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D
Poor

TOWER LODGE CARE CENTER

1506 GULLY ROAD · WALL, NJ 07719

7326811400 · For profit - Corporation

60 beds53.3 residents130 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

TOWER LODGE CARE CENTER receives an overall staffing grade of D (Poor). With 3.2037 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3379 HPRD, below the recommended 0.75. It is 0.69 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 17.93% compared to weekdays. The facility relies heavily on temporary agency staff (25.09% of hours), suggesting potential workforce instability.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.2037 HPRD — needs 0.28 more hours per resident per day.
⚠️RN staffing (0.3379 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️25.09% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (1)

✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.2037hrs/resident/day▼ 0.69
CMS benchmark: 3.48
RN HPRD
0.3379hrs/resident/day▼ 0.35
Recommended: 0.75
Weekend Drop-off
17.93%
3.3747 weekday → 2.7697 weekend
Agency Staff
25.09%
31.9% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.1253hrs/resident/day
Direct care aides
LPN HPRD
0.7405hrs/resident/day
Licensed practical nurses
Consistency
0.3915std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Monmouth County Average-0.64 HPRD
3.84
03.20 HPRD
vs. New Jersey State Average-0.66 HPRD
3.87
03.20 HPRD
vs. National Average-0.69 HPRD
3.90
03.20 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
TOWER LODGE CARE CENTER ★
WALL · This facility
—
D
3.20370.3379★★★★★
JERSEY SHORE POST ACUTE REHABILITATION AND NURSING
NEPTUNE
1.9 mi
C
3.32870.8181★★★☆☆
CORAL HARBOR REHABILITATION AND HEALTHCARE CENTER
NEPTUNE CITY
2.3 mi
C
3.23630.6991★★★★☆
IMPERIAL CARE CENTER
NEPTUNE
2.4 mi
B
3.63810.6124★★★★★
KING MANOR CARE AND REHABILITATION CENTER
NEPTUNE
2.8 mi
D
2.94570.3778★★★★☆
GATEWAY CARE CENTER
EATONTOWN
7.1 mi
C
3.40450.786★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
8
Total Deficiencies
$0
Fines Assessed
Sep 18, 2024Health
3 deficiencies cited
▼
Sep 26, 2023Health
3 deficiencies cited
▼
Aug 12, 2021Health
2 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.