3 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Westwood, NJ
5-star overall rating with 5-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
300 Old Hook Road, Westwood, NJ
(201) 664-8888
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
98
Certified beds
Average residents
85
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Careone
Operator or chain grouping
Approved since
1997-09-01
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
0.67
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.15
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.30
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
4.13
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.82
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.79
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.49
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.24
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.52
CMS adjusted RN staffing hours
Adjusted total hours
3.22
CMS adjusted total nurse staffing hours
Case-mix index
1.75
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
23%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
357
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
72.13
Composite VBP score used to determine payment impact.
Payment multiplier
1.0234
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
9.25
Baseline 19.20% · Performance 17.14% · Measure score 9.25 · Achievement 9.25 · Improvement 8.97
Healthcare-associated infections
7.53
Baseline 5.31% · Performance 5.58% · Measure score 7.53 · Achievement 7.53 · Improvement 0
Total nurse turnover
10
Baseline 36.25% · Performance 20.29% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
2.07
Baseline 3.42 hours · Performance 3.67 hours · Measure score 2.07 · Achievement 2.07 · Improvement 0.55
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.41% |
10.72%
1.3 pts better
|
No Different than the National Rate · Eligible stays 512 · Observed rate 8.2% · Lower 95% interval 7.18% |
| Discharge to community | 63.62% |
50.57%
13 pts better
|
Better than the National Rate · Eligible stays 529 · Observed rate 57.09% · Lower 95% interval 59.58% |
| Medicare spending per beneficiary | 1.12 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 99.14% |
95.27%
3.9 pts better
|
Numerator 347 · Denominator 350 |
| Falls with major injury | 0.86% |
0.77%
0.1 pts worse
|
Numerator 3 · Denominator 350 |
| Discharge self-care score | 62.7% |
53.69%
9 pts better
|
Numerator 153 · Denominator 244 |
| Discharge mobility score | 50.41% |
50.94%
0.5 pts worse
|
Numerator 123 · Denominator 244 |
| Pressure ulcers or injuries, new or worsened | 1.14% |
2.29%
1.2 pts better
|
Numerator 4 · Denominator 350 · Adjusted rate 0.77% |
| Healthcare-associated infections requiring hospitalization | 5.58% |
7.12%
1.5 pts better
|
No Different than the National Rate · Eligible stays 335 · Observed rate 4.48% · Lower 95% interval 3.66% |
| Staff COVID-19 vaccination coverage | 4.14% |
8.2%
4.1 pts worse
|
Numerator 6 · Denominator 145 |
| Staff flu vaccination coverage | 89.4% |
42%
47.4 pts better
|
Numerator 135 · Denominator 151 |
| Discharge function score | 61.07% |
56.45%
4.6 pts better
|
Numerator 149 · Denominator 244 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 159 · Denominator 159 |
| Transfer of health information to patient | 93.37% |
96.28%
2.9 pts worse
|
Numerator 155 · Denominator 166 |
| Resident COVID-19 vaccinations up to date | 11.35% |
25.2%
13.8 pts worse
|
Numerator 21 · Denominator 185 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.8 |
2.1
1.3 pts better
|
1.9
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.6 · Expected 1.5 · 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 1.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 91.4% |
93.0%
1.6 pts worse
|
93.4%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 81.6% · Q2 85.7% · Q3 100.0% · Q4 100.0% · 4Q avg 91.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.0% |
97.2%
7.2 pts worse
|
95.5%
5.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 90.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.3% |
2.4%
1.1 pts better
|
3.3%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.2% |
11.4%
5.2 pts better
|
11.4%
5.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 4.8% · Q3 2.8% · Q4 6.1% · 4Q avg 6.2% |
| Percentage of long-stay residents who lose too much weight | 0.8% |
4.6%
3.8 pts better
|
5.4%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.1% · Q4 0.0% · 4Q avg 0.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.1% |
19.0%
6.9 pts better
|
19.6%
7.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 10.3% · Q3 18.2% · Q4 8.8% · 4Q avg 12.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.4% |
13.5%
7.1 pts better
|
16.7%
10.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 6.7% · Q3 4.0% · Q4 7.4% · 4Q avg 6.4% · 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 | 15.0% |
9.8%
5.2 pts worse
|
16.3%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 15.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.9% |
9.7%
0.2 pts worse
|
14.9%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 17.2% · Q3 7.7% · Q4 3.7% · 4Q avg 9.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.6% |
0.7%
0.9 pts worse
|
1.0%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 2.2% · Q4 2.2% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.7% |
0.8%
0.1 pts better
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.9% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.6% |
15.9%
2.3 pts better
|
19.8%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.1% · Q2 13.2% · Q3 10.4% · Q4 10.2% · 4Q avg 13.6% |
| Percentage of long-stay residents with pressure ulcers | 5.8% |
6.0%
0.2 pts better
|
5.1%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 7.4% · Q3 6.7% · Q4 5.3% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 77.5% |
78.7%
1.2 pts worse
|
81.7%
4.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 76.5% · Q2 79.8% · Q3 81.5% · Q4 72.4% · 4Q avg 77.5% |
| 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 10.8% · 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 0.0% · Q2 1.1% · Q3 1.0% · Q4 0.5% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 83.4% |
80.1%
3.3 pts better
|
79.7%
3.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 83.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.0% |
25.4%
6.4 pts better
|
23.9%
4.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.0% · Observed 19.5% · Expected 24.5% · Used in QM five-star |
Survey summary
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Top issue: Pharmacy Service (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Infection Control (1 deficiency)
10 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-02-12
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-10-15
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-06-26
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-06-25
Fire Safety
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
Corrected 2022-09-09
Fire Safety
Have exits that are accessible at all times.
Corrected 2022-09-26
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2022-09-23
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-08-18
Fire Safety
Install proper backup exit lighting.
Corrected 2022-09-26
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-09-26
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 2022-09-01
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-09-26
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-09-26
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-09-01
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-10-17
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-10-17
Health
Implement a program that monitors antibiotic use.
Corrected 2025-10-17
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-06-25
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-06-21
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-06-24
Health
Provide and implement an infection prevention and control program.
Corrected 2022-09-07
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect 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
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Individual
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