Paramus, NJ

Careone At Ridgewood Avenue

2-star overall rating with 2-star inspections with $16,149 in total fines with 8 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

W-90 Ridgewood Ave, Paramus, NJ

(201) 652-1950

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

110

Certified beds

Average residents

101

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Careone

Operator or chain grouping

Approved since

1998-05-26

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

Hours and turnover

RN hours / resident day

1.01

Registered nurse staffing · state 0.69 · national 0.68

LPN hours / resident day

1.05

Licensed practical nurse staffing · state 0.94 · national 0.87

Aide hours / resident day

2.02

Nurse aide staffing · state 2.23 · national 2.35

Total nurse hours

4.08

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

2.06

RN + LPN hours · state 1.62 · national 1.54

Weekend hours

3.56

Weekend nurse staffing · state 3.45 · national 3.43

Weekend RN hours

0.74

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.34

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.73

CMS adjusted RN staffing hours

Adjusted total hours

2.93

CMS adjusted total nurse staffing hours

Case-mix index

1.90

Higher values indicate more complex resident acuity

RN turnover

37%

Annual RN turnover · state 39% · national 45%

Total nurse turnover

34%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,908

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

Performance score

42.17

Composite VBP score used to determine payment impact.

Payment multiplier

0.9951

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

8.88

Baseline 20.90% · Performance 17.32% · Measure score 8.88 · Achievement 8.88 · Improvement 8.76

Healthcare-associated infections

1.49

Baseline 5.54% · Performance 7.39% · Measure score 1.49 · Achievement 1.49 · Improvement 0

Total nurse turnover

6.5

Baseline 59.48% · Performance 37.11% · Measure score 6.5 · Achievement 6.5 · Improvement 5.96

Adjusted total nurse staffing

0

Baseline 2.87 hours · Performance 2.74 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.67%
10.72%
1.1 pts better
No Different than the National Rate · Eligible stays 790 · Observed rate 8.73% · Lower 95% interval 7.94%
Discharge to community 67.03%
50.57%
16.5 pts better
Better than the National Rate · Eligible stays 899 · Observed rate 58.4% · Lower 95% interval 62.49%
Medicare spending per beneficiary 1.32
1.02
0.3 pts worse
Drug regimen review with follow-up 99.81%
95.27%
4.5 pts better
Numerator 513 · Denominator 514
Falls with major injury 0.58%
0.77%
0.2 pts better
Numerator 3 · Denominator 514
Discharge self-care score 54.03%
53.69%
0.3 pts better
Numerator 161 · Denominator 298
Discharge mobility score 64.09%
50.94%
13.2 pts better
Numerator 191 · Denominator 298
Pressure ulcers or injuries, new or worsened 4.28%
2.29%
2 pts worse
Numerator 22 · Denominator 514 · Adjusted rate 3.81%
Healthcare-associated infections requiring hospitalization 7.39%
7.12%
0.3 pts worse
No Different than the National Rate · Eligible stays 522 · Observed rate 7.66% · Lower 95% interval 5.5%
Staff COVID-19 vaccination coverage 2.41%
8.2%
5.8 pts worse
Numerator 6 · Denominator 249
Staff flu vaccination coverage 71.73%
42%
29.7 pts better
Numerator 170 · Denominator 237
Discharge function score 61.74%
56.45%
5.3 pts better
Numerator 184 · Denominator 298
Transfer of health information to provider 99.69%
95.95%
3.7 pts better
Numerator 317 · Denominator 318
Transfer of health information to patient 91.86%
96.28%
4.4 pts worse
Numerator 158 · Denominator 172
Resident COVID-19 vaccinations up to date 18.86%
25.2%
6.3 pts worse
Numerator 53 · Denominator 281

