Cycle 1
Health 2025-01-09 · Fire 2025-01-09
4 health deficiencies
Top issue: Environmental (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Rochelle Park, NJ
Alaris Health At The Chateau
4-star overall rating with 4-star inspections with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
96 Parkway, Rochelle Park, NJ
(201) 226-9600
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
251
Certified beds
Average residents
196
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Alaris Health
Operator or chain grouping
Approved since
2006-01-18
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
1.04
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.62
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.27
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
3.93
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.66
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.47
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.89
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.94
CMS adjusted RN staffing hours
Adjusted total hours
3.55
CMS adjusted total nurse staffing hours
Case-mix index
1.51
Higher values indicate more complex resident acuity
RN turnover
45%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
47%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
7,576
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
29.39
Composite VBP score used to determine payment impact.
Payment multiplier
0.9854
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 20.15% · Performance 21.68% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
2.08
Baseline 8.85% · Performance 7.85% · Measure score 2.08 · Achievement 0 · Improvement 2.08
Total nurse turnover
6.26
Baseline 34.39% · Performance 38.09% · Measure score 6.26 · Achievement 6.26 · Improvement 0
Adjusted total nurse staffing
3.41
Baseline 3.82 hours · Performance 4.05 hours · Measure score 3.41 · Achievement 3.41 · Improvement 0.64
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.66% |
10.72%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 282 · Observed rate 15.96% · Lower 95% interval 9.76% |
| Discharge to community | 58.1% |
50.57%
7.5 pts better
|
No Different than the National Rate · Eligible stays 311 · Observed rate 40.19% · Lower 95% interval 50.03% |
| Medicare spending per beneficiary | 1.34 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 97.28% |
95.27%
2 pts better
|
Numerator 286 · Denominator 294 |
| Falls with major injury | 0.68% |
0.77%
0.1 pts better
|
Numerator 2 · Denominator 294 |
| Discharge self-care score | 51.37% |
53.69%
2.3 pts worse
|
Numerator 75 · Denominator 146 |
| Discharge mobility score | 40.41% |
50.94%
10.5 pts worse
|
Numerator 59 · Denominator 146 |
| Pressure ulcers or injuries, new or worsened | 9.52% |
2.29%
7.2 pts worse
|
Numerator 28 · Denominator 294 · Adjusted rate 6.67% |
| Healthcare-associated infections requiring hospitalization | 7.85% |
7.12%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 210 · Observed rate 12.38% · Lower 95% interval 6.03% |
| Staff COVID-19 vaccination coverage | 14.78% |
8.2%
6.6 pts better
|
Numerator 34 · Denominator 230 |
| Staff flu vaccination coverage | 99.05% |
42%
57 pts better
|
Numerator 313 · Denominator 316 |
| Discharge function score | 45.21% |
56.45%
11.2 pts worse
|
Numerator 66 · Denominator 146 |
| Transfer of health information to provider | 97.92% |
95.95%
2 pts better
|
Numerator 141 · Denominator 144 |
| Transfer of health information to patient | 99.12% |
96.28%
2.8 pts better
|
Numerator 113 · Denominator 114 |
| Resident COVID-19 vaccinations up to date | 4.29% |
25.2%
20.9 pts worse
|
Numerator 7 · Denominator 163 |
Quality measures
Resident outcomes and process scores
| 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 5.5 · Expected 4.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
1.1
0.3 pts worse
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.8 · Expected 2.2 · 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 | 98.8% |
97.2%
1.6 pts better
|
95.5%
3.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.6% |
2.4%
0.8 pts better
|
3.3%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 2.0% · Q3 1.9% · Q4 0.6% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.2% |
11.4%
11.2 pts better
|
11.4%
11.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.8% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% |
| Percentage of long-stay residents who lose too much weight | 3.3% |
4.6%
1.3 pts better
|
5.4%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 2.1% · Q3 3.5% · Q4 6.2% · 4Q avg 3.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.3% |
19.0%
6.3 pts worse
|
19.6%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.7% · Q2 26.5% · Q3 25.7% · Q4 24.3% · 4Q avg 25.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.1% |
13.5%
0.6 pts worse
|
16.7%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.7% · Q2 15.2% · Q3 13.9% · Q4 12.6% · 4Q avg 14.1% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.2% |
0.1%
0.1 pts worse
|
0.1%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.6% · 4Q avg 0.2% |
| Percentage of long-stay residents whose ability to walk independently worsened | 14.5% |
9.8%
4.7 pts worse
|
16.3%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 25.7% · Q3 10.3% · Q4 11.3% · 4Q avg 14.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.6% |
9.7%
2.9 pts worse
|
14.9%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 14.2% · Q3 13.8% · Q4 12.4% · 4Q avg 12.6% · 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 0.8% · Q2 2.0% · Q3 2.4% · Q4 1.8% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.8% |
0.8%
1 pts worse
|
1.7%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 2.0% · Q3 1.9% · Q4 1.9% · 4Q avg 1.8% · 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 7.8% · Q2 6.1% · Q3 8.4% · Q4 4.1% · 4Q avg 6.6% |
