01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-04-15 | 9 | 2026-04-15 | 5 |
| Cycle 2 | 2024-11-07 | 9 | 2024-11-07 | 14 |
| Cycle 3 | 2023-08-22 | 8 | 2023-08-22 | 3 |
CMS CCN 3154522026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Peace Care St Joseph'S
537 Pavonia Avenue · Jersey City, NJ 07306 · Hudson County
Certified beds139CMS provider file
Recent citation rows48current CMS citation release
Penalty rows22current 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
48 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 10 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-04-15 · HEALTHF0552Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Correction field: Deficient, Provider has date of correction · 2026-04-24 · complaint2026-04-15 · HEALTHF0584Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Correction field: Deficient, Provider has date of correction · 2026-04-242026-04-15 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2026-04-24 · complaint2026-04-15 · HEALTHF0607Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Deficient, Provider has date of correction · 2026-04-242026-04-15 · HEALTHF0638Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
Correction field: Deficient, Provider has date of correction · 2026-04-242026-04-15 · 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 · 2026-04-242026-04-15 · 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 · 2026-04-242026-04-15 · HEALTHF0836Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2026-04-242026-04-15 · HEALTHF0880Severity D · isolated; 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 · 2026-04-242026-04-15 · FIREK0321Severity E · pattern; 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 · 2026-04-242026-04-15 · FIREK0324Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2026-04-242026-04-15 · FIREK0541Severity F · widespread; potential for more than minimal harm
Services Deficiencies
Install properly constructed and protected linen or trash chutes.
Correction field: Deficient, Provider has date of correction · 2026-04-242026-04-15 · FIREK0761Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2026-05-052026-04-15 · FIREK0918Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2026-04-242024-11-07 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2024-11-222024-11-07 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2024-11-222024-11-07 · HEALTHF0725Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Correction field: Deficient, Provider has date of correction · 2024-12-022024-11-07 · HEALTHF0755Severity E · pattern; 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 · 2024-11-252024-11-07 · HEALTHF0868Severity E · pattern; potential for more than minimal harm
Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Correction field: Deficient, Provider has date of correction · 2024-11-222024-11-07 · 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 · 2024-11-222024-11-07 · HEALTHF0883Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2024-11-222024-11-07 · FIREK0222Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2025-02-042024-11-07 · 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 · 2025-02-042024-11-07 · FIREK0291Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2025-02-0403 / 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 |
|---|---|---|---|
| 2024-11-07 | Payment Denial | $0 | 6 |
| 2024-02-20 | Fine | $4,938 | 0 |
| 2024-02-12 | Fine | $4,893 | 0 |
| 2024-01-22 | Fine | $14,814 | 0 |
| 2024-01-08 | Fine | $4,938 | 0 |
| 2024-01-02 | Fine | $4,587 | 0 |
| 2023-12-11 | Fine | $13,762 | 0 |
| 2023-11-20 | Fine | $4,587 | 0 |
| 2023-11-13 | Fine | $4,587 | 0 |
| 2023-11-06 | Fine | $4,587 | 0 |
| 2023-10-30 | Fine | $4,587 | 0 |
| 2023-10-23 | Fine | $4,587 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- PEACE CARE INCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 06/01/2016
- PEACE MINISTRIES INCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST100% · since 06/01/2016
- BUCCIANTI, SILVANAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 07/01/2018
- DONOHUE, TERESAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/28/2016
- DOREN, ELIZABETHIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 07/01/2018
- BUCCIANTI, SILVANAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2024
- DONOHUE, TERESAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/30/2024
- DOREN, ELIZABETHIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2024
- HREBEN, KYLEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2022
- LYNCH, DONALDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/01/2022
- PEACE MINISTRIES INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/01/2016
- HREBEN, KYLEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2022
- LYNCH, DONALDIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/01/2022
- BUCCIANTI, SILVANAIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 07/01/2018
- DONOHUE, TERESAIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 03/28/2016
- DOREN, ELIZABETHIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 07/01/2018
- HREBEN, KYLEIndividual · ADP OF THE SNFNOT APPLICABLE · since 07/01/2022
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 hours4.05per resident day
RN hours1.09per resident day
Weekend nurse hours3.66per resident day
Staff turnover36.6%CMS reported field
06 / LOCAL RECORDS
Open the Jersey City ledger →