Cycle 1
Health 2025-04-11 · Fire 2025-04-11
16 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Morristown, NJ
CareOne At Madison Avenue
3-star overall rating with 2-star inspections with 16 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
151 Madison Avenue, Morristown, NJ
(973) 656-2700
Overall
3 / 5
CMS overall stars
Health inspections
2 / 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
178
Certified beds
Average residents
105
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Careone
Operator or chain grouping
Approved since
2005-01-04
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
Hours and turnover
RN hours / resident day
0.54
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.30
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.19
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
4.03
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.84
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.81
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
0.13
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.52
CMS adjusted RN staffing hours
Adjusted total hours
3.87
CMS adjusted total nurse staffing hours
Case-mix index
1.42
Higher values indicate more complex resident acuity
RN turnover
25%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
27%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
708
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
65.08
Composite VBP score used to determine payment impact.
Payment multiplier
1.0194
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
8.98
Baseline 19.01% · Performance 17.27% · Measure score 8.98 · Achievement 8.98 · Improvement 8.28
Healthcare-associated infections
4.58
Baseline 7.19% · Performance 6.47% · Measure score 4.58 · Achievement 4.58 · Improvement 2.79
Total nurse turnover
9.46
Baseline 60.48% · Performance 25.00% · Measure score 9.46 · Achievement 9.46 · Improvement 9
Adjusted total nurse staffing
3.01
Baseline 3.72 hours · Performance 3.93 hours · Measure score 3.01 · Achievement 3.01 · Improvement 0.53
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 410 · Observed rate 10% · Lower 95% interval 7.75% |
| Discharge to community | 70.43% |
50.57%
19.9 pts better
|
Better than the National Rate · Eligible stays 377 · Observed rate 61.01% · Lower 95% interval 64.07% |
| Medicare spending per beneficiary | 1.04 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 92.77% |
95.27%
2.5 pts worse
|
Numerator 231 · Denominator 249 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 249 |
| Discharge self-care score | 72.63% |
53.69%
18.9 pts better
|
Numerator 69 · Denominator 95 |
| Discharge mobility score | 73.68% |
50.94%
22.7 pts better
|
Numerator 70 · Denominator 95 |
| Pressure ulcers or injuries, new or worsened | 0.8% |
2.29%
1.5 pts better
|
Numerator 2 · Denominator 249 · Adjusted rate 0.83% |
| Healthcare-associated infections requiring hospitalization | 6.47% |
7.12%
0.7 pts better
|
No Different than the National Rate · Eligible stays 210 · Observed rate 6.19% · Lower 95% interval 4.16% |
| Staff COVID-19 vaccination coverage | 2.84% |
8.2%
5.4 pts worse
|
Numerator 5 · Denominator 176 |
| Staff flu vaccination coverage | 98.85% |
42%
56.8 pts better
|
Numerator 172 · Denominator 174 |
| Discharge function score | 72.63% |
56.45%
16.2 pts better
|
Numerator 69 · Denominator 95 |
| Transfer of health information to provider | 95.71% |
95.95%
0.2 pts worse
|
Numerator 67 · Denominator 70 |
| Transfer of health information to patient | 96.4% |
96.28%
0.1 pts better
|
Numerator 134 · Denominator 139 |
| Resident COVID-19 vaccinations up to date | 13.43% |
25.2%
11.8 pts worse
|
Numerator 18 · Denominator 134 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.6 |
2.1
0.5 pts better
|
1.9
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.6 · Expected 2.0 · 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
1.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.1 · Observed 0.1 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 85.3% |
93.0%
7.7 pts worse
|
93.4%
8.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 94.5% · Q2 87.1% · Q3 75.0% · Q4 85.3% · 4Q avg 85.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.4% |
97.2%
4.8 pts worse
|
95.5%
3.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 92.4% |
| 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 1.8% · Q2 0.0% · Q3 0.0% · Q4 1.5% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.1% |
11.4%
7.3 pts better
|
11.4%
7.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 7.5% · Q3 5.4% · Q4 3.1% · 4Q avg 4.1% |
| Percentage of long-stay residents who lose too much weight | 4.3% |
4.6%
0.3 pts better
|
5.4%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 7.4% · Q3 2.0% · Q4 3.6% · 4Q avg 4.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.1% |
19.0%
7.9 pts better
|
19.6%
8.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 11.9% · Q3 11.3% · Q4 10.2% · 4Q avg 11.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.3% |
13.5%
3.8 pts worse
|
16.7%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 18.9% · Q3 18.4% · Q4 13.3% · 4Q avg 17.3% · 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 | 4.4% |
9.8%
5.4 pts better
|
16.3%
11.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.8% · Q3 6.2% · Q4 5.9% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.1% |
9.7%
1.6 pts better
|
14.9%
6.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 11.3% · Q3 8.7% · Q4 7.5% · 4Q avg 8.1% · 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 | 0.4% |
