17 health deficiencies
Top issue: Resident Assessment and Care Planning (6 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (9 deficiencies)
Morristown, NJ
2-star overall rating with 1-star inspections with $165,519 in total fines with 17 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
540 West Hanover Avenue, Morristown, NJ
(973) 285-2800
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
283
Certified beds
Average residents
252
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Allaire Health Services
Operator or chain grouping
Approved since
1991-09-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
20 facilities
Chain averages 2 overall / 2 health / 3 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
0.61
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.72
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.27
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
3.61
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.34
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.04
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.34
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.72
CMS adjusted RN staffing hours
Adjusted total hours
4.20
CMS adjusted total nurse staffing hours
Case-mix index
1.17
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
63%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
8,247
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
27.38
Composite VBP score used to determine payment impact.
Payment multiplier
0.9845
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.37
Baseline 20.39% · Performance 18.94% · Measure score 5.37 · Achievement 5.37 · Improvement 3.8
Healthcare-associated infections
0
Baseline 8.45% · Performance 8.77% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
2.04
Baseline 64.09% · Performance 55.36% · Measure score 2.04 · Achievement 2.04 · Improvement 1.72
Adjusted total nurse staffing
3.54
Baseline 3.97 hours · Performance 4.09 hours · Measure score 3.54 · Achievement 3.54 · Improvement 0.14
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.39% |
10.72%
0.3 pts better
|
No Different than the National Rate · Eligible stays 252 · Observed rate 10.71% · Lower 95% interval 8.24% |
| Discharge to community | 52.81% |
50.57%
2.2 pts better
|
No Different than the National Rate · Eligible stays 216 · Observed rate 43.52% · Lower 95% interval 45.23% |
| Medicare spending per beneficiary | 1.2 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 30.56% |
95.27%
64.7 pts worse
|
Numerator 55 · Denominator 180 |
| Falls with major injury | 0.56% |
0.77%
0.2 pts better
|
Numerator 1 · Denominator 180 |
| Discharge self-care score | 63.93% |
53.69%
10.2 pts better
|
Numerator 78 · Denominator 122 |
| Discharge mobility score | 63.93% |
50.94%
13 pts better
|
Numerator 78 · Denominator 122 |
| Pressure ulcers or injuries, new or worsened | 4.44% |
2.29%
2.2 pts worse
|
Numerator 8 · Denominator 180 · Adjusted rate 3.88% |
| Healthcare-associated infections requiring hospitalization | 8.77% |
7.12%
1.6 pts worse
|
No Different than the National Rate · Eligible stays 163 · Observed rate 11.04% · Lower 95% interval 6.31% |
| Staff COVID-19 vaccination coverage | 1.74% |
8.2%
6.5 pts worse
|
Numerator 6 · Denominator 345 |
| Staff flu vaccination coverage | 96.51% |
42%
54.5 pts better
|
Numerator 359 · Denominator 372 |
| Discharge function score | 70.49% |
56.45%
14 pts better
|
Numerator 86 · Denominator 122 |
| Transfer of health information to provider | 98.18% |
95.95%
2.2 pts better
|
Numerator 54 · Denominator 55 |
| Transfer of health information to patient | 93.75% |
96.28%
2.5 pts worse
|
Numerator 45 · Denominator 48 |
| Resident COVID-19 vaccinations up to date | 34.78% |
25.2%
9.6 pts better
|
Numerator 32 · Denominator 92 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.6 |
2.1
0.5 pts better
|
1.9
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.3 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
1.1
About the same
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 0.9 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.9% |
93.0%
4.9 pts better
|
93.4%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 95.1% · Q2 97.9% · Q3 99.2% · Q4 99.6% · 4Q avg 97.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.3% |
97.2%
0.1 pts better
|
95.5%
1.8 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.8% |
2.4%
0.6 pts better
|
3.3%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 0.4% · Q3 0.8% · Q4 3.0% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 8.2% |
11.4%
3.2 pts better
|
11.4%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 11.2% · Q3 10.0% · Q4 6.1% · 4Q avg 8.2% |
| Percentage of long-stay residents who lose too much weight | 4.3% |
4.6%
0.3 pts better
|
5.4%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 4.4% · Q3 2.7% · Q4 2.8% · 4Q avg 4.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26.7% |
19.0%
7.7 pts worse
|
19.6%
7.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.8% · Q2 27.1% · Q3 27.3% · Q4 25.7% · 4Q avg 26.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.2% |
13.5%
1.7 pts worse
|
16.7%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.3% · Q2 15.2% · Q3 15.2% · Q4 15.1% · 4Q avg 15.2% · 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 | 3.2% |
9.8%
6.6 pts better
|
16.3%
13.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 2.9% · Q3 0.8% · Q4 5.0% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 3.0% |
9.7%
6.7 pts better
|
14.9%
11.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 1.5% · Q3 2.4% · Q4 5.4% · 4Q avg 3.0% · 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 0.8% · Q2 0.4% · Q3 0.0% · Q4 0.4% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.5% |
15.9%
6.6 pts worse
|
19.8%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.4% · Q2 21.2% · Q3 19.8% · Q4 20.4% · 4Q avg 22.5% |
| Percentage of long-stay residents with pressure ulcers | 5.9% |
6.0%
0.1 pts better
|
