Map showing the location of PEACE CARE ST JOSEPH'S in JERSEY CITY, New Jersey
537 PAVONIA AVENUE, JERSEY CITY, NJ, 07306

Overall Score

CMS Five-Star Quality Rating
3/5AverageCMS Five-Star overall rating
  1. Much below average
  2. Below average
  3. Average
  4. Above average
  5. Much above average

Where it ranks

  • New JerseyAbove only 32% of peers344 rated homes · average 3.3★
  • Hudson CountyAbove only 23% of peers14 rated homes · average 3.3★
  • United StatesAbove only 41% of peers14,574 rated homes · average 3.0★

How the rating is built

  • Health inspectionsStarting point3★+0.2 vs NJ avg
  • StaffingCan add or remove a star4★+1.0 vs NJ avg
  • Quality measuresCan add or remove a star4★−0.4 vs NJ avg

CMS starts from the health inspection stars, then adds or subtracts a star for staffing and for quality measures. Stars are assigned relative to other facilities in the same state.

Ratings & measures

Tap a row to see what it means
Health inspection ratingCMS stars from the last three on-site inspection cycles3★Above only 45% of peersNJ avg2.8★U.S. avg2.8★
What is health inspection rating?

Stars assigned from the last three standard surveys and every complaint investigation in that window, weighted toward the most recent and the most serious findings. CMS assigns these stars relative to other facilities in the same state.

Why it matters

It carries the most weight in the overall rating and is the only domain based on what trained inspectors saw on site rather than what the facility reported.

Staffing ratingCMS stars from payroll-reported hours and turnover4★Above 67% of peersNJ avg3.0★U.S. avg2.9★
What is staffing rating?

Nurse and aide hours per resident day from payroll records CMS collects every quarter, adjusted for how much care residents need, plus staff turnover and weekend coverage.

Why it matters

More hours and lower turnover are the strongest predictors of fewer falls, pressure sores, and avoidable hospital stays.

Quality measures ratingCMS stars from clinical outcomes and resident assessments4★Above only 12% of peersNJ avg4.4★U.S. avg3.6★
What is quality measures rating?

Clinical outcomes from resident assessments and Medicare claims: falls with injury, pressure ulcers, hospitalizations, antipsychotic use, and more, for both short-stay and long-stay residents.

Why it matters

It shows whether care is working, but part of it comes from the facility’s own assessments, so read it alongside the inspection results.

Total nurse hoursPer resident per day, all nursing staff4.05hrsAbove 74% of peersNJ avg3.86Benchmark4.10
What is total nurse hours?

All licensed nurse and aide hours worked, divided by the number of residents, on an average day. Reported from payroll, not self-reported.

Why it matters

Federal research links 4.1 hours a day to fewer avoidable harms. Below about 3 hours, residents wait longer for help with basics like toileting and repositioning.

RN hoursPer resident per day, registered nurses only1.06hrsAbove 89% of peersNJ avg0.69Benchmark0.75
What is rn hours?

Registered nurse hours only. RNs assess residents, manage medications, and catch changes in condition; LPNs and aides deliver most hands-on care.

Why it matters

RN coverage is the staffing measure most tied to fewer hospital transfers and infections, and it is where thinly staffed facilities cut first.

Nursing staff turnoverShare of nursing staff who left within a year · lower is better44%Above only 38% of peersNJ avg41%RN turnover53%
What is nursing staff turnover?

The share of nursing staff who left within the past year, from the same payroll data.

Why it matters

High turnover means residents are cared for by people who do not know them, and it is one of the strongest predictors of inspection problems.

Fines in the last three yearsCivil money penalties imposed by CMS · lower is better$208,424Above only 4% of peersNJ avg$35,495Fines · denials29 · 1
What is fines in the last three years?

Civil money penalties CMS imposed after serious or uncorrected deficiencies, and denials of Medicare payment for new admissions.

Why it matters

Penalties follow the worst inspection findings. A recent fine is the clearest sign that inspectors found real harm.

Inspection history

Last three inspection cycles
17citations
3inspection dates
1actual harm (G–I)
0immediate jeopardy (J–L)
Nov 7, 2024most recent

Citations by monthFeb 2023 – Nov 2024

  • No actual harm (D–F)
  • Actual harm (G–I)
  • Immediate jeopardy (J–L)
  • $Fine or payment denial

Click a month or a year to filter the findings below. Arrow keys move between months; Esc clears.

Nov 7, 20247 citationsCycle 1worst E · no actual harmpayment denial
  1. F677Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and CareD · isolatedCorrected Nov 22, 2024
  2. F695Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and CareD · isolatedCorrected Nov 22, 2024
  3. F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Nursing and Physician ServicesD · isolatedCorrected Dec 2, 2024
  4. F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy ServiceE · patternCorrected Nov 25, 2024
  5. F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyAdministrationE · patternCorrected Nov 22, 2024
  6. F880Provide and implement an infection prevention and control program.Infection ControlE · patternCorrected Nov 22, 2024
  7. F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Infection ControlE · patternCorrected Nov 22, 2024
Sep 20, 20242 citationsCycle 2worst D · no actual harm
  1. F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy ServiceD · isolatedCorrected Sep 23, 2024
  2. F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Resident Assessment and Care PlanningD · isolatedCorrected Sep 23, 2024
Aug 22, 20238 citationsCycle 2worst G · actual harm$4,587, $57,944, $4,587, $4,587, $4,587
  1. F641Ensure each resident receives an accurate assessment.Resident Assessment and Care PlanningD · isolatedCorrected Sep 1, 2023
  2. F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care PlanningD · isolatedCorrected Aug 29, 2023
  3. F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Quality of Life and CareE · patternCorrected Aug 29, 2023
  4. F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy ServiceD · isolatedCorrected Aug 29, 2023
  5. F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and DietaryD · isolatedCorrected Sep 8, 2023
  6. F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyAdministrationE · patternCorrected Oct 11, 2023
  7. F880Provide and implement an infection prevention and control program.Infection ControlD · isolatedCorrected Aug 29, 2023
  8. F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Quality of Life and CareG · isolatedCorrected Aug 29, 2023

