Cycle 1
Health 2025-05-07 · Fire 2025-05-07
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Columbia, NJ
Clover Rest Home
5-star overall rating with 5-star inspections with 1 recent health deficiencies
28 Washington Street, Columbia, NJ
(908) 496-4477
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
33
Certified beds
Average residents
31
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1997-08-29
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.37
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.30
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.70
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
4.37
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.67
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.80
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.27
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.23
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.33
CMS adjusted RN staffing hours
Adjusted total hours
3.87
CMS adjusted total nurse staffing hours
Case-mix index
1.55
Higher values indicate more complex resident acuity
RN turnover
60%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
40%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
9,826
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
22.39
Composite VBP score used to determine payment impact.
Payment multiplier
0.9829
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.26
Baseline 20.65% · Performance 20.39% · Measure score 2.26 · Achievement 2.26 · Improvement 0.23
Healthcare-associated infections
3.84
Baseline 6.55% · Performance 6.69% · Measure score 3.84 · Achievement 3.84 · Improvement 0
Total nurse turnover
2.86
Performance 52.00% · Measure score 2.86 · Achievement 2.86 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
0
Baseline 3.39 hours · Performance 3.07 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.33% |
10.72%
1.6 pts worse
|
No Different than the National Rate · Eligible stays 203 · Observed rate 13.79% · Lower 95% interval 9.38% |
| Discharge to community | 51.44% |
50.57%
0.9 pts better
|
No Different than the National Rate · Eligible stays 222 · Observed rate 43.24% · Lower 95% interval 45.62% |
| Medicare spending per beneficiary | 1.18 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 99.38% |
95.27%
4.1 pts better
|
Numerator 159 · Denominator 160 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 160 |
| Discharge self-care score | 60.61% |
53.69%
6.9 pts better
|
Numerator 60 · Denominator 99 |
| Discharge mobility score | 68.69% |
50.94%
17.8 pts better
|
Numerator 68 · Denominator 99 |
| Pressure ulcers or injuries, new or worsened | 3.13% |
2.29%
0.8 pts worse
|
Numerator 5 · Denominator 160 · Adjusted rate 3.41% |
| Healthcare-associated infections requiring hospitalization | 6.69% |
7.12%
0.4 pts better
|
No Different than the National Rate · Eligible stays 123 · Observed rate 5.69% · Lower 95% interval 4.24% |
| Staff COVID-19 vaccination coverage | 95.92% |
8.2%
87.7 pts better
|
Numerator 47 · Denominator 49 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 62.63% |
56.45%
6.2 pts better
|
Numerator 62 · Denominator 99 |
| Transfer of health information to provider | 94.64% |
95.95%
1.3 pts worse
|
Numerator 53 · Denominator 56 |
| Transfer of health information to patient | 98.9% |
96.28%
2.6 pts better
|
Numerator 90 · Denominator 91 |
| Resident COVID-19 vaccinations up to date | 21.21% |
25.2%
4 pts worse
|
Numerator 21 · Denominator 99 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 91.5% |
93.0%
1.5 pts worse
|
93.4%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 91.5% |
| 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 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 17.4% |
11.4%
6 pts worse
|
11.4%
6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 17.4% |
| Percentage of long-stay residents who lose too much weight | 4.8% |
4.6%
0.2 pts worse
|
5.4%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 43.5% |
19.0%
24.5 pts worse
|
19.6%
23.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 43.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.1% |
13.5%
2.6 pts worse
|
16.7%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 16.1% · 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 · 4Q avg 0.0% |
| 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 · 4Q avg 7.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.3% |
0.7%
2.6 pts worse
|
1.0%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.3% |
0.8%
1.5 pts worse
|
1.7%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.8% |
15.9%
13.9 pts worse
|
19.8%
10 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 29.8% |
| Percentage of long-stay residents with pressure ulcers | 13.5% |
6.0%
7.5 pts worse
|
5.1%
8.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 13.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 68.9% |
78.7%
9.8 pts worse
|
81.7%
12.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 37.3% · Q2 55.9% · Q3 84.5% · Q4 97.4% · 4Q avg 68.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.3% |
8.2%
7.1 pts worse
|
12.0%
3.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.3% · Observed 16.4% · Expected 12.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.4% |
1.2%
0.2 pts worse
|
1.6%
0.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 0.0% · Q3 1.4% · Q4 1.5% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 60.2% |
80.1%
19.9 pts worse
|
79.7%
19.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 60.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.8% |
25.4%
1.6 pts better
|
23.9%
0.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.8% · Observed 26.9% · Expected 26.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-01-26 · Fire 2024-01-26
5 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2021-10-22 · Fire 2021-10-22
3 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-05-07
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-06-02
F · Potential for more than minimal harm
2024-01-26
F912 · Environmental Deficiencies
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2024-03-26
D · Potential for more than minimal harm
2024-01-26
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-03-26
D · Potential for more than minimal harm
2024-01-26
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-03-26
D · Potential for more than minimal harm
2024-01-26
F727 · Nursing and Physician Services Deficiencies
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2024-03-26
D · Potential for more than minimal harm
2024-01-26
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 2024-03-26
D · Potential for more than minimal harm
2021-10-22
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 2021-11-22
D · Potential for more than minimal harm
2021-10-22
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 2021-11-22
B · Minimal harm
2021-10-22
F912 · Environmental Deficiencies
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2021-11-15
Penalties and ownership
What sits behind the stars
Ownership
Egert, Usher
5% Or Greater Direct Ownership Interest · Individual
Katz, Nathaniel
5% Or Greater Direct Ownership Interest · Individual
Lebovic, Dov
5% Or Greater Direct Ownership Interest · Individual
Lebovic, Dov
General Partnership Interest · Individual
Lebovic, Dov
Limited Partnership Interest · Individual
Lebovic, Dov
Operational/Managerial Control · Individual
Lebovic, Dov
Corporate Director · Individual
Lebovic, Dov
5% Or Greater Mortgage Interest · Individual
Nearby options
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4-star overall rating with 4-star inspections with 6 recent health deficiencies
#2
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1-star overall rating with 2-star inspections with 12 recent health deficiencies
#3
Forest Manor Hcc
Blairstown, NJ
3-star overall rating with 3-star inspections with $16,720 in total fines with 8 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
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