Cycle 1
Health 2025-08-14 · Fire 2025-08-14
7 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Berkeley Heights, NJ
Runnells Center For Rehabilitation & Healthcare
5-star overall rating with 4-star inspections with $5,160 in total fines with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
40 Watchung Way, Berkeley Heights, NJ
(908) 771-5700
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
300
Certified beds
Average residents
246
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Rosenberg Family
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
10 facilities
Chain averages 3 overall / 2 health / 4 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
0.96
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.71
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
4.23
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.52
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.65
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.40
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
0.69
CMS adjusted RN staffing hours
Adjusted total hours
5.21
CMS adjusted total nurse staffing hours
Case-mix index
1.11
Higher values indicate more complex resident acuity
RN turnover
29%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
30%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,279
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
50.50
Composite VBP score used to determine payment impact.
Payment multiplier
1.0047
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.19
Baseline 18.02% · Performance 18.56% · Measure score 6.19 · Achievement 6.19 · Improvement 0
Healthcare-associated infections
3.90
Baseline 5.69% · Performance 6.67% · Measure score 3.90 · Achievement 3.90 · Improvement 0
Total nurse turnover
5.40
Baseline 52.66% · Performance 41.62% · Measure score 5.40 · Achievement 5.40 · Improvement 3.47
Adjusted total nurse staffing
4.72
Baseline 4.24 hours · Performance 4.42 hours · Measure score 4.72 · Achievement 4.72 · Improvement 0.67
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 145 · Observed rate 8.97% · Lower 95% interval 6.52% |
| Discharge to community | 60.04% |
50.57%
9.5 pts better
|
Better than the National Rate · Eligible stays 75 · Observed rate 50.67% · Lower 95% interval 51.21% |
| Medicare spending per beneficiary | 1.08 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 97.1% |
95.27%
1.8 pts better
|
Numerator 67 · Denominator 69 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 69 |
| Discharge self-care score | 36.17% |
53.69%
17.5 pts worse
|
Numerator 17 · Denominator 47 |
| Discharge mobility score | 51.06% |
50.94%
0.1 pts better
|
Numerator 24 · Denominator 47 |
| Pressure ulcers or injuries, new or worsened | 4.35% |
2.29%
2.1 pts worse
|
Numerator 3 · Denominator 69 · Adjusted rate 3.52% |
| Healthcare-associated infections requiring hospitalization | 6.67% |
7.12%
0.5 pts better
|
No Different than the National Rate · Eligible stays 61 · Observed rate 6.56% · Lower 95% interval 4.07% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 252 |
| Staff flu vaccination coverage | 98.9% |
42%
56.9 pts better
|
Numerator 269 · Denominator 272 |
| Discharge function score | 53.19% |
56.45%
3.3 pts worse
|
Numerator 25 · Denominator 47 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 23.81% |
25.2%
1.4 pts worse
|
Numerator 10 · Denominator 42 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
2.1
0.6 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.0 · Expected 1.3 · 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 0.8 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.4% |
93.0%
2.4 pts better
|
93.4%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.0% · Q2 97.4% · Q3 95.7% · Q4 91.3% · 4Q avg 95.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.1% |
97.2%
4.1 pts worse
|
95.5%
2.4 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.7% |
2.4%
1.7 pts better
|
3.3%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.9% · Q3 0.0% · Q4 0.9% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 21.8% |
11.4%
10.4 pts worse
|
11.4%
10.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.9% · Q3 45.0% · Q4 41.8% · 4Q avg 21.8% |
| Percentage of long-stay residents who lose too much weight | 4.0% |
4.6%
0.6 pts better
|
5.4%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 2.2% · Q3 4.1% · Q4 3.2% · 4Q avg 4.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.7% |
19.0%
6.7 pts worse
|
19.6%
6.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.6% · Q2 25.2% · Q3 25.1% · Q4 25.9% · 4Q avg 25.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 25.1% |
13.5%
11.6 pts worse
|
16.7%
8.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.0% · Q2 19.4% · Q3 26.0% · Q4 28.1% · 4Q avg 25.1% · 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 | 4.0% |
9.8%
5.8 pts better
|
16.3%
12.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 5.5% · Q3 1.6% · Q4 3.7% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.4% |
9.7%
5.3 pts better
|
14.9%
10.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 4.7% · Q3 6.2% · Q4 3.9% · 4Q avg 4.4% · 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 0.0% · Q3 0.4% · Q4 0.0% · 4Q avg 0.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.3% |
0.8%
0.5 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.4% · Q3 0.4% · Q4 0.4% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 7.2% |
15.9%
8.7 pts better
|
19.8%
12.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.0% · Q2 4.9% · Q3 6.3% · Q4 8.7% · 4Q avg 7.2% |
| Percentage of long-stay residents with pressure ulcers | 4.6% |
6.0%
1.4 pts better
|
5.1%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 3.7% · Q3 4.6% · Q4 6.1% · 4Q avg 4.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 74.8% |
78.7%
3.9 pts worse
|
81.7%
6.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 93.8% · Q2 80.5% · Q3 69.1% · Q4 59.8% · 4Q avg 74.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.9% |
8.2%
1.7 pts worse
|
12.0%
2.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.9% · Observed 10.0% · Expected 11.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.8% |
1.2%
2.6 pts worse
|
1.6%
2.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 0.0% · Q3 5.3% · Q4 3.0% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 70.4% |
80.1%
9.7 pts worse
|
79.7%
