Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
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 Hammonton Center For Rehabilitation And Healthcare during CMS and state inspections, most recent first.
Surveyors found that a dependent, cognitively impaired hospice resident with dementia, care-planned for bowel and bladder incontinence checks every 2–4 hours, was left sitting in a urine-saturated brief despite documentation of only one incontinence care episode that morning and staff acknowledgment that hospice residents should be included in 2-hour rounds. A hospice aide reported leaving the resident clean earlier and described finding the resident saturated on prior days. In a separate finding, a cognitively intact resident with an indwelling urinary catheter and a care plan requiring a privacy bag was repeatedly observed with the catheter bag uncovered and visible from the hallway and during therapy, despite staff confirming that privacy bags were available and should have been used to protect dignity.
The facility failed to ensure that two Assistant Administrators were licensed as NHAs as required by the job description. One was licensed in New York but not in New Jersey, and the other did not hold an NHA license. The Administrator was aware of the issue but did not provide further information.
A facility failed to update a resident's care plan after a smoking violation. The resident, with intact cognition, was found smoking in a non-designated area and was temporarily suspended from smoking. Despite this, the care plan was not revised to reflect the incident. Interviews revealed confusion over who was responsible for updating care plans, contributing to the deficiency.
The facility failed to maintain kitchen sanitation, with unlabeled and expired food items found in storage, a lack of paper towels at a handwashing sink, and a refrigerator without a thermometer. Expired thickened water was found in a pantry refrigerator, and improper dishwashing practices were observed, including wet nesting and a malfunctioning dish machine sanitizer pump. Additionally, a leaking refrigerator line was noted, indicating maintenance issues.
The facility failed to issue required Advanced Beneficiary Notices of Non-Coverage to two residents when their Medicare Part A coverage ended. Staff interviews revealed confusion over responsibility for issuing these notices, leading to the deficiency.
The facility failed to notify the NJ LTCO of resident hospital discharges, as required by federal law. This deficiency was identified for two residents, one with urinary tract issues and another with osteoarthritis and other chronic conditions. The Director of Social Work admitted to not sending notifications, as he was not informed of this responsibility. The discharge log lacked a column for hospital discharges, and there was no documentation of LTCO notifications for hospitalizations.
A resident with Alzheimer's disease was admitted to hospice care, but the facility failed to complete a significant change in status assessment (SCSA) within the required 14 days. The MDS Coordinator and DON acknowledged the oversight during the survey.
A resident at risk for impaired skin integrity due to decreased range of motion in the legs did not receive the care plan intervention of heel protectors as specified. Observations showed the resident without heel protectors, and staff interviews revealed a lack of awareness about the care plan. The resident preferred using a pillow instead, and the care plan had not been updated to reflect this preference.
The facility failed to update the comprehensive care plans for two residents following allegations of abuse. Despite incidents involving employee-to-resident and staff-to-resident abuse, the care plans did not reflect these allegations or any interventions. Interviews with facility staff confirmed that the care plans should have been updated to include such information.
A resident with diabetes did not receive prescribed Novolog insulin as per physician's orders on multiple occasions, despite having blood sugar levels above the hold parameter. The LPN responsible acknowledged the error, and both the LPN Unit Manager and DON confirmed the oversight after reviewing the MAR.
A facility failed to timely assess and care plan for a resident who smoked cigarettes, despite the resident initially denying smoking. The resident, with diagnoses including chronic atrial fibrillation and major depressive disorder, was found to have cigarettes after providing money to a Smoking Aide. The facility delayed the smoking assessment and care plan, which were required by their Smoking Program, until over a month later.
A facility failed to follow physician orders to change a piston syringe kit every 24 hours for a resident with severe cognitive impairment and reliant on tube feeding. Despite documentation indicating compliance, observations revealed the kit had not been changed for several days. Interviews with staff confirmed the oversight and the importance of daily changes to prevent infection and clogging.
The facility failed to implement infection control measures for respiratory equipment for two residents with COPD. Nebulizer masks were repeatedly observed uncovered and exposed on bedside tables, contrary to facility policy. Staff interviews confirmed awareness of proper procedures, yet they were not consistently followed.
