Accela Post Acute Care at Hamilton
3 Hamilton Health Place, Hamilton, NJ 08690 · Mercer County · 55 certified beds · avg 50 residents/day · certified since Feb 25, 2015
2/5
Health inspection rating (on-site)
1
Serious findings on record
$11,175
Fines, last 3 years
3.13
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Oct 24, 2025 · F-0686 · triggered by a complaint
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 5, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (28)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Oct 24, 2025 | ▲ G · Actual harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Oct 24, 2025 | D · Potential for harm, one-off | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · from a complaint |
| Feb 14, 2025 | F · Potential for harm, facility-wide | The facility was not properly licensed, or did not operate in compliance with federal, state, and local laws, regulations, and accepted professional standards. |
| Feb 14, 2025 | E · Potential for harm, repeated | The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. · from a complaint |
| Feb 14, 2025 | E · Potential for harm, repeated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · from a complaint |
| Feb 14, 2025 | E · Potential for harm, repeated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Feb 14, 2025 | E · Potential for harm, repeated | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Feb 14, 2025 | E · Potential for harm, repeated | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. · from a complaint |
| Feb 14, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Feb 14, 2025 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Feb 14, 2025 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Feb 14, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| May 14, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint |
| May 14, 2024 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint |
| May 14, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| Oct 20, 2023 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Oct 20, 2023 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Oct 20, 2023 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint |
| Oct 20, 2023 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint |
| Oct 20, 2023 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Oct 20, 2023 | D · Potential for harm, one-off | The facility did not observe each nurse aide's job performance or provide regular training as required. · from a complaint |
| Oct 20, 2023 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| Oct 20, 2023 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Jan 12, 2023 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jan 12, 2023 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Jan 12, 2023 | C · Minimal risk, facility-wide | The facility was not properly licensed, or did not operate in compliance with federal, state, and local laws, regulations, and accepted professional standards. |
| Oct 20, 2020 | F · Potential for harm, facility-wide | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Oct 20, 2020 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 2 | 0 | F |
| 2023 | 11 | 0 | E |
| 2024 | 3 | 0 | D |
| 2025 | 12 | 1 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $11,175.
| Date | Type | Amount / length |
|---|---|---|
| Oct 24, 2025 | Fine | $11,175 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | New Jersey avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.13 | 3.88 | 3.95 | bottom 10% in New Jersey; bottom 19% in the U.S. |
| Registered Nurse hours | 0.43 | 0.67 | 0.69 | bottom 28% in New Jersey; bottom 27% in the U.S. |
| Weekend total nurse staffing | 2.75 | 3.53 | 3.50 | bottom 7% in New Jersey; bottom 18% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.38 | 0.50 | 0.48 | bottom 48% in New Jersey; bottom 48% in the U.S. |
| Total nursing staff turnover (%) | 62.3 | 39.7 | 45.8 | bottom 5% in New Jersey; bottom 13% in the U.S. |
| RN turnover (%) | 66.7 | 37.7 | 42.9 | bottom 7% in New Jersey; bottom 15% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.48, RN 0.62, weekend 3.93. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: —/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Markowits, Alexander | Individual | 5% or Greater Indirect Ownership Interest | — | 07/01/2021 |
| Oak Spring Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 07/01/2021 |
| Oak Spring Holdings NJ INC | Organization | 5% or Greater Indirect Ownership Interest | — | 07/01/2021 |
| Spring Hills Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/01/2021 |
| Cziment, Rafael | Individual | Contracted Managing Employee | NOT APPLICABLE | 07/01/2021 |
| Hook, Gregory | Individual | Contracted Managing Employee | NOT APPLICABLE | 07/01/2021 |
| Hook, Gregory | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2021 |
| Markowits, Alexander | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "Can you tell me about this citation and confirm your license and compliance status today?"
- "Under what circumstances would you discharge or transfer a resident, and what notice and appeal rights would we have?"
- "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
- "How do you coordinate and monitor care for residents who receive dialysis?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Complete Care at Mercerville LLC | 1.0 mi | Hamilton Township, NJ | ★★★★★ | 4/5 | |
| Preferred Care at Hamilton | 1.0 mi | Hamilton Square, NJ | ★★★★★ | 4/5 | |
| Hamilton Grove Healthcare and Rehabilitation, LLC | 1.9 mi | Hamilton, NJ | ★★☆☆☆ | 2/5 | |
| Avalon Rehabilitation and Healthcare Center | 2.5 mi | Hamilton, NJ | ★☆☆☆☆ | 1/5 | |
| Avant Rehabilitation and Care Center | 4.1 mi | Trenton, NJ | ★★★★☆ | 3/5 | |
| Riverside Health and Rehabilitation Center LLC | 4.1 mi | Trenton, NJ | ★★☆☆☆ | 2/5 | |
| Trenton Gardens Rehabilitation and Nursing Center | 4.6 mi | Trenton, NJ | —/5 | SFF | |
| Clover Meadows Healthcare and Rehabilitation Cente | 5.0 mi | Lawrenceville, NJ | ★★★★★ | 4/5 | |
| Belle Care Nursing and Rehabilitation Center | 5.4 mi | Trenton, NJ | ★☆☆☆☆ | 1/5 | SFF |
| Lawrence Rehab & Hcc/The Meadows at Lawrence | 5.9 mi | Lawrenceville, NJ | ★★☆☆☆ | 2/5 | |
| Lawrence Rehabilitation Hospital | 5.9 mi | Lawrenceville, NJ | ★★☆☆☆ | 1/5 | |
| Preferred Care at Mercer | 7.3 mi | Ewing, NJ | ★★★★☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 315519.