5.1%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 5.6% · Q3 5.4% · Q4 6.1% · 4Q avg 5.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 92.6% |
78.7%
13.9 pts better
|
81.7%
10.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 83.7% · Q2 92.0% · Q3 96.5% · Q4 95.3% · 4Q avg 92.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.0% |
8.2%
4.2 pts better
|
12.0%
8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.0% · Observed 4.5% · Expected 12.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
1.2%
0.3 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.2% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 91.5% |
80.1%
11.4 pts better
|
79.7%
11.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 91.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.9% |
25.4%
3.5 pts better
|
23.9%
2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.9% · Observed 24.2% · Expected 26.4% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (6 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (9 deficiencies)
Top issue: Resident Assessment and Care Planning (5 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Pharmacy Service (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
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 2024-07-29
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-07-29
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-29
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-07-29
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-07-29
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-07-29
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2024-07-29
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-07-29
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-07-29
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-07-29
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2024-09-06
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2024-07-29
Fire Safety
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
Corrected 2022-09-22
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-10-14
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2022-09-28
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-11-21
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-12-08
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2022-11-15
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-09-30
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 2022-12-07
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-09-22
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2022-09-22
Inspection history
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-06-01
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 2025-06-01
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-11-27
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-11-27
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-09
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-07-29
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-07-29
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2024-07-29
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-29
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-07-29
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-07-29
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-07-29
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2024-07-29
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-07-29
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-07-29
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2024-07-29
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-07-29
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-07-29
Health
Post nurse staffing information every day.
Corrected 2024-07-29
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 2024-07-29
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 2024-07-22
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-07-22
Health
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2023-09-26
Health
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.
Corrected 2023-09-26
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-10-26
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2022-10-14
Health
Respond appropriately to all alleged violations.
Corrected 2022-10-14
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-10-26
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-10-26
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-10-26
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2022-10-26
Health
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.
Corrected 2022-12-07
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2022-10-26
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-10-26
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 2022-10-14
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-10-26
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-10-26
Health
Provide and implement an infection prevention and control program.
Corrected 2022-10-26
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 2020-11-04
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2020-11-04
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2020-11-04
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2020-11-04
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2020-11-04
Health
Provide and implement an infection prevention and control program.
Corrected 2020-11-04
Penalties and ownership
Fine · fine $116,184
Fine
Fine · fine $49,335
Fine
5% Or Greater Direct Ownership Interest · Individual
W-2 Managing Employee · Individual
Nearby options
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Morristown, NJ
3-star overall rating with 2-star inspections with 16 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Morristown, NJ
3-star overall rating with 2-star inspections with 6 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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