Federal inspection record · CMS data as of October 1, 2026
Belle Care Nursing And Rehabilitation Center
439 Bellevue Avenue, Trenton, NJ · (609) 396-2646
- Special Focus Facility
- Certified beds
- 106
- Residents per day
- 101
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 11, 1971
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in New Jersey.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among New Jersey homes
Belle Care Nursing And Rehabilitation Center carries 327 inspection points. That is fewer than 1% of New Jersey's 346 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in New Jersey: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–18 pts
- 4★ 18–37 pts
- 3★ 37–60 pts
- 2★ 60–93.75 pts
- 1★ over 93.75 pts
Bars show every rated home in New Jersey by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
75 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (7)
-
J
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
-
J
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
-
J
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
-
J
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
-
J
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
-
J
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Resident Assessment and Care Planning13F
- E
Ensure each resident receives an accurate assessment.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- F
Assure that each resident’s assessment is updated at least once every 3 months.
- F
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- E
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- E
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Assess the resident when there is a significant change in condition
- D
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service11F
- D
Ensure medication error rates are not 5 percent or greater.
- D
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.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure medication error rates are not 5 percent or greater.
- E
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.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure medication error rates are not 5 percent or greater.
- D
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.
Infection Control8F
- D
Provide and implement an infection prevention and control program.
- F
Implement a program that monitors antibiotic use.
- E
Provide and implement an infection prevention and control program.
- E
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
Provide and implement an infection prevention and control program.
- D
Implement a program that monitors antibiotic use.
- D
Ensure staff are vaccinated for COVID-19
Administration7F
- F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- F
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
- F
Have a plan that describes the process for conducting QAPI and QAA activities.
- E
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
- E
Have a plan that describes the process for conducting QAPI and QAA activities.
- D
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Freedom from Abuse, Neglect, and Exploitation7E
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Respond appropriately to all alleged violations.
- E
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Quality of Life and Care7E
- E
Provide activities to meet all resident's needs.
- E
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- E
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Resident Rights6E
- E
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.
- E
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
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.
- D
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.
Nutrition and Dietary5F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Dispose of garbage and refuse properly.
- E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services2F
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Environmental2E
- E
Put firmly secured handrails on each side of hallways.
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspection history
2026-01-05
13 health deficiencies · 5 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2024-06-26
34 health deficiencies · 10 fire-safety deficiencies
Top issue: Pharmacy Service (6 deficiencies)
2022-10-20
28 health deficiencies · 5 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (9 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 12 min of nursing staff time a day, 17 min of it from a registered nurse.
This home
3 h 12 min
New Jersey average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 52% of nursing staff and 55% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$27,571 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-06-26 | Fine | $10,814 |
| 2024-06-26 | Fine | $16,757 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts worse | 2.3 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts worse | 1.7 | 1.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.2 pts better | 99.2% | 93.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.2 pts better | 100.0% | 96.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1 pts better | 1.3% | 2.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.4 pts better | 8.1% | 12.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight2 pts better | 2.7% | 4.7% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.5 pts better | 15.3% | 18.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.3 pts worse | 16.2% | 12.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.2 pts better | 4.1% | 7.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.1 pts better | 7.2% | 8.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better | 0.4% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.7 pts better | 0.0% | 0.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.4 pts better | 6.8% | 15.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.3 pts worse | 8.6% | 5.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine19.5 pts better | 98.5% | 79.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2 pts better | 6.1% | 8.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better | 0.0% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine20.5 pts better | 100.0% | 79.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.7 pts better | 17.4% | 24.1% | 23.4% |
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Who owns and runs it
8 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Berkowitz, Cheskel | 5% Or Greater Direct Ownership Interest · Individual | 23% | 23 facilities |
| Leifer, Joel | 5% Or Greater Direct Ownership Interest · Individual | 23% | 40 facilities |
| Zupnick, Joel | 5% Or Greater Direct Ownership Interest · Individual | 23% | 26 facilities |
| Orgel, Joseph | 5% Or Greater Direct Ownership Interest · Individual | 10% | 6 facilities |
| Ornstein, Marton | 5% Or Greater Direct Ownership Interest · Individual | 10% | 11 facilities |
| Rubenstein, David | 5% Or Greater Direct Ownership Interest · Individual | 10% | 53 facilities |
| Perlow, Joseph | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Stern, Samuel | Corporate Officer · Individual | 0% | 64 facilities |
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Fire safety
20 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Install an approved automatic sprinkler system.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Have an enclosure around a vertical opening shaft.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Emergency Preparedness5E
- E
Develop and maintain an Emergency Preparedness Program (EP).
- D
Develop and maintain an Emergency Preparedness Program (EP).
- D
Conduct risk assessment and an All-Hazards approach.
- D
Address patient/client population and determine types of services needed.
- D
Include a process for Emergency Preparedness collaboration.
Egress3F
- E
Install emergency lighting that can last at least 1 1/2 hours.
- F
Install proper backup exit lighting.
- E
Have properly located and lighted "Exit" signs.
Gas, Vacuum, and Electrical Systems3F
- F
Meet requirements for the installation and maintenance of electrical systems.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have generator or other power source capable of supplying service within 10 seconds.
Services2F
- F
Have elevators that firefighters can control in the event of a fire.
- E
Have elevators that firefighters can control in the event of a fire.
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Other homes nearby
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Trenton Gardens Rehabilitation And Nursing Center
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Not rated- Worst citation, 3 yrs
- L
- Nursing / resident / day
- 3 h 35 min
- Fines
- $608,071
-
Avant Rehabilitation And Care Center
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★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 17 min
- Fines
- $0
-
Riverside Health And Rehabilitation Center LLC
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
- 3 h 13 min
- Fines
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