Cranford, NJ

Birchwood Rehabilitation And Healthcare Center

5-star overall rating with 4-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

205 Birchwood Ave, Cranford, NJ

(908) 272-6660

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

200

Certified beds

Average residents

183

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Atlas Healthcare

Operator or chain grouping

Approved since

1972-09-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

28 facilities

Chain averages 4 overall / 3 health / 2 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

0.40

Registered nurse staffing · state 0.69 · national 0.68

LPN hours / resident day

0.90

Licensed practical nurse staffing · state 0.94 · national 0.87

Aide hours / resident day

2.04

Nurse aide staffing · state 2.23 · national 2.35

Total nurse hours

3.34

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.30

RN + LPN hours · state 1.62 · national 1.54

Weekend hours

3.00

Weekend nurse staffing · state 3.45 · national 3.43

Weekend RN hours

0.41

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

0.40

CMS adjusted RN staffing hours

Adjusted total hours

3.36

CMS adjusted total nurse staffing hours

Case-mix index

1.36

Higher values indicate more complex resident acuity

RN turnover

37%

Annual RN turnover · state 39% · national 45%

Total nurse turnover

26%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,538

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

32.56

Composite VBP score used to determine payment impact.

Payment multiplier

0.9872

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

6.63

Baseline 20.41% · Performance 18.36% · Measure score 6.63 · Achievement 6.63 · Improvement 5.57

Healthcare-associated infections

0

Baseline 7.78% · Performance 8.88% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

5.21

Baseline 39.73% · Performance 42.38% · Measure score 5.21 · Achievement 5.21 · Improvement 0

Adjusted total nurse staffing

1.18

Baseline 3.12 hours · Performance 3.41 hours · Measure score 1.18 · Achievement 1.18 · Improvement 0.60

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 8.48%
10.72%
2.2 pts better
No Different than the National Rate · Eligible stays 333 · Observed rate 7.51% · Lower 95% interval 6.63%
Discharge to community 68.38%
50.57%
17.8 pts better
Better than the National Rate · Eligible stays 358 · Observed rate 56.42% · Lower 95% interval 62.53%
Medicare spending per beneficiary 1.16
1.02
0.1 pts worse
Drug regimen review with follow-up 99.06%
95.27%
3.8 pts better
Numerator 316 · Denominator 319
Falls with major injury 0.31%
0.77%
0.5 pts better
Numerator 1 · Denominator 319
Discharge self-care score 49.15%
53.69%
4.5 pts worse
Numerator 87 · Denominator 177
Discharge mobility score 51.98%
50.94%
1 pts better
Numerator 92 · Denominator 177
Pressure ulcers or injuries, new or worsened 4.08%
2.29%
1.8 pts worse
Numerator 13 · Denominator 319 · Adjusted rate 3.91%
Healthcare-associated infections requiring hospitalization 8.88%
7.12%
1.8 pts worse
No Different than the National Rate · Eligible stays 239 · Observed rate 10.88% · Lower 95% interval 6.29%
Staff COVID-19 vaccination coverage 1.46%
8.2%
6.7 pts worse
Numerator 3 · Denominator 206
Staff flu vaccination coverage 95.85%
42%
53.8 pts better
Numerator 208 · Denominator 217
Discharge function score 59.32%
56.45%
2.9 pts better
Numerator 105 · Denominator 177
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 83 · Denominator 83
Transfer of health information to patient 98.73%
96.28%
2.5 pts better
Numerator 156 · Denominator 158
Resident COVID-19 vaccinations up to date 10.71%
25.2%
14.5 pts worse
Numerator 18 · Denominator 168

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.3
2.1
0.8 pts better
1.9
0.6 pts better
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.1 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.7
1.1
0.4 pts better
1.8
1.1 pts better
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.6 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.3%
93.0%
6.3 pts better
93.4%
5.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 99.3% · Q4 97.9% · 4Q avg 99.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.5%
97.2%
0.3 pts better
95.5%
2 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.5%
Percentage of long-stay residents experiencing one or more falls with major injury 2.0%
2.4%
0.4 pts better
3.3%
1.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 3.9% · Q3 0.0% · Q4 0.0% · 4Q avg 2.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 19.0%
11.4%
7.6 pts worse
11.4%
7.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 15.0% · Q2 21.0% · Q3 19.9% · Q4 19.7% · 4Q avg 19.0%
Percentage of long-stay residents who lose too much weight 1.5%
4.6%
3.1 pts better
5.4%
3.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 2.9% · Q3 1.4% · Q4 0.8% · 4Q avg 1.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 12.8%
19.0%
6.2 pts better
19.6%
6.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 12.6% · Q2 13.8% · Q3 14.2% · Q4 10.6% · 4Q avg 12.8%
Percentage of long-stay residents who received an antipsychotic medication 15.9%
13.5%
2.4 pts worse
16.7%
0.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 16.5% · Q3 15.7% · Q4 14.7% · 4Q avg 15.9% · 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 2.1%
9.8%
7.7 pts better
16.3%
14.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 1.8% · Q3 2.9% · Q4 0.0% · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 3.6%
9.7%
6.1 pts better
14.9%
11.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 7.3% · Q3 1.7% · Q4 1.8% · 4Q avg 3.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.7%
0.7 pts better
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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.2%
0.8%
0.6 pts better
1.7%
1.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.7% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 20.5%
15.9%
4.6 pts worse
19.8%
0.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 17.3% · Q2 21.3% · Q3 28.3% · Q4 14.5% · 4Q avg 20.5%
Percentage of long-stay residents with pressure ulcers 6.3%
6.0%
0.3 pts worse
5.1%
1.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 7.3% · Q3 7.2% · Q4 5.2% · 4Q avg 6.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 95.8%
78.7%
17.1 pts better
81.7%
14.1 pts better
Short Stay · 2024Q4-2025Q3 · Q1 98.4% · Q2 96.6% · Q3 93.6% · Q4 94.8% · 4Q avg 95.8%
Percentage of short-stay residents who had an outpatient emergency department visit 9.4%
8.2%
1.2 pts worse
12.0%
2.6 pts better
Short Stay · 20240701-20250630 · Adjusted 9.4% · Observed 8.8% · Expected 10.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.0%
1.2%
0.2 pts better
1.6%
0.6 pts better
Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.7% · Q3 0.6% · Q4 1.3% · 4Q avg 1.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 89.3%
80.1%
9.2 pts better
79.7%
9.6 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 24.3%
25.4%
1.1 pts better
23.9%
0.4 pts worse
Short Stay · 20240701-20250630 · Adjusted 24.3% · Observed 25.2% · Expected 24.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-11 · Fire 2025-12-11

