PlainNursing
2026 data Public-data reference. official source

MEDFORD LEAS

Open-data reference.

MEDFORD LEAS is a non profit - corporation facility in MEDFORD, NJ with 24 certified beds and a 4-star overall CMS rating. The facility has 8 deficiency records on file.

ONE MEDFORD LEAS WAY, MEDFORD, NJ 08055

Phone: 6096543000

Overall Rating

4/5

Health Inspection

3/5

Staffing

N/A

Quality Measures

5/5

Long-Stay Quality

N/A

Facility Information

Provider Number
315144
Ownership
Non profit - Corporation
Provider Type
Medicare
Beds
24
Residents
8
In Hospital
No
County
Burlington
Last Inspection
Feb 25, 2025

Staffing Data

RN Hours
N/A (nat'l avg: 0.68)
LPN Hours
N/A
CNA Hours
N/A
Total Nursing Hours
N/A (nat'l avg: 3.89)
PT Hours
N/A

What the CMS Record Reveals About MEDFORD LEAS

MEDFORD LEAS operates 24 certified beds in MEDFORD, NJ with approximately 8 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (N/A★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 8 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare" provider, MEDFORD LEAS falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (8 most recent)

D — Isolated - Minimal harm Feb 25, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 11, 2025

E — Pattern - Minimal harm Feb 25, 2025 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Apr 11, 2025

E — Pattern - Minimal harm Feb 25, 2025 Tag: 0865

Have a plan that describes the process for conducting QAPI and QAA activities.

Category: Administration Deficiencies

Corrected: Apr 14, 2025

E — Pattern - Minimal harm Feb 25, 2025 Tag: 0838

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.

Category: Administration Deficiencies

Corrected: Apr 11, 2025

F — Widespread - Minimal harm Feb 25, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: May 6, 2025

E — Pattern - Minimal harm Feb 25, 2025 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Apr 18, 2025

D — Isolated - Minimal harm Jan 9, 2023 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 28, 2023

D — Isolated - Minimal harm Jan 9, 2023 Tag: 0640

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 28, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay N/A Yes
Percentage of long-stay residents who lose too much weight Long Stay N/A No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay N/A Yes
Percentage of long-stay residents with a urinary tract infection Long Stay N/A Yes
Percentage of long-stay residents who have depressive symptoms Long Stay N/A No
Percentage of long-stay residents who were physically restrained Long Stay N/A No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay N/A Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay N/A No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 58.0% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay N/A Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay N/A No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay N/A No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 84.4% No
Percentage of long-stay residents with pressure ulcers Long Stay N/A Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay N/A No
Percentage of long-stay residents who received an antipsychotic medication Long Stay N/A Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for MEDFORD LEAS?
MEDFORD LEAS has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (3★), staffing levels (null★), and quality measures (5★).
What are the staffing levels at MEDFORD LEAS?
MEDFORD LEAS reports N/A total nursing hours per resident day (national average: 3.89). RN hours are N/A per resident day (national average: 0.68).
How many beds does MEDFORD LEAS have?
MEDFORD LEAS has 24 certified beds with approximately 8 residents. The facility is located at ONE MEDFORD LEAS WAY, MEDFORD, NJ 08055.
Does MEDFORD LEAS have any deficiencies on record?
Yes, MEDFORD LEAS has 8 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has MEDFORD LEAS received any fines or penalties?
No, MEDFORD LEAS has no fines or penalties on record.
Who owns MEDFORD LEAS?
MEDFORD LEAS is classified as "Non profit - Corporation" ownership. The facility type is "Medicare".
When was MEDFORD LEAS last inspected?
The most recent health inspection for MEDFORD LEAS was on Feb 25, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for MEDFORD LEAS?
MEDFORD LEAS is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial