1 health deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Bloomfield, NJ
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
250 Bloomfield Ave, Bloomfield, NJ
(973) 743-0792
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
Beds
40
Certified beds
Average residents
38
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1997-12-01
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
1.14
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.75
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
3.48
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
6.38
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
2.90
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
5.81
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.76
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.17
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
1.05
CMS adjusted RN staffing hours
Adjusted total hours
5.83
CMS adjusted total nurse staffing hours
Case-mix index
1.50
Higher values indicate more complex resident acuity
RN turnover
18%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
13%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
729
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
64.77
Composite VBP score used to determine payment impact.
Payment multiplier
1.0192
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.02
Baseline 23.76% · Performance 21.39% · Measure score 3.02 · Achievement 0 · Improvement 3.02
Healthcare-associated infections
2.88
Baseline 8.76% · Performance 7.49% · Measure score 2.88 · Achievement 1.17 · Improvement 2.88
Total nurse turnover
10
Baseline 16.67% · Performance 11.32% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
10
Baseline 6.22 hours · Performance 6.13 hours · Measure score 10 · Achievement 10 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.05% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 261 · Observed rate 8.43% · Lower 95% interval 7.5% |
| Discharge to community | 57.47% |
50.57%
6.9 pts better
|
Better than the National Rate · Eligible stays 261 · Observed rate 54.02% · Lower 95% interval 51.99% |
| Medicare spending per beneficiary | 1.08 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 90.64% |
95.27%
4.6 pts worse
|
Numerator 155 · Denominator 171 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 171 |
| Discharge self-care score | 43.8% |
53.69%
9.9 pts worse
|
Numerator 53 · Denominator 121 |
| Discharge mobility score | 62.81% |
50.94%
11.9 pts better
|
Numerator 76 · Denominator 121 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 171 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.49% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 164 · Observed rate 6.71% · Lower 95% interval 4.66% |
| Staff COVID-19 vaccination coverage | 1.3% |
8.2%
6.9 pts worse
|
Numerator 3 · Denominator 230 |
| Staff flu vaccination coverage | 92.82% |
42%
50.8 pts better
|
Numerator 181 · Denominator 195 |
| Discharge function score | 52.07% |
56.45%
4.4 pts worse
|
Numerator 63 · Denominator 121 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 83 · Denominator 83 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 74 · Denominator 74 |
| Resident COVID-19 vaccinations up to date | 33.33% |
25.2%
8.1 pts better
|
Numerator 30 · Denominator 90 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| 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 · Q2 100.0% · Q3 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 | 0.0% |
2.4%
2.4 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · 4Q avg 0.0% · 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 · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 0.0% |
4.6%
4.6 pts better
|
5.4%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 24.6% |
19.0%
5.6 pts worse
|
19.6%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 24.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.9% |
13.5%
4.6 pts better
|
16.7%
7.8 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 8.9% · 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 · Q2 0.0% · Q3 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 24.4% |
9.7%
14.7 pts worse
|
14.9%
9.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 24.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.9% |
0.7%
2.2 pts worse
|
1.0%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.8% |
0.8%
2 pts worse
|
1.7%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 5.0% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.5% |
15.9%
3.4 pts better
|
19.8%
7.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 12.5% |
| Percentage of long-stay residents with pressure ulcers | 5.7% |
6.0%
0.3 pts better
|
5.1%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 7.0% · 4Q avg 5.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
78.7%
21.3 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.3% |
8.2%
1.9 pts better
|
12.0%
5.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.3% · Observed 5.5% · Expected 9.7% · 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 0.9% · Q2 0.9% · Q3 2.0% · Q4 2.0% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
80.1%
19.9 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 32.9% |
25.4%
7.5 pts worse
|
23.9%
9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 32.9% · Observed 27.0% · Expected 19.5% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (1 deficiency)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Pharmacy Service (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Nutrition and Dietary (1 deficiency)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2025-05-10
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-05-10
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-05-10
Fire Safety
Install proper backup exit lighting.
Corrected 2025-05-10
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-05-10
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-03-17
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-03-17
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 2021-03-22
Inspection history
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-04-10
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-03-17
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 2021-03-22
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-03-22
Penalties and ownership
W-2 Managing Employee · Individual
W-2 Managing Employee · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Nearby options
East Orange, NJ
4-star overall rating with 3-star inspections with $15,240 in total fines with 7 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
East Orange, NJ
3-star overall rating with 3-star inspections with 6 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
Newark, NJ
2-star overall rating with 1-star inspections with $37,580 in total fines with 17 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
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