Cycle 1
Health 2024-08-30 · Fire 2024-08-30
5 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
7 fire-safety deficiencies
Top issue: Egress (5 deficiencies)
Madison, NJ
Pine Acres Rehabilitation And Healthcare
5-star overall rating with 4-star inspections with 5 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
51 Madison Ave, Madison, NJ
(973) 377-2124
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
102
Certified beds
Average residents
83
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Mb Healthcare
Operator or chain grouping
Approved since
1968-05-15
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
11 facilities
Chain averages 3 overall / 3 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
Hours and turnover
RN hours / resident day
0.56
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.10
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.25
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
3.91
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.66
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.30
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.25
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.53
CMS adjusted RN staffing hours
Adjusted total hours
3.71
CMS adjusted total nurse staffing hours
Case-mix index
1.44
Higher values indicate more complex resident acuity
RN turnover
60%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
49%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,934
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
34.54
Composite VBP score used to determine payment impact.
Payment multiplier
0.9885
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
7.45
Baseline 19.44% · Performance 17.98% · Measure score 7.45 · Achievement 7.45 · Improvement 5.56
Healthcare-associated infections
2.84
Baseline 8.12% · Performance 7.08% · Measure score 2.84 · Achievement 2.52 · Improvement 2.84
Total nurse turnover
3.52
Baseline 57.78% · Performance 49.28% · Measure score 3.52 · Achievement 3.52 · Improvement 2.08
Adjusted total nurse staffing
0
Baseline 3.28 hours · Performance 3.17 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.76% |
10.72%
2 pts better
|
No Different than the National Rate · Eligible stays 215 · Observed rate 6.51% · Lower 95% interval 6.47% |
| Discharge to community | 53.22% |
50.57%
2.6 pts better
|
No Different than the National Rate · Eligible stays 201 · Observed rate 44.28% · Lower 95% interval 42.92% |
| Medicare spending per beneficiary | 0.95 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 149 · Denominator 149 |
| Falls with major injury | 1.34% |
0.77%
0.6 pts worse
|
Numerator 2 · Denominator 149 |
| Discharge self-care score | 76.84% |
53.69%
23.2 pts better
|
Numerator 73 · Denominator 95 |
| Discharge mobility score | 52.63% |
50.94%
1.7 pts better
|
Numerator 50 · Denominator 95 |
| Pressure ulcers or injuries, new or worsened | 5.37% |
2.29%
3.1 pts worse
|
Numerator 8 · Denominator 149 · Adjusted rate 4.62% |
| Healthcare-associated infections requiring hospitalization | 7.08% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 132 · Observed rate 7.58% · Lower 95% interval 4.49% |
| Staff COVID-19 vaccination coverage | 3.09% |
8.2%
5.1 pts worse
|
Numerator 3 · Denominator 97 |
| Staff flu vaccination coverage | 100% |
42%
58 pts better
|
Numerator 116 · Denominator 116 |
| Discharge function score | 62.11% |
56.45%
5.7 pts better
|
Numerator 59 · Denominator 95 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 44 · Denominator 44 |
| Transfer of health information to patient | 98.36% |
96.28%
2.1 pts better
|
Numerator 60 · Denominator 61 |
| Resident COVID-19 vaccinations up to date | 36.49% |
25.2%
11.3 pts better
|
Numerator 27 · Denominator 74 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.7 |
2.1
0.4 pts better
|
1.9
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.9 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.4 |
1.1
0.7 pts better
|
1.8
1.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.3 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 89.7% |
93.0%
3.3 pts worse
|
93.4%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 90.0% · Q2 91.8% · Q3 88.1% · Q4 88.9% · 4Q avg 89.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.7% |
97.2%
1.5 pts better
|
95.5%
3.2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.5% |
2.4%
0.9 pts better
|
3.3%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.4% · Q3 1.5% · Q4 1.6% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.6% |
11.4%
6.8 pts better
|
11.4%
6.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 0.0% · Q3 8.2% · Q4 4.0% · 4Q avg 4.6% |
| Percentage of long-stay residents who lose too much weight | 1.7% |
4.6%
2.9 pts better
|
5.4%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 1.6% · Q3 1.8% · Q4 0.0% · 4Q avg 1.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.8% |
19.0%
1.8 pts worse
|
19.6%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.6% · Q2 21.5% · Q3 18.0% · Q4 21.1% · 4Q avg 20.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.1% |
13.5%
0.4 pts better
|
16.7%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 12.0% · Q3 12.8% · Q4 17.1% · 4Q avg 13.1% · 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 | 14.6% |
