Deficiency Index

Pine Acres Rehabilitation and Healthcare

Madison, New Jersey · CCN 315053

17 surveys since 2011, 3 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
58
Surveys
17
Harm or worse
3
Immediate jeopardy
2
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy2

Findings at the most serious level CMS records.

Beyond CMS’s monthly file14/17

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

The facility

Certified beds
102
Ownership
For profit - Partnership
Chain
MB HEALTHCARE
County
Morris
Medicare-certified since
1968

CMS ratings

Overall
5
Health inspection
4
Staffing
2
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=12, floor 20).

Last survey on record

Jan 15, 2026

298 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 day3.793.53
Registered-nurse hours per resident day0.49—
Annual nurse turnover58.8%41.6%

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 minimalD650.0%E18.3%F325.0%
No harm, potential for minimalA—B18.3%C18.3%
CMS’s current file: 12 of the 58 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F5841×

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  • F6411×

    Ensure each resident receives an accurate assessment.

  • F6561×

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

  • F6771×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

In the surveyor’s words

From the most serious findings on record at Pine Acres Rehabilitation and Healthcare, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Jan 15, 2026

    Based on observation, interview, and review of facility policies, it was determined that the facility failed to maintain proper kitchen sanitation practices in a manner to prevent food borne illness.On 1/11/26 at 9:28 AM, the surveyor in the presence of the Food Service Director (FSD) observed the following during the kitchen tour:1. In the three-door standing freezer, the surveyor observed an open bag of French Fries, vegetable burgers, all-beef hamburger and shrimp; all missing open and use-by labels. The FSD stated all items that have been opened should have open and use-by dates.2. In the ice cream freezer, the surveyor did not observe a thermometer. The FSD stated they would put a new thermometer in the freezer immediately. 3. […]

  • No harm, potential for more than minimal, widespreadF812Aug 26, 2022

    Based on observations, interviews, record review, and policy review, the facility failed to ensure staff followed sanitation procedures for the sanitizing of dishware through the dishwasher and failed to label and date residents' food and monitor the freezer temperatures for the residents' refrigerators located at the nursing stations. These failures had the potential for 86 out of 89 residents to be at risk for food-borne illness (three residents received nutrition via feeding tubes). Findings include: 1.The kitchen inspection was conducted on [DATE] from 10:42 AM to 11:23 AM. The following observations and interviews revealed the dish machine rinse temperature did not meet the minimum temperature specification of 180 F. […]

  • No harm, potential for more than minimal, widespreadF814Aug 26, 2022

    Based on observation and interview, the facility failed to ensure the dumpster area was maintained in a sanitary manner on two of two days in which a significant amount of garbage was on the ground around the dumpster creating the potential for harborage of pests. Findings include: 1. During the initial dietary inspection on 08/22/22 from 10:42 AM - 11:23 AM, the dumpster area revealed two dumpsters on a concrete pad located next to a parking area. The dumpsters lids were closed; however, there were approximately 30 pieces of garbage on the concrete pad behind the dumpsters and in the grass adjacent to the dumpster extending approximately 25 feet in front of four parked cars. […]

  • No harm, potential for more than minimal, patternF677Jan 15, 2026

    Complaint # 2707766 Based on observation, interview, record review, and review of facility-provided documentation, it was determined that the facility failed to ensure that incontinence care was provided to dependent residents in a timely manner for 6 of 6 residents (Resident #1, #13, #16, #41, #68 and #83) observed for incontinence care on 1 of 3 units (First floor nursing unit). This deficient practice was evidenced by the following: 1. On 1/11/26 at10:39 AM, the surveyor was touring the 1st floor unit and smelled a strong odor of urine throughout the unit. On 1/11/26 at 11:15 AM, the surveyor interviewed Resident #1, who was sitting in their wheelchair next to their bed. The surveyor observed an adult brief laying on the top of the Resident #1's bed that was statured with urine. […]

  • No harm, potential for more than minimal, isolatedF584Jan 15, 2026

    Based on observation, interview, and review of facility policy, it was determined that the facility failed to provide a homelike environment in resident rooms. The deficient practice was observed in 1 of 3 units during the initial tour. The deficient practice was evidenced by the following:On 01/13 /2026 at 10:00 AM, the surveyor toured the 1st floor nursing unit and observed the following:1. In room [ROOM NUMBER], the heater cover in the bathroom was broken. The surveyor also observed that the wall behind the door bed had chipped paint, exposing the wallboard, and the wall by the window bed had chipped paint across the entire wall, exposing the wallboard.2. In the shower room, there were broken floor tiles and a broken toilet seat. […]

Read 23 findings in full →The most serious and the most recent: 23 of 58 on record.

Every survey on record

FindingsAt actual harm or above

  • Jan 15, 2026Standard and complaint6 findings
  • Aug 30, 2024Standard4 findings
  • Aug 26, 2022Standard2 findings
  • Nov 20, 2020Infection control1 finding
  • Feb 24, 2020Standard2 findings
  • Feb 1, 2018Standard7 findings
  • Nov 4, 2016Standard1 finding
  • Mar 30, 2015Complaint2 findings
Show the 9 earlier surveys
  • Aug 20, 2014Standard2 findings
  • Jun 24, 2014Complaint4 findings · 2 harm
  • Mar 27, 2014Complaint1 finding
  • Jan 16, 2014—5 findings · 1 harm
  • Jul 3, 2013—8 findings
  • May 14, 2013—3 findings
  • Aug 13, 2012—3 findings
  • Dec 6, 2011—1 finding
  • Jul 20, 2011—6 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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