Cycle 1
Health 2024-08-23 · Fire 2024-08-23
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Rahway, NJ
Care Connection Rahway
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
865 Stone Street, Rahway, NJ
(732) 499-6460
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
24
Certified beds
Average residents
23
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Alaris Health
Operator or chain grouping
Approved since
1973-11-01
CMS approved date
Coverage
Medicare
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
1.10
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.49
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
3.02
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
5.61
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
2.59
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
5.28
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.75
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.35
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.93
CMS adjusted RN staffing hours
Adjusted total hours
4.75
CMS adjusted total nurse staffing hours
Case-mix index
1.62
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
55%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,831
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
31.58
Composite VBP score used to determine payment impact.
Payment multiplier
0.9866
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.12
Baseline 19.35% · Performance 19.99% · Measure score 3.12 · Achievement 3.12 · Improvement 0
Healthcare-associated infections
4.37
Baseline 5.81% · Performance 6.53% · Measure score 4.37 · Achievement 4.37 · Improvement 0
Total nurse turnover
1.99
Baseline 50.00% · Performance 55.56% · Measure score 1.99 · Achievement 1.99 · Improvement 0
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 | 10.64% |
10.72%
0.1 pts better
|
No Different than the National Rate · Eligible stays 374 · Observed rate 10.96% · Lower 95% interval 8.12% |
| Discharge to community | 71.36% |
50.57%
20.8 pts better
|
Better than the National Rate · Eligible stays 401 · Observed rate 62.84% · Lower 95% interval 65.75% |
| Medicare spending per beneficiary | 0.94 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 4.39% |
95.27%
90.9 pts worse
|
Numerator 9 · Denominator 205 |
| Falls with major injury | 0.49% |
0.77%
0.3 pts better
|
Numerator 1 · Denominator 205 |
| Discharge self-care score | 59.35% |
53.69%
5.7 pts better
|
Numerator 92 · Denominator 155 |
| Discharge mobility score | 54.84% |
50.94%
3.9 pts better
|
Numerator 85 · Denominator 155 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 205 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.53% |
7.12%
0.6 pts better
|
No Different than the National Rate · Eligible stays 229 · Observed rate 6.11% · Lower 95% interval 4.25% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 50 |
| Staff flu vaccination coverage | 100% |
42%
58 pts better
|
Numerator 50 · Denominator 50 |
| Discharge function score | 43.87% |
56.45%
12.6 pts worse
|
Numerator 68 · Denominator 155 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 50 · Denominator 50 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 154 · Denominator 154 |
| Resident COVID-19 vaccinations up to date | 93.4% |
25.2%
68.2 pts better
|
Numerator 99 · Denominator 106 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.3% |
78.7%
11.6 pts better
|
81.7%
8.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 92.9% · Q2 94.5% · Q3 88.6% · Q4 85.2% · 4Q avg 90.3% |
| 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 4.2% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.2%
0.6 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.0% · Q3 0.0% · Q4 1.6% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 73.2% |
80.1%
6.9 pts worse
|
79.7%
6.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 73.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.3% |
25.4%
0.1 pts better
|
23.9%
1.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.3% · Observed 24.7% · Expected 23.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-06-21 · Fire 2023-06-21
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2021-05-14 · Fire 2021-05-14
1 health deficiencies
Top issue: Nutrition and Dietary (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
2024-08-23
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-09-10
D · Potential for more than minimal harm
2024-08-23
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-09-10
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-08-23
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-09-10
F · Potential for more than minimal harm
2021-05-14
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 2021-05-19
Penalties and ownership
What sits behind the stars
Ownership
Care Connection Rahway LLC
5% Or Greater Direct Ownership Interest · Organization
Dwulet, Diane
W-2 Managing Employee · Individual
Eisenreich, Avery
5% Or Greater Direct Ownership Interest · Individual
Stern, Samuel
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Adroit Care Rehabilitation And Nursing Center
Rahway, NJ
4-star overall rating with 3-star inspections with $4,893 in total fines with 9 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
Complete Care At Clark LLC
Clark, NJ
5-star overall rating with 4-star inspections with $25,753 in total fines with 4 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
#3
Complete Care At Westfield, LLC
Westfield, NJ
3-star overall rating with 2-star inspections with 5 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
Jump out