0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Livingston, NJ
5-star overall rating with 5-star inspections
311 S Livingston Ave, Livingston, NJ
(973) 994-0221
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
138
Certified beds
Average residents
103
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1993-03-12
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
RN hours / resident day
0.66
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.29
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.38
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
4.34
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.95
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.94
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.25
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.11
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.65
CMS adjusted RN staffing hours
Adjusted total hours
4.27
CMS adjusted total nurse staffing hours
Case-mix index
1.39
Higher values indicate more complex resident acuity
RN turnover
20%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
41%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
1,501
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
56.18
Composite VBP score used to determine payment impact.
Payment multiplier
1.0113
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.08
Baseline 15.21% · Performance 19.54% · Measure score 4.08 · Achievement 4.08 · Improvement 0
Healthcare-associated infections
8.98
Baseline 4.53% · Performance 5.15% · Measure score 8.98 · Achievement 8.98 · Improvement 0
Total nurse turnover
4.92
Baseline 41.91% · Performance 43.59% · Measure score 4.92 · Achievement 4.92 · Improvement 0
Adjusted total nurse staffing
4.50
Baseline 3.93 hours · Performance 4.36 hours · Measure score 4.50 · Achievement 4.50 · Improvement 1.82
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.28% |
10.72%
1.4 pts better
|
No Different than the National Rate · Eligible stays 584 · Observed rate 7.36% · Lower 95% interval 7.24% |
| Discharge to community | 60.62% |
50.57%
10 pts better
|
Better than the National Rate · Eligible stays 602 · Observed rate 56.81% · Lower 95% interval 55.81% |
| Medicare spending per beneficiary | 0.81 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 331 · Denominator 331 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 331 |
| Discharge self-care score | 77.06% |
53.69%
23.4 pts better
|
Numerator 215 · Denominator 279 |
| Discharge mobility score | 62.72% |
50.94%
11.8 pts better
|
Numerator 175 · Denominator 279 |
| Pressure ulcers or injuries, new or worsened | 0.6% |
2.29%
1.7 pts better
|
Numerator 2 · Denominator 331 · Adjusted rate 0.54% |
| Healthcare-associated infections requiring hospitalization | 5.15% |
7.12%
2 pts better
|
No Different than the National Rate · Eligible stays 349 · Observed rate 3.44% · Lower 95% interval 3.06% |
| Staff COVID-19 vaccination coverage | 1.48% |
8.2%
6.7 pts worse
|
Numerator 3 · Denominator 203 |
| Staff flu vaccination coverage | 100% |
42%
58 pts better
|
Numerator 406 · Denominator 406 |
| Discharge function score | 60.22% |
56.45%
3.8 pts better
|
Numerator 168 · Denominator 279 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 45 · Denominator 45 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 249 · Denominator 249 |
| Resident COVID-19 vaccinations up to date | 50.33% |
25.2%
25.1 pts better
|
Numerator 76 · Denominator 151 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
2.1
0.7 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.2 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.5 |
1.1
0.6 pts better
|
1.8
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.4 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.9% |
93.0%
5.9 pts better
|
93.4%
5.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.6% · Q2 98.4% · Q3 100.0% · Q4 98.6% · 4Q avg 98.9% |
| 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 | 4.8% |
2.4%
2.4 pts worse
|
3.3%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 6.2% · Q3 6.3% · Q4 4.1% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.3% |
11.4%
7.1 pts better
|
11.4%
7.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 1.7% · Q3 6.5% · Q4 4.3% · 4Q avg 4.3% |
| Percentage of long-stay residents who lose too much weight | 1.4% |
4.6%
3.2 pts better
|
5.4%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 2.1% · Q3 2.1% · Q4 0.0% · 4Q avg 1.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.0% |
19.0%
9 pts better
|
19.6%
9.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 8.2% · Q3 11.8% · Q4 9.7% · 4Q avg 10.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.4% |
13.5%
3.9 pts worse
|
16.7%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 20.5% · Q3 16.7% · Q4 17.6% · 4Q avg 17.4% · 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 | 24.3% |
9.8%
14.5 pts worse
|
16.3%
8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.2% · Q2 27.8% · Q3 18.8% · Q4 21.7% · 4Q avg 24.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.2% |
9.7%
9.5 pts worse
|
14.9%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 17.1% · Q3 19.0% · Q4 20.8% · 4Q avg 19.2% · 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 | 0.4% |
0.8%
0.4 pts better
|
1.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.7% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.0% |
15.9%
14.1 pts worse
|
19.8%
10.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 43.4% · Q2 23.5% · Q3 23.2% · Q4 29.6% · 4Q avg 30.0% |
| Percentage of long-stay residents with pressure ulcers | 5.3% |
6.0%
0.7 pts better
|
5.1%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 4.0% · Q3 4.2% · Q4 5.7% · 4Q avg 5.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% |
78.7%
20.9 pts better
|
81.7%
17.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.6% · Q2 99.6% · Q3 99.6% · Q4 99.5% · 4Q avg 99.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.1% |
8.2%
3.1 pts better
|
12.0%
6.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.1% · Observed 4.4% · Expected 9.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% |
1.2%
0.1 pts better
|
1.6%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 1.9% · Q3 1.2% · Q4 0.7% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.6% |
80.1%
19.5 pts better
|
79.7%
19.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 99.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.0% |
25.4%
2.4 pts better
|
23.9%
0.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.0% · Observed 18.6% · Expected 19.3% · Used in QM five-star |
Survey summary
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Pharmacy Service (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Nutrition and Dietary (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
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 2021-08-18
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-09-24
Penalties and ownership
Operational/Managerial Control · Individual
Limited Partnership Interest · Individual
Limited Partnership Interest · Organization
Limited Partnership Interest · Individual
Operational/Managerial Control · Individual
Limited Partnership Interest · Individual
Limited Partnership Interest · Individual
Limited Partnership Interest · Individual
Limited Partnership Interest · Individual
Limited Partnership Interest · Individual
Limited Partnership Interest · Individual
Limited Partnership Interest · Individual
Nearby options
Livingston, NJ
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West Orange, NJ
4-star overall rating with 3-star inspections with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
West Orange, NJ
4-star overall rating with 3-star inspections with 11 recent health deficiencies with 17 fire-safety deficiencies in the latest cycle
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