Cycle 1
Health 2025-11-18 · Fire 2025-11-18
9 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Chatham, NJ
Chatham Hills Subacute Care Center
4-star overall rating with 3-star inspections with $14,521 in total fines with 9 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
415 Southern Blvd, Chatham, NJ
(973) 822-1500
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
Facility snapshot
Beds
108
Certified beds
Average residents
92
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Carerite Centers
Operator or chain grouping
Approved since
1970-09-25
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
34 facilities
Chain averages 3 overall / 3 health / 2 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
0.74
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.65
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
3.41
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.39
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.18
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.51
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.73
CMS adjusted RN staffing hours
Adjusted total hours
3.38
CMS adjusted total nurse staffing hours
Case-mix index
1.38
Higher values indicate more complex resident acuity
RN turnover
29%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
45%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
8,934
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
25.24
Composite VBP score used to determine payment impact.
Payment multiplier
0.9837
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.25
Baseline 16.76% · Performance 18.54% · Measure score 6.25 · Achievement 6.25 · Improvement 0
Healthcare-associated infections
1.15
Baseline 6.05% · Performance 7.49% · Measure score 1.15 · Achievement 1.15 · Improvement 0
Total nurse turnover
2.69
Baseline 67.31% · Performance 53.75% · Measure score 2.69 · Achievement 2.43 · Improvement 2.69
Adjusted total nurse staffing
0
Baseline 3.36 hours · Performance 3.13 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.55% |
10.72%
1.2 pts better
|
No Different than the National Rate · Eligible stays 246 · Observed rate 8.54% · Lower 95% interval 7.22% |
| Discharge to community | 59.56% |
50.57%
9 pts better
|
Better than the National Rate · Eligible stays 215 · Observed rate 51.16% · Lower 95% interval 50.72% |
| Medicare spending per beneficiary | 1.12 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 98.75% |
95.27%
3.5 pts better
|
Numerator 158 · Denominator 160 |
| Falls with major injury | 0.63% |
0.77%
0.1 pts better
|
Numerator 1 · Denominator 160 |
| Discharge self-care score | 36.03% |
53.69%
17.7 pts worse
|
Numerator 49 · Denominator 136 |
| Discharge mobility score | 53.68% |
50.94%
2.7 pts better
|
Numerator 73 · Denominator 136 |
| Pressure ulcers or injuries, new or worsened | 2.5% |
2.29%
0.2 pts worse
|
Numerator 4 · Denominator 160 · Adjusted rate 1.97% |
| Healthcare-associated infections requiring hospitalization | 7.49% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 151 · Observed rate 7.95% · Lower 95% interval 5.15% |
| Staff COVID-19 vaccination coverage | 58.33% |
8.2%
50.1 pts better
|
Numerator 63 · Denominator 108 |
| Staff flu vaccination coverage | 99.28% |
42%
57.3 pts better
|
Numerator 137 · Denominator 138 |
| Discharge function score | 50% |
56.45%
6.5 pts worse
|
Numerator 68 · Denominator 136 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 22 · Denominator 22 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 91 · Denominator 91 |
| Resident COVID-19 vaccinations up to date | 1.25% |
25.2%
23.9 pts worse
|
Numerator 1 · Denominator 80 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.0 |
2.1
1.1 pts better
|
1.9
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.9 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.3 |
1.1
0.8 pts better
|
1.8
1.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.3 · Observed 0.3 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.1% |
93.0%
2.1 pts better
|
93.4%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 92.3% · Q2 95.2% · Q3 97.1% · Q4 95.7% · 4Q avg 95.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.6% |
97.2%
1.4 pts better
|
95.5%
3.1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.1% |
2.4%
1.3 pts better
|
3.3%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.6% · Q3 1.4% · Q4 1.4% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 9.5% |
11.4%
1.9 pts better
|
11.4%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 5.0% · Q3 14.0% · Q4 12.5% · 4Q avg 9.5% |
| Percentage of long-stay residents who lose too much weight | 4.9% |
4.6%
0.3 pts worse
|
5.4%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 6.1% · Q3 1.9% · Q4 5.9% · 4Q avg 4.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.0% |
19.0%
5 pts better
|
19.6%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.8% · Q2 9.8% · Q3 10.5% · Q4 14.8% · 4Q avg 14.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.3% |
13.5%
1.8 pts worse
|
16.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.8% · Q2 14.3% · Q3 12.8% · Q4 16.3% · 4Q avg 15.3% · 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 | 10.4% |
9.8%
0.6 pts worse
|
16.3%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 3.7% · Q3 8.6% · Q4 21.9% · 4Q avg 10.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.6% |
9.7%
3.9 pts worse
|
14.9%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 4.3% · Q3 19.2% · Q4 15.2% · 4Q avg 13.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
0.7%
0.5 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.7% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.8% |
0.8%
About the same
|
1.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.0% · Q3 1.5% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.1% |
15.9%
14.2 pts worse
|
19.8%
10.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.0% · Q2 24.7% · Q3 20.8% · Q4 42.4% · 4Q avg 30.1% |
| Percentage of long-stay residents with pressure ulcers | 9.8% |
6.0%
3.8 pts worse
|
5.1%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.9% · Q2 10.5% · Q3 8.8% · Q4 9.9% · 4Q avg 9.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 69.6% |
78.7%
9.1 pts worse
|
81.7%
12.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 80.0% · Q2 68.2% · Q3 66.2% · Q4 65.9% · 4Q avg 69.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.5% |
8.2%
0.7 pts better
|
12.0%
4.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.5% · Observed 7.4% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
1.2%
0.3 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 71.4% |
80.1%
8.7 pts worse
|
79.7%
8.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 71.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 12.8% |
