Avalon Rehabilitation and Healthcare Center in Hamilton, NJ has a 2-star overall rating, with a 1-star health inspection rating and 2-star staffing rating despite 5-star quality measures. It also had $87,562 in fines in the last 24 months, a recent federal penalty, and reported nurse staffing of 3.16 hours per resident per day versus the 4.1 federal benchmark.
Last inspection: December 2, 2025Penalties, last 24 months: $87,562recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1625.
Staffing detail
Registered nurses
0.45
Licensed practical nurses
0.94
Nurse aides
1.77
Weekend nursing
2.81
Hours per resident per day.
Total staff turnover: 35%
Registered nurse turnover: 39%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
16.9%Improving
Residents with a fall causing major injury
2.2%Improving
Residents with pressure ulcers (bedsores)
4.2%Improving
Residents with a urinary tract infection
1.2%Improving
Residents who lost too much weight
9.6%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
3.3%Improving
Residents whose ability to walk got worse
3.5%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
13.6%Improving
Short-stay residents newly given an antipsychotic
1.2%Improving
Residents with a long-term catheter
0.2%Improving
Residents with new or worsening incontinence
13.9%Improving
Residents with depressive symptoms
11.1%Worsening
Long-stay residents given the seasonal flu vaccine
96.5%Steady
Long-stay residents given the pneumonia vaccine
96.8%Steady
Short-stay residents given the seasonal flu vaccine
38.1%Steady
Short-stay residents given the pneumonia vaccine
29.4%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited June 2024 — isolated incident, immediate jeopardy to residents.
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F-Tag 600 — 42 CFR §483.12 — S/S: J
The nursing home failed to ensure residents were free from significant medication errors. Cited October 2025 — isolated incident, actual harm.
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F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited August 2025 — isolated incident, actual harm.
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F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2025 — isolated incident, actual harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: G
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 9 health deficiencies.
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PENALTY
A federal fine of $11,480 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $13,983 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $31,096 was recorded.
PENALTY
A federal fine of $17,118 was recorded.
PENALTY
A federal fine of $13,885 was recorded.
Penalties & enforcement
On record with Medicare: 5 fines · $87,562 in total fines.
Federal fine
Oct 24, 2025
$11,480
Federal fine
Aug 7, 2025
$13,983
Federal fine
Mar 11, 2025
$31,096
Federal fine
Jun 13, 2024
$17,118
Federal fine
Jun 13, 2024
$13,885
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of MARQUIS HEALTH SERVICES · 88 homes · 3 stars avg
Occupancy
146.4 residents on an average day (81% of 180 beds)
Resident voice
Resident council
Medicare history
Certified for 40 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.