Avalon Rehabilitation and Healthcare Center

1059 Edinburg Road · Hamilton, NJ · 08690 · 6095880091

180 certified beds For profit - Limited Liability company Chain: Marquis Health Services

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $52,541 in fines in the last 24 months.
  • 3 citations involved actual harm to residents.
  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

2 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

2 actual-harm citations in the most recent cycle

Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.

$52,541 in federal fines in the last 24 months

3 fines — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 37
Serious harm & abuse 20% 60
Staffing 20% 60
Federal penalties 15% 19
Trend 10% 74
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.163.48 min · 4.1 strong
RN hours / resident-day0.450.55–0.75
Weekend hours / resident-day2.81≈ weekday level
Nursing turnover / year35%median 45%
Fines (3-yr window)5 · $83,544

Inspection citations (37 in the current record)

  • Potential for harm · E December 2, 2025

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected December 5, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E December 2, 2025

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected December 5, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D December 2, 2025

    Post nurse staffing information every day.

    Corrected December 3, 2025 · Nursing and Physician Services

  • Potential for harm · E December 2, 2025

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected December 5, 2025 · Pharmacy Service

  • Potential for harm · D December 2, 2025

    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.

    Corrected December 3, 2025 · Pharmacy Service

  • Potential for harm · F December 2, 2025

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

    Corrected December 3, 2025 · Nutrition and Dietary

  • Potential for harm · D December 2, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected December 5, 2025 · Quality of Life and Care

  • Potential for harm · D December 2, 2025 · found via complaint

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected December 3, 2025 · Quality of Life and Care

  • Potential for harm · E December 2, 2025 · found via complaint

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

    Corrected December 5, 2025 · Nursing and Physician Services

  • Actual harm · G October 24, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected November 1, 2025 · Pharmacy Service

  • Actual harm · G August 7, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected September 17, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 29, 2025 · found via complaint

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

    Corrected June 24, 2025 · Nursing and Physician Services

  • Potential for harm · D May 29, 2025 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected June 24, 2025 · Resident Assessment and Care Planning

  • Actual harm · G March 11, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected May 2, 2025 · Quality of Life and Care

  • Potential for harm · D March 11, 2025 · found via complaint

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected May 2, 2025 · Resident Rights

  • Potential for harm · D March 11, 2025 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected May 2, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 11, 2025 · found via complaint

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected May 2, 2025 · Quality of Life and Care

  • Immediate jeopardy · J June 13, 2024

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected July 8, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J June 13, 2024

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected May 13, 2023 · Quality of Life and Care

  • Potential for harm · D June 13, 2024

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected July 8, 2024 · Resident Rights

  • Potential for harm · D June 13, 2024

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected July 8, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 13, 2024

    Respond appropriately to all alleged violations.

    Corrected July 8, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 13, 2024

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected July 8, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D June 13, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected July 8, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D June 13, 2024

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected July 8, 2024 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
October 24, 2025Fine$7,462
August 7, 2025Fine$13,983
March 11, 2025Fine$31,096
June 13, 2024Fine$13,885
June 13, 2024Fine$17,118

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 315223 · certified since February 26, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.