Cycle 1
Health 2024-11-04 · Fire 2024-11-04
0 health deficiencies
No concentrated health issue counts in this cycle.
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Basking Ridge, NJ
Skilled Nursing At Fellowship Village
5-star overall rating with 5-star inspections with 6 fire-safety deficiencies in the latest cycle
8000 Fellowship Drive, Basking Ridge, NJ
(908) 580-3800
Overall
5 / 5
CMS overall stars
Health inspections
5 / 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
67
Certified beds
Average residents
59
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1996-07-01
CMS approved date
Coverage
Medicare
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
Hours and turnover
RN hours / resident day
1.35
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.25
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
3.07
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
5.68
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
2.61
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
5.56
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
1.02
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.18
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
1.37
CMS adjusted RN staffing hours
Adjusted total hours
5.74
CMS adjusted total nurse staffing hours
Case-mix index
1.35
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
841
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
63.08
Composite VBP score used to determine payment impact.
Payment multiplier
1.0179
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
9.45
Baseline 15.96% · Performance 17.05% · Measure score 9.45 · Achievement 9.45 · Improvement 0
Healthcare-associated infections
5.14
Baseline 5.73% · Performance 6.30% · Measure score 5.14 · Achievement 5.14 · Improvement 0
Total nurse turnover
4.52
Baseline 56.90% · Performance 45.20% · Measure score 4.52 · Achievement 4.52 · Improvement 3.15
Adjusted total nurse staffing
6.12
Baseline 4.99 hours · Performance 4.82 hours · Measure score 6.12 · Achievement 6.12 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.7% |
10.72%
2 pts better
|
No Different than the National Rate · Eligible stays 358 · Observed rate 6.7% · Lower 95% interval 6.92% |
| Discharge to community | 59.42% |
50.57%
8.9 pts better
|
Better than the National Rate · Eligible stays 345 · Observed rate 54.49% · Lower 95% interval 53.01% |
| Medicare spending per beneficiary | 0.69 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 98.82% |
95.27%
3.5 pts better
|
Numerator 251 · Denominator 254 |
| Falls with major injury | 0.39% |
0.77%
0.4 pts better
|
Numerator 1 · Denominator 254 |
| Discharge self-care score | 34.13% |
53.69%
19.6 pts worse
|
Numerator 71 · Denominator 208 |
| Discharge mobility score | 37.98% |
50.94%
13 pts worse
|
Numerator 79 · Denominator 208 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 254 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.3% |
7.12%
0.8 pts better
|
No Different than the National Rate · Eligible stays 206 · Observed rate 4.85% · Lower 95% interval 4.11% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 75 |
| Staff flu vaccination coverage | 98.86% |
42%
56.9 pts better
|
Numerator 173 · Denominator 175 |
| Discharge function score | 42.31% |
56.45%
14.1 pts worse
|
Numerator 88 · Denominator 208 |
| Transfer of health information to provider | 97.83% |
95.95%
1.9 pts better
|
Numerator 90 · Denominator 92 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 118 · Denominator 118 |
| Resident COVID-19 vaccinations up to date | 12.14% |
25.2%
13.1 pts worse
|
Numerator 17 · Denominator 140 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.3 |
2.1
0.2 pts worse
|
1.9
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.1 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.6 |
1.1
0.5 pts better
|
1.8
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.5 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.8% |
93.0%
4.8 pts better
|
93.4%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 92.1% · 4Q avg 97.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
97.2%
2.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.8% |
2.4%
3.4 pts worse
|
3.3%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 9.4% · Q3 5.7% · Q4 2.6% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.8% |
11.4%
10.6 pts better
|
11.4%
10.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% |
| Percentage of long-stay residents who lose too much weight | 2.0% |
4.6%
2.6 pts better
|
5.4%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 4.8% · Q3 0.0% · Q4 0.0% · 4Q avg 2.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.7% |
19.0%
6.3 pts better
|
19.6%
6.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 9.1% · Q3 12.0% · Q4 14.3% · 4Q avg 12.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.0% |
13.5%
0.5 pts better
|
16.7%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 15.0% · Q4 9.5% · 4Q avg 13.0% · 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 | 11.0% |
9.8%
1.2 pts worse
|
16.3%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 11.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.5% |
9.7%
5.2 pts better
|
14.9%
10.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q3 0.0% · Q4 4.0% · 4Q avg 4.5% · 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 | 2.2% |
0.8%
1.4 pts worse
|
1.7%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 3.2% · Q3 2.9% · Q4 0.0% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.3% |
15.9%
4.4 pts worse
|
19.8%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.6% · Q2 19.6% · Q3 32.5% · Q4 8.4% · 4Q avg 20.3% |
| Percentage of long-stay residents with pressure ulcers | 2.3% |
6.0%
3.7 pts better
|
5.1%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 1.8% · Q3 1.9% · Q4 1.7% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.5% |
78.7%
19.8 pts better
|
81.7%
16.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 93.7% · 4Q avg 98.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.8% |
8.2%
1.4 pts better
|
12.0%
5.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.8% · Observed 5.7% · Expected 9.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.2% |
1.2%
1 pts better
|
1.6%
1.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.7% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.7% |
80.1%
16.6 pts better
|
79.7%
17 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.8% |
25.4%
3.4 pts worse
|
23.9%
4.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.8% · Observed 23.7% · Expected 19.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-07-20 · Fire 2023-07-20
1 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2021-07-22 · Fire 2021-07-22
1 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-11-04
E30 · Emergency Preparedness Deficiencies
Fire Safety
List the names and contact information of those in the facility.
Corrected 2024-11-22
F · Potential for more than minimal harm
2024-11-04
K342 · Smoke Deficiencies
Fire Safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2024-12-13
F · Potential for more than minimal harm
2024-11-04
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-12-13
F · Potential for more than minimal harm
2024-11-04
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-12-06
F · Potential for more than minimal harm
2024-11-04
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-12-13
F · Potential for more than minimal harm
2024-11-04
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-11-22
F · Potential for more than minimal harm
2023-07-20
K111 · Construction Deficiencies
Fire Safety
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
Corrected 2023-08-11
F · Potential for more than minimal harm
2023-07-20
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-09-05
F · Potential for more than minimal harm
2023-07-20
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-08-18
F · Potential for more than minimal harm
2023-07-20
K522 · Services Deficiencies
Fire Safety
Have an externally vented heating system.
Corrected 2023-09-01
D · Potential for more than minimal harm
2021-07-22
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 2021-08-12
D · Potential for more than minimal harm
2021-07-22
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-08-25
Inspection history
Recent health citations
D · Potential for more than minimal harm
2023-07-20
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 2023-08-18
D · Potential for more than minimal harm
2021-07-22
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 2021-07-27
Penalties and ownership
What sits behind the stars
Ownership
Achenbach, Edwin
Corporate Director · Individual
Achenbach, Paul
Corporate Director · Individual
Dersh, Barbara
Corporate Director · Individual
Lawrence, Brian
Operational/Managerial Control · Individual
Lawrence, Brian
Corporate Director · Individual
Lawrence, Brian
Corporate Officer · Individual
Lawrence, Brian
W-2 Managing Employee · Individual
Miller, Gregory
Corporate Director · Individual
Morin, Stanley
Corporate Director · Individual
Nearby options
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#2
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3-star overall rating with 2-star inspections with $25,857 in total fines with 11 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
#3
Bridgeway Care And Rehab Center At Bridgewater
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2-star overall rating with 2-star inspections with abuse icon flag with $7,901 in total fines with 3 recent health deficiencies with 16 fire-safety deficiencies in the latest cycle
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