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5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Tower Lodge Care Center operates as a 60-bed nursing home in Wall Township, occupying rural Monmouth County territory roughly eight miles inland from the coast. The facility’s payor mix includes Medicare, Medicaid, and private pay, and offers flexibility to residents across the financial spectrum. Current census sits at 54 residents, yielding a 90 percent occupancy rate that speaks to steady local demand. The typical resident stays roughly eight months, which aligns with what a facility bridging rehabilitation and long-term nursing care might expect.
The care structure at Tower Lodge centers on direct nursing time: each resident receives 3 hours 33 minutes of nursing attention daily, distributed among registered nurses (20 minutes), licensed practical nurses or vocational nurses (44 minutes), and certified nurse aides (2 hours 7 minutes). That aide-heavy staffing model means residents get substantial hands-on assistance with bathing, dressing, feeding, and mobility. The facility explicitly lists rehabilitation services as a core offering, making it a plausible choice for people recovering from orthopedic procedures, acute illness, or functional decline that benefits from skilled therapy and round-the-clock nursing oversight.
Location-wise, Tower Lodge presents a tradeoff. The neighborhood scores 1 on the Walk Score scale, which is functionally car-dependent, with the vast majority of errands and activities beyond pedestrian reach. The surrounding rural character works either for or against a family depending on what they’re seeking. Those prioritizing proximity to medical centers benefit from the Monmouth County medical ecosystem nearby; those wanting walkable streets, shops, and casual visiting ease will find the setting isolating.
Over the past six years, the facility accumulated deficiencies tied to clinical protocols, staffing coverage, food safety and sanitation, staff training gaps, and maintenance problems. Investigations flagged specific failures: call bells out of residents’ reach, delayed pandemic infection control responses. The facility’s most recent inspection cycle, though, yielded zero deficiencies, suggesting corrective momentum may have taken hold. Whether that clean inspection represents sustained improvement or a single good cycle remains a question worth exploring directly with the administrator, Mr. Mermelstein, during a tour.
Tower Lodge presents as a facility asking families to balance a difficult history against recent operational signs of change.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 167th out of 274 homes in New Jersey for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 20m per day | ▼ 51% State avg: 41m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 41m per day | ▼ 27% State avg: 56m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 5m per day | ▼ 7% State avg: 2h 14m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 47m per day | ▼ 19% State avg: 3h 27m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 0m per day | ▼ 96% State avg: 6m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 13m per day | ▼ 56% State avg: 29m per day · National avg: 28m per day |
Higher than the New Jersey average: 77%Tower Lodge Care Center is administrated by Mr. Abraham Mermelstein.
Officers are individuals or entities with formal legal or financial responsibility for the organization that owns this facility
Chaim Feigenbaum, Pincus Feigenbaum
In New Jersey, the Department of Health, Health Facilities Evaluation and Licensing conducts mandatory unannounced surveys to ensure facilities provide safe and effective resident care.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the New Jersey state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | NJ Average | vs. NJ Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 26 | 18 | This facility has 44% more total deficiencies than a typical New Jersey nursing home (26 vs. NJ avg 18).↑ 44% worse |
|
Deficiencies per year
Average deficiencies per year since 2020.
| 4.3 | 3 | This facility has 43% more deficiencies per year than a typical New Jersey nursing home (4.3 vs. NJ avg 3).↑ 43% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 2.6 | 2 | This facility has 30% more deficiencies per inspection than a typical New Jersey nursing home (2.6 vs. NJ avg 2).↑ 30% worse |
Inspections
| This Facility | NJ Average | vs. NJ Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 10 | 9 | This facility has 11% more total inspections than a typical New Jersey nursing home (10 vs. NJ avg 9).↑ 11% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
New Jersey average 4
Last Health inspection on Sep 2024
New Jersey average 20.9
New Jersey average 5.35
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 8 citations resulted from standard inspections.
100% better than New Jersey averageNew Jersey average: 0.7
100% better than New Jersey averageNew Jersey average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
28% more staff per resident than New Jersey average
8% worse than New Jersey average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
10 total: 4 full-time employees and 6 contractors.
10
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursAssists with medical care and medications.
17 total: 8 full-time employees and 9 contractors.
17
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursHelps with daily care and mobility.
75 total: 17 full-time employees and 58 contractors.
