Nursing homeActive

Peace Care St Joseph's

537 Pavonia Avenue, Jersey City, NJ 073062016538300139 certified beds · 125 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
26
0251
Penalties · 3 yrs
$102,934
18 fines · 1 action
Last survey
2026-04-15
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 3
Staffing 4
Quality 5
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · New Jersey Department of Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-04-15Standard090CMS-2567 (Care Compare)
2024-11-07Standard070CMS-2567 (Care Compare)
2024-09-20Complaint020CMS-2567 (Care Compare)
2023-08-22Standard071CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · New Jersey Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-04-15Standard survey · 9 deficienciesOfficial report
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-24Record 315452-20260415-F552
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-24Record 315452-20260415-F584
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-24Record 315452-20260415-F600
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-24Record 315452-20260415-F607
F638Assure that each resident’s assessment is updated at least once every 3 months.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-24Record 315452-20260415-F638
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-24Record 315452-20260415-F755
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-04-24Record 315452-20260415-F812
F836Ensure 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.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-24Record 315452-20260415-F836
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-24Record 315452-20260415-F880
2024-11-07Standard survey · 7 deficienciesOfficial report
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-22Record 315452-20241107-F677
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-22Record 315452-20241107-F695
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-02Record 315452-20241107-F725
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-11-25Record 315452-20241107-F755
F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyScope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-11-22Record 315452-20241107-F868
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-11-22Record 315452-20241107-F880
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-11-22Record 315452-20241107-F883
2024-09-20Complaint survey · 2 deficienciesOfficial report
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-23Record 315452-20240920-F755
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-23Record 315452-20240920-F842
2023-08-22Standard survey · 8 deficienciesOfficial report
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-08-29Record 315452-20230822-F686
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 315452-20230822-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-29Record 315452-20230822-F656
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-29Record 315452-20230822-F698
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-29Record 315452-20230822-F755
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-08Record 315452-20230822-F812
F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyScope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-10-11Record 315452-20230822-F868
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-29Record 315452-20230822-F880

Penalties & enforcement

DateActionAmountSource
2024-11-07Denial of payment for new admissions
Payment denial for 6 days, from 2025-02-07
CMS · Penalties
2024-02-20Civil money penalty$4,938CMS · Penalties
2024-02-12Civil money penalty$4,893CMS · Penalties
2024-01-22Civil money penalty$14,814CMS · Penalties
2024-01-08Civil money penalty$4,938CMS · Penalties
2024-01-02Civil money penalty$4,587CMS · Penalties
2023-12-11Civil money penalty$13,762CMS · Penalties
2023-11-20Civil money penalty$4,587CMS · Penalties
2023-11-13Civil money penalty$4,587CMS · Penalties
2023-11-06Civil money penalty$4,587CMS · Penalties
2023-10-30Civil money penalty$4,587CMS · Penalties
2023-10-23Civil money penalty$4,587CMS · Penalties
2023-10-17Civil money penalty$4,587CMS · Penalties
2023-10-10Civil money penalty$4,587CMS · Penalties
2023-10-02Civil money penalty$4,587CMS · Penalties
2023-09-25Civil money penalty$4,587CMS · Penalties
2023-09-18Civil money penalty$4,587CMS · Penalties
2023-09-11Civil money penalty$4,587CMS · Penalties
2023-09-05Civil money penalty$4,545CMS · Penalties
2023-08-28Civil money penalty$4,587CMS · Penalties
2023-08-22Civil money penalty$57,944CMS · Penalties
2023-08-21Civil money penalty$4,587CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day1.09
Facility
New Jersey
National
New Jersey 0.68 · National 0.69
Total nurse hours per resident day4.05
Facility
New Jersey
National
New Jersey 3.85 · National 3.86
Weekend total nurse hours3.66
Facility
New Jersey
National
New Jersey 3.50 · National 3.42
Total nursing staff turnover37%
Facility
New Jersey
National
New Jersey 40% · National 46%
Registered nurse turnover43%
Facility
New Jersey
National
New Jersey 38% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityNew JerseyNational
Percentage of long-stay residents with pressure ulcers
lower is better
6.7%5.4%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
1.1%2.3%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
6.2%12.7%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
1.1%0.8%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.1%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
9.9%8.7%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
2.7%4.6%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
15.5%18.8%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Peace Care Inc
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Peace Ministries Inc
Organization
5% OR GREATER INDIRECT OWNERSHIP INTEREST100%
Hreben, Kyle
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Lynch, Donald
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Peace Ministries Inc
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Buccianti, Silvana
Individual
CORPORATE OFFICERNOT APPLICABLE
Buccianti, Silvana
Individual
TRUSTEE OF THE SNFNOT APPLICABLE
Buccianti, Silvana
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Donohue, Teresa
Individual
CORPORATE OFFICERNOT APPLICABLE
Donohue, Teresa
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Donohue, Teresa
Individual
TRUSTEE OF THE SNFNOT APPLICABLE
Doren, Elizabeth
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Doren, Elizabeth
Individual
CORPORATE OFFICERNOT APPLICABLE
Doren, Elizabeth
Individual
TRUSTEE OF THE SNFNOT APPLICABLE
Hreben, Kyle
Individual
CORPORATE OFFICERNOT APPLICABLE
Hreben, Kyle
Individual
ADP OF THE SNFNOT APPLICABLE
Lynch, Donald
Individual
CORPORATE OFFICERNOT APPLICABLE

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or New Jersey.

No county cost figures on file for Hudson.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Alaris Health At Hamilton Park
Jersey City
0.6 mi2025-03-13090
Optima Care Harborview
Jersey City
0.9 mi2026-05-280210
Hoboken University Medical Center Tcu
Hoboken
1.4 mi2024-06-18020
Optima Care Castle Hill
Union City
2.8 mi2026-01-150181
Acclaim Rehabilitation And Nursing Center
Jersey City
2.6 mi2025-04-04050
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01