Cedar Grove Respiratory and Nursing Center

Name: Cedar Grove Respiratory and Nursing Center
Address: 1420 SOUTH BLACK HORSE PIKE, Williamstown, NJ, 08094, US
Telephone: 8568750100

1420 South Black Horse Pike, Williamstown, NJ 08094 · Gloucester County · 180 certified beds · avg 178 residents/day · certified since Feb 9, 1988

Part of chain: ATLAS HEALTHCARE (29 facilities, chain avg rating 3.6★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.90

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

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.

All citations in the current public record (32)

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
May 20, 2025	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
May 20, 2025	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
May 20, 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.
May 20, 2025	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.
May 20, 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 20, 2025	D · Potential for harm, one-off	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area.
Dec 8, 2023	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
May 18, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
May 18, 2023	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
May 18, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
May 18, 2023	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
May 18, 2023	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
May 18, 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.
May 18, 2023	D · Potential for harm, one-off	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
May 18, 2023	D · Potential for harm, one-off	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area.
Feb 23, 2022	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Feb 23, 2022	E · Potential for harm, repeated	The facility did not make sure its staff were vaccinated for COVID-19 in accordance with the federal requirements in effect at the time.
Feb 23, 2022	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Feb 23, 2022	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Feb 23, 2022	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Feb 23, 2022	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.
Feb 23, 2022	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Feb 23, 2022	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Feb 23, 2022	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Feb 23, 2022	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Feb 23, 2022	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Feb 23, 2022	D · Potential for harm, one-off	The facility did not observe each nurse aide's job performance or provide regular training as required.
Feb 23, 2022	D · Potential for harm, one-off	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 23, 2022	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.
Feb 23, 2022	D · Potential for harm, one-off	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Feb 23, 2022	B · Minimal risk, repeated	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Feb 23, 2022	B · Minimal risk, repeated	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 6).

Year	Citations	Worst severity that year
2022	17	E
2023	9	E
2025	6	D

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)

No fines or payment denials in the published 3-year window.

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)	2.90	3.88	3.95	bottom 3% in New Jersey; bottom 11% in the U.S.
Registered Nurse hours	0.42	0.67	0.69	bottom 26% in New Jersey; bottom 26% in the U.S.
Weekend total nurse staffing	2.69	3.53	3.50	bottom 6% in New Jersey; bottom 16% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.40	0.50	0.48	top 49% in New Jersey; top 48% in the U.S.
Total nursing staff turnover (%)	49.4	39.7	45.8	bottom 25% in New Jersey; bottom 38% in the U.S.
RN turnover (%)	31.6	37.7	42.9	top 40% in New Jersey; top 32% 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 3.94, RN 0.57, weekend 3.65. 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: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Bak, Pinchos	Individual	5% or Greater Indirect Ownership Interest	34%	02/01/2020
Gardenview Opco Holding LLC	Organization	5% or Greater Direct Ownership Interest	100%	02/01/2020
Goldberger, Shlomo	Individual	5% or Greater Indirect Ownership Interest	33%	02/01/2020
Sonnenschein, Moshe	Individual	5% or Greater Indirect Ownership Interest	33%	02/01/2020
Bak, Pinchos	Individual	Corporate Officer	NOT APPLICABLE	02/01/2020
Bak, Pinchos	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2020
Bak, Pinchos	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2020
Cedar Grove Propco LLC	Organization	ADP of the SNF	NOT APPLICABLE	02/01/2020
Conti, Joseph	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2020
Conti, Joseph	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2020
Gardenview Manager LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	02/01/2020
Gardenview Manager LLC	Organization	ADP of the SNF	NOT APPLICABLE	07/14/2025
Goldberger, Shlomo	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2020
Goldberger, Shlomo	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2020
Isaac, Chaim	Individual	Trustee of the SNF	NOT APPLICABLE	02/01/2020
Malt Family Trust	Organization	ADP of the SNF	NOT APPLICABLE	02/01/2020
Meadow Heights Realty LLC	Organization	ADP of the SNF	NOT APPLICABLE	07/14/2025
Seeve, Eliezer	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2020
Seeve, Eliezer	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2020
SGS 2010 Family Trust	Organization	ADP of the SNF	NOT APPLICABLE	02/01/2020

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"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
Atlas Rehabilitation and Healthcare at Washington	5.3 mi	Sewell, NJ	★★★☆☆	2/5
Berlin Rehabilitation and Healthcare Center	6.7 mi	Berlin, NJ	★★★★☆	3/5
The Center for Rehab & Nursing Washington Township	6.9 mi	Sewell, NJ	★★★☆☆	2/5
The Fountains of Atco	7.5 mi	Atco, NJ	★☆☆☆☆	1/5	SFF
Hammonton Center for Rehabilitation and Healthcare	9.8 mi	Hammonton, NJ	★☆☆☆☆	1/5
United Methodist Communities at Pitman	9.9 mi	Pitman, NJ	★★★★★	5/5
Elmwood Hills Healthcare Center LLC	10.1 mi	Blackwood, NJ	★★☆☆☆	1/5
Laurel Manor Healthcare and Rehabilitation Center	11.0 mi	Stratford, NJ	★★★★☆	4/5
Advanced Subacute Rehabilitation Center at Sewell	11.6 mi	Sewell, NJ	★★☆☆☆	1/5
Autumn Lake Healthcare at Voorhees	12.0 mi	Voorhees, NJ	★★★☆☆	2/5	abuse
New Jersey Veterans Memorial Vineland	12.2 mi	Vineland, NJ	★★★☆☆	2/5
Lions Gate	12.3 mi	Voorhees, NJ	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in Williamstown →

Facility data as of CMS processing date 2026-08-01. CCN 315257.

The Care File

Visit checklist — Cedar Grove Respiratory and Nursing Center

1420 South Black Horse Pike, Williamstown, NJ 08094 · 8568750100

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 315257 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)