7 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Kearny, NJ
4-star overall rating with 4-star inspections with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
206 Bergen Ave, Kearny, NJ
(201) 955-7067
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
107
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Alaris Health
Operator or chain grouping
Approved since
1982-12-01
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
RN hours / resident day
0.57
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.57
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.09
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
3.23
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.14
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
2.92
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
0.04
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.63
CMS adjusted RN staffing hours
Adjusted total hours
3.59
CMS adjusted total nurse staffing hours
Case-mix index
1.23
Higher values indicate more complex resident acuity
RN turnover
44%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
26%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
4,724
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
38.84
Composite VBP score used to determine payment impact.
Payment multiplier
0.9919
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.75
Baseline 20.24% · Performance 20.62% · Measure score 1.75 · Achievement 1.75 · Improvement 0
Healthcare-associated infections
0.95
Baseline 8.87% · Performance 8.31% · Measure score 0.95 · Achievement 0 · Improvement 0.95
Total nurse turnover
8.30
Baseline 38.04% · Performance 29.76% · Measure score 8.30 · Achievement 8.30 · Improvement 5.78
Adjusted total nurse staffing
4.54
Baseline 4.32 hours · Performance 4.37 hours · Measure score 4.54 · Achievement 4.54 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.88% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 52 · Observed rate 5.77% · Lower 95% interval 6.73% |
| Discharge to community | 49.37% |
50.57%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 46 · Observed rate 43.48% · Lower 95% interval 38.17% |
| Medicare spending per beneficiary | 1.15 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 35 · Denominator 35 |
| Falls with major injury | 5.71% |
0.77%
4.9 pts worse
|
Numerator 2 · Denominator 35 |
| Discharge self-care score | 45.45% |
53.69%
8.2 pts worse
|
Numerator 10 · Denominator 22 |
| Discharge mobility score | 40.91% |
50.94%
10 pts worse
|
Numerator 9 · Denominator 22 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 35 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 8.31% |
7.12%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 39 · Observed rate 12.82% · Lower 95% interval 4.46% |
| Staff COVID-19 vaccination coverage | 1.61% |
8.2%
6.6 pts worse
|
Numerator 2 · Denominator 124 |
| Staff flu vaccination coverage | 100% |
42%
58 pts better
|
Numerator 120 · Denominator 120 |
| Discharge function score | 50% |
56.45%
6.5 pts worse
|
Numerator 11 · Denominator 22 |
| Transfer of health information to provider | 96% |
95.95%
About the same
|
Numerator 24 · Denominator 25 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 15% |
25.2%
10.2 pts worse
|
Numerator 3 · Denominator 20 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.6 |
2.1
0.5 pts worse
|
1.9
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.7 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
1.1
0.4 pts worse
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.4 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
93.0%
7 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
97.2%
2.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.8% |
2.4%
0.6 pts better
|
3.3%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 1.0% · Q3 2.0% · Q4 1.0% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.5% |
11.4%
10.9 pts better
|
11.4%
10.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.9% · 4Q avg 0.5% |
| Percentage of long-stay residents who lose too much weight | 2.7% |
4.6%
1.9 pts better
|
5.4%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 4.4% · Q3 2.2% · Q4 2.2% · 4Q avg 2.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.8% |
19.0%
2.2 pts better
|
19.6%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 15.4% · Q3 17.9% · Q4 18.5% · 4Q avg 16.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.5% |
13.5%
2 pts better
|
16.7%
5.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 12.1% · Q3 8.8% · Q4 12.9% · 4Q avg 11.5% · 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 | 14.9% |
9.8%
5.1 pts worse
|
16.3%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.4% · Q2 20.3% · Q3 4.5% · Q4 18.7% · 4Q avg 14.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.9% |
9.7%
2.2 pts worse
|
14.9%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 10.4% · Q3 12.7% · Q4 14.1% · 4Q avg 11.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.3% |
0.7%
0.6 pts worse
|
1.0%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 2.7% · Q3 0.8% · Q4 0.8% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.5% |
0.8%
0.3 pts better
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.0% · Q3 1.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 6.6% |
15.9%
9.3 pts better
|
19.8%
13.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 6.3% · Q3 5.0% · Q4 9.1% · 4Q avg 6.6% |
| Percentage of long-stay residents with pressure ulcers | 3.8% |
6.0%
2.2 pts better
|
5.1%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 5.4% · Q3 3.1% · Q4 3.1% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 89.1% |
78.7%
10.4 pts better
|
81.7%
7.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 93.9% · Q2 93.8% · Q3 86.5% · Q4 82.0% · 4Q avg 89.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.2% |
8.2%
2 pts worse
|
12.0%
1.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.2% · Observed 10.8% · Expected 11.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 6.5% |
1.2%
5.3 pts worse
|
1.6%
4.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 6.5% · Q4 4.0% · 4Q avg 6.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
80.1%
19.9 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 38.9% |
25.4%
13.5 pts worse
|
23.9%
15 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 38.9% · Observed 43.2% · Expected 26.5% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Resident Assessment and Care Planning (2 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Meet other general requirements that are deficient.
Corrected 2024-10-22
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-10-22
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-11-03
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-11-23
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-12-21
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2022-11-04
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-01-03
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-11-04
Fire Safety
Install proper backup exit lighting.
Corrected 2022-11-08
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-10-31
Inspection history
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-10-22
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-10-22
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-10-22
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-10-22
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-10-22
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-10-22
Health
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected 2024-10-22
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2022-10-31
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2022-10-31
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-10-31
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-10-31
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2022-10-31
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-09-30
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 2020-09-30
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2020-09-29
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2020-09-29
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
W-2 Managing Employee · Individual
Corporate Officer · Individual
5% Or Greater Direct Ownership Interest · Organization
Nearby options
Kearny, NJ
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
Newark, NJ
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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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