Meadowbrook Respiratory and Nursing Center

38 Freneau Avenue · Matawan, NJ · 07747 · 7327655600

130 certified beds Non profit - Corporation Chain: Atlas Healthcare

Why this verdict

  • Staffing levels are well below research benchmarks for safe care.
  • Inspection results have improved across recent cycles.

Red flags

1 immediate-jeopardy citation in prior inspection cycles

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

Score breakdown

Inspection record 30% of score 47
Serious harm & abuse 20% 94
Staffing 20% 20
Federal penalties 15% 65
Trend 10% 91
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: 2 of 5 Staffing: 1 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.48 min · 4.1 strong
RN hours / resident-day0.55–0.75
Weekend hours / resident-day≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)1 · $48,266

Inspection citations (20 in the current record)

  • Potential for harm · D May 20, 2025

    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.

    Corrected June 17, 2025 · Resident Rights

  • Potential for harm · E May 20, 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 June 17, 2025 · Pharmacy Service

  • Potential for harm · E May 20, 2025

    Ensure that residents are free from significant medication errors.

    Corrected June 17, 2025 · Pharmacy Service

  • Potential for harm · D May 20, 2025

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

    Corrected June 17, 2025 · Nutrition and Dietary

  • Potential for harm · D May 20, 2025 · found via complaint

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

    Corrected June 17, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E May 20, 2025 · found via complaint

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

    Corrected June 17, 2025 · Quality of Life and Care

  • Potential for harm · D May 6, 2025 · found via complaint

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

    Corrected May 30, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 24, 2025 · found via complaint

    Reasonably accommodate the needs and preferences of each resident.

    Corrected April 4, 2025 · Resident Rights

  • Potential for harm · D February 24, 2025 · found via complaint

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

    Corrected April 4, 2025 · Quality of Life and Care

  • Immediate jeopardy · L July 18, 2023 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected August 8, 2023 · Infection Control

  • Potential for harm · F July 18, 2023 · found via complaint

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Corrected August 8, 2023 · Administration

  • Potential for harm · D May 8, 2023

    Respond appropriately to all alleged violations.

    Corrected June 9, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 8, 2023

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

    Corrected June 9, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E May 8, 2023

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

    Corrected June 9, 2023 · Quality of Life and Care

  • Potential for harm · E May 8, 2023

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected June 9, 2023 · Pharmacy Service

  • Potential for harm · D May 8, 2023

    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 June 9, 2023 · Pharmacy Service

  • Potential for harm · E May 8, 2023

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected June 9, 2023 · Nutrition and Dietary

  • Potential for harm · D May 8, 2023

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

    Corrected June 9, 2023 · Nutrition and Dietary

  • Potential for harm · D May 8, 2023

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

    Corrected June 9, 2023 · Resident Assessment and Care Planning

  • Potential for harm · F March 19, 2021

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

    Corrected March 25, 2021 · Nutrition and Dietary

Federal penalties

DateTypeAmount / length
July 18, 2023Fine$48,266

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 315463 · certified since June 13, 2000. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.