25.4%
12.6 pts better
|
23.9%
11.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 12.8% · Observed 12.3% · Expected 22.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-31 · Fire 2024-05-31
8 health deficiencies
Top issue: Infection Control (2 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Cycle 3
Health 2022-03-24 · Fire 2022-03-24
8 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-11-18
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-11-28
F · Potential for more than minimal harm
2025-11-18
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-11-28
F · Potential for more than minimal harm
2025-11-18
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-11-28
F · Potential for more than minimal harm
2025-11-18
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-11-28
F · Potential for more than minimal harm
2025-11-18
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-11-28
F · Potential for more than minimal harm
2025-11-18
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-12-15
F · Potential for more than minimal harm
2025-11-18
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-11-28
F · Potential for more than minimal harm
2025-11-18
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-11-28
F · Potential for more than minimal harm
2024-05-31
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-07-01
F · Potential for more than minimal harm
2024-05-31
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-01
F · Potential for more than minimal harm
2024-05-31
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-07-01
F · Potential for more than minimal harm
2024-05-31
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-07-01
E · Potential for more than minimal harm
2024-05-31
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 2024-07-01
E · Potential for more than minimal harm
2024-05-31
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2024-07-01
E · Potential for more than minimal harm
2024-05-31
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-07-01
D · Potential for more than minimal harm
2024-05-31
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-07-01
F · Potential for more than minimal harm
2022-03-24
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-05-04
F · Potential for more than minimal harm
2022-03-24
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-05-04
F · Potential for more than minimal harm
2022-03-24
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-05-04
E · Potential for more than minimal harm
2022-03-24
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2022-05-04
D · Potential for more than minimal harm
2022-03-24
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-05-04
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-11-18
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-11-28
E · Potential for more than minimal harm
2025-11-18
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 2025-11-28
E · Potential for more than minimal harm
2025-11-18
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 2025-11-28
E · Potential for more than minimal harm
2025-11-18
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 2025-11-28
D · Potential for more than minimal harm
2025-11-18
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 2025-11-28
D · Potential for more than minimal harm
2025-11-18
F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-11-28
D · Potential for more than minimal harm
2025-11-18
F628 · Resident Rights Deficiencies
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-11-28
D · Potential for more than minimal harm
2025-11-18
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-11-28
D · Potential for more than minimal harm
2025-11-18
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 2025-11-28
D · Potential for more than minimal harm
2025-02-13
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-02-23
E · Potential for more than minimal harm
2024-05-31
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 2024-07-15
E · Potential for more than minimal harm
2024-05-31
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-15
D · Potential for more than minimal harm
2024-05-31
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 2024-07-15
D · Potential for more than minimal harm
2024-05-31
F576 · Resident Rights Deficiencies
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2024-07-15
D · Potential for more than minimal harm
2024-05-31
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 2024-07-15
D · Potential for more than minimal harm
2024-05-31
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 2024-07-15
D · Potential for more than minimal harm
2024-05-31
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2024-07-15
J · Immediate jeopardy
2023-04-27
F678 · Quality of Life and Care Deficiencies
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2023-04-27
G · Actual harm
2023-04-27
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-04-27
E · Potential for more than minimal harm
2022-03-24
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-05-05
D · Potential for more than minimal harm
2022-03-24
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-05-04
D · Potential for more than minimal harm
2022-03-24
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-05-04
D · Potential for more than minimal harm
2022-03-24
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 2022-05-04
D · Potential for more than minimal harm
2022-03-24
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2022-05-04
D · Potential for more than minimal harm
2022-03-24
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 2022-05-04
Penalties and ownership
What sits behind the stars
$14,521
2023-04-27
Fine
Fine · fine $14,521
Fine
Ownership
Chatham Ventures LLC
5% Or Greater Direct Ownership Interest · Organization
Einhorn, Neal
5% Or Greater Indirect Ownership Interest · Individual
Friedman, Mark
5% Or Greater Indirect Ownership Interest · Individual
Boshulte, Janelle
Operational/Managerial Control · Individual
Prager, Jason
Operational/Managerial Control · Individual
Preimesberger, James
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
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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
#2
Spring Grove Rehabilitation And Healthcare Center
New Providence, NJ
4-star overall rating with 3-star inspections with $10,527 in total fines with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Cheshire Home
Florham Park, NJ
5-star overall rating with 4-star inspections with 9 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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