Rahway, NJ

Adroit Care Rehabilitation And Nursing Center

4-star overall rating with 3-star inspections with $4,893 in total fines with 9 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

1777 Lawrence Street, Rahway, NJ

(732) 499-7927

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

122

Certified beds

Average residents

115

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Excelsior Care Group

Operator or chain grouping

Approved since

1983-11-29

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

33 facilities

Chain averages 3 overall / 2 health / 3 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.53

Registered nurse staffing · state 0.69 · national 0.68

LPN hours / resident day

0.98

Licensed practical nurse staffing · state 0.94 · national 0.87

Aide hours / resident day

1.77

Nurse aide staffing · state 2.23 · national 2.35

Total nurse hours

3.28

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.51

RN + LPN hours · state 1.62 · national 1.54

Weekend hours

3.09

Weekend nurse staffing · state 3.45 · national 3.43

Weekend RN hours

0.47

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.09

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.52

CMS adjusted RN staffing hours

Adjusted total hours

3.27

CMS adjusted total nurse staffing hours

Case-mix index

1.37

Higher values indicate more complex resident acuity

RN turnover

53%

Annual RN turnover · state 39% · national 45%

Total nurse turnover

43%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,129

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

21.36

Composite VBP score used to determine payment impact.

Payment multiplier

0.9826

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.33

Baseline 23.20% · Performance 19.60% · Measure score 5.33 · Achievement 3.94 · Improvement 5.33

Healthcare-associated infections

0

Baseline 8.14% · Performance 8.67% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

3.22

Baseline 58.42% · Performance 50.54% · Measure score 3.22 · Achievement 3.22 · Improvement 1.85

Adjusted total nurse staffing

0

Baseline 3.55 hours · Performance 3.10 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.19%	10.72% 0.5 pts worse	No Different than the National Rate · Eligible stays 135 · Observed rate 13.33% · Lower 95% interval 8.35%
Discharge to community	46.92%	50.57% 3.6 pts worse	No Different than the National Rate · Eligible stays 149 · Observed rate 37.58% · Lower 95% interval 39.22%
Medicare spending per beneficiary	1.42	1.02 0.4 pts worse
Drug regimen review with follow-up	98.1%	95.27% 2.8 pts better	Numerator 155 · Denominator 158
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 158
Discharge self-care score	78.76%	53.69% 25.1 pts better	Numerator 89 · Denominator 113
Discharge mobility score	59.29%	50.94% 8.4 pts better	Numerator 67 · Denominator 113
Pressure ulcers or injuries, new or worsened	1.27%	2.29% 1 pts better	Numerator 2 · Denominator 158 · Adjusted rate 1.2%
Healthcare-associated infections requiring hospitalization	8.67%	7.12% 1.5 pts worse	No Different than the National Rate · Eligible stays 82 · Observed rate 12.2% · Lower 95% interval 5.12%
Staff COVID-19 vaccination coverage	100%	8.2% 91.8 pts better	Numerator 117 · Denominator 117
Staff flu vaccination coverage	70.94%	42% 28.9 pts better	Numerator 83 · Denominator 117
Discharge function score	76.11%	56.45% 19.7 pts better	Numerator 86 · Denominator 113
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 47 · Denominator 47
Transfer of health information to patient	97.3%	96.28% 1 pts better	Numerator 72 · Denominator 74
Resident COVID-19 vaccinations up to date	40.21%	25.2% 15 pts better	Numerator 39 · Denominator 97