9.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 70.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.1% |
25.4%
9.3 pts better
|
23.9%
7.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.1% · Observed 15.0% · Expected 22.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-04-09 · Fire 2024-04-09
3 health deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2022-01-19 · Fire 2022-01-19
15 health deficiencies
Top issue: Pharmacy Service (4 deficiencies)
9 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-08-14
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2025-08-22
F · Potential for more than minimal harm
2024-04-09
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2024-04-26
F · Potential for more than minimal harm
2024-04-09
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-04-26
E · Potential for more than minimal harm
2024-04-09
K541 · Services Deficiencies
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2024-04-26
E · Potential for more than minimal harm
2022-01-19
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-02-01
E · Potential for more than minimal harm
2022-01-19
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2022-02-18
D · Potential for more than minimal harm
2022-01-19
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2022-02-01
D · Potential for more than minimal harm
2022-01-19
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-02-01
D · Potential for more than minimal harm
2022-01-19
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-02-01
D · Potential for more than minimal harm
2022-01-19
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-02-08
D · Potential for more than minimal harm
2022-01-19
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-02-08
D · Potential for more than minimal harm
2022-01-19
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2022-01-20
D · Potential for more than minimal harm
2022-01-19
K916 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2022-02-01
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-10-31
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-11-24
D · Potential for more than minimal harm
2025-10-31
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-11-24
D · Potential for more than minimal harm
2025-10-31
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-11-24
D · Potential for more than minimal harm
2025-08-14
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 2025-08-22
D · Potential for more than minimal harm
2025-08-14
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 2025-08-22
D · Potential for more than minimal harm
2025-08-14
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 2025-08-22
D · Potential for more than minimal harm
2025-08-14
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-22
D · Potential for more than minimal harm
2024-04-09
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-04-26
D · Potential for more than minimal harm
2024-04-09
F712 · Nursing and Physician Services Deficiencies
Health
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2024-04-26
D · Potential for more than minimal harm
2024-04-09
F758 · Pharmacy Service Deficiencies
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 2024-04-26
G · Actual harm
2023-07-07
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-07-08
E · Potential for more than minimal harm
2022-01-19
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-02-11
E · Potential for more than minimal harm
2022-01-19
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 2022-02-11
E · Potential for more than minimal harm
2022-01-19
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-02-11
E · Potential for more than minimal harm
2022-01-19
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 2022-02-11
E · Potential for more than minimal harm
2022-01-19
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2022-02-11
E · Potential for more than minimal harm
2022-01-19
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 2022-02-11
E · Potential for more than minimal harm
2022-01-19
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-03-18
D · Potential for more than minimal harm
2022-01-19
F557 · Resident Rights Deficiencies
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2022-02-11
D · Potential for more than minimal harm
2022-01-19
F584 · Resident Rights Deficiencies
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 2022-02-11
D · Potential for more than minimal harm
2022-01-19
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-02-11
D · Potential for more than minimal harm
2022-01-19
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-02-11
D · Potential for more than minimal harm
2022-01-19
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-02-11
D · Potential for more than minimal harm
2022-01-19
F761 · Pharmacy Service Deficiencies
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 2022-02-11
D · Potential for more than minimal harm
2022-01-19
F919 · Environmental Deficiencies
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2022-02-11
Penalties and ownership
What sits behind the stars
$5,160
2023-07-07
Fine
Fine · fine $5,160
Fine
Ownership
Garrett, Joseph
Operational/Managerial Control · Individual
Jain, Doney
Operational/Managerial Control · Individual
Rosenberg, Avraham
5% Or Greater Direct Ownership Interest · Individual
Rosenberg, Esther
5% Or Greater Direct Ownership Interest · Individual
Rosenberg, Jonathan
5% Or Greater Direct Ownership Interest · Individual
Rosenberg, Jonathan
Operational/Managerial Control · Individual
Rosenberg, Moshe
5% Or Greater Direct Ownership Interest · Individual
Rosenberg, Zvi
5% Or Greater Direct Ownership Interest · Individual
Runnells Property LLC
5% Or Greater Security Interest · Organization
Runnells Property LLC
5% Or Greater Mortgage Interest · Organization
Stern, Samuel
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Autumn Lake Healthcare At Berkeley Heights
Berkeley Heights, NJ
4-star overall rating with 3-star inspections with $102,660 in total fines with 3 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#2
Mcauley Hall Health Care Cente
Watchung, NJ
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
#3
Continuing Care At Lantern Hill
New Providence, NJ
3-star overall rating with 2-star inspections with 4 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
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