Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around February 2027
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 Peace Care St Ann's during CMS and state inspections, most recent first.
Nursing staff did not consistently document medication administration on the MAR for two residents, leaving blank spaces for scheduled medications without corresponding notes. Interviews with an LPN and the DON confirmed that facility policy requires all medication administrations, refusals, or holds to be documented, and that blank spaces are not acceptable. Review of the facility's policy also supported the need for complete MAR documentation.
A cognitively alert resident expressed discomfort due to excessive facial hair, which was not addressed by the nursing staff during scheduled ADL care. Despite the facility's policy to provide grooming services, observations confirmed the facial hair remained, compromising the resident's dignity.
A facility failed to accurately code the MDS for a resident prescribed Rivaroxaban for atrial fibrillation. The MDS did not reflect the use of this anticoagulant, contrary to the RAI manual's instructions. Interviews with staff, including the MDS Coordinator and DON, confirmed the oversight, acknowledging that the medication should have been coded. This inaccuracy could lead to care areas not being addressed in the resident's care plan.
Two residents experienced significant weight loss due to the facility's failure to monitor and address their nutritional needs. One resident lost 29.6% of body weight over several months without receiving necessary interventions, while another lost 10% in 18 days with inconsistent weight monitoring. The facility's policies were not effectively implemented, leading to inadequate communication and documentation of the residents' nutritional status.
The facility failed to follow infection control protocols, as an LPN did not clean a blood pressure cuff between uses for two residents and did not perform hand hygiene after administering medications to a resident. This was against the facility's policies and CDC guidelines, potentially promoting the spread of multi-drug resistant organisms.
Failure to Document Medication Administration on MAR
Penalty
Summary
Facility nursing staff failed to consistently document medication administration on the Medication Administration Record (MAR) for two residents. For one resident with diagnoses including major depressive disorder, anxiety disorder, and asthma, there was a blank entry on the MAR for a scheduled dose of Tylenol Extra Strength, and no corresponding documentation in the progress notes to indicate whether the medication was administered. For another resident with anemia, diabetes, and hypertension, blank spaces were found on the MAR for scheduled applications of Clobetasol Propionate cream, with no documentation in the progress notes to confirm administration. Interviews with the LPN and the Director of Nursing confirmed that facility policy requires nurses to sign the MAR after administering medications and to document refusals or held medications with appropriate codes, ensuring no blank spaces are left. Both staff members acknowledged that the MARs for the two residents contained blank spaces, which was not in accordance with facility policy or professional standards. Review of the facility's medication administration policy further supported the requirement for timely and complete documentation on the MAR.
Failure to Address Resident's Grooming Needs
Penalty
Summary
The facility failed to ensure the dignity of a female resident, identified as R165, by not addressing her grooming needs, specifically the removal of excessive facial hair on her chin. R165, who was cognitively alert with a Brief Interview for Mental Status (BIMS) score of 15 out of 15, expressed discomfort and a desire for the facial hair to be removed. Despite being scheduled for Activities of Daily Living (ADL) care on Tuesdays and Fridays, the nursing staff did not address this grooming need, which was confirmed by both the resident and a Certified Nurse Aide (CNA). Observations made on two separate occasions revealed that the facial hair remained unaddressed, and interviews with the resident and a Registered Nurse (RN) confirmed that the expectation was for CNAs to manage such grooming tasks during ADL care. The facility's policy on ADLs indicated that care and services should be provided based on the resident's comprehensive assessment and needs, which includes grooming. However, the failure to remove the facial hair compromised the resident's dignity and comfort, as noted in the report.
Inaccurate MDS Coding for Anticoagulant Medication
Penalty
Summary
The facility failed to accurately code the Minimum Data Set (MDS) for a resident who was prescribed anticoagulant medication. The deficiency was identified during a review of the Resident Assessment Instrument (RAI) manual and the resident's records. The manual specifies that high-risk drug classes, such as anticoagulants, should be coded according to their pharmacological classification. However, the MDS for a resident with a diagnosis of unspecified atrial fibrillation did not reflect the use of Rivaroxaban, an anticoagulant prescribed to the resident. Interviews with facility staff revealed that the responsibility for completing the medication section of the MDS lay with the nursing unit manager on each floor. The MDS Coordinator confirmed that anticoagulants should be coded on the MDS if prescribed. Both a registered nurse and the Director of Nursing acknowledged the oversight, confirming that the resident was indeed prescribed an anticoagulant and that it should have been coded on the MDS. This inaccuracy in the MDS could potentially lead to care areas not being addressed appropriately in the resident's care plan.
Failure to Monitor and Address Nutritional Needs
Penalty
Summary
The facility failed to maintain acceptable nutritional parameters for two residents, leading to significant weight loss without proper monitoring or intervention. Resident 49 experienced a drastic weight loss of 29.6% from July to September, dropping from 164 pounds in June to 120.6 pounds by September. Despite being classified as malnourished, there were no orders for nutritional supplements or medications to encourage appetite, and the resident's care plan did not address the weight loss. Interviews with the Registered Dietitian (RD) and other staff revealed a lack of close monitoring and failure to implement necessary interventions. Resident 52 also faced issues with weight monitoring and nutritional care. The resident, who had a history of significant weight loss and was at risk of malnutrition, lost 10% of body weight in 18 days. The RD was aware of the weight discrepancy but did not take timely action to verify the weight change or adjust the resident's dietary plan. The resident's weight was inconsistently measured using different methods, and the physician was not informed of the significant weight loss in a timely manner. The facility's policies and procedures for addressing weight changes and nutritional risks were not effectively implemented. The RD and other staff members failed to communicate and document the residents' nutritional status and weight changes adequately. The Director of Nursing (DON) acknowledged the lack of proper handling of weight loss cases and the absence of a policy for weight accuracy and consistency, contributing to the deficiencies observed in the care of these residents.
Infection Control and Hand Hygiene Deficiencies
Penalty
Summary
The facility failed to adhere to proper infection prevention and control protocols, specifically in the cleaning and disinfection of patient equipment and hand hygiene practices. During observations, it was noted that an LPN did not clean a blood pressure cuff between uses for two residents, despite the facility's policy requiring disinfection with bleach wipes after each use. The LPN admitted to cleaning the cuff after two or three uses, contrary to the facility's guidelines and the Director of Nursing's statement that equipment should be cleaned before and after each use. Additionally, the facility did not follow proper hand hygiene practices during medication administration. An LPN was observed not performing hand hygiene after administering medications to a resident and before moving on to the next resident. This was against the facility's policy and CDC guidelines, which require hand hygiene before and after patient contact. The LPN acknowledged usually cleaning hands after every resident, but this was not done in the observed instance. The facility's policies on infection prevention and control, including the cleaning of non-critical equipment and hand hygiene, were not followed as per the guidelines. The failure to clean equipment and perform hand hygiene as required could promote the spread of multi-drug resistant organisms throughout the facility, as noted in the report.
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Nursing homes near Jersey City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Acclaim Rehabilitation And Nursing Center | 0.6 mi | — | 0 | 0 |
| Peace Care St Joseph's | 3.1 mi | — | 2 | 0 |
| Alaris Health At Hamilton Park | 3.3 mi | — | 0 | 0 |
| Staten Island Care Center | 3.9 mi | — | 0 | 0 |
| Optima Care Harborview | 4 mi | — | 18 | 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.