Jersey Shore University Medical Center
An acute care hospital in Neptune, New Jersey 07754
1945 Rte 33, Neptune, New Jersey 07754. (732) 775-5500.
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The short answer
Record last released by CMS on Oct 20, 2026.
- 4of 5 CMS’s overall rating
- 3of 5 patient survey rating
- 5 deficiencies cited in the last three years (needs attention)
- 596 beds
Each figure’s source sits beside it, in its section below.
What these words mean4
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Condition-level deficiency
- For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual.
What did inspectors find?
The last inspection on record was on Apr 1, 2026: a complaint inspection.
5 deficiencies cited in the last three years, 1 of them at condition level, the most serious.
1 deficiency at condition level, the more serious of CMS’s two levels
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
5 deficiencies in 2 months of the last 36. Last cited Feb 2024. Most serious: Condition-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Feb 5, 2024: complaint inspection2 deficiencies
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Physical Environment
The inspectors’ words, 97 words
“PHYSICAL ENVIRONMENT CFR(s): 482.41 The hospital must be constructed, arranged, and maintained to ensure the safety of the patient, and to provide facilities for diagnosis and treatment and for special hospital services appropriate to the needs of the community. This Condition is not met as evidenced by: 33557 Based on observation, review of facility documents and interview with staff, it was determined that the facility failed to ensure all staff are provided with a reliable means to unlock two of two exit stairwells in the event of an emergency (A0710). Cross Reference: 482.41(b)(1)(2)(3) Life Safety From Fire”
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Life Safety From Fire
The inspectors’ words, 702 words
“LIFE SAFETY FROM FIRE CFR(s): 482.41(b)(1)(2)(3) (b) Standard: Life safety from fire. (1) Except as otherwise provided in this section— (i) The hospital must meet the applicable provisions and must proceed in accordance with the Life Safety Code (NFPA 101 and Tentative Interim Amendments TIA 12-1, TIA 12-2, TIA 12-3, and TIA 12-4.) Outpatient surgical departments must meet the provisions applicable to Ambulatory Health Care Occupancies, regardless of the number of patients served. (ii) Notwithstanding paragraph (b)(1)(i) of this section, corridor doors and doors to rooms containing flammable or combustible materials must be provided with positive latching hardware. Roller latches are prohibited on such doors. (2) In consideration of a recommendation by the State survey agency or Accrediting Organization or at the discretion of the Secretary, may waive, for periods deemed appropriate, specific provisions of the Life Safety Code, which would result in unreasonable hardship upon a hospital, but only if the waiver will not adversely affect the health and safety of the patients. (3) The provisions of the Life Safety Code do not apply in a State where CMS finds that a fire and safety code imposed by State law adequately protects patients in hospitals. This Standard is not met as evidenced by: 33557 Based on observation, staff interview, and a review of facility documents, it was determined that the facility failed to ensure all staff are provided with a reliable means to unlock two of two exit stairwells in the event of an emergency. Findings include: Reference: National Fire Protection Association’s Life Safety Code, 2012 Edition, 101:19.2.2.2.5.1 Door-locking arrangements shall be permitted where the clinical needs of patients require specialized protective measures or where patient pose a security threat, provided that staff can readily unlock doors at all times in accordance with 19.2.2.2.6. Reference: National Fire Protection Association’s Life Safety Code, 2012 Edition, 101:19.2.2.2.6. Doors that are located in the means of egress and are permitted to be locked under other provisions of 19.2.2.2.5 shall with all of the following: (1) Provisions shall be made for the rapid removal of occupants by one of the following means: (a) Remote control of locks, (b) Keying of all locks to keys carried by staff at all times, (c) Other such reliable means available to the staff at all times. . . . “ During a tour of Inpatient Behavior Health Unit ROSA 2 on 2/5/24 at 10:30 AM, in the presence of Staff (S) 1, the Director of Quality, and S7, Senior Manager, two Exit Stairwell doors, which serve as the only exits from the inpatient unit, were held closed with magnetic locks. Upon interview, S7 stated that the key switch located adjacent to each stairwell door will release the magnetic hold device and allow egress in cases of fire. Upon interview at 10:35 AM, when questioned if any staff carry the key while on the unit, S1 replied, “No.” During the interview, S1 confirmed that the key is located in the medication dispensing machine behind the Nurse’s Station. S1 also confirmed that only nurses can retreive the key from the machine. During a review of the staff schedule for 2/5/24, in addition to Registered Nurses, approximately 11 staff members holding the following titles were working on the unit: Patient Care Technicians, Registered Social Workers, Clinical Specialist, Recreational Therapist, Mental Health Workers, and Environmental Services. S1 confirmed, these staff do not have access to the key to open the exit doors. These staff members would need to activate the fire alarm to release the doors. At 11:43 AM, the Surveyor requested S4, a Registered Nurse, to access the exit door key from the medication machine. S4 attempted twice but was unable to retrieve the key. The medication dispensing machine screen indicated, “Out of Stock.” At 11:48 AM, S2, the Assistant Nurse Manager, attempted to retrieve the exit door key from the medication machine. S2 was unable to access the key. S2 stated, “we should get Pharmacy up here to fix this.” After several attempts, S2 was able to access the key. S2 pulled out a key ring with approximately 15 keys. After approximately 10 seconds, S2 was able to find the key labeled, “FD” for Fire Door. S1 confirmed the above finding.”