9.8%
4.8 pts worse
|
16.3%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.7% · Q2 17.1% · 4Q avg 14.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.1% |
9.7%
2.6 pts better
|
14.9%
7.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 7.0% · Q3 9.6% · Q4 8.5% · 4Q avg 7.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.3% |
0.7%
0.6 pts worse
|
1.0%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 0.9% · Q3 1.0% · Q4 1.4% · 4Q avg 1.3% · 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 0.0% · Q4 1.7% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 35.3% |
15.9%
19.4 pts worse
|
19.8%
15.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 41.2% · Q2 36.8% · Q3 33.5% · Q4 28.4% · 4Q avg 35.3% |
| Percentage of long-stay residents with pressure ulcers | 4.0% |
6.0%
2 pts better
|
5.1%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 4.8% · Q3 4.2% · Q4 3.7% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.5% |
78.7%
15.8 pts better
|
81.7%
12.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.0% · Q2 97.0% · Q3 95.1% · Q4 89.4% · 4Q avg 94.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.2% |
8.2%
1 pts better
|
12.0%
4.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.2% · Observed 6.6% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.1% |
1.2%
0.9 pts worse
|
1.6%
0.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 1.8% · Q3 1.6% · Q4 1.4% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.1% |
80.1%
16 pts better
|
79.7%
16.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.0% |
25.4%
5.4 pts better
|
23.9%
3.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.0% · Observed 19.7% · Expected 23.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-08-26 · Fire 2022-08-26
2 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2020-02-24 · Fire 2020-02-24
2 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-08-30
K223 · Egress Deficiencies
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 2024-10-02
F · Potential for more than minimal harm
2024-08-30
K233 · Egress Deficiencies
Fire Safety
Install resident room doors of proper design and width.
Corrected 2024-10-18
F · Potential for more than minimal harm
2024-08-30
K255 · Egress Deficiencies
Fire Safety
Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction.
Corrected 2024-10-02
F · Potential for more than minimal harm
2024-08-30
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2024-10-18
F · Potential for more than minimal harm
2024-08-30
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-10-18
F · Potential for more than minimal harm
2024-08-30
K342 · Smoke Deficiencies
Fire Safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2024-10-18
F · Potential for more than minimal harm
2024-08-30
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-10-18
F · Potential for more than minimal harm
2022-08-26
K541 · Services Deficiencies
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2022-09-23
E · Potential for more than minimal harm
2022-08-26
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2022-08-29
E · Potential for more than minimal harm
2022-08-26
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2022-09-01
Inspection history
Recent health citations
E · Potential for more than minimal harm
2026-01-15
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Not marked corrected
D · Potential for more than minimal harm
2024-08-30
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-09-22
D · Potential for more than minimal harm
2024-08-30
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-22
C · Minimal harm
2024-08-30
F836 · Administration Deficiencies
Health
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.
Corrected 2024-09-22
B · Minimal harm
2024-08-30
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-09-22
F · Potential for more than minimal harm
2022-08-26
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 2022-09-29
F · Potential for more than minimal harm
2022-08-26
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2022-08-29
D · Potential for more than minimal harm
2020-02-24
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2020-03-24
D · Potential for more than minimal harm
2020-02-24
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2020-03-24
Penalties and ownership
What sits behind the stars
Ownership
Pine Acres Parent LLC
5% Or Greater Direct Ownership Interest · Organization
Brodt, Moshe
5% Or Greater Indirect Ownership Interest · Individual
Schwartz, Leopold
Operational/Managerial Control · Individual
Sommers, Dovid
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Florham Park Rehabilitation And Healthcare Center
Florham Park, NJ
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
#2
Cheshire Home
Florham Park, NJ
5-star overall rating with 4-star inspections with 9 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#3
Chatham Hills Subacute Care Center
Chatham, NJ
4-star overall rating with 3-star inspections with $14,521 in total fines with 9 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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