The facility did not accurately complete DEA 222 forms for three narcotic medication orders, missing required details in Part 5. The DON acknowledged the oversight during a review with the surveyor. The facility's policy lacked guidance on completing these forms, contributing to the deficiency.
Failure to Provide Timely Incontinence Care and Maintain Catheter Privacy
Penalty
Summary
The deficiency involves the facility’s failure to provide necessary incontinence care to a dependent hospice resident and to maintain catheter privacy for another resident. During incontinence rounds, a surveyor observed a cognitively impaired hospice resident with dementia sitting in a brief that was saturated with brown-colored urine, which had seeped up the back of the incontinence brief. The resident had a documented wound on the buttocks, and the CNA present confirmed the brief was saturated. The CNA stated that the hospice aide had been providing care that morning but could not say when the aide had left. The resident’s MDS documented that the resident was always incontinent of bowel and bladder, and the care plan interventions included checking the resident every 2–4 hours and assisting with toileting as needed. Record review showed that CNA tasks for bowel/toileting care every 2–4 hours and as tolerated during waking hours and PRN reflected only one care entry at 6:22 AM on the day of observation. Interviews with nursing staff, including an LPN and the LPN/unit manager, confirmed that hospice residents were not to be excluded from incontinence rounds and should be checked every two hours. The hospice home health aide reported that she completed care for the resident at approximately 7:30 AM, left the resident clean and freshly changed, and gave report to the nurse. She further stated that on the prior two days, she had found the resident saturated to the point that urine had soaked through the brief, sheets, clothing, and onto the bed. Facility policy on ADL care required toileting and incontinence care to be provided with care and as needed, and CNA responsibilities included keeping incontinent residents clean and dry and checking residents who cannot call for help frequently. A separate deficiency was identified regarding catheter privacy for another resident with an indwelling urinary catheter due to neuromuscular bladder dysfunction, muscle weakness, and difficulty walking. On multiple observations, the resident’s catheter bag was hanging from the bed frame without a privacy bag and was visible from the hallway. The resident’s MDS documented an indwelling catheter, and the care plan included an intervention to maintain a privacy bag with catheter care. The resident, who was cognitively intact, stated they wanted a privacy bag and reported that when going to therapy, staff placed the catheter bag next to them with urine visible to others. The LPN/unit manager, CNA, and DON all acknowledged that a privacy bag should have been in place to maintain the resident’s dignity, consistent with the facility’s Quality of Life/Dignity policy requiring staff to promote, maintain, and protect resident privacy.
Unlicensed Assistant Administrators in Facility
Penalty
Summary
The facility failed to ensure that two staff members working as Assistant Administrators were licensed as Nursing Home Administrators (NHA) as required by the facility's job description. During the survey conducted on multiple dates, it was discovered that Assistant Administrator #1 was licensed in New York but not in New Jersey, while Assistant Administrator #2 did not hold an NHA license at all. Both individuals confirmed their job titles as Assistant Nursing Home Administrators. The facility's Administrator acknowledged awareness of the licensing issue and confirmed the job description requirement for an NHA license in good standing, but did not provide further information.
Failure to Update Resident Care Plan Following Smoking Incident
Penalty
Summary
The facility failed to develop a comprehensive person-centered care plan for a resident, which included actions taken by staff to educate the resident regarding alternatives and consequences. This deficiency was identified during a survey conducted on multiple dates. The resident in question was observed self-propelling a wheelchair and had a history of smoking violations. Despite having an intact cognition as indicated by a perfect score on the Brief Interview for Mental Status, the resident's care plan was not updated to reflect a recent smoking incident. The resident was found smoking in a non-designated area, leading to a temporary suspension from smoking. However, the care plan, which initially included reeducation on facility smoking rules, was not revised or updated following the incident. Interviews with the Director of Social Services and the Director of Nursing revealed a lack of clarity regarding responsibility for updating care plans, contributing to the oversight. The facility's policy required care plans to incorporate identified problem areas and associated risk factors, which was not adhered to in this case.
