Cycle 1
Health 2024-12-20 · Fire 2024-12-20
3 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
9 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Edison, NJ
Hartwyck At Oak Tree
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
2048 Oak Tree Road, Edison, NJ
(732) 906-2100
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
90
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1987-11-24
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
1.58
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.40
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.09
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
5.07
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
2.98
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
4.46
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
1.13
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.14
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
1.15
CMS adjusted RN staffing hours
Adjusted total hours
3.68
CMS adjusted total nurse staffing hours
Case-mix index
1.89
Higher values indicate more complex resident acuity
RN turnover
27%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
37%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,356
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
36.49
Composite VBP score used to determine payment impact.
Payment multiplier
0.9899
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 19.35% · Performance 25.59% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
2.95
Baseline 8.34% · Performance 7.19% · Measure score 2.95 · Achievement 2.16 · Improvement 2.95
Total nurse turnover
10
Baseline 32.46% · Performance 21.15% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
1.64
Baseline 3.14 hours · Performance 3.54 hours · Measure score 1.64 · Achievement 1.64 · Improvement 1.04
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.53% |
10.72%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 257 · Observed rate 12.45% · Lower 95% interval 8.58% |
| Discharge to community | 58.34% |
50.57%
7.8 pts better
|
Better than the National Rate · Eligible stays 216 · Observed rate 50.46% · Lower 95% interval 51.55% |
| Medicare spending per beneficiary | 1.06 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 97.21% |
95.27%
1.9 pts better
|
Numerator 244 · Denominator 251 |
| Falls with major injury | 0.4% |
0.77%
0.4 pts better
|
Numerator 1 · Denominator 251 |
| Discharge self-care score | 47.83% |
53.69%
5.9 pts worse
|
Numerator 77 · Denominator 161 |
| Discharge mobility score | 50.31% |
50.94%
0.6 pts worse
|
Numerator 81 · Denominator 161 |
| Pressure ulcers or injuries, new or worsened | 0.4% |
2.29%
1.9 pts better
|
Numerator 1 · Denominator 251 · Adjusted rate 0.33% |
| Healthcare-associated infections requiring hospitalization | 7.19% |
7.12%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 196 · Observed rate 8.67% · Lower 95% interval 4.84% |
| Staff COVID-19 vaccination coverage | 0.49% |
8.2%
7.7 pts worse
|
Numerator 1 · Denominator 206 |
| Staff flu vaccination coverage | 99.49% |
42%
57.5 pts better
|
Numerator 194 · Denominator 195 |
| Discharge function score | 39.13% |
56.45%
17.3 pts worse
|
Numerator 63 · Denominator 161 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 104 · Denominator 104 |
| Transfer of health information to patient | 99.22% |
96.28%
2.9 pts better
|
Numerator 128 · Denominator 129 |
| Resident COVID-19 vaccinations up to date | 53.96% |
25.2%
28.8 pts better
|
Numerator 75 · Denominator 139 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.8 |
2.1
1.7 pts worse
|
1.9
1.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.8 · Observed 3.7 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.6 |
1.1
0.5 pts better
|
1.8
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.6 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
93.0%
7 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 | 0.4% |
2.4%
2 pts better
|
3.3%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.7% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · 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 | 3.1% |
4.6%
1.5 pts better
|
5.4%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 1.7% · Q3 0.0% · Q4 0.0% · 4Q avg 3.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 33.2% |
19.0%
14.2 pts worse
|
19.6%
13.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.1% · Q2 34.5% · Q3 33.3% · Q4 28.0% · 4Q avg 33.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.2% |
13.5%
6.3 pts better
|
16.7%
9.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 7.1% · Q3 3.7% · Q4 3.8% · 4Q avg 7.2% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 13.4% |
0.1%
13.3 pts worse
|
0.1%
13.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 10.2% · Q3 17.2% · Q4 9.8% · 4Q avg 13.4% |
| Percentage of long-stay residents whose ability to walk independently worsened | 5.3% |
9.8%
4.5 pts better
|
16.3%
11 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.3% |
9.7%
5.4 pts better
|
14.9%
10.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 6.5% · Q3 3.4% · Q4 0.0% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.6% |
0.7%
1.9 pts worse
|
1.0%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 0.9% · Q3 0.9% · Q4 5.3% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.6% |
0.8%
1.8 pts worse
|
1.7%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 0.0% · Q3 1.8% · Q4 2.0% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 1.7% |
15.9%
14.2 pts better
|
19.8%
18.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 2.2% · Q3 0.0% · Q4 0.0% · 4Q avg 1.7% |
| Percentage of long-stay residents with pressure ulcers | 6.1% |
6.0%
0.1 pts worse
|
5.1%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 8.4% · Q3 5.3% · Q4 1.9% · 4Q avg 6.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% |
78.7%
21 pts better
|
81.7%
18 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.3% · Q2 99.3% · Q3 100.0% · Q4 100.0% · 4Q avg 99.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.9% |
8.2%
2.3 pts better
|
12.0%
6.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.9% · Observed 6.2% · Expected 11.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.2% |
1.2%
1 pts worse
|
1.6%
0.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 3.6% · Q3 2.2% · Q4 1.3% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.7% |
80.1%
18.6 pts better
|
79.7%
19 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.2% |
25.4%
3.8 pts worse
|
23.9%
5.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.2% · Observed 33.7% · Expected 27.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-08-22 · Fire 2023-08-22
0 health deficiencies
No concentrated health issue counts in this cycle.
