D

PEACE CARE ST JOSEPH'S

537 PAVONIA AVENUE, JERSEY CITY, NJ 07306
Score: 42 / 100

CMS data shows Peace Care St Joseph'S earning a D grade with a score of 42/100, placing it below most facilities in New Jersey. Prospective residents and families should carefully review the specific areas of concern detailed below.

Staffing at Peace Care St Joseph'S is near the national average, with 4.05 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 17 deficiencies at Peace Care St Joseph'S. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.05 3.8 Average
Registered Nurses (RN) 1.06 0.7 Above Average
Licensed Practical Nurses (LPN) 0.45 0.7 Below Average
Certified Nursing Assistants (CNA) 2.54 2.4 Average
Weekend Total Nursing 3.52 3.8 Average
Weekend RN Hours 0.81 0.7 Above Average

🔍 Inspection & Deficiency History

17
Total Deficiencies
Nov 6, 2024
Most Recent Inspection
🟠 17 Moderate
View recent deficiencies (5 shown)
  • Tag 0755 Severity E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    Nov 6, 2024 · Pharmacy Service Deficiencies
  • Tag 0868 Severity E
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    Nov 6, 2024 · Administration Deficiencies
  • Tag 0880 Severity E
    Provide and implement an infection prevention and control program.
    Nov 6, 2024 · Infection Control Deficiencies
  • Tag 0883 Severity E
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    Nov 6, 2024 · Infection Control Deficiencies
  • Tag 0677 Severity D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    Nov 6, 2024 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 8.0% 4.5% Worse
Falls with major injury 2.2% 3.0% Better
On antipsychotic medication 5.0% 14.5% Better
Urinary tract infections 0.8% 2.5% Better
ADL decline (daily activities) 25.0% 14.0% Worse
Excessive weight loss 3.0% 7.5% Better
New/worsened incontinence 19.0% 45.0% Better

⚠️ Penalties & Fines

25 penalties recorded by CMS

Total fines: $196,510

How This Grade Was Calculated

This facility's grade of D is based on a score of 42 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -15 pts
  • Fine deductions: -10 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Corporation
Certified Beds
139
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Nov 6, 2024
Deficiencies (Cycle 1)
7