Kitchen Sanitation Deficiencies in LTC Facility
Penalty
Summary
The facility failed to maintain proper kitchen sanitation, leading to several deficiencies that could potentially result in foodborne illnesses. During an inspection, it was observed that a package of frozen sausage and a bag of frozen zucchini slices in the walk-in freezer were not labeled with dates, violating the facility's policy on food storage. Additionally, in the walk-in refrigerator, bags of chopped lettuce and carrots were found with expired 'best if used by' dates, and some of the lettuce appeared slimy. A container of slaw was also past its 'best if used by' date. Furthermore, the designated handwashing sink lacked paper towels, and a refrigerator/freezer lacked an internal thermometer, with an undated styrofoam container of unknown food contents. In the pantry refrigerator on the 2nd floor, several containers of thickened water used for residents were found with expired 'use by' dates. The Infection Preventionist confirmed that nurses were responsible for checking these dates when stocking the fridge. In the kitchen, a dietary aide was observed washing pots and pans, but they were not air-dried before stacking, leading to wet nesting, which can promote microorganism growth. The dish machine temperature log was incomplete, and the sanitizer container was empty, resulting in dishes not being properly sanitized. The Food Service Director acknowledged the issue and attempted to rectify it, but the dish machine's sanitizer pump was malfunctioning, preventing proper sanitization. Additionally, the reach-in refrigerator had a significant amount of clear liquid on its floor due to a leaking line, which the Food Service Director admitted had been an ongoing issue. Beverages stored above the liquid level were not directly affected, but the situation indicated a lack of timely maintenance. These observations highlight the facility's failure to adhere to its own policies and procedures regarding food storage, sanitation, and equipment maintenance, posing a risk of foodborne illness to residents.
Failure to Issue Required Beneficiary Notices
Penalty
Summary
The facility failed to issue the required beneficiary notices for two residents, resulting in a deficiency. The Advanced Beneficiary Notice of Non-Coverage (ABN) is a requirement for original Medicare beneficiaries when Medicare payment is expected to be denied. The facility's policy mandates that the Skilled Nursing Facility Advanced Beneficiary Notice of Non-Coverage Form CMS-10055 should be given to residents when their Medicare Part A coverage ends. However, for two residents, the facility did not provide these notices, and there was no documentation explaining the omission. Interviews with facility staff revealed confusion and miscommunication regarding the responsibility for issuing these notices. The Assistant Administrator acknowledged the oversight, while the Director of Rehabilitation and the MDS coordinator indicated that the responsibility for issuing Part A notifications was unclear. The surveyor confirmed with the Assistant Administrator that the required notices were not given to the residents, confirming the deficiency.
Failure to Notify LTCO of Resident Hospital Discharges
Penalty
Summary
The facility failed to notify the New Jersey Long-Term Care Ombudsman's office (LTCO) in writing of resident emergency transfers to the hospital or discharges, as required by federal law. This deficiency was identified for two residents. The facility's policy, last revised in February 2023, mandates that copies of all facility-initiated discharge notices be provided to the LTCO. However, the Director of Social Work (DSW), who had been in the position for a few months, admitted to not sending any notifications to the LTCO regarding resident discharges to the hospital, as he was not informed of this responsibility. The Assistant Administrator (AA) confirmed that the Social Worker was responsible for sending notifications to the LTCO for hospital discharges and maintaining a monthly list. Upon review, it was found that the discharge log did not include a column for hospital discharges, and there was no documentation of LTCO notifications for hospitalizations. The AA acknowledged that notifications were only being sent for discharges against medical advice and to home, not for hospital discharges. The facility's failure to notify the LTCO of hospital discharges was evident in the cases of two residents, one with urinary tract issues and another with osteoarthritis and other chronic conditions.
Failure to Complete Significant Change Assessment for Hospice Resident
Penalty
Summary
The facility failed to complete a significant change in status assessment (SCSA) for a resident who elected hospice services, as required by the Resident Assessment Instrument (RAI) process. This deficiency was identified for a resident with Alzheimer's disease, metabolic encephalopathy, and dysphagia, who was admitted to hospice care. The facility's policy mandates that all Minimum Data Set (MDS) assessments, including significant change assessments, be completed and transmitted to the CMS' QIES Assessment Submission and Processing (ASAP) system in accordance with OBRA regulations. The MDS Coordinator confirmed that a SCSA was not completed within the required 14 days after the resident's admission to hospice care. The resident's medical record indicated that hospice care was initiated with a physician's order on November 18, 2023, but the subsequent MDS assessment conducted on December 7, 2023, was only a quarterly review, not a SCSA. Interviews with the MDS Coordinator and the Director of Nursing revealed that the facility was aware of the requirement to complete a SCSA when a resident is placed on hospice care. However, the necessary assessment was not performed within the stipulated timeframe, as confirmed by the facility staff during the survey.
