19 health deficiencies
Top issue: Resident Rights (5 deficiencies)
17 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Rockleigh, NJ
4-star overall rating with 3-star inspections with 15 recent health deficiencies with 17 fire-safety deficiencies in the latest cycle
10 Link Drive, Rockleigh, NJ
(201) 784-1414
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
196
Certified beds
Average residents
187
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2002-02-18
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
0.98
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.02
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.89
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
4.89
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
2.00
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
4.48
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.73
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.21
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.95
CMS adjusted RN staffing hours
Adjusted total hours
4.72
CMS adjusted total nurse staffing hours
Case-mix index
1.42
Higher values indicate more complex resident acuity
RN turnover
20%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
16%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
1,294
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
57.92
Composite VBP score used to determine payment impact.
Payment multiplier
1.0131
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.45
Baseline 21.33% · Performance 18.91% · Measure score 5.45 · Achievement 5.45 · Improvement 5.14
Healthcare-associated infections
3.22
Baseline 6.76% · Performance 6.87% · Measure score 3.22 · Achievement 3.22 · Improvement 0
Total nurse turnover
9.37
Baseline 19.76% · Performance 25.39% · Measure score 9.37 · Achievement 9.37 · Improvement 0
Adjusted total nurse staffing
5.13
Baseline 4.59 hours · Performance 4.54 hours · Measure score 5.13 · Achievement 5.13 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.86% |
10.72%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 938 · Observed rate 10.45% · Lower 95% interval 9.86% |
| Discharge to community | 69.84% |
50.57%
19.3 pts better
|
Better than the National Rate · Eligible stays 993 · Observed rate 63.85% · Lower 95% interval 65.58% |
| Medicare spending per beneficiary | 1.06 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 99.68% |
95.27%
4.4 pts better
|
Numerator 622 · Denominator 624 |
| Falls with major injury | 0.96% |
0.77%
0.2 pts worse
|
Numerator 6 · Denominator 624 |
| Discharge self-care score | 60.16% |
53.69%
6.5 pts better
|
Numerator 231 · Denominator 384 |
| Discharge mobility score | 48.44% |
50.94%
2.5 pts worse
|
Numerator 186 · Denominator 384 |
| Pressure ulcers or injuries, new or worsened | 6.89% |
2.29%
4.6 pts worse
|
Numerator 43 · Denominator 624 · Adjusted rate 6.03% |
| Healthcare-associated infections requiring hospitalization | 6.87% |
7.12%
0.2 pts better
|
No Different than the National Rate · Eligible stays 594 · Observed rate 5.89% · Lower 95% interval 5.22% |
| Staff COVID-19 vaccination coverage | 8.65% |
8.2%
0.5 pts better
|
Numerator 36 · Denominator 416 |
| Staff flu vaccination coverage | 100% |
42%
58 pts better
|
Numerator 424 · Denominator 424 |
| Discharge function score | 53.65% |
56.45%
2.8 pts worse
|
Numerator 206 · Denominator 384 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 474 · Denominator 474 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 82 · Denominator 82 |
| Resident COVID-19 vaccinations up to date | 12.86% |
25.2%
12.3 pts worse
|
Numerator 40 · Denominator 311 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
2.1
0.9 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.2 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.7 |
1.1
0.4 pts better
|
1.8
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.6 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.7% |
93.0%
3.7 pts better
|
93.4%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 87.4% · 4Q avg 96.7% |
| 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 | 3.1% |
2.4%
0.7 pts worse
|
3.3%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 1.7% · Q3 3.9% · Q4 3.7% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.8% |
11.4%
5.6 pts better
|
11.4%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.7% · Q2 0.9% · Q3 0.8% · Q4 0.0% · 4Q avg 5.8% |
| Percentage of long-stay residents who lose too much weight | 6.0% |
4.6%
1.4 pts worse
|
5.4%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 5.8% · Q3 8.2% · Q4 8.0% · 4Q avg 6.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.7% |
19.0%
0.7 pts worse
|
19.6%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 18.5% · Q3 19.8% · Q4 18.3% · 4Q avg 19.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.0% |
13.5%
1.5 pts worse
|
16.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.8% · Q2 16.9% · Q3 14.7% · Q4 15.5% · 4Q avg 15.0% · 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 | 14.0% |
9.8%
4.2 pts worse
|
16.3%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.6% · Q2 15.7% · Q3 15.0% · Q4 10.1% · 4Q avg 14.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.8% |
9.7%
9.1 pts worse
|
14.9%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.7% · Q2 19.2% · Q3 17.5% · Q4 13.1% · 4Q avg 18.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
0.7%
About the same
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 0.6% · Q3 0.8% · Q4 0.9% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.2% |
0.8%
0.4 pts worse
|
1.7%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 1.7% · Q3 0.0% · Q4 0.8% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.6% |
15.9%
4.7 pts worse
|
19.8%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.5% · Q2 21.0% · Q3 22.6% · Q4 21.2% · 4Q avg 20.6% |
| Percentage of long-stay residents with pressure ulcers | 11.4% |
6.0%
5.4 pts worse
|
5.1%
6.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 11.5% · Q3 14.5% · Q4 11.1% · 4Q avg 11.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.9% |
78.7%
15.2 pts better
|
81.7%
12.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 94.4% · Q2 92.1% · Q3 92.8% · Q4 96.6% · 4Q avg 93.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.1% |
8.2%
3.9 pts worse
|
12.0%
0.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.1% · Observed 9.2% · Expected 8.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% |
1.2%
0.3 pts worse
|
1.6%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 2.2% · Q3 1.8% · Q4 0.4% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 77.5% |
80.1%
2.6 pts worse
|
79.7%
2.2 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 77.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.2% |
25.4%
4.8 pts worse
|
23.9%
6.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.2% · Observed 24.9% · Expected 19.6% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (5 deficiencies)
17 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Nutrition and Dietary (1 deficiency)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2025-07-15
Fire Safety
Develop a communication plan.
Corrected 2025-07-28
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-07-28
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2025-08-22
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 2025-07-15
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2025-08-29
Fire Safety
Install proper backup exit lighting.
Corrected 2025-07-28
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 2025-07-25
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-07-30
Fire Safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2025-07-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-08-29
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-07-15
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-07-15
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-07-15
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-08-29
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2025-08-29
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-07-15
Fire Safety
Ensure that sources of ignition are removed from patients receiving respiratory therapy.
Corrected 2024-02-15
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2021-08-18
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-15
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-07-15
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-07-28
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-07-15
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-07-28
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 2025-07-28
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-07-15
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-07-15
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-07-15
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-07-15
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-07-15
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-07-15
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2025-07-15
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-07-15
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-07-15
Health
Dispose of garbage and refuse properly.
Corrected 2025-07-15
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-15
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-07-15
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2025-07-15
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2021-09-15
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2021-08-27
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-09-10
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
Contracted Managing Employee · Individual
W-2 Managing Employee · Individual
Corporate Officer · Individual
Nearby options
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Hastings On Hudson, NY
3-star overall rating with 3-star inspections with 6 recent health deficiencies with 18 fire-safety deficiencies in the latest cycle
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