7 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Livingston, NJ
5-star overall rating with 4-star inspections with 7 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
68 Passaic Avenue, Livingston, NJ
(973) 758-9000
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
61
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Careone
Operator or chain grouping
Approved since
2002-10-17
CMS approved date
Coverage
Medicare + Medicaid
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
0.71
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.50
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.34
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
4.56
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
2.21
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
4.19
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
0.21
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.61
CMS adjusted RN staffing hours
Adjusted total hours
3.92
CMS adjusted total nurse staffing hours
Case-mix index
1.59
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
16%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
4,745
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
38.75
Composite VBP score used to determine payment impact.
Payment multiplier
0.9918
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0.36
Baseline 21.66% · Performance 21.27% · Measure score 0.36 · Achievement 0 · Improvement 0.36
Healthcare-associated infections
1.99
Baseline 9.06% · Performance 8.05% · Measure score 1.99 · Achievement 0 · Improvement 1.99
Total nurse turnover
10
Baseline 46.39% · Performance 15.62% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
3.16
Baseline 3.34 hours · Performance 3.98 hours · Measure score 3.16 · Achievement 3.16 · Improvement 2.10
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.04% |
10.72%
1.3 pts worse
|
No Different than the National Rate · Eligible stays 303 · Observed rate 13.86% · Lower 95% interval 9.32% |
| Discharge to community | 56.53% |
50.57%
6 pts better
|
No Different than the National Rate · Eligible stays 297 · Observed rate 46.46% · Lower 95% interval 48.77% |
| Medicare spending per beneficiary | 0.95 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 99.55% |
95.27%
4.3 pts better
|
Numerator 223 · Denominator 224 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 224 |
| Discharge self-care score | 49.23% |
53.69%
4.5 pts worse
|
Numerator 64 · Denominator 130 |
| Discharge mobility score | 52.31% |
50.94%
1.4 pts better
|
Numerator 68 · Denominator 130 |
| Pressure ulcers or injuries, new or worsened | 2.68% |
2.29%
0.4 pts worse
|
Numerator 6 · Denominator 224 · Adjusted rate 2.04% |
| Healthcare-associated infections requiring hospitalization | 8.05% |
7.12%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 184 · Observed rate 9.78% · Lower 95% interval 5.75% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 133 |
| Staff flu vaccination coverage | 96.88% |
42%
54.9 pts better
|
Numerator 124 · Denominator 128 |
| Discharge function score | 57.69% |
56.45%
1.2 pts better
|
Numerator 75 · Denominator 130 |
| Transfer of health information to provider | 95.69% |
95.95%
0.3 pts worse
|
Numerator 111 · Denominator 116 |
| Transfer of health information to patient | 97.47% |
96.28%
1.2 pts better
|
Numerator 77 · Denominator 79 |
| Resident COVID-19 vaccinations up to date | 49.57% |
25.2%
24.4 pts better
|
Numerator 58 · Denominator 117 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
2.1
0.3 pts better
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 2.5 · Expected 2.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.2 |
1.1
0.9 pts better
|
1.8
1.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.2 · Observed 0.2 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.1% |
93.0%
6.1 pts better
|
93.4%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 95.7% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.1% |
| 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 | 0.0% |
2.4%
2.4 pts better
|
3.3%
3.3 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 who have depressive symptoms | 43.3% |
11.4%
31.9 pts worse
|
11.4%
31.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 10.0% · Q3 88.0% · Q4 66.7% · 4Q avg 43.3% |
| Percentage of long-stay residents who lose too much weight | 3.3% |
4.6%
1.3 pts better
|
5.4%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 3.8% · Q3 0.0% · Q4 4.8% · 4Q avg 3.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.2% |
19.0%
4.8 pts better
|
19.6%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 12.9% · Q3 11.1% · Q4 19.2% · 4Q avg 14.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.1% |
13.5%
0.6 pts worse
|
16.7%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 14.1% · 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 | 15.7% |
9.8%
5.9 pts worse
|
16.3%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 15.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 20.2% |
9.7%
10.5 pts worse
|
14.9%
5.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 24.1% · Q3 28.0% · Q4 21.7% · 4Q avg 20.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.4% |
0.7%
0.7 pts worse
|
1.0%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · Q4 5.2% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.9% |
0.8%
1.1 pts worse
|
1.7%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.3% · Q3 0.0% · Q4 3.6% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.9% |
15.9%
2 pts better
|
19.8%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 25.1% · Q3 8.3% · Q4 13.3% · 4Q avg 13.9% |
| Percentage of long-stay residents with pressure ulcers | 13.2% |
6.0%
7.2 pts worse
|
5.1%
8.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 14.7% · Q3 12.5% · Q4 11.6% · 4Q avg 13.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.2% |
78.7%
15.5 pts better
|
81.7%
12.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 93.8% · Q2 95.5% · Q3 96.1% · Q4 91.2% · 4Q avg 94.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.0% |
8.2%
4.2 pts better
|
12.0%
8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.0% · Observed 4.2% · Expected 11.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
1.2%
0.5 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 0.0% · Q4 1.4% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.4% |
80.1%
13.3 pts better
|
79.7%
13.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.0% |
25.4%
4.4 pts better
|
23.9%
2.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.0% · Observed 24.1% · Expected 27.3% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Pharmacy Service (2 deficiencies)
2 fire-safety deficiencies
Top issue: Services (2 deficiencies)
Top issue: Resident Rights (2 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-09-05
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-09-05
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-09-05
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-03-23
Fire Safety
Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly.
Corrected 2024-05-28
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-01-14
Inspection history
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-12-05
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-12-05
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2025-09-12
Health
Provide activities to meet all resident's needs.
Corrected 2025-08-22
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-09-15
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-09-15
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-09-15
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-03-29
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-03-29
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-03-29
Health
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
Corrected 2023-12-22
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-12-22
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-12-22
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-01-14
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 2022-01-14
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2022-01-14
Health
Provide and implement an infection prevention and control program.
Corrected 2022-02-06
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 Direct Ownership Interest · Individual
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