Failure to Implement and Revise Care Plan for Heel Protection
Penalty
Summary
The facility failed to consistently implement and revise a care plan intervention for a resident at risk for impaired skin integrity due to decreased range of motion in the legs. The care plan specified the use of heel protectors when the resident was in bed, but observations by the surveyor revealed that the heel protectors were not in place during multiple visits. The resident was observed with bare feet or wearing non-skid socks, and no heel protectors were found in the room. The resident, who had diagnoses including chronic pain syndrome, multiple sclerosis, and muscle weakness, was dependent on staff for various activities of daily living and was at risk for developing pressure ulcers. Despite this, the Treatment Administration Record for the month did not reference heel booties, and the care plan had not been updated to reflect the resident's current preferences or needs. The resident expressed a preference for using a pillow instead of heel protectors, which had not been worn for approximately three years. Interviews with facility staff, including a CNA and RN, indicated a lack of awareness or clarity regarding the resident's care plan for heel protection. The RN was unaware of any order for heel protectors and suggested that an air mattress might negate the need for them, although the resident did not have an air mattress. The facility's Director of Nursing confirmed that care plans are reviewed quarterly and as needed, but the resident's care plan had not been updated to reflect their current preferences or the absence of heel protectors.
Failure to Update Care Plans After Abuse Allegations
Penalty
Summary
The facility failed to revise comprehensive care plans in a timely manner following allegations of abuse for two residents. Resident #265, who was admitted with chronic obstructive pulmonary disease, type 2 diabetes mellitus, and legal blindness, was involved in an employee-to-resident abuse allegation. Despite this incident, the individualized comprehensive care plan (ICCP) for Resident #265 did not include an update regarding the allegation of physical abuse or any interventions implemented after the incident. Similarly, Resident #515, admitted with chronic obstructive pulmonary disorder, diabetes mellitus, and hypothyroidism, was involved in a staff-to-resident abuse allegation. The ICCP for Resident #515 also lacked updates about the abuse allegation and any subsequent interventions. Interviews with facility staff, including a Licensed Practical Nurse (LPN), a Registered Nurse/Unit Manager (RN/UM), the Director of Nursing (DON), and the Assistant Director of Nursing (ADON), confirmed that the ICCPs should have been updated with any allegations of abuse, whether substantiated or unsubstantiated. The LPN and RN/UM emphasized the importance of including such allegations in the ICCP to ensure comprehensive care for the residents. The DON and ADON further confirmed that the ICCP should reflect interventions following any abuse allegations to prevent future incidents. The failure to update the care plans was identified as a deficiency by the surveyors.
Failure to Administer Insulin as Ordered
Penalty
Summary
The facility failed to adhere to professional standards of practice by not administering insulin as per the physician's orders for a resident with diabetes. The resident, who had a fully intact cognition, was prescribed Novolog insulin to be administered subcutaneously before meals, with a hold parameter for blood sugar levels below 100 mg/dl. However, on five occasions, the resident's blood sugar levels were recorded as above 100 mg/dl, yet the nurse documented that no insulin was required, contrary to the physician's orders. The deficiency was identified through observations, interviews, and a review of the facility's Medication Administration Record (MAR) for July 2024. The Licensed Practical Nurse (LPN) responsible for the resident acknowledged the error upon review with the surveyor, confirming that the insulin should have been administered as ordered. The Licensed Practical Nurse Unit Manager and the Director of Nursing also confirmed the oversight after reviewing the MAR, acknowledging that the insulin was not administered according to the physician's orders on the specified dates.
