Elizabeth, NJ

Elizabeth Nursing And Rehab

5-star overall rating with 4-star inspections with 3 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

1048 Grove Street, Elizabeth, NJ

(908) 354-0002

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

102

Certified beds

Average residents

90

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1969-07-23

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

0.42

Registered nurse staffing · state 0.69 · national 0.68

LPN hours / resident day

0.97

Licensed practical nurse staffing · state 0.94 · national 0.87

Aide hours / resident day

2.11

Nurse aide staffing · state 2.23 · national 2.35

Total nurse hours

3.49

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

3.15

Weekend nurse staffing · state 3.45 · national 3.43

Weekend RN hours

0.30

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.46

CMS adjusted RN staffing hours

Adjusted total hours

3.84

CMS adjusted total nurse staffing hours

Case-mix index

1.24

Higher values indicate more complex resident acuity

RN turnover

36%

Annual RN turnover · state 39% · national 45%

Total nurse turnover

44%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,742

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

Performance score

22.69

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

0

Baseline 18.30% · Performance 21.88% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

2.42

Baseline 6.15% · Performance 7.11% · Measure score 2.42 · Achievement 2.42 · Improvement 0

Total nurse turnover

4.29

Performance 46.15% · Measure score 4.29 · Achievement 4.29 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

2.36

Baseline 2.83 hours · Performance 3.68 hours · Measure score 2.36 · Achievement 2.11 · Improvement 2.36

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.46%	10.72% 1.7 pts worse	No Different than the National Rate · Eligible stays 71 · Observed rate 16.9% · Lower 95% interval 9.5%
Discharge to community	46.67%	50.57% 3.9 pts worse	No Different than the National Rate · Eligible stays 44 · Observed rate 38.64% · Lower 95% interval 33.49%
Medicare spending per beneficiary	1.32	1.02 0.3 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 98 · Denominator 98
Falls with major injury	1.02%	0.77% 0.2 pts worse	Numerator 1 · Denominator 98
Discharge self-care score	79.69%	53.69% 26 pts better	Numerator 51 · Denominator 64
Discharge mobility score	85.94%	50.94% 35 pts better	Numerator 55 · Denominator 64
Pressure ulcers or injuries, new or worsened	1.02%	2.29% 1.3 pts better	Numerator 1 · Denominator 98 · Adjusted rate 0.86%
Healthcare-associated infections requiring hospitalization	7.11%	7.12% About the same	No Different than the National Rate · Eligible stays 52 · Observed rate 7.69% · Lower 95% interval 4.14%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 96
Staff flu vaccination coverage	78.13%	42% 36.1 pts better	Numerator 150 · Denominator 192
Discharge function score	82.81%	56.45% 26.4 pts better	Numerator 53 · Denominator 64
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 28 · Denominator 28
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 36 · Denominator 36
Resident COVID-19 vaccinations up to date	27.45%	25.2% 2.2 pts better	Numerator 14 · Denominator 51

