Lawrenceville, NJ

Clover Meadows Healthcare And Rehabilitation Cente

5-star overall rating with 4-star inspections with 4 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

112 Franklin Corner Road, Lawrenceville, NJ

(609) 896-1494

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 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

100

Certified beds

Average residents

95

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Mb Healthcare

Operator or chain grouping

Approved since

1970-02-04

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

11 facilities

Chain averages 3 overall / 3 health / 3 staffing / 4 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

0.46

Registered nurse staffing · state 0.69 · national 0.68

LPN hours / resident day

0.92

Licensed practical nurse staffing · state 0.94 · national 0.87

Aide hours / resident day

2.13

Nurse aide staffing · state 2.23 · national 2.35

Total nurse hours

3.50

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.38

RN + LPN hours · state 1.62 · national 1.54

Weekend hours

2.98

Weekend nurse staffing · state 3.45 · national 3.43

Weekend RN hours

0.24

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.08

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.46

CMS adjusted RN staffing hours

Adjusted total hours

3.53

CMS adjusted total nurse staffing hours

Case-mix index

1.36

Higher values indicate more complex resident acuity

RN turnover

17%

Annual RN turnover · state 39% · national 45%

Total nurse turnover

35%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,355

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

Performance score

20.67

Composite VBP score used to determine payment impact.

Payment multiplier

0.9824

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 23.71% · Performance 24.44% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

3.24

Baseline 10.01% · Performance 8.13% · Measure score 3.24 · Achievement 0 · Improvement 3.24

Total nurse turnover

4.38

Baseline 40.79% · Performance 45.78% · Measure score 4.38 · Achievement 4.38 · Improvement 0

Adjusted total nurse staffing

0.65

Baseline 3.31 hours · Performance 3.26 hours · Measure score 0.65 · Achievement 0.65 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.44%	10.72% 0.7 pts worse	No Different than the National Rate · Eligible stays 147 · Observed rate 12.24% · Lower 95% interval 7.77%
Discharge to community	49.52%	50.57% 1 pts worse	No Different than the National Rate · Eligible stays 157 · Observed rate 43.95% · Lower 95% interval 39.4%
Medicare spending per beneficiary	1.16	1.02 0.1 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 103 · Denominator 103
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 103
Discharge self-care score	50.72%	53.69% 3 pts worse	Numerator 35 · Denominator 69
Discharge mobility score	59.42%	50.94% 8.5 pts better	Numerator 41 · Denominator 69
Pressure ulcers or injuries, new or worsened	0.97%	2.29% 1.3 pts better	Numerator 1 · Denominator 103 · Adjusted rate 0.78%
Healthcare-associated infections requiring hospitalization	8.13%	7.12% 1 pts worse	No Different than the National Rate · Eligible stays 101 · Observed rate 9.9% · Lower 95% interval 5.45%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 126
Staff flu vaccination coverage	98.47%	42% 56.5 pts better	Numerator 129 · Denominator 131
Discharge function score	68.12%	56.45% 11.7 pts better	Numerator 47 · Denominator 69
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 20 · Denominator 20
Transfer of health information to patient	95%	96.28% 1.3 pts worse	Numerator 38 · Denominator 40
Resident COVID-19 vaccinations up to date	48.28%	25.2% 23.1 pts better	Numerator 28 · Denominator 58

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 1.7 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.8	1.1 0.3 pts better	1.8 1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.7 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.4%	93.0% 6.4 pts better	93.4% 6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.8% · Q3 100.0% · Q4 98.7% · 4Q avg 99.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	97.2% 2.8 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	2.3%	2.4% 0.1 pts better	3.3% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 2.4% · Q3 2.6% · Q4 1.3% · 4Q avg 2.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	8.3%	11.4% 3.1 pts better	11.4% 3.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 8.5% · Q3 5.3% · Q4 4.1% · 4Q avg 8.3%
Percentage of long-stay residents who lose too much weight	2.2%	4.6% 2.4 pts better	5.4% 3.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 2.7% · Q3 0.0% · Q4 3.1% · 4Q avg 2.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	46.8%	19.0% 27.8 pts worse	19.6% 27.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 49.3% · Q2 50.0% · Q3 47.8% · Q4 39.4% · 4Q avg 46.8%
Percentage of long-stay residents who received an antipsychotic medication	4.4%	13.5% 9.1 pts better	16.7% 12.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 8.3% · Q3 1.6% · Q4 1.9% · 4Q avg 4.4% · 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	11.0%	9.8% 1.2 pts worse	16.3% 5.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 19.5% · Q2 14.3% · Q3 6.6% · Q4 6.9% · 4Q avg 11.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	7.1%	9.7% 2.6 pts better	14.9% 7.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 2.9% · Q3 7.9% · Q4 6.8% · 4Q avg 7.1% · 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	0.7%	0.8% 0.1 pts better	1.7% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.2% · Q3 0.0% · 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	19.4%	15.9% 3.5 pts worse	19.8% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 21.6% · Q2 22.1% · Q3 17.3% · Q4 16.8% · 4Q avg 19.4%
Percentage of long-stay residents with pressure ulcers	1.8%	6.0% 4.2 pts better	5.1% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 3.7% · Q4 2.2% · 4Q avg 1.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	94.7%	78.7% 16 pts better	81.7% 13 pts better	Short Stay · 2024Q4-2025Q3 · Q1 98.9% · Q2 98.8% · Q3 98.0% · Q4 86.5% · 4Q avg 94.7%
Percentage of short-stay residents who had an outpatient emergency department visit	7.0%	8.2% 1.2 pts better	12.0% 5 pts better	Short Stay · 20240701-20250630 · Adjusted 7.0% · Observed 6.3% · Expected 10.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.4%	1.2% 0.8 pts better	1.6% 1.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.4% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	95.3%	80.1% 15.2 pts better	79.7% 15.6 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 95.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	21.7%	25.4% 3.7 pts better	23.9% 2.2 pts better	Short Stay · 20240701-20250630 · Adjusted 21.7% · Observed 20.3% · Expected 22.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-16 · Fire 2025-01-16

4 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2023-10-31 · Fire 2023-10-31

15 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2021-08-27 · Fire 2021-08-27

2 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-01-16

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 2025-02-04

F · Potential for more than minimal harm 2025-01-16

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-02-04

F · Potential for more than minimal harm 2025-01-16

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-07

F · Potential for more than minimal harm 2025-01-16

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-02-04

F · Potential for more than minimal harm 2025-01-16

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-02-04

D · Potential for more than minimal harm 2025-01-16

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-02-04

F · Potential for more than minimal harm 2023-10-31

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-12-13

F · Potential for more than minimal harm 2023-10-31

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-12-13

E · Potential for more than minimal harm 2023-10-31

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 2023-12-13

E · Potential for more than minimal harm 2023-10-31

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 2023-12-13

E · Potential for more than minimal harm 2023-10-31

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-12-13

D · Potential for more than minimal harm 2021-08-27

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2021-10-10

D · Potential for more than minimal harm 2021-08-27

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2021-10-10

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-10-23

F657 · Resident Assessment and Care Planning Deficiencies

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 2025-12-22

E · Potential for more than minimal harm 2025-01-16

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-02-04

D · Potential for more than minimal harm 2025-01-16

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-02-04

D · Potential for more than minimal harm 2025-01-16

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2025-02-04

C · Minimal harm 2025-01-16

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2025-02-04

E · Potential for more than minimal harm 2023-10-31

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 2023-12-13

E · Potential for more than minimal harm 2023-10-31

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 2023-12-13