0.8%
0.4 pts better
|
1.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.5% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.0% |
15.9%
1.9 pts better
|
19.8%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 7.8% · Q3 6.7% · Q4 32.4% · 4Q avg 14.0% |
| Percentage of long-stay residents with pressure ulcers | 6.2% |
6.0%
0.2 pts worse
|
5.1%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.4% · Q2 5.6% · Q3 6.4% · Q4 4.8% · 4Q avg 6.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 76.0% |
78.7%
2.7 pts worse
|
81.7%
5.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 78.9% · Q2 83.1% · Q3 72.0% · Q4 70.8% · 4Q avg 76.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.0% |
8.2%
0.2 pts better
|
12.0%
4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.0% · Observed 7.8% · Expected 10.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
1.2%
About the same
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.6% · Q3 1.7% · Q4 1.6% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.0% |
80.1%
7.9 pts better
|
79.7%
8.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.9% |
25.4%
3.5 pts better
|
23.9%
2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.9% · Observed 22.7% · Expected 24.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-04-13 · Fire 2023-04-13
3 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2021-04-27 · Fire 2021-04-27
2 health deficiencies
Top issue: Infection Control (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
2025-12-12
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Not marked corrected
F · Potential for more than minimal harm
2025-04-11
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-09
F · Potential for more than minimal harm
2025-04-11
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-05-09
D · Potential for more than minimal harm
2025-04-11
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-05-09
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-04-11
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 2025-05-09
F · Potential for more than minimal harm
2025-04-11
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-09
E · Potential for more than minimal harm
2025-04-11
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-05-09
E · Potential for more than minimal harm
2025-04-11
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 2025-05-09
E · Potential for more than minimal harm
2025-04-11
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-05-09
E · Potential for more than minimal harm
2025-04-11
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-05-09
E · Potential for more than minimal harm
2025-04-11
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 2025-05-09
E · Potential for more than minimal harm
2025-04-11
F919 · Environmental Deficiencies
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-05-09
D · Potential for more than minimal harm
2025-04-11
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 2025-05-09
D · Potential for more than minimal harm
2025-04-11
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 2025-05-09
D · Potential for more than minimal harm
2025-04-11
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 2025-05-09
D · Potential for more than minimal harm
2025-04-11
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-05-09
D · Potential for more than minimal harm
2025-04-11
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-05-09
D · Potential for more than minimal harm
2025-04-11
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 2025-05-09
D · Potential for more than minimal harm
2025-04-11
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-05-09
D · Potential for more than minimal harm
2025-04-11
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-05-09
D · Potential for more than minimal harm
2023-04-13
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2023-05-01
D · Potential for more than minimal harm
2023-04-13
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-05-01
D · Potential for more than minimal harm
2023-04-13
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-05-09
E · Potential for more than minimal harm
2021-04-27
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2021-05-15
D · Potential for more than minimal harm
2021-04-27
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-05-15
Penalties and ownership
What sits behind the stars
Ownership
Des Holding Co., Inc.
5% Or Greater Indirect Ownership Interest · Organization
Des 2009 Gst Trust
5% Or Greater Indirect Ownership Interest · Organization
Baruch, David
Corporate Officer · Individual
Baruch, David
W-2 Managing Employee · Individual
Care One LLC
5% Or Greater Direct Ownership Interest · Organization
Care One Management, LLC
Operational/Managerial Control · Organization
Des-C 2009 Grat
5% Or Greater Indirect Ownership Interest · Organization
Healthbridge Management LLC
Operational/Managerial Control · Organization
Straus, Daniel
5% Or Greater Indirect Ownership Interest · Individual
Nearby options
Other facilities in reach
#1
Morristown Post Acute Rehab And Nursing Center
Morristown, NJ
3-star overall rating with 2-star inspections with 6 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#2
Florham Park Rehabilitation And Healthcare Center
Florham Park, NJ
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
#3
Pine Acres Rehabilitation And Healthcare
Madison, NJ
5-star overall rating with 4-star inspections with 5 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
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