Cycle 1
Health 2024-12-05 · Fire 2024-12-05
11 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Kearny, NJ
Alaris Health At Belgrove
1-star overall rating with 1-star inspections with $25,635 in total fines with 11 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
195 Belgrove Drive, Kearny, NJ
(973) 844-4800
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
95
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Alaris Health
Operator or chain grouping
Approved since
1997-05-13
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
7 facilities
Chain averages 3 overall / 3 health / 4 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
1.09
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.72
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.55
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
4.36
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.81
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.82
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.90
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
1.13
CMS adjusted RN staffing hours
Adjusted total hours
4.50
CMS adjusted total nurse staffing hours
Case-mix index
1.32
Higher values indicate more complex resident acuity
RN turnover
46%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
33%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,810
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
31.64
Composite VBP score used to determine payment impact.
Payment multiplier
0.9866
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 21.41% · Performance 21.90% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
1.96
Baseline 8.15% · Performance 7.38% · Measure score 1.96 · Achievement 1.53 · Improvement 1.96
Total nurse turnover
5.93
Baseline 54.76% · Performance 39.45% · Measure score 5.93 · Achievement 5.93 · Improvement 4.62
Adjusted total nurse staffing
4.77
Baseline 3.68 hours · Performance 4.43 hours · Measure score 4.77 · Achievement 4.77 · Improvement 3.09
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.26% |
10.72%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 264 · Observed rate 11.74% · Lower 95% interval 8.95% |
| Discharge to community | 63.6% |
50.57%
13 pts better
|
Better than the National Rate · Eligible stays 259 · Observed rate 57.92% · Lower 95% interval 57.4% |
| Medicare spending per beneficiary | 1.1 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 248 · Denominator 248 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 248 |
| Discharge self-care score | 56.67% |
53.69%
3 pts better
|
Numerator 85 · Denominator 150 |
| Discharge mobility score | 63.33% |
50.94%
12.4 pts better
|
Numerator 95 · Denominator 150 |
| Pressure ulcers or injuries, new or worsened | 3.23% |
2.29%
0.9 pts worse
|
Numerator 8 · Denominator 248 · Adjusted rate 2.99% |
| Healthcare-associated infections requiring hospitalization | 7.38% |
7.12%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 161 · Observed rate 7.45% · Lower 95% interval 4.38% |
| Staff COVID-19 vaccination coverage | 3.78% |
8.2%
4.4 pts worse
|
Numerator 7 · Denominator 185 |
| Staff flu vaccination coverage | 100% |
42%
58 pts better
|
Numerator 186 · Denominator 186 |
| Discharge function score | 52.67% |
56.45%
3.8 pts worse
|
Numerator 79 · Denominator 150 |
| Transfer of health information to provider | 98.94% |
95.95%
3 pts better
|
Numerator 93 · Denominator 94 |
| Transfer of health information to patient | 99.16% |
96.28%
2.9 pts better
|
Numerator 118 · Denominator 119 |
| Resident COVID-19 vaccinations up to date | 17.05% |
25.2%
8.1 pts worse
|
Numerator 22 · Denominator 129 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.1 |
2.1
1 pts worse
|
1.9
1.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.1 · Observed 4.1 · Expected 2.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.8 |
1.1
0.7 pts worse
|
1.8
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.9 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 76.6% |
93.0%
16.4 pts worse
|
93.4%
16.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 81.7% · Q2 79.7% · Q3 76.9% · Q4 67.2% · 4Q avg 76.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 86.5% |
97.2%
10.7 pts worse
|
95.5%
9 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 86.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.9% |
2.4%
0.5 pts better
|
3.3%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.6% · Q3 1.5% · Q4 3.3% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.3% |
11.4%
8.1 pts better
|
11.4%
8.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 1.9% · Q3 1.9% · Q4 5.8% · 4Q avg 3.3% |
| Percentage of long-stay residents who lose too much weight | 0.9% |
4.6%
3.7 pts better
|
5.4%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.8% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.9% |
19.0%
6.1 pts better
|
19.6%
6.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.1% · Q2 13.8% · Q3 11.9% · Q4 14.0% · 4Q avg 12.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.6% |
13.5%
2.9 pts better
|
16.7%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.7% · Q2 11.6% · Q3 8.3% · Q4 8.7% · 4Q avg 10.6% · 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 | 19.3% |
9.8%
9.5 pts worse
|
16.3%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 27.8% · Q3 10.7% · Q4 14.9% · 4Q avg 19.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.5% |
9.7%
7.8 pts worse
|
14.9%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 17.6% · Q3 19.6% · Q4 16.7% · 4Q avg 17.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.7% |
0.7%
1 pts worse
|
1.0%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 1.3% · Q3 0.0% · Q4 1.2% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.2% |
0.8%
0.4 pts worse
|
1.7%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 1.6% · Q4 1.7% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 11.4% |
15.9%
4.5 pts better
|
19.8%
