Monmouth County, New Jersey · Nursing home
Accela Rehab and Care Center at Manalapan
2 of 5 overall from CMS
104 Pension Road, Manalapan, NJ 07726
At a glance
- Overall rating 2 of 5 Below the state average of 3.3
- Nurse time per resident, per day 2.94 hours Below the state average of 3.85
- Nursing staff who left in a year 50.6% Above the state average of 39.7%
- Health citations, last 3 inspection cycles 45 4 at the harm level or above
- Fines in 3 years $63,238 1 fine
- Certified beds in use 93.9% of 132 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Accela Rehab and Care Center at Manalapan is a 132-bed nursing home in Manalapan, New Jersey (Monmouth County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 2.94 nurse staffing hours per resident per day, below the New Jersey average of 3.85. CMS lists 1 fine totaling $63,238 in the past three years.
- Certified beds
- 132
- Residents per day (average)
- 124.0
- Certified since
- 1989 (37 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Accela Healthcare (4 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Accela Rehab and Care Center at Manalapan
Chosen from this home's public data.
- CMS lists 1 fine totaling $63,238 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 15 health deficiencies in the latest inspection cycle (the standard inspection on Aug 13, 2025 plus complaint and infection-control inspections); the New Jersey average is 8.6. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 50.6%, above the New Jersey average of 39.7%. How often would the same aides care for my relative?Turnover in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 New Jersey average 3.3
- Health inspections 1 of 5 New Jersey average 2.8
- Staffing 2 of 5 New Jersey average 3.1
- Quality measures 5 of 5 New Jersey average 4.4
The vertical line marks the New Jersey average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 2.94 h New Jersey average 3.85
- Nurse aides 1.80 h New Jersey average 2.23
- Licensed practical nurses 0.83 h New Jersey average 0.93
- Registered nurses 0.31 h New Jersey average 0.68
- All staff, weekends 2.65 h New Jersey average 3.50
How much nurse staffing is enough? All bars share one scale, 0 to 11 hours. The vertical line marks the New Jersey average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover50.6%
- New Jersey average39.7%
- Registered nurse turnover40.0%
- New Jersey average37.7%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the New Jersey and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | New Jersey | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 5.7% | 8.7% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 8.3% | 4.6% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% | 0.6% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.3% | 0.8% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 24.7% | 12.1% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 4.3% | 2.3% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 89.1% | 93.0% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 3.1% | 8.2% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.7% | 18.8% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 85.0% | 97.2% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 6.9% | 5.4% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 1.5% | 15.6% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 9.1% | 12.7% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.99 | 2.07 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 0.57 | 1.11 | 1.78 |
Short-stay residents
| Measure | This home | New Jersey | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 87.8% | 79.0% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% | 1.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 50.0% | 80.1% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 15.8% | 24.9% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 3.9% | 8.1% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 45 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level and 3 involved actual harm; the rest were graded as no actual harm. 21 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Mar 6, 2024: Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Aug 13, 2025 | 15 | 9 |
| Mar 6, 2024 | 24 | 14 |
| Nov 23, 2021 | 6 | 4 |
New Jersey homes averaged 8.6 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (45)
-
EPotential for more than minimal harm, pattern
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 15, 2026)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 15, 2026)
-
DPotential for more than minimal harm, isolated
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 10, 2026)
-
DPotential for more than minimal harm, isolated
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 10, 2026)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jan 9, 2026)
Show 25 more
-
DPotential for more than minimal harm, isolated
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Nov 26, 2025)
-
EPotential for more than minimal harm, pattern
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service · Deficient, Provider has date of correction (Sep 22, 2025)
-
EPotential for more than minimal harm, pattern
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Administration · Deficient, Provider has date of correction (Sep 22, 2025)
