| Peace Care St Joseph's | |
| 537 Pavonia Avenue, Jersey City, New Jersey 07306 | |
| (201) 653-8300 | |
| Name | Peace Care St Joseph's |
|---|---|
| Location | 537 Pavonia Avenue, Jersey City, New Jersey |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 139 |
| Occupancy Rate | 89.71% |
| Medicare ID (CCN) | 315452 |
| Legal Business Name | Margaret Anna Cusack Care Center,inc |
| Ownership Type | Non Profit - Corporation |
| NPI Number | 1699892315 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Margaret Anna Cusack Care Center,inc |
| Address | 537 Pavonia Ave, Jersey City, NJ 07306 |
| Phone Number | 201-653-8300 |
| NPI Number | 1871574673 |
| Match | Possible same name, address or phone number |
| Organization Name | St. Joseph's Home for the Blind |
| Doing Business As | Cusack Care Center |
| Address | 537 Pavonia Ave, Jersey City, NJ 07306 |
| Phone Number | 201-653-8300 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.05 | 3.86 |
| Registered nurse (RN) hours per resident per day | 1.09 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.41 | 0.86 |
| Nurse aide hours per resident per day | 2.55 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.66 | 3.42 |
| RN hours per resident per day on the weekend | 0.96 | 0.48 |
| Physical therapist hours per resident per day | 0.08 | 0.07 |
| Total nursing staff turnover | 36.6% | 45.8% |
| Registered nurse turnover | 42.9% | 42.9% |
| Number of administrators who have left the nursing home | 2 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 21 |
| Total Amount of Fines in Dollars | $170,052 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 22 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Apr 15, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Apr 24, 2026 |
| Apr 15, 2026 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Apr 24, 2026 |
| Apr 15, 2026 | 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. F0584, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 24, 2026 |
| Apr 15, 2026 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Apr 24, 2026 |
| Apr 15, 2026 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Apr 24, 2026 |
| Apr 15, 2026 | Assure that each resident’s assessment is updated at least once every 3 months. F0638, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 24, 2026 |
| Apr 15, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Apr 24, 2026 |
| Apr 15, 2026 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. F0836, Administration, Standard inspection | Potential for harm, isolated | Corrected by Apr 24, 2026 |
| Apr 15, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Apr 24, 2026 |
| Nov 7, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Nov 25, 2024 |
| Nov 7, 2024 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868, Administration, Standard inspection | Potential for harm, pattern | Corrected by Nov 22, 2024 |
| Nov 7, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Nov 22, 2024 |
| Nov 7, 2024 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Nov 22, 2024 |
| Nov 7, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 22, 2024 |
| Nov 7, 2024 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 22, 2024 |
| Nov 7, 2024 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725, Nursing and Physician Services, Standard inspection | Potential for harm, isolated | Corrected by Dec 2, 2024 |
| Sep 20, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Sep 23, 2024 |
| Sep 20, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Sep 23, 2024 |
| Aug 22, 2023 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection, Complaint inspection | Actual harm, isolated | Corrected by Aug 29, 2023 |
| Aug 22, 2023 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Aug 29, 2023 |
| Aug 22, 2023 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868, Administration, Standard inspection | Potential for harm, pattern | Corrected by Oct 11, 2023 |
| Aug 22, 2023 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Sep 1, 2023 |
| Aug 22, 2023 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Aug 29, 2023 |
| Aug 22, 2023 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Aug 29, 2023 |
| Aug 22, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Sep 8, 2023 |
| Aug 22, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Aug 29, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.9 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 2.73 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.71 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.08 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 1.4 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.06 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.19 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 8.59 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.48 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.1 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 90.56 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 6.71 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.22 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 6.18 | 15.38 |
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