01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-04-10 | 3 | 2025-04-10 | 8 |
| Cycle 2 | 2023-11-27 | 2 | 2023-11-27 | 1 |
| Cycle 3 | 2021-09-22 | 1 | 2021-09-22 | 0 |
CMS CCN 3150192026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Dwelling Place At St Clares
400 West Blackwell St · Dover, NJ 07801 · Morris County
Certified beds28CMS provider file
Recent citation rows15current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
15 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 1 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-04-10 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2025-05-012025-04-10 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-05-012025-04-10 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-05-012025-04-10 · FIREK0223Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Correction field: Deficient, Provider has date of correction · 2025-07-102025-04-10 · FIREK0324Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2025-07-102025-04-10 · FIREK0351Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has date of correction · 2025-07-102025-04-10 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-05-302025-04-10 · FIREK0355Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2025-05-212025-04-10 · FIREK0521Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2025-04-302025-04-10 · FIREK0912Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
Correction field: Deficient, Provider has date of correction · 2025-04-252025-04-10 · FIREK0920Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2025-04-302023-11-27 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2023-12-152023-11-27 · HEALTHF0693Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Correction field: Deficient, Provider has date of correction · 2023-12-132023-11-27 · FIREK0321Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2023-11-302021-09-22 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2021-12-0703 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- PRIME HEALTHCARE SERVICES, INCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 06/26/2013
- KASP TRUSTSOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 06/26/2013
- PRIME HEALTHCARE HOLDINGS INCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 06/26/2013
- MPT OF MORRIS LLCOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 10/01/2015
- MPT OF MORRIS LLCOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 10/01/2015
- BURKLOW, BRYANIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 10/01/2015
- SCOTT, THOMASIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 10/01/2015
- BURKLOW, BRYANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/26/2013
- DOAN, CHRISTOPHERIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2017
- HEATHER, MICHAELIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/26/2013
- LEON, LUISIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/26/2013
- REDDY, PREMIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/26/2013
- SCHELL, TROYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/26/2013
- SCOTT, THOMASIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/01/2015
- HEATHER, MICHAELIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/01/2015
- LEON, LUISIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/01/2015
- REDDY, PREMIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/01/2015
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours5.93per resident day
RN hours3.45per resident day
Weekend nurse hours5.34per resident day
Staff turnover17.1%CMS reported field
06 / LOCAL RECORDS
Open the Dover ledger →