Dec 11, 2023: complaint inspection3 deficiencies
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Patient Rights: Care In Safe Setting
The inspectors’ words, 286 words
“PATIENT RIGHTS: CARE IN SAFE SETTING CFR(s): 482.13(c)(2) The patient has the right to receive care in a safe setting. This Standard is not met as evidenced by: 36420 Based on observation and staff interview, it was determined that the facility failed to ensure that all patients have a means of contacting staff for assistance when needed. Findings include: During a tour of the Obstetric (OB) Unit on 12/8/2023, the following was observed: At 9:40 AM, a patient was laboring in the Newborn Nursery. As per Staff (S) 4, the Charge Nurse, the patient was eight centimeters (CM) dilated and did not have a urinary catheter placed. There was no toilet located within the Newborn Nursery and the patient would require staff assistance to use a toilet. At 9:49 AM, while touring the unit with S4, a staff member approached S4 in the hallway and requested that S4 listen for her patient in the Nursery as she had to step away to obtain supplies. Upon interview, S4 stated that there was a newborn nurse in the Nursery, but that this nurse was not a Labor & Delivery (L&D) trained nurse. S4 confirmed that there was no call bell available in the Newborn Nursery for the patient to use to call staff for help. This was confirmed with S2 and S6, Administrative staff. While touring with S4, she stated that the OB physician on-call room was being used for OB Triage patients. A patient was observed being transported from the room. At 10:05 AM, the OB on-call room was toured. The room contained a bed and a fetal monitor. There was no call bell available for patient use within the on-call room. This was confirmed with S6.”
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Facilities
“FACILITIES CFR(s): 482.41(c) (d) Standard: Facilities. The hospital must maintain adequate facilities for its services. This Standard is not met as evidenced by: 33557 Based on staff interview on 12/8/23, it was determined that the facility failed to ensure patients are treated in areas designed for patient care. Findings include: During a tour of the Labor and Delivery/ Post Partum Unit at 1:40 PM, Staff (S) 1 confirmed that the Staff On-Call room was previously used for a laboring patient. The on-call room lacked a handwashing station.”
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Facilities, Supplies, Equipment Maintenance
The inspectors’ words, 415 words
“FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE CFR(s): 482.41(c)(2) Facilities, supplies, and equipment must be maintained to ensure an acceptable level of safety and quality. This Standard is not met as evidenced by: 36420 Based on observation, staff interview, and review of facility policy, it was determined that the facility failed to ensure that the water in one of one patient bathroom observed, is maintained to the appropriate temperature. Findings include: During a tour of the Obstetric (OB) Triage area on 12/8/23 at 11:09 AM, there were four postpartum and one laboring patient occupying the space. There was one patient bathroom that contained a sink, and two additional sinks located within the Triage area. Staff members were observed carrying peri-bottles (bottles filled with water and used to clean the perineum) out of the Triage area and reporting off to each other that they were going to get warm water. Upon interview, Staff (S) 16 and S17, both registered nurses (RN), explained that there was no warm water in the sink in the Triage bathroom and that is why they were exiting the area to get warm water. When asked about the additional sinks within the Triage area, staff stated that they mostly would use the sink within the bathroom due to the other sinks taking a long time for the water temperature to heat up and that it was faster to go to a sink in another area. At 11:30 AM, S18, an employee from Plant Operations, came to check the sink in the OB Triage bathroom. When S18 turned the sink on the water pressure appeared to be decreased and not generating a full stream. S18 described the water temperature as “lukewarm at best.” S18 explained that the water pressure was decreased due to adjustments made to the faucet to prevent Legionella. After running the water from the faucet for 4 minutes, S18 checked the temperature and reported it to be 86 degrees Fahrenheit. S18 stated that the temperature should have been 105-115 degrees Fahrenheit. S18 then proceeded to make repairs to the sink and it was confirmed by administrative staff that the sink had been repaired later that day. Facility policy titled, “HMH Environment of Care Water Systems Legionella Prevention,” effective 12/2/2020, stated, “... Potable Water ... Table 2-3: Target temperature levels in distribution system ... Facility Type ... Hospital Distribution ... Hot Water ([degrees symbol] F [Fahrenheit]) ... 113 [less than or equal to symbol] T [less than or equal to symbol] 120 [sic] ...””
