Morristown, NJ

Morristown Post Acute Rehab And Nursing Center

3-star overall rating with 2-star inspections with 6 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

77 Madison Avenue, Morristown, NJ

(973) 540-9800

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

287

Certified beds

Average residents

200

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Allaire Health Services

Operator or chain grouping

Approved since

1975-03-01

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

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.60

Registered nurse staffing · state 0.69 · national 0.68

LPN hours / resident day

0.89

Licensed practical nurse staffing · state 0.94 · national 0.87

Aide hours / resident day

2.32

Nurse aide staffing · state 2.23 · national 2.35

Total nurse hours

3.81

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.49

RN + LPN hours · state 1.62 · national 1.54

Weekend hours

3.39

Weekend nurse staffing · state 3.45 · national 3.43

Weekend RN hours

0.38

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.12

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.65

CMS adjusted RN staffing hours

Adjusted total hours

4.11

CMS adjusted total nurse staffing hours

Case-mix index

1.27

Higher values indicate more complex resident acuity

RN turnover

42%

Annual RN turnover · state 39% · national 45%

Total nurse turnover

29%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,869

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

47.27

Composite VBP score used to determine payment impact.

Payment multiplier

1.0008

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 19.96% · Performance 16.16% · Measure score 10 · Achievement 10 · Improvement 9

Healthcare-associated infections

3.05

Baseline 8.07% · Performance 6.98% · Measure score 3.05 · Achievement 2.87 · Improvement 3.05

Total nurse turnover

2.86

Baseline 51.60% · Performance 52.00% · Measure score 2.86 · Achievement 2.86 · Improvement 0

Adjusted total nurse staffing

Baseline 3.93 hours · Performance 3.93 hours · Measure score 3 · Achievement 3 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.66%	10.72% 1.1 pts better	No Different than the National Rate · Eligible stays 638 · Observed rate 10.97% · Lower 95% interval 8.24%
Discharge to community	67.05%	50.57% 16.5 pts better	Better than the National Rate · Eligible stays 630 · Observed rate 53.17% · Lower 95% interval 62.82%
Medicare spending per beneficiary	1.02	1.02 About the same
Drug regimen review with follow-up	97.88%	95.27% 2.6 pts better	Numerator 415 · Denominator 424
Falls with major injury	0.71%	0.77% 0.1 pts better	Numerator 3 · Denominator 424
Discharge self-care score	51.06%	53.69% 2.6 pts worse	Numerator 120 · Denominator 235
Discharge mobility score	61.7%	50.94% 10.8 pts better	Numerator 145 · Denominator 235
Pressure ulcers or injuries, new or worsened	3.54%	2.29% 1.2 pts worse	Numerator 15 · Denominator 424 · Adjusted rate 3.52%
Healthcare-associated infections requiring hospitalization	6.98%	7.12% 0.1 pts better	No Different than the National Rate · Eligible stays 396 · Observed rate 8.33% · Lower 95% interval 5.27%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 241
Staff flu vaccination coverage	69.62%	42% 27.6 pts better	Numerator 165 · Denominator 237
Discharge function score	63.83%	56.45% 7.4 pts better	Numerator 150 · Denominator 235
Transfer of health information to provider	99.39%	95.95% 3.4 pts better	Numerator 162 · Denominator 163
Transfer of health information to patient	99.45%	96.28% 3.2 pts better	Numerator 180 · Denominator 181
Resident COVID-19 vaccinations up to date	8.92%	25.2% 16.3 pts worse	Numerator 19 · Denominator 213

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.9	2.1 0.2 pts better	1.9 About the same	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.9 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.0	1.1 0.1 pts better	1.8 0.8 pts better	Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.9 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	94.0%	93.0% 1 pts better	93.4% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 88.6% · Q2 91.7% · Q3 97.5% · Q4 98.2% · 4Q avg 94.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	95.6%	97.2% 1.6 pts worse	95.5% 0.1 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 95.6%
Percentage of long-stay residents experiencing one or more falls with major injury	0.9%	2.4% 1.5 pts better	3.3% 2.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.2% · Q3 0.6% · Q4 0.6% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	3.5%	11.4% 7.9 pts better	11.4% 7.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 3.1% · Q3 4.6% · Q4 3.3% · 4Q avg 3.5%
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 5.4% · Q2 2.6% · Q3 2.1% · Q4 6.9% · 4Q avg 4.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	21.5%	19.0% 2.5 pts worse	19.6% 1.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 20.3% · Q3 21.5% · Q4 24.8% · 4Q avg 21.5%
Percentage of long-stay residents who received an antipsychotic medication	15.9%	13.5% 2.4 pts worse	16.7% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.0% · Q2 16.5% · Q3 15.4% · Q4 16.8% · 4Q avg 15.9% · 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 · 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	3.7%	9.8% 6.1 pts better	16.3% 12.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 6.7% · Q3 3.2% · Q4 1.5% · 4Q avg 3.7% · 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 3.5% · Q2 4.9% · Q3 1.4% · Q4 2.1% · 4Q avg 3.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.1%	0.7% 0.6 pts better	1.0% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.6% · Q3 0.0% · Q4 0.0% · 4Q avg 0.1% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.2%	0.8% 0.6 pts better	1.7% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.6% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	14.0%	15.9% 1.9 pts better	19.8% 5.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.3% · Q2 15.7% · Q3 12.4% · Q4 12.5% · 4Q avg 14.0%
Percentage of long-stay residents with pressure ulcers	5.5%	6.0% 0.5 pts better	5.1% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 8.3% · Q3 4.3% · Q4 3.4% · 4Q avg 5.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	42.7%	78.7% 36 pts worse	81.7% 39 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 24.6% · Q2 34.8% · Q3 52.1% · Q4 68.1% · 4Q avg 42.7%
Percentage of short-stay residents who had an outpatient emergency department visit	4.2%	8.2% 4 pts better	12.0% 7.8 pts better	Short Stay · 20240701-20250630 · Adjusted 4.2% · Observed 4.4% · Expected 11.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.3%	1.2% 0.1 pts worse	1.6% 0.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.6% · Q3 0.7% · Q4 0.7% · 4Q avg 1.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	39.3%	80.1% 40.8 pts worse	79.7% 40.4 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 39.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	22.1%	25.4% 3.3 pts better	23.9% 1.8 pts better	Short Stay · 20240701-20250630 · Adjusted 22.1% · Observed 24.1% · Expected 26.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-27 · Fire 2025-06-27

