Cycle 1
Health 2024-12-23 · Fire 2024-12-23
2 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
12 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Hackettstown, NJ
Heath Village
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
451 Schooley's Mountain Rd, Hackettstown, NJ
(908) 852-4801
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
108
Certified beds
Average residents
96
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1967-07-31
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
1.27
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.85
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.80
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
4.92
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
2.12
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
4.29
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.86
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
1.30
CMS adjusted RN staffing hours
Adjusted total hours
5.02
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
13%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
18%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
504
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
68.63
Composite VBP score used to determine payment impact.
Payment multiplier
1.0216
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.99
Baseline 19.61% · Performance 19.12% · Measure score 4.99 · Achievement 4.99 · Improvement 1.42
Healthcare-associated infections
5.25
Baseline 5.38% · Performance 6.26% · Measure score 5.25 · Achievement 5.25 · Improvement 0
Total nurse turnover
10
Baseline 33.71% · Performance 23.36% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
7.20
Baseline 4.59 hours · Performance 5.13 hours · Measure score 7.20 · Achievement 7.20 · Improvement 4.02
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.88% |
10.72%
1.8 pts better
|
No Different than the National Rate · Eligible stays 473 · Observed rate 8.25% · Lower 95% interval 7.22% |
| Discharge to community | 63.53% |
50.57%
13 pts better
|
Better than the National Rate · Eligible stays 473 · Observed rate 56.45% · Lower 95% interval 59.26% |
| Medicare spending per beneficiary | 0.92 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 353 · Denominator 353 |
| Falls with major injury | 0.28% |
0.77%
0.5 pts better
|
Numerator 1 · Denominator 353 |
| Discharge self-care score | 40.38% |
53.69%
13.3 pts worse
|
Numerator 105 · Denominator 260 |
| Discharge mobility score | 58.46% |
50.94%
7.5 pts better
|
Numerator 152 · Denominator 260 |
| Pressure ulcers or injuries, new or worsened | 3.12% |
2.29%
0.8 pts worse
|
Numerator 11 · Denominator 353 · Adjusted rate 3.07% |
| Healthcare-associated infections requiring hospitalization | 6.26% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 312 · Observed rate 5.77% · Lower 95% interval 4.14% |
| Staff COVID-19 vaccination coverage | 1.15% |
8.2%
7 pts worse
|
Numerator 5 · Denominator 435 |
| Staff flu vaccination coverage | 94.25% |
42%
52.2 pts better
|
Numerator 426 · Denominator 452 |
| Discharge function score | 51.15% |
56.45%
5.3 pts worse
|
Numerator 133 · Denominator 260 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 82 · Denominator 82 |
| Transfer of health information to patient | 98.71% |
96.28%
2.4 pts better
|
Numerator 229 · Denominator 232 |
| Resident COVID-19 vaccinations up to date | 21.71% |
25.2%
3.5 pts worse
|
Numerator 38 · Denominator 175 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.6 |
2.1
0.5 pts better
|
1.9
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.4 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
1.1
0.2 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.7 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% |
93.0%
6.6 pts better
|
93.4%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.5% · Q3 100.0% · Q4 100.0% · 4Q avg 99.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.6% |
97.2%
1.4 pts better
|
95.5%
3.1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.4% |
2.4%
4 pts worse
|
3.3%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 7.6% · Q3 7.4% · Q4 6.1% · 4Q avg 6.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.8% |
11.4%
9.6 pts better
|
11.4%
9.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.9% · Q3 1.8% · Q4 2.0% · 4Q avg 1.8% |
| Percentage of long-stay residents who lose too much weight | 5.4% |
4.6%
0.8 pts worse
|
5.4%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 8.6% · Q3 5.2% · Q4 3.6% · 4Q avg 5.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.7% |
19.0%
2.7 pts worse
|
19.6%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.8% · Q2 23.7% · Q3 21.7% · Q4 19.6% · 4Q avg 21.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.9% |
13.5%
0.4 pts worse
|
16.7%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 13.6% · Q3 15.4% · Q4 14.9% · 4Q avg 13.9% · 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 | 13.6% |
9.8%
3.8 pts worse
|
16.3%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.9% · Q2 19.7% · Q3 15.6% · Q4 8.8% · 4Q avg 13.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.9% |
9.7%
0.2 pts worse
|
14.9%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 7.4% · Q3 12.5% · Q4 5.8% · 4Q avg 9.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.6% |
0.7%
2.9 pts worse
|
1.0%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 2.6% · Q3 6.5% · Q4 3.7% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.5% |
0.8%
2.7 pts worse
|
1.7%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 4.6% · Q3 6.1% · Q4 1.5% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.7% |
15.9%
5.8 pts worse
|
19.8%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.1% · Q2 26.7% · Q3 16.7% · Q4 21.3% · 4Q avg 21.7% |
| Percentage of long-stay residents with pressure ulcers | 3.3% |
6.0%
2.7 pts better
|
5.1%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 4.1% · Q3 2.5% · Q4 1.3% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.2% |
78.7%
16.5 pts better
|
81.7%
