Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Concord Healthcare & Rehabilitation Center during CMS and state inspections, most recent first.
The facility failed to maintain the ice machine in a sanitary condition, as black mold was found in the dispenser shoot. The FSD acknowledged the issue, noting that the machine was cleaned quarterly but required more frequent maintenance. The LNHA and DON confirmed the findings, highlighting a lapse in adhering to the facility's policy and manufacturer's guidelines for regular cleaning and sanitization.
A fire alarm pull box in the facility's kitchen was obstructed by a steel table used as an extension of the dishwashing machine table, blocking access to the alarm. This deficiency was confirmed during an interview with the AIT and reported at the Life Safety Code exit conference.
The facility did not meet the required minimum direct care staff-to-resident ratios for 4 of 14 day shifts, as mandated by New Jersey law. On specific days, the number of CNAs was insufficient for the number of residents, despite the facility's use of an "alert system" to contact agency nurses for call-outs. The Licensed Nursing Home Administrator acknowledged the staffing deficiencies during an interview.
Ice Machine Maintenance Deficiency
Penalty
Summary
The facility failed to maintain kitchen equipment in a clean, safe, and sanitary manner, as evidenced by the presence of black sediment identified as black mold in the interior of the ice machine dispenser shoot. This was observed by a surveyor in the presence of the Food Service Director (FSD), who acknowledged the issue and stated that the ice machine was cleaned quarterly, although it appeared to require more frequent cleaning. The FSD also mentioned that the ice machine was responsible for providing ice to the food tray line and the nursing units, indicating a potential widespread impact on the facility's operations. Further interviews with the Licensed Nursing Home Administrator (LNHA) and the Director of Nursing (DON) confirmed the presence of the black sediment, with the LNHA acknowledging that the ice machine had been cleaned in early November. The facility's policy on ice machines and ice storage chests emphasized the need for regular cleaning and sanitization to prevent contamination, as outlined in the manufacturer's user manual. However, the observed black mold indicated a failure to adhere to these guidelines, resulting in unsanitary conditions within the ice machine.
Plan Of Correction
12/23/24 1. Staff responsible for maintaining the ice machine were notified of the findings and provided with immediate education. The Ice Machine dispenser shoot identified in statement of deficiencies was immediately cleaned and sanitized on 12/16/24. 2. The [R] was re-educated on how to maintain the Ice machine. The facility revised the cleaning schedule for the ice machine to monthly and as needed which includes the dispenser shoot. All residents have the potential to be affected by this deficient practice. 3. The facility will receive feedback from the Food Service Director for the next 3 months to see if there are any issues with the cleanliness of the ice machine dispenser shoot. 4. Administrator or designee will complete Ice Machine audits weekly x4 and then monthly x3. Results of these audits will be reported by the Administrator at the QAPI meetings. QAPI meetings are held Quarterly at the facility. Date of completion was 12/23/24.
Fire Alarm Box Obstruction in Kitchen
Penalty
Summary
The facility failed to ensure that each manual fire alarm box was accessible, unobstructed, and visible, as required by NFPA 101: 2012 Edition and NFPA 72: 2010 Edition. During an observation, it was noted that one of the two fire alarm pull boxes in the facility's kitchen was blocked by a freestanding steel table. This table was being used as an extension of the dishwashing machine table and had dishes and cups on it, obstructing access to the fire alarm box. This deficiency was confirmed through an interview with the Administrator in Training (AIT) at the time of the observation. The issue was brought to the attention of the facility's administration during the Life Safety Code exit conference.
Plan Of Correction
K342 1. The facility conducted a comprehensive inspection of all fire alarm pull stations to identify and ensure that all the fire alarm pull stations are accessible, unobstructed, and visible per NFPA standards. The identified area in the kitchen was repaired on 12/23/24 by Allied Fire and Safety. The maintenance director and administrator inspected the area to ensure it meets NFPA standards. 2. All maintenance personnel were educated on the importance of maintaining an accessible, unobstructed, and visible clear path in front of any fire alarm pull stations and the impact on resident safety. All residents have the potential of being affected by this. The facility will keep detailed records of fire alarm pull stations, including dates and any issues discovered. 3. The facility conducts monthly drills to ensure staff and residents are familiar with emergency procedures, which includes fire alarm pull stations. All staff at the facility are educated annually in life safety regulations, which includes maintaining an accessible, unobstructed, and visible clear path for the fire alarm pull station. 4. The facility will conduct monthly life safety audits on all fire alarm pull stations for the next 3 months to ensure the facility is in accordance with NFPA standards. The results of these audits will be communicated with the QAPI team for the next 2 quarters. Based on the results, the QAPI team will decide to conclude or continue with these audits. The QAPI team meets on a quarterly basis.
Failure to Meet Minimum Staffing Ratios
Penalty
Summary
The facility failed to maintain the required minimum direct care staff-to-resident ratios as mandated by the state of New Jersey for 4 of 14 day shifts reviewed. According to the New Jersey Department of Health memo, effective February 1, 2021, the law requires one Certified Nurse Aide (CNA) for every eight residents during the day shift. However, the facility's Nurse Staffing Reports revealed deficiencies in staffing levels on four specific days. On December 1, 2024, there were 11 CNAs for 94 residents, requiring at least 12 CNAs. On December 7 and 8, 2024, there were 10 CNAs for 92 residents, requiring at least 11 CNAs. On December 14, 2024, there were 11 CNAs for 97 residents, requiring at least 12 CNAs. During an interview on December 19, 2024, the Licensed Nursing Home Administrator (LNHA), in the presence of the Director of Nursing (DON), Infection Preventionist (IP), Regional Clinical Consultant, LNHA in training, and the survey team, acknowledged the staffing deficiencies. The LNHA stated that the facility utilizes an "alert system" to contact agency nurses to fill any call-outs when staffing is deficient. Despite this system, the facility did not meet the required staffing ratios on the specified days, leading to the identified deficiency.
Plan Of Correction
S560 Staffing 1. It is the intent of Concord Healthcare and Rehabilitation Center to maintain staffing requirement in compliance with all state and federal regulation. Efforts to hire facility staff will continue until there are adequate staff to serve all residents. Until that time, the facility will utilize staffing agencies to fill any open spots in the schedule. 2. All residents have the potential to be affected by this practice. 3. Contracts with staffing agencies have been secured to supplement facility staff. Hiring and recruitment efforts including wage analysis and adjustments, pay for experience, online job listings, job fairs, shift differentials and referral bonuses are being utilized to become more competitive in the marketplace. Wage increases for CNAs went into effect January 1st, 2025. 4. The Administrator or Designee will review staffing schedules weekly to ensure adequate staffing for all shifts. The results of these reviews will be submitted to the QAPI committee through June 2025. Based on the results of these audits, a decision will be made regarding the need for continued submission and reporting. QAPI is held on a quarterly basis.
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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 Lakewood
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Atlantic Coast Rehab & Health | 2.1 mi | — | 2 | 1 |
| Fountainview Care Center | 2.1 mi | — | 0 | 0 |
| Complete Care At Laurelton, Llc | 2.4 mi | — | 1 | 1 |
| Willow Springs Rehabilitation And Healthcare Ctr | 2.6 mi | — | 14 | 0 |
| Complete Care At Brick Llc | 2.8 mi | — | 14 | 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 August 2026) and official state health department websites.