Federal inspection record · CMS data as of October 1, 2026
Little Brook Nursing And Convalescent Home
78 Sliker Road, Califon, NJ · (908) 832-2220
- Certified beds
- 36
- Residents per day
- 27
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 1, 2001
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in New Jersey.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among New Jersey homes
Little Brook Nursing And Convalescent Home carries 203 inspection points. That is fewer than 3% of New Jersey's 346 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in New Jersey: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–18 pts
- 4★ 18–37 pts
- 3★ 37–60 pts
- 2★ 60–93.75 pts
- 1★ over 93.75 pts
Bars show every rated home in New Jersey by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
56 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (8)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Respond appropriately to all alleged violations.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
L
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
L
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
-
L
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
-
K
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
-
K
Ensure that residents are free from significant medication errors.
Everything else, by area of care
Resident Assessment and Care Planning9F
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Ensure each resident receives an accurate assessment.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Ensure each resident receives an accurate assessment.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Freedom from Abuse, Neglect, and Exploitation7E
- E
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Respond appropriately to all alleged violations.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Pharmacy Service7F
- E
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
- F
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure medication error rates are not 5 percent or greater.
Resident Rights7D
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Quality of Life and Care6D
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Nursing and Physician Services4F
- D
Observe each nurse aide's job performance and give regular training.
- F
Observe each nurse aide's job performance and give regular training.
- F
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- F
Observe each nurse aide's job performance and give regular training.
Infection Control3F
- E
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
Nutrition and Dietary3F
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Administration2E
- D
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- E
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspection history
2026-03-04
16 health deficiencies · 12 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2024-10-30
21 health deficiencies · 15 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
2023-06-15
19 health deficiencies · 14 fire-safety deficiencies
Top issue: Pharmacy Service (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 35 min of nursing staff time a day, 1 h 7 min of it from a registered nurse.
This home
3 h 35 min
New Jersey average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 42% of nursing staff and 56% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$355,418 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-07-10 | Fine | $62,493 |
| 2025-03-18 | Fine | $255,403 |
| 2024-10-30 | Fine | $37,522 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts worse | 2.4 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts worse | 1.4 | 1.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine20.3 pts worse | 72.7% | 93.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine11.1 pts worse | 85.7% | 96.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.3 pts better | 0.0% | 2.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms11.4 pts better | 1.1% | 12.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.3 pts worse | 5.0% | 4.7% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication12.8 pts better | 6.0% | 18.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.1 pts worse | 20.0% | 12.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.2 pts worse | 8.5% | 8.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.0% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.7 pts better | 0.0% | 0.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.9 pts better | 13.3% | 15.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.5 pts better | 4.8% | 5.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine50 pts worse | 29.0% | 79.0% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.7 pts worse | 3.8% | 1.1% | 1.5% |
·
Who owns and runs it
23 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Lazare Group, Inc | 5% Or Greater Indirect Ownership Interest · Organization | 100% | 1 facilities |
| Fernandez, Rosa | 5% Or Greater Direct Ownership Interest · Individual | 51% | 1 facilities |
| Bethane Properties, Inc | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| Bethane Properties, Inc | Adp Of The SNF · Organization | 0% | 1 facilities |
| Bradford, Cynthia | Corporate Director · Individual | 0% | 1 facilities |
| Bradford, Cynthia | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bradford, Cynthia | Adp Of The SNF · Individual | 0% | 1 facilities |
| Caissie, Elizabeth | Corporate Officer · Individual | 0% | 1 facilities |
| Caissie, Elizabeth | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Caissie, Elizabeth | Adp Of The SNF · Individual | 0% | 1 facilities |
| Fernandez, Rosa | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Fernandez, Rosa | Adp Of The SNF · Individual | 0% | 1 facilities |
| Fernandez, Rosemarie | Corporate Officer · Individual | 0% | 1 facilities |
| Hampilos, John | 5% Or Greater Direct Ownership Interest · Individual | 0% | 1 facilities |
| Hampilos, John | Corporate Officer · Individual | 0% | 1 facilities |
| Hampilos, John | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hampilos, John | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Hampilos, John | Adp Of The SNF · Individual | 0% | 1 facilities |
| Lazare Group, Inc | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Lazare Group, Inc | Adp Of The SNF · Organization | 0% | 1 facilities |
| Segaram, Sandira | Corporate Director · Individual | 0% | 1 facilities |
| Segaram, Sandira | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Segaram, Sandira | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
41 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke13F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Install corridor and hallway doors that block smoke.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Properly provide smoke detection systems in areas open to corridors.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Emergency Preparedness11F
- F
Create arrangements with other facilities to receive patients.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Conduct risk assessment and an All-Hazards approach.
- F
Address subsistence needs for staff and patients.
- F
Conduct risk assessment and an All-Hazards approach.
- F
Create arrangements with other facilities to receive patients.
- F
Provide emergency officials' contact information.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Include a process for Emergency Preparedness collaboration.
Gas, Vacuum, and Electrical Systems6F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have proper medical gas storage and administration areas.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Egress6F
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Install proper backup exit lighting.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- F
Provide at least two remote exits on each floor or fire section of the building.
- E
Install emergency lighting that can last at least 1 1/2 hours.
Miscellaneous4F
- F
Have simulated fire drills held at unexpected times.
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
Services1F
- F
Have properly installed electrical wiring and gas equipment.
·
Other homes nearby
-
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★★★★★- Worst citation, 3 yrs
- D
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-
Warren Haven Rehab and Nursing Center
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-
Country Arch Care Center
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