All 13 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Apr 1, 2026 | Complaint inspection | No deficiencies cited |
| Dec 29, 2025 | Complaint inspection | No deficiencies cited |
| Nov 20, 2025 | Complaint inspection | No deficiencies cited |
| Oct 15, 2025 | Complaint inspection | No deficiencies cited |
| Oct 14, 2025 | Complaint inspection | No deficiencies cited |
| Jul 30, 2025 | Complaint inspection | No deficiencies cited |
| May 1, 2025 | Complaint inspection | No deficiencies cited |
| Apr 21, 2025 | Complaint inspection | No deficiencies cited |
| Oct 1, 2024 | Complaint inspection | No deficiencies cited |
| Feb 5, 2024 | Complaint inspection | 2 deficiencies cited |
| Jan 24, 2024 | Complaint inspection | No deficiencies cited |
| Jan 23, 2024 | Complaint inspection | No deficiencies cited |
| Dec 11, 2023 | Complaint inspection | 3 deficiencies cited |
How do patients fare?
- CMS’s overall CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System. for it is 4 of 5.
- Of the measures behind its CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System., CMS counts against the national value: mortality, 3 better and 0 worse of 8; safety of care, 2 better and 0 worse of 8; readmission, 1 better and 2 worse of 11.
- Patients rate it 3 of 5 in CMS’s patient survey (4,231 surveys completed, Oct 1, 2024 to Sep 30, 2025): 66% rated it 9 or 10 out of 10, and 69% would definitely recommend it.
- Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): central line bloodstream infections (CLABSI), better than the national benchmark; catheter urinary tract infections (CAUTI), better than the national benchmark; surgical site infections after colon surgery, better than the national benchmark; surgical site infections after abdominal hysterectomy, no different than national benchmark; MRSA bloodstream infections, no different than national benchmark; C. diff infections, better than the national benchmark.
- CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: no different than the national value.
- Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart attack 10.8%, heart failure 8.4%, pneumonia 12.6%, COPD 8.3%, stroke 9.6%, heart bypass surgery 1.3%. CMS gives no comparison with the national rate for them in this release.
- Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart attack 12.9%, heart failure 19.9%, pneumonia 15.6%, COPD 18.4%, heart bypass surgery 9%, hip or knee replacement 4.8%. CMS gives no comparison with the national rate for them in this release.
- After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate; hospital admissions after outpatient chemotherapy, worse than the national rate; emergency visits after outpatient chemotherapy, no different than the national rate; unplanned hospital visits after outpatient surgery, no different than expected.
- Emergency department patients spent a median of 210 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 2% left before being seen.
- 67% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
- Medicare’s spending per patient here is 1.07 times the national median (Jan 1, 2024 to Dec 31, 2024).
CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.
CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | 4 of 5 |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | 3 of 5 |
Is it certified, and in good standing?
- Medicare-certified acute care hospital since Jul 1, 1966.
- Ownership: voluntary non-profit - private.
- It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
- Cited at For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. in the last three years: it didn’t meet a whole condition of Medicare’s rules for hospitals.
- Voluntary non-profit - Private.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for hospitals.
- Not among the hospitals whose Medicare payments CMS cut under the Hospital-Acquired Condition Reduction Program for fiscal year 2026.
- 5 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
What do patients say about their care?
- CMS doesn’t publish staffing levels for hospitals.
- In CMS’s patient survey, patients rate how well its nurses communicated 3 of 5.
- 93% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- Hackensack Meridian Health Inc. owns 100% directly since Jan 1, 2018.
- 31 owners or officers are people: Gloria D Martini (corporate director); Praful Raja (corporate director); Frank L Fekete (corporate director); Richard Henning (corporate director); Edward Piccinich (corporate director); Thomas R Lake (corporate director); Marvin Goldstein (corporate director); Edward Russo (corporate director); William J Murray (corporate director); Frank Vuono (corporate director); Walter A. Wynkoop (corporate director); William Lawless (corporate director); Rosemarie Sorce (corporate director); Shawn Reynolds (corporate director); Richard Hand (corporate officer); Gregorio J Guillen (corporate director); Kathryn Gibbons (corporate officer); Christopher Rotio (corporate director); Pranaychandra J Vaidya (corporate director); Luke Kealy (corporate director); Andria Schneiderman (corporate director); John J Wilcha (corporate director); Kevin Field (corporate director); James Derosa (corporate officer); Robert C Garrett (corporate officer); Robert C Garrett (corporate director); Steve P Lisser (corporate director); Mark S Stauder (corporate officer); Mark S Stauder (corporate director); Mark S Stauder (managing employee (on the payroll)); Aida P Capo (corporate director).
- CMS’s Provider of Services file records 4 changes of ownership, the latest on Jan 1, 2018.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Hackensack Meridian Health Inc. | Owns 5% or more directly | 100% | Jan 1, 2018 |
How does it compare nearby?
- Of the 5 hospitals CMS lists in Monmouth County, 5 have an overall star rating from CMS: 3 rated 4 of 5, 2 rated 3 of 5.
- CMS rates this one 4 of 5.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
| Place | Overall star rating |
|---|---|
| Riverview Medical Center | 3 |
| Monmouth Medical Center | 3 |
| Centrastate Medical Center | 4 |
| Bayshore Medical Center | 4 |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for hospitals.
- In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.
Sources
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Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the hospital
The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.