5 health deficiencies
Top issue: Infection Control (3 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Lincoln Park, NJ
3-star overall rating with 4-star inspections with 5 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
499 Pine Brook Road, Lincoln Park, NJ
(973) 696-3300
Overall
3 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
547
Certified beds
Average residents
531
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Center Management Group
Operator or chain grouping
Approved since
1987-12-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
17 facilities
Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars
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
0.44
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.86
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.11
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
3.41
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.30
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.00
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.29
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.48
CMS adjusted RN staffing hours
Adjusted total hours
3.74
CMS adjusted total nurse staffing hours
Case-mix index
1.25
Higher values indicate more complex resident acuity
RN turnover
27%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
48%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
3,909
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
42.17
Composite VBP score used to determine payment impact.
Payment multiplier
0.9951
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
10
Baseline 19.45% · Performance 16.63% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
2.84
Baseline 7.99% · Performance 6.99% · Measure score 2.84 · Achievement 2.83 · Improvement 2.84
Total nurse turnover
3.31
Baseline 53.11% · Performance 50.14% · Measure score 3.31 · Achievement 3.31 · Improvement 0.55
Adjusted total nurse staffing
0.72
Baseline 3.76 hours · Performance 3.28 hours · Measure score 0.72 · Achievement 0.72 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.71% |
10.72%
About the same
|
No Different than the National Rate · Eligible stays 887 · Observed rate 10.15% · Lower 95% interval 9.09% |
| Discharge to community | 69.7% |
50.57%
19.1 pts better
|
Better than the National Rate · Eligible stays 769 · Observed rate 62.16% · Lower 95% interval 65.3% |
| Medicare spending per beneficiary | 1.31 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 99.71% |
95.27%
4.4 pts better
|
Numerator 685 · Denominator 687 |
| Falls with major injury | 0.73% |
0.77%
About the same
|
Numerator 5 · Denominator 687 |
| Discharge self-care score | 54.45% |
53.69%
0.8 pts better
|
Numerator 269 · Denominator 494 |
| Discharge mobility score | 62.15% |
50.94%
11.2 pts better
|
Numerator 307 · Denominator 494 |
| Pressure ulcers or injuries, new or worsened | 2.62% |
2.29%
0.3 pts worse
|
Numerator 18 · Denominator 687 · Adjusted rate 3.02% |
| Healthcare-associated infections requiring hospitalization | 6.99% |
7.12%
0.1 pts better
|
No Different than the National Rate · Eligible stays 581 · Observed rate 6.54% · Lower 95% interval 5.14% |
| Staff COVID-19 vaccination coverage | 0.91% |
8.2%
7.3 pts worse
|
Numerator 5 · Denominator 549 |
| Staff flu vaccination coverage | 72.04% |
42%
30 pts better
|
Numerator 402 · Denominator 558 |
| Discharge function score | 51.82% |
56.45%
4.6 pts worse
|
Numerator 256 · Denominator 494 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 189 · Denominator 189 |
| Transfer of health information to patient | 98.29% |
96.28%
2 pts better
|
Numerator 345 · Denominator 351 |
| Resident COVID-19 vaccinations up to date | 15.86% |
25.2%
9.3 pts worse
|
Numerator 56 · Denominator 353 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
2.1
0.3 pts better
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.6 · 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 0.8 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.2% |
93.0%
4.2 pts better
|
93.4%
3.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 94.5% · Q2 95.5% · Q3 99.4% · Q4 99.4% · 4Q avg 97.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.0% |
97.2%
1.8 pts better
|
95.5%
3.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.9% |
2.4%
0.5 pts better
|
3.3%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 1.7% · Q3 1.7% · Q4 2.2% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 50.5% |
11.4%
39.1 pts worse
|
11.4%
39.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 49.5% · Q2 53.1% · Q3 51.8% · Q4 47.4% · 4Q avg 50.5% |
| Percentage of long-stay residents who lose too much weight | 8.5% |
4.6%
3.9 pts worse
|
5.4%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 9.7% · Q3 6.8% · Q4 8.2% · 4Q avg 8.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 37.6% |
19.0%
18.6 pts worse
|
19.6%
18 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.3% · Q2 36.9% · Q3 37.8% · Q4 40.4% · 4Q avg 37.6% |
| 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 | 3.2% |
9.8%
6.6 pts better
|
16.3%
13.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 4.1% · Q3 1.8% · Q4 1.8% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.9% |
9.7%
4.8 pts better
|
14.9%
10 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 4.7% · Q3 4.7% · Q4 5.7% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
0.7%
0.4 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.5% · Q2 0.0% · Q3 0.4% · Q4 0.2% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.3% |
0.8%
0.5 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.2% · Q2 0.0% · Q3 0.2% · Q4 0.7% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 2.7% |
15.9%
13.2 pts better
|
19.8%
17.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 2.3% · Q3 2.3% · Q4 1.9% · 4Q avg 2.7% |
| Percentage of long-stay residents with pressure ulcers | 4.6% |
6.0%
1.4 pts better
|
5.1%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 5.1% · Q3 4.0% · Q4 4.1% · 4Q avg 4.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.5% |
78.7%
18.8 pts better
|
81.7%
15.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.5% · Q2 97.1% · Q3 98.2% · Q4 99.7% · 4Q avg 97.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.6% |
8.2%
1.6 pts better
|
12.0%
5.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.6% · Observed 6.5% · Expected 10.9% · 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 0.8% · Q2 1.2% · Q3 1.8% · Q4 2.3% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 84.3% |
80.1%
4.2 pts better
|
79.7%
4.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 84.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.6% |
25.4%
4.8 pts better
|
23.9%
3.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.6% · Observed 20.0% · Expected 23.1% · Used in QM five-star |
Survey summary
Top issue: Infection Control (3 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
13 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-09-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-09-30
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-09-30
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-09-30
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-09-30
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-09-30
Fire Safety
Install proper backup exit lighting.
Corrected 2024-09-30
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-09-30
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2024-09-30
Fire Safety
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
Corrected 2022-09-15
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 2022-09-15
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-09-15
Fire Safety
Install properly constructed windows in hallway walls or doors.
Corrected 2022-09-15
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2022-09-15
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-09-15
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 2023-01-11
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2022-09-15
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-09-08
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-09-15
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-09-15
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-09-15
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-09-15
Inspection history
Health
Provide and implement an infection prevention and control program.
Corrected 2026-01-29
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-13
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-09-13
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-09-13
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-09-13
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-09-15
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-09-15
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2022-09-15
Health
Keep residents' personal and medical records private and confidential.
Corrected 2022-09-15
Health
Assess the resident when there is a significant change in condition
Corrected 2022-09-15
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-09-15
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 2022-09-15
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-09-15
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2022-09-15
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 2022-09-15
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2022-09-15
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 2022-09-15
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2020-12-09
Health
Provide and implement an infection prevention and control program.
Corrected 2020-12-10
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Mortgage Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
Lincoln Park, NJ
4-star overall rating with 3-star inspections with 9 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Wayne, NJ
3-star overall rating with 4-star inspections with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Wayne, NJ
5-star overall rating with 5-star inspections with 4 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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