| Peace Care St Ann's | |
| 198 Old Bergen Road, Jersey City, New Jersey 07305 | |
| (201) 433-0950 | |
| Name | Peace Care St Ann's |
|---|---|
| Location | 198 Old Bergen Road, Jersey City, New Jersey |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 120 |
| Occupancy Rate | 93.33% |
| Medicare ID (CCN) | 315413 |
| Legal Business Name | St. Anns Home for the Aged Corp |
| Ownership Type | Non Profit - Corporation |
| NPI Number | 1679572960 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | St. Anns Home for the Aged Corp |
| Address | 198 Old Bergen Rd, Jersey City, NJ 07305 |
| Phone Number | 201-433-0950 |
| 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 | 3.91 | 3.86 |
| Registered nurse (RN) hours per resident per day | 1.04 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.42 | 0.86 |
| Nurse aide hours per resident per day | 2.44 | 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 | 0.94 | 0.48 |
| Physical therapist hours per resident per day | 0.16 | 0.07 |
| Total nursing staff turnover | 37.8% | 45.8% |
| Registered nurse turnover | 32.3% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Mar 9, 2026 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. F0838, Administration, Standard inspection | Potential for harm, widespread | Corrected by Apr 27, 2026 |
| Mar 9, 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, pattern | Corrected by Apr 27, 2026 |
| Mar 9, 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, pattern | Corrected by Apr 27, 2026 |
| Mar 9, 2026 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Apr 27, 2026 |
| Mar 9, 2026 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Apr 27, 2026 |
| Mar 9, 2026 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Apr 27, 2026 |
| Mar 9, 2026 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 27, 2026 |
| Mar 9, 2026 | Assess the resident when there is a significant change in condition F0637, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 27, 2026 |
| Mar 9, 2026 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. F0640, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 27, 2026 |
| Mar 9, 2026 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 27, 2026 |
| Mar 9, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 27, 2026 |
| Mar 9, 2026 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. F0693, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 27, 2026 |
| Mar 9, 2026 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. F0711, Nursing and Physician Services, Standard inspection | Potential for harm, isolated | Corrected by Apr 27, 2026 |
| Mar 9, 2026 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Apr 27, 2026 |
| Mar 9, 2026 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Apr 27, 2026 |
| Mar 9, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Apr 27, 2026 |
| Mar 9, 2026 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. F0944, Administration, Standard inspection | Potential for harm, isolated | Corrected by Apr 27, 2026 |
| Aug 21, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Oct 1, 2025 |
| Oct 17, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Nov 30, 2024 |
| Oct 17, 2024 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Nov 30, 2024 |
| Oct 17, 2024 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 30, 2024 |
| Oct 17, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Nov 30, 2024 |
| Nov 22, 2022 | 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 Dec 30, 2022 |
| Nov 22, 2022 | 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 Dec 30, 2022 |
| Nov 22, 2022 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 30, 2022 |
| Nov 22, 2022 | 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 Dec 30, 2022 |
| Nov 22, 2022 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. F0851, Administration, Standard inspection | Potential for harm, isolated | Corrected by Dec 30, 2022 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 10 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 4.32 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.72 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.34 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 6.88 | 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 | 0.33 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.02 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.66 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 9.35 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.68 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.62 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.17 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 6.42 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.78 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 3.27 | 15.38 |
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