| Percentage of long-stay residents with pressure ulcers | 16.4% |
6.0%
10.4 pts worse
|
5.1%
11.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.1% · Q2 16.1% · Q3 16.7% · Q4 17.6% · 4Q avg 16.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.8% |
78.7%
21.1 pts better
|
81.7%
18.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.6% · Q3 99.5% · Q4 100.0% · 4Q avg 99.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.8% |
8.2%
2.4 pts better
|
12.0%
6.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.8% · Observed 7.2% · Expected 13.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.4% |
1.2%
0.8 pts better
|
1.6%
1.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.8% · Q4 0.7% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.2% |
80.1%
19.1 pts better
|
79.7%
19.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 99.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.5% |
25.4%
3.9 pts better
|
23.9%
2.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.5% · Observed 33.0% · Expected 36.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-12-21 · Fire 2022-12-21
8 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
13 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (5 deficiencies)
Cycle 3
Health 2020-10-22 · Fire 2020-10-22
1 health deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-01-09
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2025-02-07
F · Potential for more than minimal harm
2025-01-09
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-02-07
F · Potential for more than minimal harm
2025-01-09
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-02-07
F · Potential for more than minimal harm
2025-01-09
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-02-07
F · Potential for more than minimal harm
2025-01-09
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-02-07
F · Potential for more than minimal harm
2022-12-21
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-01-31
F · Potential for more than minimal harm
2022-12-21
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-01-10
F · Potential for more than minimal harm
2022-12-21
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-01-15
F · Potential for more than minimal harm
2022-12-21
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-01-15
F · Potential for more than minimal harm
2022-12-21
K915 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper power supply for life support equipment.
Corrected 2023-02-28
E · Potential for more than minimal harm
2022-12-21
K131 · Construction Deficiencies
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2023-01-15
E · Potential for more than minimal harm
2022-12-21
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 2023-01-10
E · Potential for more than minimal harm
2022-12-21
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-01-10
E · Potential for more than minimal harm
2022-12-21
K522 · Services Deficiencies
Fire Safety
Have an externally vented heating system.
Corrected 2023-01-31
E · Potential for more than minimal harm
2022-12-21
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2023-01-15
E · Potential for more than minimal harm
2022-12-21
K916 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2023-02-24
E · Potential for more than minimal harm
2022-12-21
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-01-15
D · Potential for more than minimal harm
2022-12-21
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2023-01-31
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-01-09
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-02-07
D · Potential for more than minimal harm
2025-01-09
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-02-07
D · Potential for more than minimal harm
2025-01-09
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-02-13
D · Potential for more than minimal harm
2025-01-09
F924 · Environmental Deficiencies
Health
Put firmly secured handrails on each side of hallways.
Corrected 2025-02-13
D · Potential for more than minimal harm
2023-08-14
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 2023-09-06
E · Potential for more than minimal harm
2022-12-21
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2023-01-10
D · Potential for more than minimal harm
2022-12-21
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-01-10
D · Potential for more than minimal harm
2022-12-21
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-01-10
D · Potential for more than minimal harm
2022-12-21
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-01-10
D · Potential for more than minimal harm
2022-12-21
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 2023-01-10
D · Potential for more than minimal harm
2022-12-21
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 2023-01-10
D · Potential for more than minimal harm
2022-12-21
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-01-10
D · Potential for more than minimal harm
2022-12-21
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-01-31
Penalties and ownership
What sits behind the stars
Ownership
Eisenreich, Avery
5% Or Greater Direct Ownership Interest · Individual
Roman, Susan
W-2 Managing Employee · Individual
St Cloud Rochelle Park LLC
5% Or Greater Direct Ownership Interest · Organization
Stern, Samuel
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Atlas Rehabilitation And Healthcare At Maywood
Maywood, NJ
4-star overall rating with 3-star inspections with 14 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
#2
Complete Care At Prospect Heights LLC
Hackensack, NJ
2-star overall rating with 1-star inspections with $118,483 in total fines with 6 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Complete Care At Regent LLC
Hackensack, NJ
2-star overall rating with 2-star inspections with 17 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
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