7 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Bound Brook, NJ
4-star overall rating with 3-star inspections with 7 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
1621 Route 22 West, Bound Brook, NJ
(732) 469-2000
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
64
Certified beds
Average residents
47
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Careone
Operator or chain grouping
Approved since
1967-01-01
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
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
1.23
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.10
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
1.85
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
4.19
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
2.33
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.51
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
0.40
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.84
CMS adjusted RN staffing hours
Adjusted total hours
2.86
CMS adjusted total nurse staffing hours
Case-mix index
2.00
Higher values indicate more complex resident acuity
RN turnover
29%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
28%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
4,732
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
38.79
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
4.10
Baseline 17.68% · Performance 19.53% · Measure score 4.10 · Achievement 4.10 · Improvement 0
Healthcare-associated infections
1.42
Baseline 7.25% · Performance 7.41% · Measure score 1.42 · Achievement 1.42 · Improvement 0
Total nurse turnover
10
Baseline 29.31% · Performance 24.00% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
0
Baseline 2.89 hours · Performance 2.83 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.77% |
10.72%
1 pts better
|
No Different than the National Rate · Eligible stays 568 · Observed rate 10.21% · Lower 95% interval 7.67% |
| Discharge to community | 66.07% |
50.57%
15.5 pts better
|
Better than the National Rate · Eligible stays 638 · Observed rate 55.49% · Lower 95% interval 61.46% |
| Medicare spending per beneficiary | 1.14 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 98.89% |
95.27%
3.6 pts better
|
Numerator 356 · Denominator 360 |
| Falls with major injury | 0.56% |
0.77%
0.2 pts better
|
Numerator 2 · Denominator 360 |
| Discharge self-care score | 47.6% |
53.69%
6.1 pts worse
|
Numerator 99 · Denominator 208 |
| Discharge mobility score | 66.35% |
50.94%
15.4 pts better
|
Numerator 138 · Denominator 208 |
| Pressure ulcers or injuries, new or worsened | 2.5% |
2.29%
0.2 pts worse
|
Numerator 9 · Denominator 360 · Adjusted rate 2.45% |
| Healthcare-associated infections requiring hospitalization | 7.41% |
7.12%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 340 · Observed rate 8.24% · Lower 95% interval 4.95% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 198 |
| Staff flu vaccination coverage | 43.87% |
42%
1.9 pts better
|
Numerator 68 · Denominator 155 |
| Discharge function score | 66.83% |
56.45%
10.4 pts better
|
Numerator 139 · Denominator 208 |
| Transfer of health information to provider | 99.17% |
95.95%
3.2 pts better
|
Numerator 238 · Denominator 240 |
| Transfer of health information to patient | 99.1% |
96.28%
2.8 pts better
|
Numerator 110 · Denominator 111 |
| Resident COVID-19 vaccinations up to date | 16.67% |
25.2%
8.5 pts worse
|
Numerator 32 · Denominator 192 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 87.0% |
78.7%
8.3 pts better
|
81.7%
5.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 83.0% · Q2 84.1% · Q3 89.1% · Q4 92.5% · 4Q avg 87.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.7% |
8.2%
3.5 pts better
|
12.0%
7.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.7% · Observed 4.6% · Expected 10.9% · 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 1.7% · Q2 2.2% · Q3 1.4% · Q4 1.6% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.4% |
80.1%
14.3 pts better
|
79.7%
14.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.5% |
25.4%
3.9 pts better
|
23.9%
2.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.5% · Observed 23.6% · Expected 26.2% · Used in QM five-star |
Survey summary
Top issue: Pharmacy Service (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Nutrition and Dietary (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-15
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-11-15
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-11-15
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 2023-10-02
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-10-02
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-10-02
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 2024-11-08
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-08
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-11-08
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-11-08
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-11-08
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-11-08
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 2024-11-08
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-10-26
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-10-26
Penalties and ownership
Corporate Officer · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
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