8 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cresskill, NJ
5-star overall rating with 4-star inspections with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
221 County Road, Cresskill, NJ
(201) 567-9310
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
Beds
113
Certified beds
Average residents
83
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Careone
Operator or chain grouping
Approved since
1992-05-14
CMS approved date
Coverage
Medicare
Participation flags
Chain footprint
37 facilities
Chain averages 3 overall / 3 health / 3 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
RN hours / resident day
0.78
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.07
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.25
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
4.10
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.85
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.62
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.59
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.27
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.60
CMS adjusted RN staffing hours
Adjusted total hours
3.15
CMS adjusted total nurse staffing hours
Case-mix index
1.78
Higher values indicate more complex resident acuity
RN turnover
39%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
25%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
11,362
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
17.07
Composite VBP score used to determine payment impact.
Payment multiplier
0.9817
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0.84
Baseline 20.76% · Performance 21.04% · Measure score 0.84 · Achievement 0.84 · Improvement 0
Healthcare-associated infections
0
Baseline 5.73% · Performance 10.46% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
5.99
Baseline 60.00% · Performance 39.19% · Measure score 5.99 · Achievement 5.99 · Improvement 5.42
Adjusted total nurse staffing
0
Baseline 3.12 hours · Performance 2.93 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.58% |
10.72%
1.1 pts better
|
No Different than the National Rate · Eligible stays 527 · Observed rate 8.35% · Lower 95% interval 7.64% |
| Discharge to community | 54.9% |
50.57%
4.3 pts better
|
No Different than the National Rate · Eligible stays 627 · Observed rate 47.21% · Lower 95% interval 50.05% |
| Medicare spending per beneficiary | 1.28 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 99.76% |
95.27%
4.5 pts better
|
Numerator 412 · Denominator 413 |
| Falls with major injury | 0.48% |
0.77%
0.3 pts better
|
Numerator 2 · Denominator 413 |
| Discharge self-care score | 78.33% |
53.69%
24.6 pts better
|
Numerator 188 · Denominator 240 |
| Discharge mobility score | 72.92% |
50.94%
22 pts better
|
Numerator 175 · Denominator 240 |
| Pressure ulcers or injuries, new or worsened | 0.24% |
2.29%
2 pts better
|
Numerator 1 · Denominator 413 · Adjusted rate 0.26% |
| Healthcare-associated infections requiring hospitalization | 10.45% |
7.12%
3.3 pts worse
|
Worse than the National Rate · Eligible stays 337 · Observed rate 11.87% · Lower 95% interval 7.64% |
| Staff COVID-19 vaccination coverage | 5.26% |
8.2%
2.9 pts worse
|
Numerator 6 · Denominator 114 |
| Staff flu vaccination coverage | 90% |
42%
48 pts better
|
Numerator 108 · Denominator 120 |
| Discharge function score | 78.75% |
56.45%
22.3 pts better
|
Numerator 189 · Denominator 240 |
| Transfer of health information to provider | 97.4% |
95.95%
1.5 pts better
|
Numerator 225 · Denominator 231 |
| Transfer of health information to patient | 92.54% |
96.28%
3.7 pts worse
|
Numerator 124 · Denominator 134 |
| Resident COVID-19 vaccinations up to date | 22.87% |
25.2%
2.3 pts worse
|
Numerator 51 · Denominator 223 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
2.1
0.9 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.3 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0 |
1.1
1.1 pts better
|
1.8
1.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0 · Observed 0 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.2% |
93.0%
6.2 pts better
|
93.4%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.7% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
97.2%
2.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.8% |
2.4%
1.6 pts better
|
3.3%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 13.8% |
11.4%
2.4 pts worse
|
11.4%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.5% · Q2 23.3% · Q3 3.1% · Q4 11.1% · 4Q avg 13.8% |
| Percentage of long-stay residents who lose too much weight | 8.8% |
4.6%
4.2 pts worse
|
5.4%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 12.9% · Q3 14.3% · Q4 6.1% · 4Q avg 8.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.6% |
19.0%
1.4 pts better
|
19.6%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 16.1% · Q3 17.1% · Q4 15.2% · 4Q avg 17.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.9% |
13.5%
0.4 pts worse
|
16.7%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 13.9% · 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 | 6.9% |
9.8%
2.9 pts better
|
16.3%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 6.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.8% |
9.7%
2.1 pts worse
|
14.9%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 20.0% · Q3 10.7% · Q4 11.1% · 4Q avg 11.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
0.7%
About the same
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.7% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.8% |
0.8%
About the same
|
1.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.7% |
15.9%
0.8 pts worse
|
19.8%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 26.3% · Q2 21.0% · Q3 11.4% · Q4 9.8% · 4Q avg 16.7% |
| Percentage of long-stay residents with pressure ulcers | 7.2% |
6.0%
1.2 pts worse
|
5.1%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 8.0% · Q3 7.9% · Q4 9.8% · 4Q avg 7.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.5% |
78.7%
15.8 pts better
|
81.7%
12.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 80.7% · Q2 98.7% · Q3 99.7% · Q4 98.9% · 4Q avg 94.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 3.6% |
8.2%
4.6 pts better
|
12.0%
8.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 3.6% · Observed 3.4% · Expected 10.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.7% |
1.2%
0.5 pts worse
|
1.6%
0.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.5% · Q3 2.0% · Q4 2.2% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.4% |
80.1%
15.3 pts better
|
79.7%
15.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.2% |
25.4%
2.8 pts worse
|
23.9%
4.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.2% · Observed 27.5% · Expected 23.2% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (4 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Pharmacy Service (2 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-11-01
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-10-30
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-11-26
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-08-11
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2023-08-18
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-09-08
Fire Safety
Have exits that are accessible at all times.
Corrected 2023-08-31
Fire Safety
Install proper backup exit lighting.
Corrected 2021-06-08
Inspection history
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-10-30
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-30
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-11-11
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-10-30
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-30
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-10-30
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-10-30
Health
Assess the resident when there is a significant change in condition
Corrected 2024-10-30
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-02-21
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-08-18
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-08-18
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-08-18
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2023-08-18
Health
Provide and implement an infection prevention and control program.
Corrected 2021-06-15
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
W-2 Managing Employee · Individual
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Individual
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