Cycle 1
Health 2025-11-19 · Fire 2025-11-19
2 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
12 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Cranbury, NJ
The Elms Rehab And Healthcare Center Of Cranbury
4-star overall rating with 3-star inspections with $57,282 in total fines with 2 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
61 Maplewood Avenue, Cranbury, NJ
(609) 395-0641
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
89
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Atlas Healthcare
Operator or chain grouping
Approved since
1998-05-20
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
28 facilities
Chain averages 4 overall / 3 health / 2 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
0.45
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.37
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.03
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
3.85
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.82
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.36
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.23
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.15
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.40
CMS adjusted RN staffing hours
Adjusted total hours
3.45
CMS adjusted total nurse staffing hours
Case-mix index
1.53
Higher values indicate more complex resident acuity
RN turnover
67%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
46%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
13,150
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
7.90
Composite VBP score used to determine payment impact.
Payment multiplier
0.9807
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0.41
Baseline 22.30% · Performance 21.82% · Measure score 0.41 · Achievement 0 · Improvement 0.41
Healthcare-associated infections
0
Baseline 7.22% · Performance 8.11% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
2.75
Baseline 54.17% · Performance 52.44% · Measure score 2.75 · Achievement 2.75 · Improvement 0.09
Adjusted total nurse staffing
0
Baseline 3.52 hours · Performance 2.92 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.86% |
10.72%
3.1 pts worse
|
Worse than the National Rate · Eligible stays 518 · Observed rate 14.48% · Lower 95% interval 11.39% |
| Discharge to community | 61.27% |
50.57%
10.7 pts better
|
Better than the National Rate · Eligible stays 523 · Observed rate 54.68% · Lower 95% interval 56.78% |
| Medicare spending per beneficiary | 1.23 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 244 · Denominator 244 |
| Falls with major injury | 1.64% |
0.77%
0.9 pts worse
|
Numerator 4 · Denominator 244 |
| Discharge self-care score | 72.09% |
53.69%
18.4 pts better
|
Numerator 93 · Denominator 129 |
| Discharge mobility score | 62.79% |
50.94%
11.9 pts better
|
Numerator 81 · Denominator 129 |
| Pressure ulcers or injuries, new or worsened | 2.87% |
2.29%
0.6 pts worse
|
Numerator 7 · Denominator 244 · Adjusted rate 2.39% |
| Healthcare-associated infections requiring hospitalization | 8.11% |
7.12%
1 pts worse
|
No Different than the National Rate · Eligible stays 265 · Observed rate 8.3% · Lower 95% interval 5.89% |
| Staff COVID-19 vaccination coverage | 0.88% |
8.2%
7.3 pts worse
|
Numerator 1 · Denominator 113 |
| Staff flu vaccination coverage | 98.73% |
42%
56.7 pts better
|
Numerator 155 · Denominator 157 |
| Discharge function score | 71.32% |
56.45%
14.9 pts better
|
Numerator 92 · Denominator 129 |
| Transfer of health information to provider | 88.08% |
95.95%
7.9 pts worse
|
Numerator 170 · Denominator 193 |
| Transfer of health information to patient | 85.71% |
96.28%
10.6 pts worse
|
Numerator 24 · Denominator 28 |
| Resident COVID-19 vaccinations up to date | 14.88% |
25.2%
10.3 pts worse
|
Numerator 18 · Denominator 121 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.1 |
2.1
About the same
|
1.9
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.0 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
1.1
0.3 pts worse
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.3 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.5% |
93.0%
5.5 pts better
|
93.4%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 94.2% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 98.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.6% |
97.2%
1.4 pts better
|
95.5%
3.1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.6% |
2.4%
2.2 pts worse
|
3.3%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 6.2% · Q3 4.9% · Q4 6.1% · 4Q avg 4.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.4% |
11.4%
4 pts better
|
11.4%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 10.2% · Q3 7.0% · Q4 4.6% · 4Q avg 7.4% |
| Percentage of long-stay residents who lose too much weight | 3.8% |
4.6%
0.8 pts better
|
5.4%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 3.6% · Q3 3.6% · Q4 3.3% · 4Q avg 3.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.7% |
19.0%
2.3 pts better
|
19.6%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 17.7% · Q3 20.7% · Q4 13.1% · 4Q avg 16.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.5% |
13.5%
4 pts better
|
16.7%
7.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.3% · Q2 10.0% · Q3 12.8% · Q4 3.9% · 4Q avg 9.5% · 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 | 7.7% |
9.8%
2.1 pts better
|
16.3%
8.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 6.7% · Q3 3.5% · Q4 3.2% · 4Q avg 7.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.4% |
9.7%
3.3 pts better
|
14.9%
8.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 9.6% · Q3 6.2% · Q4 2.0% · 4Q avg 6.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
0.7%
0.2 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.1% · Q4 0.9% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
