Cycle 1
Health 2024-08-23 · Fire 2024-08-23
18 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Elizabeth, NJ
Elmora Hills Health & Rehabilitation Center
2-star overall rating with 2-star inspections with 18 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
225 W Jersey Street, Elizabeth, NJ
(908) 353-1220
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
200
Certified beds
Average residents
190
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Ocean Healthcare
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
11 facilities
Chain averages 3 overall / 3 health / 2 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
0.42
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.86
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.20
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
3.48
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.28
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.14
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
0.04
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.40
CMS adjusted RN staffing hours
Adjusted total hours
3.36
CMS adjusted total nurse staffing hours
Case-mix index
1.42
Higher values indicate more complex resident acuity
RN turnover
29%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
33%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
10,095
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
21.46
Composite VBP score used to determine payment impact.
Payment multiplier
0.9826
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 22.71% · Performance 22.79% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
1.38
Baseline 9.19% · Performance 8.40% · Measure score 1.38 · Achievement 0 · Improvement 1.38
Total nurse turnover
6.26
Baseline 33.07% · Performance 38.09% · Measure score 6.26 · Achievement 6.26 · Improvement 0
Adjusted total nurse staffing
0.95
Baseline 3.58 hours · Performance 3.35 hours · Measure score 0.95 · Achievement 0.95 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.26% |
10.72%
1.5 pts worse
|
No Different than the National Rate · Eligible stays 219 · Observed rate 13.24% · Lower 95% interval 9.29% |
| Discharge to community | 53.25% |
50.57%
2.7 pts better
|
No Different than the National Rate · Eligible stays 219 · Observed rate 47.95% · Lower 95% interval 46.13% |
| Medicare spending per beneficiary | 1.3 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 284 · Denominator 284 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 284 |
| Discharge self-care score | 41.71% |
53.69%
12 pts worse
|
Numerator 73 · Denominator 175 |
| Discharge mobility score | 52% |
50.94%
1.1 pts better
|
Numerator 91 · Denominator 175 |
| Pressure ulcers or injuries, new or worsened | 6.69% |
2.29%
4.4 pts worse
|
Numerator 19 · Denominator 284 · Adjusted rate 5.22% |
| Healthcare-associated infections requiring hospitalization | 8.4% |
7.12%
1.3 pts worse
|
No Different than the National Rate · Eligible stays 163 · Observed rate 9.2% · Lower 95% interval 5.65% |
| Staff COVID-19 vaccination coverage | 1.28% |
8.2%
6.9 pts worse
|
Numerator 3 · Denominator 235 |
| Staff flu vaccination coverage | 85.14% |
42%
43.1 pts better
|
Numerator 189 · Denominator 222 |
| Discharge function score | 52.57% |
56.45%
3.9 pts worse
|
Numerator 92 · Denominator 175 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 164 · Denominator 164 |
| Transfer of health information to patient | 94.12% |
96.28%
2.2 pts worse
|
Numerator 32 · Denominator 34 |
| Resident COVID-19 vaccinations up to date | 11.04% |
25.2%
14.2 pts worse
|
Numerator 17 · Denominator 154 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.3 |
2.1
0.2 pts worse
|
1.9
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.5 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
1.1
0.1 pts worse
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.2 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 84.8% |
93.0%
8.2 pts worse
|
93.4%
8.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 90.1% · Q2 88.1% · Q3 81.8% · Q4 79.3% · 4Q avg 84.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.9% |
97.2%
6.3 pts worse
|
95.5%
4.6 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 90.9% |
| 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 3.5% · Q2 2.1% · Q3 1.5% · Q4 2.0% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.2% |
11.4%
8.2 pts better
|
11.4%
8.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 0.9% · Q3 3.3% · Q4 3.4% · 4Q avg 3.2% |
| Percentage of long-stay residents who lose too much weight | 8.5% |
4.6%
3.9 pts worse
|
5.4%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 9.7% · Q3 7.7% · Q4 6.5% · 4Q avg 8.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.7% |
19.0%
11.3 pts better
|
19.6%
11.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 7.2% · Q3 7.5% · Q4 8.3% · 4Q avg 7.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.1% |
13.5%
2.4 pts better
|
16.7%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 10.6% · Q3 11.5% · Q4 10.3% · 4Q avg 11.1% · 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 · 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 | 9.6% |
9.8%
0.2 pts better
|
16.3%
6.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 15.1% · Q3 7.6% · Q4 8.8% · 4Q avg 9.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.3% |
9.7%
1.6 pts worse
|
14.9%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.4% · Q2 18.8% · Q3 5.6% · Q4 7.4% · 4Q avg 11.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.1% |
0.7%
1.4 pts worse
|
1.0%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 2.5% · Q3 4.0% · Q4 1.0% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.3% |
0.8%
0.5 pts worse
|
1.7%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 0.7% · Q3 1.5% · Q4 0.7% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 11.4% |
15.9%
4.5 pts better
|
19.8%
8.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 13.3% · Q3 9.2% · Q4 9.5% · 4Q avg 11.4% |
| Percentage of long-stay residents with pressure ulcers | 5.5% |
6.0%
0.5 pts better
|
5.1%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 5.6% · Q3 5.7% · Q4 4.8% · 4Q avg 5.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 63.5% |
78.7%
15.2 pts worse
|
81.7%
18.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 59.8% · Q2 68.0% · Q3 70.1% · Q4 55.8% · 4Q avg 63.5% |
| 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 4.3% · Expected 10.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
1.2%
About the same
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 0.5% · Q3 0.6% · Q4 0.6% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 73.8% |