-
EPotential for more than minimal harm, pattern
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Sep 22, 2025)
-
DPotential for more than minimal harm, isolated
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Sep 22, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Sep 22, 2025)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Sep 26, 2025)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Sep 22, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Sep 22, 2025)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Sep 22, 2025)
-
JImmediate jeopardy, isolated
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary · Deficient, Provider has date of correction (Apr 16, 2024)
-
HActual harm, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 16, 2024)
-
HActual harm, pattern
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Apr 16, 2024)
-
HActual harm, pattern
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Apr 16, 2024)
-
FPotential for more than minimal harm, widespread
Honor the resident's right to organize and participate in resident/family groups in the facility.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Apr 16, 2024)
-
FPotential for more than minimal harm, widespread
Honor the resident's right to manage his or her financial affairs.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Apr 16, 2024)
-
FPotential for more than minimal harm, widespread
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident Rights · Deficient, Provider has date of correction (Apr 16, 2024)
-
FPotential for more than minimal harm, widespread
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident Rights · Deficient, Provider has date of correction (Apr 16, 2024)
-
FPotential for more than minimal harm, widespread
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Apr 16, 2024)
-
FPotential for more than minimal harm, widespread
Provide care and assistance to perform activities of daily living for any resident who is unable.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Apr 16, 2024)
-
FPotential for more than minimal harm, widespread
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Apr 16, 2024)
-
FPotential for more than minimal harm, widespread
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services · Deficient, Provider has date of correction (Apr 16, 2024)
-
FPotential for more than minimal harm, widespread
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Apr 16, 2024)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Apr 16, 2024)
-
FPotential for more than minimal harm, widespread
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration · Deficient, Provider has date of correction (Apr 16, 2024)
Showing the 30 most recent of 45.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Mar 6, 2024 | Fine | $63,238 |
New Jersey homes averaged 0.7 fines and $34,926 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within New Jersey
- Size168 of 348 by certified beds
- New Jersey average residents per day122.4
- ChainAccela Healthcare
- Chain average overall rating2.0 of 5
- Resident or family councilResident
- Homes in Monmouth County32
Common questions
What is the CMS star rating for Accela Rehab and Care Center at Manalapan?
Accela Rehab and Care Center at Manalapan has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 2 and quality measures is 5.
How many beds does Accela Rehab and Care Center at Manalapan have?
Accela Rehab and Care Center at Manalapan has 132 certified beds. It averages 124.0 residents per day, about 93.9% of its certified beds.
How much nursing care do residents get at Accela Rehab and Care Center at Manalapan?
The home reports 2.94 hours of nurse staffing per resident per day, including 0.31 hours from registered nurses. The New Jersey average is 3.85 hours and 0.68 hours from registered nurses.
Has Accela Rehab and Care Center at Manalapan been fined?
Yes. CMS lists 1 fine totaling $63,238 in the past three years.
Does Accela Rehab and Care Center at Manalapan accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 Roosevelt Care Center At Old Bridge 180beds 90.6%in use 4.56nurse hours a day
- 5 of 5 Applewood Village, Inc 60beds 63.3%in use 5.73nurse hours a day
- 5 of 5 Reformed Church Home 108beds 92.3%in use 3.75nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Monmouth County
Who to call in New Jersey
These offices serve residents of every nursing home in New Jersey.
- Long-term care ombudsman New Jersey Long-Term Care Ombudsman 1-877-582-6995 (Fax 1-609-943-3479. Email: ombudsman@ltco.nj.gov. Mail: P.O. Box 852, Trenton, NJ 08625-0852.) An advocate for residents and their families.
- File a complaint about a nursing home Department of Health Complaint Hotline 1-800-792-9770 (24-hour hotline, seven days a week; complaints may be made by phone without giving a name. Long-term care complaints can also be faxed to 609-943-4977 (reviewed during business hours), submitted online (web.doh.nj.gov/fc/search.aspx), or mailed to NJ Department of Health, PO Box 367, Trenton, NJ 08625-0367.) The state agency that inspects nursing homes.
New Jersey staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 315282. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.