Preferred Care at Old Bridge, LLC
6989 Rt18, Old Bridge, NJ 08857 · Middlesex County · 140 certified beds · avg 134 residents/day · certified since Mar 1, 1993
Part of chain: PREFERRED CARE (13 facilities, chain avg rating 3.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
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 · Mar 6, 2023 · F-0692
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.
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: Mar 31, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Mar 11, 2021 · F-0697
The facility did not provide safe and appropriate pain management for a resident who needed it.
Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.
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: Mar 24, 2021 (Deficient, Provider has date of correction)
All citations in the current public record (15)
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 23, 2025 | E · Potential for harm, repeated | 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 23, 2025 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint |
| Jul 10, 2025 | D · Potential for harm, one-off | 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. · from a complaint |
| Jul 10, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Mar 31, 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. |
| Mar 6, 2023 | ▲ G · Actual harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Mar 6, 2023 | E · Potential for harm, repeated | The facility admitted a resident without a doctor's order, or did not make sure each resident stayed under a doctor's ongoing care. |
| Mar 6, 2023 | D · Potential for harm, one-off | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Mar 6, 2023 | D · Potential for harm, one-off | 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. |
| Mar 6, 2023 | D · Potential for harm, one-off | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Mar 11, 2021 | ▲ G · Actual harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Mar 11, 2021 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Mar 11, 2021 | E · Potential for harm, repeated | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Mar 11, 2021 | 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. |
| Mar 11, 2021 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (5 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 5 | 1 | G ▲ |
| 2023 | 5 | 1 | G ▲ |
| 2025 | 5 | 0 | E |
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) | 3.44 | 3.88 | 3.95 | bottom 35% in New Jersey; bottom 34% in the U.S. |
| Registered Nurse hours | 0.40 | 0.67 | 0.69 | bottom 21% in New Jersey; bottom 21% in the U.S. |
| Weekend total nurse staffing | 3.22 | 3.53 | 3.50 | bottom 43% in New Jersey; bottom 43% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.33 | 0.50 | 0.48 | bottom 36% in New Jersey; bottom 37% in the U.S. |
| Total nursing staff turnover (%) | 47.4 | 39.7 | 45.8 | bottom 27% in New Jersey; bottom 43% in the U.S. |
| RN turnover (%) | 50.0 | 37.7 | 42.9 | bottom 26% in New Jersey; bottom 39% 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 3.66, RN 0.42, weekend 3.41. Staffing rating: 2/5.
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: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Green, Dov | Individual | 5% or Greater Direct Ownership Interest | — | 04/04/2017 |
| Mermelstein, Boruch | Individual | 5% or Greater Direct Ownership Interest | — | 04/04/2017 |
| Ob Investor LLC | Organization | 5% or Greater Direct Ownership Interest | — | 04/04/2017 |
| Preferred Care at Old Bridge LLC | Organization | 5% or Greater Direct Ownership Interest | — | 04/04/2017 |
| Schnell, David | Individual | 5% or Greater Direct Ownership Interest | — | 04/04/2017 |
| Beck, Menachem | Individual | W-2 Managing Employee | NOT APPLICABLE | 04/19/2017 |
| Stern, Samuel | Individual | Corporate Officer | NOT APPLICABLE | 04/04/2017 |
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 monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "Who would be my family member's attending doctor here, and how often would they be seen?"
- "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 |
|---|---|---|---|---|---|
| Reformed Church Home | 1.1 mi | Old Bridge, NJ | ★★★★★ | 4/5 | |
| Autumn Lake Healthcare at Old Bridge | 1.8 mi | Old Bridge, NJ | ★★★★☆ | 3/5 | |
| Roosevelt Care Center at Old Bridge | 2.4 mi | Old Bridge, NJ | ★★★★★ | 5/5 | |
| Complete Care at Madison, LLC | 4.1 mi | Matawan, NJ | ★★★★★ | 4/5 | |
| Meadowbrook Respiratory and Nursing Center | 4.6 mi | Matawan, NJ | ★★★★☆ | 4/5 | |
| Careone at East Brunswick | 5.1 mi | East Brunswick, NJ | ★★★☆☆ | 3/5 | |
| Excel Care at Manalapan | 6.0 mi | Manalapan, NJ | ★★☆☆☆ | 1/5 | |
| Venetian Care & Rehabilitation Center, LLC | 6.1 mi | South Amboy, NJ | ★★☆☆☆ | 1/5 | |
| Careone at Holmdel | 6.8 mi | Holmdel, NJ | ★★★★★ | 4/5 | |
| Complete Care at Bayshore LLC | 6.9 mi | Holmdel, NJ | ★★★★☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 315321.