75
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
5,169 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 17 | 58 | 75 | 10,469 | 92 | 100% | 7.8 |
| Licensed Practical Nurse | 8 | 9 | 17 | 2,876 | 92 | 100% | 7.3 |
| Registered Nurse | 4 | 6 | 10 | 1,190 | 90 | 98% | 7.9 |
| Other Dietary Services Staff | 6 | 0 | 6 | 880 | 90 | 98% | 6.5 |
| RN Director of Nursing | 2 | 0 | 2 | 551 | 56 | 61% | 7.6 |
| Nurse Practitioner | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Dietitian | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Administrator | 2 | 0 | 2 | 432 | 51 | 55% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 368 | 46 | 50% | 8 |
| Speech Language Pathologist | 0 | 1 | 1 | 340 | 56 | 61% | 6.1 |
| Physical Therapy Assistant | 0 | 2 | 2 | 147 | 29 | 32% | 5.1 |
| Qualified Social Worker | 0 | 1 | 1 | 94 | 37 | 40% | 2.5 |
| Occupational Therapy Aide | 1 | 0 | 1 | 54 | 31 | 34% | 1.8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 25 | 7 | 8% | 3.6 |
| Nurse Aide in Training | 1 | 0 | 1 | 22 | 2 | 2% | 11 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 21 | 16 | 17% | 1.3 |
| Qualified Activities Professional | 0 | 1 | 1 | 6 | 3 | 3% | 1.9 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.5
10% worse than New Jersey averageNew Jersey average: 6.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.9
12% worse than New Jersey averageNew Jersey average: 12.4
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
10.2%
In line with New Jersey averageNew Jersey average: 10.1%
Percent of long-stay residents whose ability to move independently worsened
14.3%
30% worse than New Jersey averageNew Jersey average: 11.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.3%
8% worse than New Jersey averageNew Jersey average: 16.0%
Percent of long-stay residents experiencing one or more falls with major injury
4.4%
80% worse than New Jersey averageNew Jersey average: 2.4%
Percent of long-stay high risk residents with pressure ulcers
1.6%
74% better than New Jersey averageNew Jersey average: 6.1%
Percent of long-stay residents with a urinary tract infection
2.5%
156% worse than New Jersey averageNew Jersey average: 1.0%
Percent of long-stay residents who lose too much weight
7.1%
53% worse than New Jersey averageNew Jersey average: 4.6%
Percent of long-stay residents who have depressive symptoms
9.9%
12% better than New Jersey averageNew Jersey average: 11.3%
Percent of long-stay residents who received an antipsychotic medication
0.0%
100% better than New Jersey averageNew Jersey average: 11.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
7% better than New Jersey averageNew Jersey average: 93.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with New Jersey averageNew Jersey average: 97.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.37
34% better than New Jersey averageNew Jersey average: 2.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.46
59% better than New Jersey averageNew Jersey average: 1.12
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
68.4%
13% worse than New Jersey averageNew Jersey average: 78.9%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than New Jersey averageNew Jersey average: 0.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
53% of new residents, usually for short-term rehab.
26% of new residents, often for short stays.
21% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
54Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Tower Lodge Care Center from 2011–2023, based on CMS SNF Cost Reports.
Based on the 2023 CMS SNF Cost Report.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #265 / 272Payroll — State benchmarkedThis home is ranked 265th out of 272 homes in New Jersey. Shows total annual staff payroll benchmarked to the New Jersey average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (53% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.5 miles from city center
Estimated distance in miles from Wall's city center to Tower Lodge Care Center's address, calculated via Google Maps.
Add your location
Tower Lodge Care Center is located in Wall, New Jersey.
Here are the financial assistance programs available to residents in New Jersey.
The information below is reported by the New Jersey Department of Health, Health Facilities Evaluation and Licensing.
| Tower Lodge Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Wall | 60
Facility
60
NJ AVG
125
Rank
#486 / 561 |
90.0%
Facility
90.0%
NJ AVG
77%
Rank
#101 / 493 | +17% | 3.54
Facility
3.54
NJ AVG
3.88
Rank
#167 / 274 | -12% | -9% | $0
Facility
$0
NJ AVG
$76.4k
Rank
#1 / 276 | 8
Facility
8
NJ AVG
20.9
Rank
#24 / 276 | 2.7
Facility
2.7
NJ AVG
5.3
Rank
#30 / 276 | - | 55 | - |
1
Facility
1
NJ AVG
47
Rank
#631 / 640 | Chanie Feigenbaum | $6.7M
Facility
$6.7M
NJ AVG
$19.6M
Rank
#264 / 272 | $3.9M
Facility
$3.9M
NJ AVG
$7.1M
Rank
#265 / 272 | 57.5%
Facility
57.5%
NJ AVG
39.3%
Rank
#61 / 272 | 315069 | ||||
| Complete Care At Wall Llc |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
PC Palliative Care
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Wall | 130
Facility
130
NJ AVG
125
Rank
#193 / 561 | - | - | 3.40
Facility
3.40
NJ AVG
3.88
Rank
#186 / 274 | -68% | -12% | $0
Facility
$0
NJ AVG
$76.4k
Rank
#1 / 276 | 15
Facility
15
NJ AVG
20.9
Rank
#80 / 276 | 15.0
Facility
15.0
NJ AVG
5.3
Rank
#274 / 276 | - | 18 | - |
1
Facility
1
NJ AVG
47
Rank
#631 / 640 | - | $4.4M
Facility
$4.4M
NJ AVG
$19.6M
Rank
#271 / 272 | $3.9M
Facility
$3.9M
NJ AVG
$7.1M
Rank
#263 / 272 | 88.6%
Facility
88.6%
NJ AVG
39.3%
Rank
#5 / 272 | 315501 |
Tower Lodge Care Center has a walk score of 1. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to NJ state health department records, Tower Lodge Care Center's license number is 61331.
According to NJ state health department records, Tower Lodge Care Center's license expires on July 31, 2026.
Tower Lodge Care Center's occupancy is 90%.
Mr. ABRAHAM MERMELSTEIN is the administrator of Tower Lodge Care Center.
Tower Lodge Care Center has 60 beds.
Yes — there are 9 photos of Tower Lodge Care Center in the photo gallery on this page.
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