4 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2024-08-06 · Fire 2024-08-06

10 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2022-08-04 · Fire 2022-08-04

11 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

6 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-12-11

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-12-31

F · Potential for more than minimal harm 2025-12-11

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-12-31

F · Potential for more than minimal harm 2025-12-11

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-12-31

F · Potential for more than minimal harm 2024-08-06

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2024-09-05

F · Potential for more than minimal harm 2024-08-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-09-05

F · Potential for more than minimal harm 2024-08-06

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-08-30

F · Potential for more than minimal harm 2024-08-06

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-08-30

F · Potential for more than minimal harm 2024-08-06

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-08-30

E · Potential for more than minimal harm 2022-08-04

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2022-09-03

E · Potential for more than minimal harm 2022-08-04

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2022-09-03

E · Potential for more than minimal harm 2022-08-04

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2022-09-03

E · Potential for more than minimal harm 2022-08-04

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-09-03

D · Potential for more than minimal harm 2022-08-04

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2022-09-03

D · Potential for more than minimal harm 2022-08-04

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2022-09-03

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-12-11

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-12-30

D · Potential for more than minimal harm 2025-12-11

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 2025-12-31

D · Potential for more than minimal harm 2025-12-11

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-12-31

D · Potential for more than minimal harm 2025-12-11

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2025-12-30

D · Potential for more than minimal harm 2024-11-14

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 2024-12-06

F · Potential for more than minimal harm 2024-08-06

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 2024-09-03

E · Potential for more than minimal harm 2024-08-06

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-09-03

E · Potential for more than minimal harm 2024-08-06

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 2024-09-03

E · Potential for more than minimal harm 2024-08-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-09-03

D · Potential for more than minimal harm 2024-08-06

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 2024-08-27

D · Potential for more than minimal harm 2024-08-06

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-09-03

D · Potential for more than minimal harm 2024-08-06

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 2024-09-03

D · Potential for more than minimal harm 2024-08-06

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-09-03

D · Potential for more than minimal harm 2024-08-06

F711 · Nursing and Physician Services Deficiencies

Health

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Corrected 2024-09-03

F · Potential for more than minimal harm 2022-08-04

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 2022-09-03

E · Potential for more than minimal harm 2022-08-04

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2022-09-03

E · Potential for more than minimal harm 2022-08-04

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2022-09-03

E · Potential for more than minimal harm 2022-08-04

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 2022-09-03

E · Potential for more than minimal harm 2022-08-04

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-09-03

D · Potential for more than minimal harm 2022-08-04

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 2022-09-03

D · Potential for more than minimal harm 2022-08-04

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-09-03

D · Potential for more than minimal harm 2022-08-04

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2022-09-03

D · Potential for more than minimal harm 2022-08-04

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2022-09-03

D · Potential for more than minimal harm 2022-08-04

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 2022-09-03

D · Potential for more than minimal harm 2022-08-04

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 2022-09-03

Penalties and ownership

What sits behind the stars

Ownership

Cranford Holdco LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2022-08-01
Bak, Pinchos

Corporate Officer · Individual

0% 25 facilities 2022-08-01
Copper Nj Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 5 facilities 2022-08-01
Gold Nj Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 5 facilities 2022-08-01
Goldberger, Shlomo

W-2 Managing Employee · Individual

0% 17 facilities 2022-08-01
Malt Family Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 21 facilities 2022-08-01
Meisner, Robert

5% Or Greater Indirect Ownership Interest · Individual

0% 10 facilities 2022-08-01
Nj Mazel Parentco LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 3 facilities 2022-08-01
Nj Noble Parentco LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 3 facilities 2022-08-01
Sgs 2010 Family Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 21 facilities 2022-08-01
Silver Nj Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 2 facilities 2022-08-01
Tyh 2017 Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 21 facilities 2022-08-01

Nearby options

Other facilities in reach

#1

Cranford Park Care

Cranford, NJ

1-star overall rating with 2-star inspections with 15 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
2 / 5
Staffing
1 / 5
Fines
$0
#2

Cornell Hall Care & Rehabilitation Center

Union, NJ

2-star overall rating with 2-star inspections with $182,251 in total fines with 5 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
2 / 5
Staffing
2 / 5
Fines
$182,251
#3

Mountainside Skilled Nursing And Rehab

Mountainside, NJ

2-star overall rating with 1-star inspections with abuse icon flag with 20 recent health deficiencies with 17 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
1 / 5
Staffing
1 / 5
Fines
$0

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