13.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.7% · Q2 95.8% · Q3 94.3% · Q4 94.8% · 4Q avg 95.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.8% |
8.2%
0.6 pts worse
|
12.0%
3.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.8% · Observed 7.9% · Expected 10.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% |
1.2%
0.1 pts worse
|
1.6%
0.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.7% · Q3 1.2% · Q4 1.2% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.1% |
80.1%
17 pts better
|
79.7%
17.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.9% |
25.4%
2.5 pts worse
|
23.9%
4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.9% · Observed 25.9% · Expected 22.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-09-29 · Fire 2023-09-29
3 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Cycle 3
Health 2022-06-14 · Fire 2022-06-14
5 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-12-23
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2025-02-15
F · Potential for more than minimal harm
2024-12-23
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-02-15
F · Potential for more than minimal harm
2024-12-23
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 2025-02-15
F · Potential for more than minimal harm
2024-12-23
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-02-15
F · Potential for more than minimal harm
2024-12-23
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-02-15
F · Potential for more than minimal harm
2024-12-23
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-02-15
F · Potential for more than minimal harm
2024-12-23
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-02-15
F · Potential for more than minimal harm
2024-12-23
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-02-15
F · Potential for more than minimal harm
2024-12-23
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-02-15
F · Potential for more than minimal harm
2024-12-23
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-02-15
E · Potential for more than minimal harm
2024-12-23
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-02-15
D · Potential for more than minimal harm
2024-12-23
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-02-15
E · Potential for more than minimal harm
2023-09-29
K929 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2023-10-31
D · Potential for more than minimal harm
2023-09-29
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-10-31
D · Potential for more than minimal harm
2023-09-29
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2023-10-31
D · Potential for more than minimal harm
2022-06-14
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-07-06
D · Potential for more than minimal harm
2022-06-14
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-07-05
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-12-23
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-01-31
D · Potential for more than minimal harm
2024-12-23
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-01-31
F · Potential for more than minimal harm
2023-09-29
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-10-31
D · Potential for more than minimal harm
2023-09-29
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 2023-10-31
D · Potential for more than minimal harm
2023-09-29
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-10-31
E · Potential for more than minimal harm
2022-06-14
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-07-30
E · Potential for more than minimal harm
2022-06-14
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-07-20
D · Potential for more than minimal harm
2022-06-14
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 2022-07-30
C · Minimal harm
2022-06-14
F625 · Resident Rights Deficiencies
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2022-07-30
C · Minimal harm
2022-06-14
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2022-07-30
Penalties and ownership
What sits behind the stars
Ownership
Heath Alliance For Care Inc
5% Or Greater Direct Ownership Interest · Organization
Alvarez, Pamela
Operational/Managerial Control · Individual
Bahnuk, Mark
Corporate Director · Individual
Bahnuk, Mark
Corporate Officer · Individual
Blandura, Vivian
Operational/Managerial Control · Individual
Borzelli, Theresa
Corporate Director · Individual
Bove, Mary Ellen
Operational/Managerial Control · Individual
Bove, Mary Ellen
Corporate Officer · Individual
Carpenter, William
Corporate Director · Individual
Carpenter, William
Corporate Officer · Individual
Drown, Timothy
Operational/Managerial Control · Individual
Gallagher, Robert
Corporate Director · Individual
Garde, Allison
Corporate Director · Individual
Heath Alliance For Care Inc
Operational/Managerial Control · Organization
Horner, Diane
Operational/Managerial Control · Individual
Knaus, Chris
Corporate Director · Individual
Kristiansen, Jeanne
Operational/Managerial Control · Individual
Lappin, Harold
Corporate Director · Individual
Mutek, Jill
Operational/Managerial Control · Individual
Pangallo, Danielle
Operational/Managerial Control · Individual
Puccio, Anthony
Operational/Managerial Control · Individual
Puccio, Anthony
Corporate Officer · Individual
Slezak, Alyson
Operational/Managerial Control · Individual
Stewart, Timothy
Corporate Director · Individual
Stewart, Timothy
Corporate Officer · Individual
Stukes, Cathy
Operational/Managerial Control · Individual
Ubhi, Damanpreet
Operational/Managerial Control · Individual
Vanbrunt, Peter
Corporate Director · Individual
Vanbrunt, Peter
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Little Brook Nursing And Convalescent Home
Califon, NJ
1-star overall rating with 1-star inspections with Special Focus status with $495,198 in total fines with 20 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle
#2
Warren Haven Rehab And Nursing Center
Oxford, NJ
3-star overall rating with 2-star inspections with $156,485 in total fines with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#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
Jump out