80.1%
6.3 pts worse
|
79.7%
5.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 73.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.1% |
25.4%
0.3 pts better
|
23.9%
1.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.1% · Observed 27.4% · Expected 26.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-04-08 · Fire 2022-04-08
7 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Cycle 3
Health 2019-12-09 · Fire 2019-12-09
1 health deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-08-23
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2024-09-12
F · Potential for more than minimal harm
2024-08-23
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-09-12
E · Potential for more than minimal harm
2024-08-23
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-09-11
E · Potential for more than minimal harm
2024-08-23
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-09-11
F · Potential for more than minimal harm
2022-04-08
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2022-07-07
F · Potential for more than minimal harm
2022-04-08
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2022-05-04
F · Potential for more than minimal harm
2022-04-08
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2022-05-04
F · Potential for more than minimal harm
2022-04-08
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 2022-05-04
F · Potential for more than minimal harm
2022-04-08
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-05-04
F · Potential for more than minimal harm
2022-04-08
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2022-05-04
F · Potential for more than minimal harm
2022-04-08
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-06-14
E · Potential for more than minimal harm
2022-04-08
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2022-07-07
E · Potential for more than minimal harm
2022-04-08
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-07-07
E · Potential for more than minimal harm
2022-04-08
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-07-07
D · Potential for more than minimal harm
2022-04-08
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-05-04
Inspection history
Recent health citations
F · Potential for more than minimal harm
2024-08-23
F838 · Administration Deficiencies
Health
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2024-09-25
E · Potential for more than minimal harm
2024-08-23
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-25
E · Potential for more than minimal harm
2024-08-23
F944 · Administration Deficiencies
Health
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected 2024-10-02
E · Potential for more than minimal harm
2024-08-23
F946 · Administration Deficiencies
Health
Provide training in compliance and ethics.
Corrected 2024-10-01
D · Potential for more than minimal harm
2024-08-23
F578 · Resident Rights Deficiencies
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2024-09-25
D · Potential for more than minimal harm
2024-08-23
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-09-25
D · Potential for more than minimal harm
2024-08-23
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-10-01
D · Potential for more than minimal harm
2024-08-23
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-09-25
D · Potential for more than minimal harm
2024-08-23
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-01
D · Potential for more than minimal harm
2024-08-23
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-10-07
D · Potential for more than minimal harm
2024-08-23
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-01
D · Potential for more than minimal harm
2024-08-23
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2024-09-27
D · Potential for more than minimal harm
2024-08-23
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-10-04
D · Potential for more than minimal harm
2024-08-23
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-09-27
D · Potential for more than minimal harm
2024-08-23
F728 · Nursing and Physician Services Deficiencies
Health
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected 2024-09-25
D · Potential for more than minimal harm
2024-08-23
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-09-23
D · Potential for more than minimal harm
2024-08-23
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 2024-10-01
D · Potential for more than minimal harm
2024-08-23
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-10-02
F · Potential for more than minimal harm
2022-04-08
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
E · Potential for more than minimal harm
2022-04-08
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
2022-04-08
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
2022-04-08
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2022-05-04
D · Potential for more than minimal harm
2022-04-08
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-05-04
D · Potential for more than minimal harm
2022-04-08
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-05-04
C · Minimal harm
2022-04-08
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-05-04
D · Potential for more than minimal harm
2019-12-09
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2020-01-03
Penalties and ownership
What sits behind the stars
Ownership
Berman, Michael
5% Or Greater Direct Ownership Interest · Individual
Feigenbaum, Deborah
5% Or Greater Direct Ownership Interest · Individual
Feigenbaum, Avraham
5% Or Greater Direct Ownership Interest · Individual
Drew, Zalman
5% Or Greater Direct Ownership Interest · Individual
Meisels, Joseph
5% Or Greater Direct Ownership Interest · Individual
Soffer Family Associates LLC
5% Or Greater Direct Ownership Interest · Organization
Maierovits, Avrohom
5% Or Greater Direct Ownership Interest · Individual
Dynamic Healthcare Management LLC
Operational/Managerial Control · Organization
Feigenbaum, Avraham
Operational/Managerial Control · Individual
Fisher, Nachman
Operational/Managerial Control · Individual
Newpoint Real Estate Capital LLC
5% Or Greater Mortgage Interest · Organization
Nearby options
Other facilities in reach
#1
Elizabeth Nursing And Rehab
Elizabeth, NJ
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#2
Plaza Healthcare & Rehabilitation Center
Elizabeth, NJ
5-star overall rating with 4-star inspections with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Trinitas Hospital
Elizabeth, NJ
3-star overall rating with 3-star inspections with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Jump out