10 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
18 fire-safety deficiencies
Top issue: Smoke (8 deficiencies)
Lafayette, NJ
1-star overall rating with 1-star inspections with $738,307 in total fines with 10 recent health deficiencies with 18 fire-safety deficiencies in the latest cycle
1 O'brien Lane, Lafayette, NJ
(973) 383-6200
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
159
Certified beds
Average residents
148
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1967-01-01
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
0.50
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.44
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
1.85
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
2.80
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
0.94
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
2.46
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.42
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.57
CMS adjusted RN staffing hours
Adjusted total hours
3.19
CMS adjusted total nurse staffing hours
Case-mix index
1.20
Higher values indicate more complex resident acuity
RN turnover
19%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
18%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
1,733
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
54.37
Composite VBP score used to determine payment impact.
Payment multiplier
1.0092
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
7.69
Baseline 20.34% · Performance 17.87% · Measure score 7.69 · Achievement 7.69 · Improvement 6.97
Healthcare-associated infections
1.6
Baseline 9.23% · Performance 8.34% · Measure score 1.6 · Achievement 0 · Improvement 1.6
Total nurse turnover
9.10
Baseline 50.60% · Performance 26.47% · Measure score 9.10 · Achievement 9.10 · Improvement 8.87
Adjusted total nurse staffing
3.35
Baseline 3.25 hours · Performance 4.03 hours · Measure score 3.35 · Achievement 3.35 · Improvement 2.60
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.76% |
10.72%
About the same
|
No Different than the National Rate · Eligible stays 96 · Observed rate 11.46% · Lower 95% interval 7.88% |
| Discharge to community | 31.96% |
50.57%
18.6 pts worse
|
No Different than the National Rate · Eligible stays 43 · Observed rate 16.28% · Lower 95% interval 20.71% |
| Medicare spending per beneficiary | 1.42 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 97.18% |
95.27%
1.9 pts better
|
Numerator 138 · Denominator 142 |
| Falls with major injury | 1.41% |
0.77%
0.6 pts worse
|
Numerator 2 · Denominator 142 |
| Discharge self-care score | 56.47% |
53.69%
2.8 pts better
|
Numerator 48 · Denominator 85 |
| Discharge mobility score | 51.76% |
50.94%
0.8 pts better
|
Numerator 44 · Denominator 85 |
| Pressure ulcers or injuries, new or worsened | 3.52% |
2.29%
1.2 pts worse
|
Numerator 5 · Denominator 142 · Adjusted rate 3.33% |
| Healthcare-associated infections requiring hospitalization | 8.34% |
7.12%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 84 · Observed rate 11.9% · Lower 95% interval 5.55% |
| Staff COVID-19 vaccination coverage | 2.92% |
8.2%
5.3 pts worse
|
Numerator 5 · Denominator 171 |
| Staff flu vaccination coverage | 65.09% |
42%
23.1 pts better
|
Numerator 110 · Denominator 169 |
| Discharge function score | 64.71% |
56.45%
8.3 pts better
|
Numerator 55 · Denominator 85 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 46 · Denominator 46 |
| Transfer of health information to patient | 96% |
96.28%
0.3 pts worse
|
Numerator 24 · Denominator 25 |
| Resident COVID-19 vaccinations up to date | 20% |
25.2%
5.2 pts worse
|
Numerator 17 · Denominator 85 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.1 |
2.1
About the same
|
1.9
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.8 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
1.1
0.4 pts worse
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.4 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 84.7% |
93.0%
8.3 pts worse
|
93.4%
8.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 92.2% · Q2 88.3% · Q3 83.3% · Q4 76.2% · 4Q avg 84.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.4% |
97.2%
0.8 pts worse
|
95.5%
0.9 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.4% |
2.4%
About the same
|
3.3%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 3.1% · Q3 2.2% · Q4 1.4% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 65.4% |
11.4%
54 pts worse
|
11.4%
54 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 46.0% · Q2 50.0% · Q3 73.3% · Q4 88.6% · 4Q avg 65.4% |
| Percentage of long-stay residents who lose too much weight | 6.6% |
4.6%
2 pts worse
|
5.4%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 6.4% · Q3 9.0% · Q4 6.6% · 4Q avg 6.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.0% |
19.0%
3 pts worse
|
19.6%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.4% · Q2 23.6% · Q3 21.9% · Q4 21.3% · 4Q avg 22.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.0% |
13.5%
3.5 pts worse
|
16.7%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 18.2% · Q3 15.5% · Q4 15.7% · 4Q avg 17.0% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 1.7% |
0.1%
1.6 pts worse
|
0.1%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.6% · Q3 1.4% · Q4 2.1% · 4Q avg 1.7% |
| Percentage of long-stay residents whose ability to walk independently worsened | 6.5% |
9.8%
3.3 pts better
|
16.3%
9.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 5.9% · Q3 0.0% · Q4 15.9% · 4Q avg 6.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.0% |
9.7%
1.7 pts better
|
14.9%
6.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 6.2% · Q3 4.2% · Q4 16.4% · 4Q avg 8.0% · 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 0.7% · Q4 0.7% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 4.0% |
15.9%
11.9 pts better
|
19.8%
15.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 1.6% · Q3 4.1% · Q4 5.3% · 4Q avg 4.0% |
| Percentage of long-stay residents with pressure ulcers | 6.0% |
6.0%
About the same
|
5.1%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 7.8% · Q3 6.7% · Q4 3.6% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 24.8% |
78.7%
53.9 pts worse
|
81.7%
56.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 46.0% · Q2 25.0% · Q3 13.2% · Q4 2.9% · 4Q avg 24.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.4% |
8.2%
0.8 pts better
|
12.0%
4.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.4% · Observed 8.8% · Expected 13.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.2%
1.2 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 26.0% |
80.1%
54.1 pts worse
|
79.7%
53.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 26.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.4% |
25.4%
4 pts better
|
23.9%
2.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.4% · Observed 23.5% · Expected 26.2% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
18 fire-safety deficiencies
Top issue: Smoke (8 deficiencies)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-12-06
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-12-06
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-12-13
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-12-10
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-12-09
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-12-10
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-12-06
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2024-12-10
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-12-06
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-12-12
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-12-06
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-12-10
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-12-15
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-12-10
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-12-06
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-12-06
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 2024-12-06
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2024-11-20
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-08-07
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 2023-08-08
Fire Safety
Install proper backup exit lighting.
Corrected 2023-08-07
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-08-07
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-08-07
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-08-01
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-07-19
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-08-08
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-08-02
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-08-03
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-03-23
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-12-15
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-12-04
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2021-12-13
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2021-12-04
Inspection history
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-10-01
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-10-01
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-10-01
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-12-09
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-12-09
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-12-09
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2024-12-09
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-12-09
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 2024-12-09
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-12-09
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2024-01-11
Health
Provide and implement an infection prevention and control program.
Corrected 2024-01-11
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-12-18
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-07-18
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 2023-07-19
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2023-07-19
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-07-20
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-07-20
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-07-28
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-07-28
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-07-28
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 2023-07-28
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2021-12-04
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2021-12-04
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2021-12-04
Penalties and ownership
Fine · fine $713,795
Fine
Payment Denial · denial start 2024-01-03 · 8 days
8 day denial
Fine · fine $24,512
Fine
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
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