8.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.2% · Q2 22.1% · Q3 3.1% · Q4 6.8% · 4Q avg 11.4% |
| Percentage of long-stay residents with pressure ulcers | 8.9% |
6.0%
2.9 pts worse
|
5.1%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 11.1% · Q3 8.4% · Q4 6.5% · 4Q avg 8.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 55.8% |
78.7%
22.9 pts worse
|
81.7%
25.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 77.2% · Q2 56.6% · Q3 42.9% · Q4 47.5% · 4Q avg 55.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.1% |
8.2%
0.9 pts worse
|
12.0%
2.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.1% · Observed 9.6% · Expected 11.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.3% |
1.2%
1.1 pts worse
|
1.6%
0.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 2.8% · Q3 1.4% · Q4 2.9% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 52.5% |
80.1%
27.6 pts worse
|
79.7%
27.2 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 52.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.6% |
25.4%
5.2 pts worse
|
23.9%
6.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.6% · Observed 35.0% · Expected 27.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-06-29 · Fire 2023-06-29
2 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Cycle 3
Health 2021-05-18 · Fire 2021-05-18
7 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-12-05
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 2025-01-07
F · Potential for more than minimal harm
2024-12-05
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2025-01-07
F · Potential for more than minimal harm
2024-12-05
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-01-07
F · Potential for more than minimal harm
2024-12-05
K352 · Smoke Deficiencies
Fire Safety
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2025-01-07
F · Potential for more than minimal harm
2023-06-29
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-07-31
F · Potential for more than minimal harm
2023-06-29
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-07-21
F · Potential for more than minimal harm
2023-06-29
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2023-07-21
F · Potential for more than minimal harm
2023-06-29
K917 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure electrical receptacles or cover plates have distinctive color or marking.
Corrected 2023-07-21
F · Potential for more than minimal harm
2023-06-29
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-07-21
E · Potential for more than minimal harm
2023-06-29
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-07-24
D · Potential for more than minimal harm
2021-05-18
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2021-06-11
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-03-27
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-04-21
J · Immediate jeopardy
2024-12-05
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-01-07
E · Potential for more than minimal harm
2024-12-05
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-01-07
E · Potential for more than minimal harm
2024-12-05
F625 · Resident Rights Deficiencies
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2025-01-07
E · Potential for more than minimal harm
2024-12-05
F847 · Administration Deficiencies
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2025-01-07
E · Potential for more than minimal harm
2024-12-05
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2025-01-07
D · Potential for more than minimal harm
2024-12-05
F578 · Resident Rights Deficiencies
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2025-01-07
D · Potential for more than minimal harm
2024-12-05
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-01-07
D · Potential for more than minimal harm
2024-12-05
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 2025-01-07
D · Potential for more than minimal harm
2024-12-05
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 2025-01-07
D · Potential for more than minimal harm
2024-12-05
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-07
D · Potential for more than minimal harm
2023-12-06
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 2023-12-31
D · Potential for more than minimal harm
2023-12-06
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 2023-12-31
D · Potential for more than minimal harm
2023-06-29
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-07-31
D · Potential for more than minimal harm
2023-06-29
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-07-31
H · Actual harm
2023-03-07
F622 · Resident Rights Deficiencies
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2023-05-05
E · Potential for more than minimal harm
2023-03-07
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 2023-05-05
D · Potential for more than minimal harm
2023-03-07
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-05-05
D · Potential for more than minimal harm
2021-05-18
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2021-06-11
D · Potential for more than minimal harm
2021-05-18
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-06-11
Penalties and ownership
What sits behind the stars
$25,635
2024-12-05
Fine
Fine · fine $25,635
Fine
Ownership
Eisenreich, Avery
5% Or Greater Direct Ownership Interest · Individual
Giampino, Chad
W-2 Managing Employee · Individual
Stern, Samuel
Corporate Officer · Individual
Sub Acute Rehabilitation Center At Kearny LLC
5% Or Greater Direct Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Alaris Health At Kearny
Kearny, NJ
4-star overall rating with 4-star inspections with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Broadway House For Continuing Care
Newark, NJ
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
New Vista Nursing & Rehabilitation Ctr
Newark, NJ
2-star overall rating with 1-star inspections with $107,324 in total fines with 12 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
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