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.9
2.1
0.2 pts better
1.9
About the same
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 2.4 · Expected 2.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.3
1.1
0.2 pts worse
1.8
0.5 pts better
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.3 · Expected 1.7 · Used in QM five-star
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 · Q4 100.0% · 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 · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 71.9%
11.4%
60.5 pts worse
11.4%
60.5 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 71.9%
Percentage of long-stay residents who lose too much weight 5.5%
4.6%
0.9 pts worse
5.4%
0.1 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 25.4%
19.0%
6.4 pts worse
19.6%
5.8 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 25.4%
Percentage of long-stay residents who received an antipsychotic medication 5.6%
13.5%
7.9 pts better
16.7%
11.1 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.6% · 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 · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 20.6%
9.8%
10.8 pts worse
16.3%
4.3 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 20.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 28.0%
9.7%
18.3 pts worse
14.9%
13.1 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 28.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.0%
0.7%
0.3 pts worse
1.0%
About the same
Long Stay · 2024Q4-2025Q3 · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.0%
0.8%
0.8 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 38.7%
15.9%
22.8 pts worse
19.8%
18.9 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 38.7%
Percentage of long-stay residents with pressure ulcers 24.0%
6.0%
18 pts worse
5.1%
18.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q4 16.9% · 4Q avg 24.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 86.3%
78.7%
7.6 pts better
81.7%
4.6 pts better
Short Stay · 2024Q4-2025Q3 · Q1 88.2% · Q2 83.9% · Q3 84.2% · Q4 89.0% · 4Q avg 86.3%
Percentage of short-stay residents who had an outpatient emergency department visit 9.4%
8.2%
1.2 pts worse
12.0%
2.6 pts better
Short Stay · 20240701-20250630 · Adjusted 9.4% · Observed 8.3% · Expected 9.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.1%
1.2%
0.1 pts better
1.6%
0.5 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.6% · Q3 1.2% · Q4 1.8% · 4Q avg 1.1% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 84.8%
80.1%
4.7 pts better
79.7%
5.1 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 84.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 22.8%
25.4%
2.6 pts better
23.9%
1.1 pts better
Short Stay · 20240701-20250630 · Adjusted 22.8% · Observed 22.1% · Expected 23.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-04 · Fire 2025-06-04

8 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

9 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 2 Health 2023-09-28 · Fire 2023-09-28

5 health deficiencies

Top issue: Resident Rights (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2021-06-30 · Fire 2021-06-30

0 health deficiencies

No concentrated health issue counts in this cycle.

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-06-04

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2025-07-20

F · Potential for more than minimal harm 2025-06-04

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2025-07-20

F · Potential for more than minimal harm 2025-06-04

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 2025-07-20

F · Potential for more than minimal harm 2025-06-04

K341 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-07-20

F · Potential for more than minimal harm 2025-06-04

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2025-07-20

F · Potential for more than minimal harm 2025-06-04

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-07-20

F · Potential for more than minimal harm 2025-06-04

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-07-20

F · Potential for more than minimal harm 2025-06-04

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2025-07-20

F · Potential for more than minimal harm 2025-06-04

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-07-20

F · Potential for more than minimal harm 2023-09-28

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-10-11

F · Potential for more than minimal harm 2023-09-28

K341 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-10-16

F · Potential for more than minimal harm 2023-09-28

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-10-16

E · Potential for more than minimal harm 2023-09-28

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2023-10-16

D · Potential for more than minimal harm 2021-06-30

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2021-07-28

Inspection history

Recent health citations

J · Immediate jeopardy 2025-06-04

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-07-15

E · Potential for more than minimal harm 2025-06-04

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-07-15

E · Potential for more than minimal harm 2025-06-04

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 2025-07-15

D · Potential for more than minimal harm 2025-06-04

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-07-05

D · Potential for more than minimal harm 2025-06-04

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2025-06-18

D · Potential for more than minimal harm 2025-06-04

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-07-15

D · Potential for more than minimal harm 2025-06-04

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-07-15

D · Potential for more than minimal harm 2025-06-04

F849 · Administration Deficiencies

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 2025-07-15

E · Potential for more than minimal harm 2023-09-28

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 2023-10-16

D · Potential for more than minimal harm 2023-09-28

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2023-10-16

D · Potential for more than minimal harm 2023-09-28

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2023-10-16

D · Potential for more than minimal harm 2023-09-28

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-10-11

D · Potential for more than minimal harm 2023-09-28

F761 · Pharmacy Service Deficiencies

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 2023-10-16

Penalties and ownership

What sits behind the stars

$16,149 2025-06-04

Fine

Fine · fine $16,149

Fine

Ownership

Care One LLC

5% Or Greater Direct Ownership Interest · Organization

100% 17 facilities 2009-06-01
Straus, Daniel

5% Or Greater Indirect Ownership Interest · Individual

38% 37 facilities 2007-04-21
Des Holding Co., Inc.

5% Or Greater Indirect Ownership Interest · Organization

24% 16 facilities 2007-12-16
Des-C 2009 Grat

5% Or Greater Indirect Ownership Interest · Organization

21% 18 facilities 2009-10-26
Des 2009 Gst Trust

5% Or Greater Indirect Ownership Interest · Organization

18% 18 facilities 2021-12-01
Baruch, David

Corporate Officer · Individual

0% 37 facilities 2021-12-01
Baruch, David

W-2 Managing Employee · Individual

0% 37 facilities 2021-12-01
Care One Management, LLC

Operational/Managerial Control · Organization

0% 15 facilities 2007-04-01
Healthbridge Management LLC

Operational/Managerial Control · Organization

0% 35 facilities 2009-06-01

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