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.2	2.1 0.1 pts worse	1.9 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 1.8 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.1	1.1 About the same	1.8 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 0.9 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	70.8%	93.0% 22.2 pts worse	93.4% 22.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 76.4% · Q2 73.0% · Q3 66.2% · Q4 68.0% · 4Q avg 70.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.4%	97.2% 0.2 pts better	95.5% 1.9 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.4%
Percentage of long-stay residents experiencing one or more falls with major injury	3.0%	2.4% 0.6 pts worse	3.3% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 4.1% · Q3 3.9% · Q4 1.3% · 4Q avg 3.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.7%	11.4% 10.7 pts better	11.4% 10.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.0% · Q3 0.0% · Q4 1.4% · 4Q avg 0.7%
Percentage of long-stay residents who lose too much weight	7.8%	4.6% 3.2 pts worse	5.4% 2.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 7.5% · Q3 9.5% · Q4 8.3% · 4Q avg 7.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	10.9%	19.0% 8.1 pts better	19.6% 8.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.3% · Q2 11.0% · Q3 10.5% · Q4 10.8% · 4Q avg 10.9%
Percentage of long-stay residents who received an antipsychotic medication	17.0%	13.5% 3.5 pts worse	16.7% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 20.4% · Q3 15.0% · Q4 20.0% · 4Q avg 17.0% · 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	6.6%	9.8% 3.2 pts better	16.3% 9.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 5.0% · Q3 7.8% · Q4 5.9% · 4Q avg 6.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	6.4%	9.7% 3.3 pts better	14.9% 8.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 9.4% · Q3 7.2% · Q4 4.5% · 4Q avg 6.4% · 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	0.0%	0.8% 0.8 pts better	1.7% 1.7 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 new or worsened bowel or bladder incontinence	2.5%	15.9% 13.4 pts better	19.8% 17.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.0% · Q3 3.7% · Q4 4.8% · 4Q avg 2.5%
Percentage of long-stay residents with pressure ulcers	6.5%	6.0% 0.5 pts worse	5.1% 1.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 9.8% · Q3 7.8% · Q4 3.0% · 4Q avg 6.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	13.6%	78.7% 65.1 pts worse	81.7% 68.1 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 10.4% · Q3 16.9% · Q4 16.2% · 4Q avg 13.6%
Percentage of short-stay residents who had an outpatient emergency department visit	4.7%	8.2% 3.5 pts better	12.0% 7.3 pts better	Short Stay · 20240701-20250630 · Adjusted 4.7% · Observed 4.7% · Expected 11.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.3%	1.2% 1.1 pts worse	1.6% 0.7 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.9% · Q3 1.9% · Q4 3.4% · 4Q avg 2.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	27.8%	80.1% 52.3 pts worse	79.7% 51.9 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 27.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	26.5%	25.4% 1.1 pts worse	23.9% 2.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 26.5% · Observed 28.1% · Expected 25.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-09-19 · Fire 2024-09-19

3 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

7 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2023-05-15 · Fire 2023-05-15

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

8 fire-safety deficiencies

Top issue: Egress (3 deficiencies)

Cycle 3 Health 2021-04-29 · Fire 2021-04-29

4 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-09-19

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 2024-10-25

F · Potential for more than minimal harm 2024-09-19

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-10-25

F · Potential for more than minimal harm 2024-09-19

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-10-25

F · Potential for more than minimal harm 2024-09-19

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-10-25

F · Potential for more than minimal harm 2024-09-19

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-10-25

E · Potential for more than minimal harm 2024-09-19

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-10-25

E · Potential for more than minimal harm 2024-09-19

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-10-25

F · Potential for more than minimal harm 2023-05-15

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 2023-05-19

F · Potential for more than minimal harm 2023-05-15

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-05-23

F · Potential for more than minimal harm 2023-05-15

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-05-19

E · Potential for more than minimal harm 2023-05-15

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2023-05-19

E · Potential for more than minimal harm 2023-05-15

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2023-06-06

E · Potential for more than minimal harm 2023-05-15

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 2023-05-23

E · Potential for more than minimal harm 2023-05-15

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2023-05-23

E · Potential for more than minimal harm 2023-05-15

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-06-07

D · Potential for more than minimal harm 2021-04-29

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-05-18

Inspection history

Recent health citations

F · Potential for more than minimal harm 2024-09-19

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 2024-10-25

D · Potential for more than minimal harm 2024-09-19

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-10-25

D · Potential for more than minimal harm 2024-09-19

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 2024-10-25

D · Potential for more than minimal harm 2023-05-15

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2023-06-10

D · Potential for more than minimal harm 2023-05-15

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 2023-06-10

E · Potential for more than minimal harm 2021-04-29

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 2021-05-18

D · Potential for more than minimal harm 2021-04-29

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 2021-05-18

D · Potential for more than minimal harm 2021-04-29

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2021-05-18

B · Minimal harm 2021-04-29

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 2021-06-17

Penalties and ownership