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.2	2.1 0.9 pts better	1.9 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.4 · Expected 2.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.5	1.1 0.6 pts better	1.8 1.3 pts better	Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.5 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	94.5%	93.0% 1.5 pts better	93.4% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 92.2% · Q2 94.7% · Q3 96.6% · Q4 94.3% · 4Q avg 94.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	94.9%	97.2% 2.3 pts worse	95.5% 0.6 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 94.9%
Percentage of long-stay residents experiencing one or more falls with major injury	1.1%	2.4% 1.3 pts better	3.3% 2.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.0% · Q3 0.0% · Q4 3.4% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	20.8%	11.4% 9.4 pts worse	11.4% 9.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 57.3% · Q3 11.1% · Q4 9.5% · 4Q avg 20.8%
Percentage of long-stay residents who lose too much weight	10.5%	4.6% 5.9 pts worse	5.4% 5.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 11.4% · Q3 18.1% · Q4 8.9% · 4Q avg 10.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	13.6%	19.0% 5.4 pts better	19.6% 6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 15.6% · Q3 11.6% · Q4 15.3% · 4Q avg 13.6%
Percentage of long-stay residents who received an antipsychotic medication	12.1%	13.5% 1.4 pts better	16.7% 4.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 10.4% · Q3 10.9% · Q4 13.1% · 4Q avg 12.1% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	6.4%	9.8% 3.4 pts better	16.3% 9.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 6.5% · Q3 5.8% · Q4 8.6% · 4Q avg 6.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	9.2%	9.7% 0.5 pts better	14.9% 5.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 12.0% · Q3 11.4% · Q4 11.7% · 4Q avg 9.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.2%	0.7% 0.5 pts better	1.0% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.3%	0.8% 0.5 pts better	1.7% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.2% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	16.6%	15.9% 0.7 pts worse	19.8% 3.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 14.7% · Q3 17.0% · Q4 11.5% · 4Q avg 16.6%
Percentage of long-stay residents with pressure ulcers	10.8%	6.0% 4.8 pts worse	5.1% 5.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 8.3% · Q3 13.1% · Q4 17.1% · 4Q avg 10.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	82.0%	78.7% 3.3 pts better	81.7% 0.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 82.7% · Q2 85.5% · Q3 83.1% · Q4 77.1% · 4Q avg 82.0%
Percentage of short-stay residents who had an outpatient emergency department visit	5.7%	8.2% 2.5 pts better	12.0% 6.3 pts better	Short Stay · 20240701-20250630 · Adjusted 5.7% · Observed 5.3% · Expected 10.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.7%	1.2% 1.5 pts worse	1.6% 1.1 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 3.7% · Q3 2.2% · Q4 2.3% · 4Q avg 2.7% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	90.6%	80.1% 10.5 pts better	79.7% 10.9 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 90.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	17.5%	25.4% 7.9 pts better	23.9% 6.4 pts better	Short Stay · 20240701-20250630 · Adjusted 17.5% · Observed 18.1% · Expected 24.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-13 · Fire 2024-11-13

9 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2023-09-06 · Fire 2023-09-06

6 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2021-07-09 · Fire 2021-07-09

4 health deficiencies

Top issue: Infection Control (1 deficiency)

6 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-11-13

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2025-01-12

F · Potential for more than minimal harm 2024-11-13

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-01-12

F · Potential for more than minimal harm 2024-11-13

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-01-12

F · Potential for more than minimal harm 2024-11-13

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-01-12

F · Potential for more than minimal harm 2024-11-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-01-12

F · Potential for more than minimal harm 2024-11-13

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-01-12

F · Potential for more than minimal harm 2023-09-06

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2023-09-07

F · Potential for more than minimal harm 2023-09-06

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-10-25

F · Potential for more than minimal harm 2021-07-09

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2021-09-01

F · Potential for more than minimal harm 2021-07-09

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2021-09-01

F · Potential for more than minimal harm 2021-07-09

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2021-09-01

D · Potential for more than minimal harm 2021-07-09

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2021-09-01

D · Potential for more than minimal harm 2021-07-09

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2021-09-01

D · Potential for more than minimal harm 2021-07-09

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-09-01

Inspection history

Recent health citations

G · Actual harm 2025-09-02

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-10-22

D · Potential for more than minimal harm 2025-09-02

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-10-22

D · Potential for more than minimal harm 2025-09-02

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-10-22

D · Potential for more than minimal harm 2025-05-09

F573 · Resident Rights Deficiencies

Health

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Corrected 2025-06-30

E · Potential for more than minimal harm 2024-11-13

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2024-12-27

D · Potential for more than minimal harm 2024-11-13

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-12-27

D · Potential for more than minimal harm 2024-11-13

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-12-27

D · Potential for more than minimal harm 2024-11-13

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-12-27

D · Potential for more than minimal harm 2024-11-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-12-27

E · Potential for more than minimal harm 2023-09-06

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-09-13