Staffing

From quarterly payroll reports

Hours per resident per day

  • All nursing staffRNs, LPNs and aides combined4.05hrsAbove 74% of peers+0.19 vs NJ avg
  • Registered nursesRN hours only1.06hrsAbove 89% of peers+0.37 vs NJ avg
  • Licensed practical nursesLPN hours0.45hrs
  • Nurse aidesCNA hours2.54hrs
  • Weekend nursingAll staff on Saturdays and Sundays3.52hrs
  • New Jersey average
  • Research benchmark (4.10 total, 0.75 RN)

Turnover & capacity

  • Nursing staff turnoverShare who left within a year · lower is better44%Above only 38% of peersNJ avg 41%
  • RN turnoverRegistered nurses only53%Not ranked by CMS
  • Administrators who leftIn the past year2Leadership changed
  • Occupancy139 certified beds · ~125 residents a day90%Above 68% of peersNJ avg 82%

Fines & penalties

Roughly the past three years

Enforcement summary

  • $208,424In fines
  • 29Fines
  • 1Payment denial
  • $35,495NJ avg in fines
Above only 4% of peersFewer fines than 4% of rated homes in New Jersey

Actions on record

  1. Nov 7, 2024Denial of payment for new admissionsfrom Feb 7, 2025
  2. Feb 20, 2024Civil money penalty$4,938
  3. Feb 12, 2024Civil money penalty$4,893
  4. Jan 22, 2024Civil money penalty$14,814
  5. Jan 8, 2024Civil money penalty$4,938
  6. Jan 2, 2024Civil money penalty$4,587
  7. Dec 11, 2023Civil money penalty$13,762
  8. Nov 20, 2023Civil money penalty$4,587
  9. Nov 13, 2023Civil money penalty$4,587
  10. Nov 6, 2023Civil money penalty$4,587
  11. Oct 30, 2023Civil money penalty$4,587
  12. Oct 23, 2023Civil money penalty$4,587
  13. Oct 17, 2023Civil money penalty$4,587
  14. Oct 10, 2023Civil money penalty$4,587
  15. Oct 2, 2023Civil money penalty$4,587
  16. Sep 25, 2023Civil money penalty$4,587
  17. Sep 18, 2023Civil money penalty$4,587
  18. Sep 11, 2023Civil money penalty$4,587
  19. Sep 5, 2023Civil money penalty$4,545
  20. Aug 28, 2023Civil money penalty$4,587
  21. Aug 22, 2023Civil money penalty$57,944
  22. Aug 21, 2023Civil money penalty$4,587
  23. Aug 14, 2023Civil money penalty$4,587
  24. Aug 7, 2023Civil money penalty$4,587
  25. Jul 17, 2023Civil money penalty$13,409
  26. Mar 20, 2023Civil money penalty$3,875
  27. Mar 13, 2023Civil money penalty$3,523
  28. Mar 6, 2023Civil money penalty$3,147
  29. Feb 28, 2023Civil money penalty$2,797
  30. Feb 21, 2023Civil money penalty$2,447

Ownership

As filed with CMS

Structure

Ownership type
Non profit - Corporation
Chain
Independent
Certification
Medicare and Medicaid
Location type
Urban
Ownership change
None in the last 12 months

People and entities on file

Direct owners (5%+)
  • Peace Care INC
Indirect owners (5%+)
  • Peace Ministries INC
Operational or managerial control
  • Peace Ministries INC
  • Kyle Hreben
  • Donald Lynch
Corporate officers
  • Silvana Buccianti
  • Teresa Donohue
  • Elizabeth Doren
  • Kyle Hreben
  • Donald Lynch

Person Organization

Sources & notes

Public data, updated quarterly

Data sources

  • CMS Care Compare · Provider InformationStar ratings, staffing hours, turnover, penalties and flags · processed February 2026.
  • CMS Health CitationsEvery deficiency from the last three inspection cycles, with scope, severity and inspection cycle.
  • CMS Penalties and Ownership filesCivil money penalties, payment denials, and the owners and managers on file.

Notes

  • CMS Certification Number 315452 · 537 PAVONIA AVENUE, JERSEY CITY, NJ, 07306.
  • Percentiles compare this facility with every rated nursing home in New Jersey and Hudson County. Turnover and fines are inverted so a high percentile is always good.
  • This is an informational summary of public data, not medical, legal, or placement advice. Facilities cannot pay to change it; a facility that believes a record is wrong can dispute it with CMS.

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