath) and chronic obstructive pulmonary disease (COPD) (a chronic lung condition that makes breathing difficult). […]

Read 23 findings in full →The most serious and the most recent: 23 of 41 on record.

Every survey on record

FindingsAt actual harm or above

  • Jun 24, 2025Standard5 findings
  • Dec 21, 2023Standard1 finding
  • Jul 27, 2021Standard2 findings
  • Jan 7, 2021Infection control1 finding · 1 harm
  • Sep 9, 2019Standard3 findings
  • Dec 4, 2018Complaint1 finding
  • Sep 20, 2018Standard2 findings
  • Jun 27, 2017Standard3 findings
Show the 8 earlier surveys
  • Jul 22, 2016Standard2 findings
  • Jul 29, 2014Standard1 finding
  • Jul 24, 2013—6 findings
  • Jan 30, 2013—2 findings
  • Feb 28, 2012—2 findings
  • Feb 7, 2012—3 findings · 3 harm
  • Jul 21, 2011—2 findings
  • Apr 5, 2011—5 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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