Failure to Timely Assess and Care Plan for Resident Smoking
Penalty
Summary
The facility failed to ensure the safety of a resident who smoked cigarettes by not conducting a timely smoking assessment, providing education on facility smoking rules, and developing a care plan for smoking safety. The resident, who was admitted with diagnoses including chronic atrial fibrillation, difficulty walking, and major depressive disorder, initially denied smoking. However, an incident was reported where the resident provided money to a Smoking Aide to purchase cigarettes, indicating the resident was smoking. Despite this, the facility did not complete a smoking assessment or initiate a care plan until over a month later. The facility's Smoking Program required a smoking assessment for new admissions identified as smokers and for residents who later expressed a desire to smoke. The resident's comprehensive care plan and smoking safety agreement were not initiated until after the facility observed the resident asking another resident for a cigarette. Interviews with facility staff, including the Activities Director and Director of Nursing, confirmed that smoking assessments were supposed to be completed upon admission and quarterly. The Licensed Nursing Home Administrator acknowledged that the smoking assessment and care plan should have been completed when the facility became aware of the resident's smoking behavior.
Failure to Change Piston Syringe Kit as Ordered
Penalty
Summary
The facility failed to adhere to physician orders regarding the timely replacement of a piston syringe kit for a resident receiving tube feeding. The deficiency was identified during a survey when it was observed that the piston syringe kit, which should have been changed every 24 hours as per physician orders, had not been replaced for several days. The kit was dated 7/19, and observations on subsequent days confirmed it had not been changed, despite documentation in the Treatment Administration Record (TAR) indicating otherwise. Resident #37, who was affected by this deficiency, had severe cognitive impairment and was reliant on tube feeding for more than 51% of their caloric intake. The facility's policy on enteral feedings did not include specific instructions for changing the piston syringe kit, contributing to the oversight. Interviews with facility staff, including the LPN/Unit Manager and the Director of Nursing, confirmed the failure to follow the physician's order and highlighted the importance of changing the syringe kit daily to prevent infection and clogging of the feeding tube.
Inadequate Infection Control for Respiratory Equipment
Penalty
Summary
The facility failed to implement proper infection control measures for the handling and storage of respiratory equipment for two residents receiving respiratory care. The surveyor observed that the nebulizer masks for both residents were left uncovered and exposed on bedside tables when not in use, contrary to the facility's policy which requires that nebulizer equipment be cleaned, air-dried, and stored in a plastic bag with the resident's name and date. This practice was observed multiple times for both residents, indicating a consistent failure to adhere to infection control protocols. Resident #22, who has a history of chronic obstructive pulmonary disease (COPD) and acute respiratory failure with hypoxia, was observed with an uncovered nebulizer mask on several occasions. The resident's Medication Administration Record (MAR) confirmed that nebulizer treatments were administered as scheduled, yet the equipment was not stored properly between uses. Interviews with nursing staff revealed an awareness of the requirement to cover nebulizer masks when not in use, yet the practice was not consistently followed. Similarly, Resident #63, also diagnosed with COPD, was observed with an uncovered nebulizer mask on the bedside table. Despite the resident's intact cognition and awareness of their treatment schedule, the nebulizer equipment was not stored according to the facility's policy. Interviews with the nursing staff confirmed that the responsibility for maintaining the cleanliness and proper storage of respiratory equipment was shared among nurses and CNAs, yet the expected procedures were not consistently implemented.
Failure to Complete DEA 222 Forms for Narcotic Medications
Penalty
Summary
The facility failed to ensure accurate ordering and receiving of narcotic medications as required by Federal regulations. Specifically, the facility did not complete the necessary details on the DEA 222 forms for three orders of narcotic medications. The forms, identified by order numbers 221690894, 221690895, and 221690896, were missing the completion of Part 5, which requires the purchaser to fill out the number of packages received and the date received for each line item. This omission was confirmed during a review by the surveyor and the Director of Nursing (DON), who acknowledged the oversight. The facility's Medication-Narcotic Management policy, revised in April 2023, did not include guidance on completing the DEA 222 forms, contributing to the deficiency.
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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 Hammonton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Cedar Grove Respiratory And Nursing Center | 9.8 mi | — | 0 | 0 |
| The Fountains Of Atco | 10 mi | — | 37 | 0 |
| Berlin Rehabilitation And Healthcare Center | 10.5 mi | — | 0 | 0 |
| The Pines At Medford | 14 mi | — | 2 | 0 |
| Atlas Rehabilitation And Healthcare At Washington | 14.6 mi | — | 0 | 0 |
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