Edison, NJ

Brighton Gardens Of Edison

4-star overall rating with 3-star inspections with $33,374 in total fines with 5 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle

1801 Oak Tree Road, Edison, NJ

(732) 767-1031

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

30

Certified beds

Average residents

25

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Sunrise Senior Living

Operator or chain grouping

Approved since

1995-12-18

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

6 facilities

Chain averages 4 overall / 3 health / 4 staffing / 5 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

1.00

Registered nurse staffing · state 0.69 · national 0.68

LPN hours / resident day

1.84

Licensed practical nurse staffing · state 0.94 · national 0.87

Aide hours / resident day

3.83

Nurse aide staffing · state 2.23 · national 2.35

Total nurse hours

6.68

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

2.85

RN + LPN hours · state 1.62 · national 1.54

Weekend hours

6.09

Weekend nurse staffing · state 3.45 · national 3.43

Weekend RN hours

0.72

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.09

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.93

CMS adjusted RN staffing hours

Adjusted total hours

6.18

CMS adjusted total nurse staffing hours

Case-mix index

1.48

Higher values indicate more complex resident acuity

RN turnover

14%

Annual RN turnover · state 39% · national 45%

Total nurse turnover

24%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,022

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

Performance score

46.38

Composite VBP score used to determine payment impact.

Payment multiplier

0.9998

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.54

Baseline 24.59% · Performance 20.78% · Measure score 4.54 · Achievement 1.41 · Improvement 4.54

Healthcare-associated infections

0.90

Baseline 8.23% · Performance 7.78% · Measure score 0.90 · Achievement 0 · Improvement 0.90

Total nurse turnover

8.47

Baseline 97.44% · Performance 32.35% · Measure score 8.47 · Achievement 7.66 · Improvement 8.47

Adjusted total nurse staffing

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.89%	10.72% 2.2 pts worse	No Different than the National Rate · Eligible stays 225 · Observed rate 15.56% · Lower 95% interval 9.36%
Discharge to community	71.92%	50.57% 21.4 pts better	Better than the National Rate · Eligible stays 258 · Observed rate 59.69% · Lower 95% interval 63.43%
Medicare spending per beneficiary	0.97	1.02 0.1 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 155 · Denominator 155
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 155
Discharge self-care score	41.28%	53.69% 12.4 pts worse	Numerator 45 · Denominator 109
Discharge mobility score	58.72%	50.94% 7.8 pts better	Numerator 64 · Denominator 109
Pressure ulcers or injuries, new or worsened	0.65%	2.29% 1.6 pts better	Numerator 1 · Denominator 155 · Adjusted rate 0.55%
Healthcare-associated infections requiring hospitalization	7.77%	7.12% 0.6 pts worse	No Different than the National Rate · Eligible stays 135 · Observed rate 10.37% · Lower 95% interval 5.23%
Staff COVID-19 vaccination coverage	1.64%	8.2% 6.6 pts worse	Numerator 1 · Denominator 61
Staff flu vaccination coverage	97.59%	42% 55.6 pts better	Numerator 81 · Denominator 83
Discharge function score	52.29%	56.45% 4.2 pts worse	Numerator 57 · Denominator 109
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 47 · Denominator 47
Transfer of health information to patient	93.75%	96.28% 2.5 pts worse	Numerator 90 · Denominator 96
Resident COVID-19 vaccinations up to date	4.49%	25.2% 20.7 pts worse	Numerator 4 · Denominator 89

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
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 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	0.0%	2.4% 2.4 pts better	3.3% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	11.4% 11.4 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	0.0%	4.6% 4.6 pts better	5.4% 5.4 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	36.0%	19.0% 17 pts worse	19.6% 16.4 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 36.0%
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 · 4Q avg 0.0%
Percentage of long-stay residents whose need for help with daily activities has increased	12.5%	9.7% 2.8 pts worse	14.9% 2.4 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 12.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	7.6%	0.7% 6.9 pts worse	1.0% 6.6 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 7.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	7.1%	0.8% 6.3 pts worse	1.7% 5.4 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 7.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	19.0%	15.9% 3.1 pts worse	19.8% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 19.0%
Percentage of long-stay residents with pressure ulcers	22.2%	6.0% 16.2 pts worse	5.1% 17.1 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 22.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.0%	78.7% 20.3 pts better	81.7% 17.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 98.8% · Q2 99.0% · Q3 99.1% · Q4 99.1% · 4Q avg 99.0%
Percentage of short-stay residents who had an outpatient emergency department visit	4.4%	8.2% 3.8 pts better	12.0% 7.6 pts better	Short Stay · 20240701-20250630 · Adjusted 4.4% · Observed 4.4% · Expected 11.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.6%	1.2% 1.4 pts worse	1.6% 1 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 5.2% · Q3 2.6% · Q4 1.2% · 4Q avg 2.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	99.0%	80.1% 18.9 pts better	79.7% 19.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 99.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	28.6%	25.4% 3.2 pts worse	23.9% 4.7 pts worse	Short Stay · 20240701-20250630 · Adjusted 28.6% · Observed 31.6% · Expected 26.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-16 · Fire 2024-10-16

5 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

10 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 2 Health 2023-06-27 · Fire 2023-06-27

12 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2021-10-22 · Fire 2021-10-22

0 health deficiencies

No concentrated health issue counts in this cycle.

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 2024-10-16

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-12-15

F · Potential for more than minimal harm 2024-10-16

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2024-12-15

F · Potential for more than minimal harm 2024-10-16

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 2024-12-15

F · Potential for more than minimal harm 2024-10-16

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-12-15

F · Potential for more than minimal harm 2024-10-16

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2024-12-15

F · Potential for more than minimal harm 2024-10-16

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-12-15

F · Potential for more than minimal harm 2024-10-16

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-12-15

F · Potential for more than minimal harm 2024-10-16

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-11-21

F · Potential for more than minimal harm 2024-10-16

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-12-15

D · Potential for more than minimal harm 2024-10-16

K521 · Services Deficiencies

Fire Safety

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

Corrected 2024-12-15

Inspection history

Recent health citations

F · Potential for more than minimal harm 2024-10-16

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 2024-11-25

D · Potential for more than minimal harm 2024-10-16

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-11-25

D · Potential for more than minimal harm 2024-10-16

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 2024-12-15

D · Potential for more than minimal harm 2024-10-16

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-11-21

D · Potential for more than minimal harm 2024-10-16

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-11-25

J · Immediate jeopardy 2023-06-27

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-08-03

D · Potential for more than minimal harm 2023-06-27

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2023-07-21

D · Potential for more than minimal harm 2023-06-27

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-08-02

D · Potential for more than minimal harm 2023-06-27

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-08-02

D · Potential for more than minimal harm 2023-06-27

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-07-21

D · Potential for more than minimal harm 2023-06-27

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 2023-07-28

D · Potential for more than minimal harm 2023-06-27

F657 · Resident Assessment and Care Planning Deficiencies

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 2023-07-28

D · Potential for more than minimal harm 2023-06-27

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-07-21

D · Potential for more than minimal harm 2023-06-27

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 2023-08-02

D · Potential for more than minimal harm 2023-06-27

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 2023-07-21

D · Potential for more than minimal harm 2023-06-27

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 2023-07-21

D · Potential for more than minimal harm 2023-06-27

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-07-21

Penalties and ownership

What sits behind the stars

$33,374 2023-06-27

Fine

Fine · fine $33,374

Fine

Ownership

Welltower Trs Holdco LLC

5% Or Greater Direct Ownership Interest · Organization

100% 4 facilities 2017-12-15

Akridge, Ulysses