6 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2024-01-09 · Fire 2024-01-09

7 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2021-08-06 · Fire 2021-08-06

22 health deficiencies

Top issue: Quality of Life and Care (8 deficiencies)

5 fire-safety deficiencies

Top issue: Egress (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-06-27

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2025-07-18

F · Potential for more than minimal harm 2025-06-27

K321 · Smoke Deficiencies

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 2025-07-18

F · Potential for more than minimal harm 2025-06-27

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2025-07-18

F · Potential for more than minimal harm 2025-06-27

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-08-27

F · Potential for more than minimal harm 2025-06-27

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-07-18

F · Potential for more than minimal harm 2024-01-09

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-02-05

F · Potential for more than minimal harm 2024-01-09

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-01-23

F · Potential for more than minimal harm 2021-08-06

K222 · Egress Deficiencies

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 2021-10-31

E · Potential for more than minimal harm 2021-08-06

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2021-10-31

E · Potential for more than minimal harm 2021-08-06

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2021-10-25

D · Potential for more than minimal harm 2021-08-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-09-20

C · Minimal harm 2021-08-06

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2021-10-31

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-06-27

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2025-08-29

E · Potential for more than minimal harm 2025-06-27

F742 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Corrected 2025-08-29

E · Potential for more than minimal harm 2025-06-27

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-08-29

D · Potential for more than minimal harm 2025-06-27

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2025-08-29

F · Potential for more than minimal harm 2025-03-08

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-04-10

F · Potential for more than minimal harm 2025-03-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-10

E · Potential for more than minimal harm 2024-11-07

F773 · Administration Deficiencies

Health

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Corrected 2024-12-03

D · Potential for more than minimal harm 2024-08-30

F690 · Quality of Life and Care Deficiencies

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 2024-09-18

D · Potential for more than minimal harm 2024-01-09

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-01-23

D · Potential for more than minimal harm 2024-01-09

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-01-23

D · Potential for more than minimal harm 2024-01-09

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-01-23

D · Potential for more than minimal harm 2024-01-09

F693 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2024-01-23

D · Potential for more than minimal harm 2024-01-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-23

D · Potential for more than minimal harm 2023-10-25

F837 · Administration Deficiencies

Health

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

Corrected 2023-11-14

E · Potential for more than minimal harm 2023-06-23

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2023-07-17

E · Potential for more than minimal harm 2023-06-23

F657 · Resident Assessment and Care Planning Deficiencies

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 2023-07-17

D · Potential for more than minimal harm 2023-06-23

F573 · Resident Rights Deficiencies

Health

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Corrected 2023-07-17

D · Potential for more than minimal harm 2023-06-23

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-07-17

D · Potential for more than minimal harm 2023-06-23

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-07-17

D · Potential for more than minimal harm 2023-06-23

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2023-07-17

D · Potential for more than minimal harm 2023-06-23

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2023-07-17

F · Potential for more than minimal harm 2021-08-06

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2022-02-03

F · Potential for more than minimal harm 2021-08-06

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2021-09-20

F · Potential for more than minimal harm 2021-08-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-02-03

E · Potential for more than minimal harm 2021-08-06

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2021-09-20

E · Potential for more than minimal harm 2021-08-06

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2021-09-15

E · Potential for more than minimal harm 2021-08-06

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2021-09-20

E · Potential for more than minimal harm 2021-08-06

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2021-09-20

E · Potential for more than minimal harm 2021-08-06

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2021-09-20

E · Potential for more than minimal harm 2021-08-06

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2021-09-20

E · Potential for more than minimal harm 2021-08-06

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2021-09-20

E · Potential for more than minimal harm 2021-08-06

F808 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2021-09-20

D · Potential for more than minimal harm 2021-08-06

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2021-09-20

D · Potential for more than minimal harm 2021-08-06

F690 · Quality of Life and Care Deficiencies

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 2021-09-20

D · Potential for more than minimal harm 2021-08-06