0.8%
0.8 pts better
|
1.7%
1.7 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 new or worsened bowel or bladder incontinence | 38.8% |
15.9%
22.9 pts worse
|
19.8%
19 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 44.0% · Q2 42.7% · Q3 28.3% · Q4 39.2% · 4Q avg 38.8% |
| Percentage of long-stay residents with pressure ulcers | 7.5% |
6.0%
1.5 pts worse
|
5.1%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.3% · Q2 8.5% · Q3 6.4% · Q4 3.7% · 4Q avg 7.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.6% |
78.7%
17.9 pts better
|
81.7%
14.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 93.9% · Q2 96.9% · Q3 96.9% · Q4 98.9% · 4Q avg 96.6% |
| 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 6.1% · Expected 9.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.4% |
1.2%
0.8 pts better
|
1.6%
1.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.8% · Q3 0.8% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.4% |
80.1%
15.3 pts better
|
79.7%
15.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.4% |
25.4%
About the same
|
23.9%
1.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.4% · Observed 23.4% · Expected 21.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-03-07 · Fire 2024-03-07
5 health deficiencies
Top issue: Administration (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2021-11-19 · Fire 2021-11-19
3 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-11-19
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2025-12-26
F · Potential for more than minimal harm
2025-11-19
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2026-01-12
F · Potential for more than minimal harm
2025-11-19
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-11-30
F · Potential for more than minimal harm
2025-11-19
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2025-12-07
F · Potential for more than minimal harm
2025-11-19
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-12-06
F · Potential for more than minimal harm
2025-11-19
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-12-06
E · Potential for more than minimal harm
2025-11-19
K226 · Egress Deficiencies
Fire Safety
Have horizontal exits used in accordance with safety requirements.
Corrected 2025-11-30
D · Potential for more than minimal harm
2025-11-19
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 2025-11-30
D · Potential for more than minimal harm
2025-11-19
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-11-30
D · Potential for more than minimal harm
2025-11-19
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 2025-11-30
D · Potential for more than minimal harm
2025-11-19
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-12-06
D · Potential for more than minimal harm
2025-11-19
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-12-16
D · Potential for more than minimal harm
2021-11-19
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-01-31
D · Potential for more than minimal harm
2021-11-19
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2022-01-31
D · Potential for more than minimal harm
2021-11-19
K753 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2021-11-20
D · Potential for more than minimal harm
2021-11-19
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-01-31
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-11-19
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 2025-12-06
D · Potential for more than minimal harm
2025-11-19
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-12-06
J · Immediate jeopardy
2024-12-20
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 2025-01-22
J · Immediate jeopardy
2024-12-20
F835 · Administration Deficiencies
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2025-01-22
D · Potential for more than minimal harm
2024-03-07
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 2024-04-30
D · Potential for more than minimal harm
2024-03-07
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-04-15
B · Minimal harm
2024-03-07
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 2024-04-15
E · Potential for more than minimal harm
2021-11-19
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-01-31
D · Potential for more than minimal harm
2021-11-19
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 2022-01-31
D · Potential for more than minimal harm
2021-11-19
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-01-31
Penalties and ownership
What sits behind the stars
$57,282
2024-12-20
Fine
Fine · fine $57,282
Fine
Ownership
Cranbury SNF Operations Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Malt Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Sgs 2010 Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Tyh 2017 Trust
5% Or Greater Indirect Ownership Interest · Organization
Herzka, David
5% Or Greater Indirect Ownership Interest · Individual
Bak, Pinchos
Operational/Managerial Control · Individual
Bak, Pinchos
Corporate Officer · Individual
Gerson, Yosef
Operational/Managerial Control · Individual
Goldberger, Shlomo
Operational/Managerial Control · Individual
Herzka, David
Limited Partnership Interest · Individual
Nasra, Magdy
Operational/Managerial Control · Individual
Sonnenschein, Moshe
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Cranbury Center
Monroe Township, NJ
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
Gardens At Monroe Healthcare And Rehabilitation, T
Monroe Township, NJ
4-star overall rating with 3-star inspections with $61,120 in total fines with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Meadow Lakes
East Windsor, NJ
2-star overall rating with 2-star inspections with 11 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
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