The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited February 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
Preferred Care at Hamilton Nursing and Rehabilitation
Registered name: PREFERRED CARE AT HAMILTON
HAMILTON SQUARE, NJ · Medicare-certified · 126 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
4 of 5 overall
4 of 5 stars overall. Health inspections are 3 stars, staffing is 2 stars with reported nurse staffing below the federal benchmark (3.62 vs 4.1 hours/resident/day), quality measures are 5 stars, and the facility had $48,825 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.6162 hrs/resident/day
Quality measures
Last inspection: February 3, 2025Penalties, last 24 months: $48,825recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6162.
Staffing detail
- Registered nurses
- 0.45
- Licensed practical nurses
- 0.97
- Nurse aides
- 2.20
- Weekend nursing
- 3.28
Hours per resident per day.
Total staff turnover: 55%
Registered nurse turnover: 74%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
5.4%8.3%Worsening
Residents with a fall causing major injury
2.2%2.3%No change
Residents with pressure ulcers (bedsores)
5.3%2.7%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
7.2%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
11.2%6.4%Improving
Residents whose ability to walk got worse
5.6%3.3%Improving
Long-stay residents on antianxiety or sleep medication
23.8%16.5%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
28.9%23.9%Improving
Residents with depressive symptoms
1.2%2.4%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%98.9%Worsening
Short-stay residents given the seasonal flu vaccine
—97.7%—
Short-stay residents given the pneumonia vaccine
98.2%91%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide services that met professional standards of quality. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: E
The home failed to ensure residents’ medications were free from unnecessary drugs. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 757 — 42 CFR §483.45(d) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $48,825 was recorded.
- INSPECTION
Health inspection found 13 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $48,825 in total fines.
- $48,825
Federal fine
Feb 3, 2025
Operator & ownership
- Ownership
- For profit - Individual
- Chain
- Part of PREFERRED CARE · 13 homes · 3.6 stars avg
- Occupancy
- 114.4 residents on an average day (91% of 126 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 56 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.