Cycle 1
Health 2025-04-23 · Fire 2025-04-23
9 health deficiencies
Top issue: Resident Rights (3 deficiencies)
9 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Paterson, NJ
Barnert Subacute Rehabilitation Center, Llc
4-star overall rating with 4-star inspections with 9 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
680 Broadway Suite 301, Paterson, NJ
(973) 754-0999
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
68
Certified beds
Average residents
62
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Family Of Caring Healthcare
Operator or chain grouping
Approved since
2010-12-15
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
8 facilities
Chain averages 4 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
0.62
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.69
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.17
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
4.48
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
2.31
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
4.02
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.34
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.24
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.57
CMS adjusted RN staffing hours
Adjusted total hours
4.13
CMS adjusted total nurse staffing hours
Case-mix index
1.49
Higher values indicate more complex resident acuity
RN turnover
58%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
57%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
9,106
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
24.73
Composite VBP score used to determine payment impact.
Payment multiplier
0.9836
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 21.22% · Performance 21.93% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
2.25
Baseline 8.61% · Performance 7.62% · Measure score 2.25 · Achievement 0.73 · Improvement 2.25
Total nurse turnover
4.46
Baseline 54.67% · Performance 45.45% · Measure score 4.46 · Achievement 4.46 · Improvement 2.59
Adjusted total nurse staffing
3.18
Baseline 3.42 hours · Performance 3.98 hours · Measure score 3.18 · Achievement 3.18 · Improvement 1.90
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.48% |
10.72%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 110 · Observed rate 13.64% · Lower 95% interval 8.08% |
| Discharge to community | 54.33% |
50.57%
3.8 pts better
|
No Different than the National Rate · Eligible stays 135 · Observed rate 42.96% · Lower 95% interval 45.44% |
| Medicare spending per beneficiary | 1.26 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 111 · Denominator 111 |
| Falls with major injury | 0.9% |
0.77%
0.1 pts worse
|
Numerator 1 · Denominator 111 |
| Discharge self-care score | 52.17% |
53.69%
1.5 pts worse
|
Numerator 36 · Denominator 69 |
| Discharge mobility score | 39.13% |
50.94%
11.8 pts worse
|
Numerator 27 · Denominator 69 |
| Pressure ulcers or injuries, new or worsened | 1.8% |
2.29%
0.5 pts better
|
Numerator 2 · Denominator 111 · Adjusted rate 1.63% |
| Healthcare-associated infections requiring hospitalization | 7.62% |
7.12%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 73 · Observed rate 9.59% · Lower 95% interval 4.42% |
| Staff COVID-19 vaccination coverage | 0.97% |
8.2%
7.2 pts worse
|
Numerator 1 · Denominator 103 |
| Staff flu vaccination coverage | 99.04% |
42%
57 pts better
|
Numerator 103 · Denominator 104 |
| Discharge function score | 34.78% |
56.45%
21.7 pts worse
|
Numerator 24 · Denominator 69 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 43 · Denominator 43 |
| Transfer of health information to patient | 96.43% |
96.28%
0.2 pts better
|
Numerator 54 · Denominator 56 |
| Resident COVID-19 vaccinations up to date | 26.32% |
25.2%
1.1 pts better
|
Numerator 15 · Denominator 57 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.3% |
93.0%
4.3 pts better
|
93.4%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 92.6% · Q2 100.0% · Q3 100.0% · Q4 96.8% · 4Q avg 97.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.1% |
97.2%
4.1 pts worse
|
95.5%
2.4 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.5% |
2.4%
2.1 pts worse
|
3.3%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 4.0% · Q3 7.4% · Q4 3.2% · 4Q avg 4.5% · 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 4.8% · Q3 0.0% · Q4 7.4% · 4Q avg 3.3% |
| Percentage of long-stay residents who lose too much weight | 11.5% |
4.6%
6.9 pts worse
|
5.4%
6.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.2% · Q2 8.3% · Q3 12.0% · Q4 6.9% · 4Q avg 11.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 4.6% |
19.0%
14.4 pts better
|
19.6%
15 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 4.0% · Q3 3.7% · Q4 3.3% · 4Q avg 4.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.5% |
13.5%
3 pts better
|
16.7%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 4.8% · Q4 14.8% · 4Q avg 10.5% · 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 | 19.2% |
9.8%
9.4 pts worse
|
16.3%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 19.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.7% |
9.7%
5 pts worse
|
14.9%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 16.7% · Q3 20.0% · Q4 10.7% · 4Q avg 14.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