7 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Cycle 3
Health 2021-06-02 · Fire 2021-06-02
6 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-12-20
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2025-02-11
F · Potential for more than minimal harm
2024-12-20
K131 · Construction Deficiencies
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2025-01-09
F · Potential for more than minimal harm
2024-12-20
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 2025-01-07
F · Potential for more than minimal harm
2024-12-20
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-12-31
F · Potential for more than minimal harm
2024-12-20
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 2024-12-21
F · Potential for more than minimal harm
2024-12-20
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-01-08
F · Potential for more than minimal harm
2024-12-20
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-01-11
F · Potential for more than minimal harm
2024-12-20
K916 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2025-02-11
F · Potential for more than minimal harm
2024-12-20
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-02-11
F · Potential for more than minimal harm
2023-08-22
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 2023-08-29
E · Potential for more than minimal harm
2023-08-22
K132 · Construction Deficiencies
Fire Safety
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
Corrected 2023-08-29
E · Potential for more than minimal harm
2023-08-22
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 2023-08-31
E · Potential for more than minimal harm
2023-08-22
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-08-31
E · Potential for more than minimal harm
2023-08-22
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2023-08-31
E · Potential for more than minimal harm
2023-08-22
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-08-29
D · Potential for more than minimal harm
2023-08-22
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-08-29
E · Potential for more than minimal harm
2021-06-02
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-07-31
E · Potential for more than minimal harm
2021-06-02
K916 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2021-08-06
D · Potential for more than minimal harm
2021-06-02
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-07-31
Inspection history
Recent health citations
F · Potential for more than minimal harm
2024-12-20
F919 · Environmental Deficiencies
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-01-24
D · Potential for more than minimal harm
2024-12-20
F678 · Quality of Life and Care Deficiencies
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2025-01-24
D · Potential for more than minimal harm
2024-12-20
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-01-15
D · Potential for more than minimal harm
2021-06-02
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2021-06-30
D · Potential for more than minimal harm
2021-06-02
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2021-06-18
D · Potential for more than minimal harm
2021-06-02
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 2021-06-30
D · Potential for more than minimal harm
2021-06-02
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 2021-06-30
D · Potential for more than minimal harm
2021-06-02
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2021-06-30
D · Potential for more than minimal harm
2021-06-02
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-07-31
Penalties and ownership
What sits behind the stars
Ownership
Hackensack Meridian Health Inc
5% Or Greater Direct Ownership Interest · Organization
Banks, Keith
Corporate Director · Individual
Bollerman, James
Corporate Director · Individual
Croonquist, George
Corporate Director · Individual
Derosa, James
Corporate Officer · Individual
Diaz, Ulises
Corporate Director · Individual
Dipiero, Domenic
Corporate Director · Individual
Fekete, Frank
Corporate Director · Individual
Garrett, Robert
Corporate Officer · Individual
Hackensack Meridian Health Inc
Operational/Managerial Control · Organization
Hand, Richard
Corporate Officer · Individual
Hickey, William
Corporate Director · Individual
Kirkos, James
Corporate Director · Individual
Lown, Maris
Corporate Director · Individual
Mackanic, Marie
Corporate Officer · Individual
Maher, Christopher
Corporate Officer · Individual
Martini, Gloria
Corporate Director · Individual
Murray, William
Corporate Director · Individual
Renna, James
Corporate Director · Individual
Ryan, Cheryl
Corporate Officer · Individual
Sparta, Mark
Operational/Managerial Control · Individual
Sparta, Mark
Corporate Officer · Individual
Wilcha, John
Corporate Director · Individual
York, Katherine
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Brighton Gardens Of Edison
Edison, NJ
4-star overall rating with 3-star inspections with $33,374 in total fines with 5 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
#2
CareOne at The Highlands
Edison, NJ
3-star overall rating with 3-star inspections with 11 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Complete Care At Woodlands
Plainfield, NJ
5-star overall rating with 4-star inspections with 2 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
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