4 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
New Providence, NJ
3-star overall rating with 2-star inspections with 4 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
537 Mountain Avenue, New Providence, NJ
(908) 516-9400
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
40
Certified beds
Average residents
38
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Erickson Senior Living
Operator or chain grouping
Approved since
2017-07-21
CMS approved date
Coverage
Medicare
Participation flags
Chain footprint
17 facilities
Chain averages 4 overall / 3 health / 5 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
RN hours / resident day
1.08
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.95
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
4.73
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
2.03
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
4.35
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.70
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
1.25
CMS adjusted RN staffing hours
Adjusted total hours
5.48
CMS adjusted total nurse staffing hours
Case-mix index
1.18
Higher values indicate more complex resident acuity
RN turnover
25%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
29%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
919
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
62.08
Composite VBP score used to determine payment impact.
Payment multiplier
1.0170
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.91
Baseline 20.87% · Performance 20.08% · Measure score 2.91 · Achievement 2.91 · Improvement 1.54
Healthcare-associated infections
6.81
Baseline 5.46% · Performance 5.80% · Measure score 6.81 · Achievement 6.81 · Improvement 0
Total nurse turnover
8.09
Baseline 31.11% · Performance 30.61% · Measure score 8.09 · Achievement 8.09 · Improvement 0.30
Adjusted total nurse staffing
7.01
Baseline 4.74 hours · Performance 5.07 hours · Measure score 7.01 · Achievement 7.01 · Improvement 2.72
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.1% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 109 · Observed rate 6.42% · Lower 95% interval 6.62% |
| Discharge to community | 58.78% |
50.57%
8.2 pts better
|
No Different than the National Rate · Eligible stays 102 · Observed rate 56.86% · Lower 95% interval 50.41% |
| Medicare spending per beneficiary | 0.68 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 47 · Denominator 47 |
| Falls with major injury | 2.13% |
0.77%
1.4 pts worse
|
Numerator 1 · Denominator 47 |
| Discharge self-care score | 50% |
53.69%
3.7 pts worse
|
Numerator 19 · Denominator 38 |
| Discharge mobility score | 44.74% |
50.94%
6.2 pts worse
|
Numerator 17 · Denominator 38 |
| Pressure ulcers or injuries, new or worsened | 2.13% |
2.29%
0.2 pts better
|
Numerator 1 · Denominator 47 · Adjusted rate 2.3% |
| Healthcare-associated infections requiring hospitalization | 5.8% |
7.12%
1.3 pts better
|
No Different than the National Rate · Eligible stays 51 · Observed rate 0% · Lower 95% interval 2.94% |
| Staff COVID-19 vaccination coverage | 33.66% |
8.2%
25.5 pts better
|
Numerator 34 · Denominator 101 |
| Staff flu vaccination coverage | 97.92% |
42%
55.9 pts better
|
Numerator 94 · Denominator 96 |
| Discharge function score | 44.74% |
56.45%
11.7 pts worse
|
Numerator 17 · Denominator 38 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 23 · Denominator 23 |
| Resident COVID-19 vaccinations up to date | 50% |
25.2%
24.8 pts better
|
Numerator 14 · Denominator 28 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 92.8% |
93.0%
0.2 pts worse
|
93.4%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 91.7% · Q3 81.8% · Q4 97.3% · 4Q avg 92.8% |
| 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 | 4.3% |
2.4%
1.9 pts worse
|
3.3%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 5.6% · Q3 6.1% · Q4 0.0% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
11.4%
11.4 pts better
|
11.4%
11.4 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 who lose too much weight | 6.6% |
4.6%
2 pts worse
|
5.4%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 10.0% · Q3 6.7% · Q4 0.0% · 4Q avg 6.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.5% |
19.0%
7.5 pts better
|
19.6%
8.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 13.3% · Q3 10.0% · Q4 9.7% · 4Q avg 11.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.2% |
13.5%
2.7 pts worse
|
16.7%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 16.7% · Q3 18.5% · Q4 17.9% · 4Q avg 16.2% · 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 | 11.7% |
9.8%
1.9 pts worse
|
16.3%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 11.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.8% |
9.7%
1.1 pts worse
|
14.9%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 7.1% · Q3 6.7% · Q4 12.9% · 4Q avg 10.8% · 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 3.0% · Q2 0.0% · 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 | 21.3% |
15.9%
5.4 pts worse
|
19.8%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.8% · Q2 25.0% · Q3 9.5% · Q4 33.7% · 4Q avg 21.3% |
| Percentage of long-stay residents with pressure ulcers | 8.0% |
6.0%
2 pts worse
|
5.1%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 7.1% · Q3 9.8% · Q4 9.1% · 4Q avg 8.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 85.5% |
78.7%
6.8 pts better
|
81.7%
3.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 85.7% · Q2 84.2% · Q3 84.8% · Q4 88.0% · 4Q avg 85.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.6% |
8.2%
1.6 pts better
|
12.0%
5.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.6% · Observed 5.3% · Expected 8.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.9% |
1.2%
2.7 pts worse
|
1.6%
2.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q2 4.3% · Q3 4.3% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.0% |
80.1%
14.9 pts better
|
79.7%
15.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 34.8% |
25.4%
9.4 pts worse
|
23.9%
10.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 34.8% · Observed 23.7% · Expected 16.2% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (2 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
No concentrated health issue counts in this cycle.
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
No concentrated health issue counts in this cycle.
3 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Fire safety
Fire Safety
Have exits that are accessible at all times.
Corrected 2024-10-18
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 2024-10-18
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-10-18
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-10-18
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-18
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-10-18
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-10-18
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-09-11
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-09-11
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-09-11
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2021-11-11
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2021-11-16
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-11-12
Inspection history
Health
Ensure that residents are free from significant medication errors.
Not marked corrected
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-10-11
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-10-14
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-10-11
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Nearby options
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
Berkeley Heights, NJ
5-star overall rating with 4-star inspections with $5,160 in total fines with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Berkeley Heights, NJ
4-star overall rating with 3-star inspections with $102,660 in total fines with 3 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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