0.7%
0.2 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.9% |
0.8%
1.1 pts worse
|
1.7%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 8.0% · Q4 0.0% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.2% |
15.9%
3.3 pts worse
|
19.8%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.8% · Q2 26.1% · Q3 7.5% · Q4 24.0% · 4Q avg 19.2% |
| Percentage of long-stay residents with pressure ulcers | 8.6% |
6.0%
2.6 pts worse
|
5.1%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 11.9% · Q3 5.7% · Q4 4.4% · 4Q avg 8.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.7% |
78.7%
16 pts better
|
81.7%
13 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 92.2% · Q2 94.3% · Q3 96.0% · Q4 96.7% · 4Q avg 94.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.0% |
8.2%
7.8 pts worse
|
12.0%
4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.0% · Observed 14.9% · Expected 10.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% |
1.2%
0.1 pts better
|
1.6%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 2.0% · Q3 0.8% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.7% |
80.1%
8.6 pts better
|
79.7%
9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 31.1% |
25.4%
5.7 pts worse
|
23.9%
7.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 31.1% · Observed 32.8% · Expected 25.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-02-24 · Fire 2023-02-24
3 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2021-03-10 · Fire 2021-03-10
1 health deficiencies
Top issue: Infection Control (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
2025-04-23
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2025-05-07
F · Potential for more than minimal harm
2025-04-23
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2025-05-08
F · Potential for more than minimal harm
2025-04-23
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 2025-05-08
F · Potential for more than minimal harm
2025-04-23
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-06-10
F · Potential for more than minimal harm
2025-04-23
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-05-06
F · Potential for more than minimal harm
2025-04-23
K908 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
Corrected 2025-05-19
F · Potential for more than minimal harm
2025-04-23
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-06-11
F · Potential for more than minimal harm
2025-04-23
K916 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2025-05-07
F · Potential for more than minimal harm
2025-04-23
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-05-08
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-04-23
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-06-01
D · Potential for more than minimal harm
2025-04-23
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 2025-06-01
D · Potential for more than minimal harm
2025-04-23
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 2025-06-01
D · Potential for more than minimal harm
2025-04-23
F624 · Resident Rights Deficiencies
Health
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected 2025-06-01
D · Potential for more than minimal harm
2025-04-23
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-06-01
D · Potential for more than minimal harm
2025-04-23
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2025-06-01
D · Potential for more than minimal harm
2025-04-23
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-06-01
D · Potential for more than minimal harm
2025-04-23
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-06-01
D · Potential for more than minimal harm
2025-04-23
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-01
D · Potential for more than minimal harm
2023-02-24
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 2023-03-24
D · Potential for more than minimal harm
2023-02-24
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-03-24
D · Potential for more than minimal harm
2023-02-24
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 2023-03-24
D · Potential for more than minimal harm
2021-03-10
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-05-14
Penalties and ownership
What sits behind the stars
Ownership
Barnert Associates
5% Or Greater Direct Ownership Interest · Organization
Barnert Associates
Operational/Managerial Control · Organization
Friedman, Edward
5% Or Greater Direct Ownership Interest · Individual
Friedman, Edward
Operational/Managerial Control · Individual
Friedman, Edward
Corporate Director · Individual
Friedman, Nathan
5% Or Greater Direct Ownership Interest · Individual
Friedman, Nathan
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Complete Care At Fair Lawn Edge
Paterson, NJ
3-star overall rating with 3-star inspections with $10,036 in total fines with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Doctors Subacute Healthcare, LLC
Paterson, NJ
4-star overall rating with 4-star inspections with 6 recent health deficiencies
#3
Maple Glen Center
Fairlawn, NJ
4-star overall rating with 3-star inspections with 11 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
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