7 health deficiencies
Top issue: Resident Rights (3 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Orange, NJ
5-star overall rating with 4-star inspections with 7 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
560 Berkeley Avenue, Orange, NJ
(973) 672-6500
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
176
Certified beds
Average residents
164
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Colev Gestetner
Operator or chain grouping
Approved since
1997-07-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
7 facilities
Chain averages 4 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
RN hours / resident day
0.62
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.72
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
3.66
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.33
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.28
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.47
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.64
CMS adjusted RN staffing hours
Adjusted total hours
3.78
CMS adjusted total nurse staffing hours
Case-mix index
1.32
Higher values indicate more complex resident acuity
RN turnover
24%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
26%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
1,421
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
56.81
Composite VBP score used to determine payment impact.
Payment multiplier
1.0119
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.78
Baseline 22.06% · Performance 19.41% · Measure score 4.78 · Achievement 4.37 · Improvement 4.78
Healthcare-associated infections
7.70
Baseline 9.39% · Performance 5.79% · Measure score 7.70 · Achievement 6.85 · Improvement 7.70
Total nurse turnover
8.17
Baseline 40.48% · Performance 30.30% · Measure score 8.17 · Achievement 8.17 · Improvement 6.01
Adjusted total nurse staffing
2.08
Baseline 3.45 hours · Performance 3.67 hours · Measure score 2.08 · Achievement 2.08 · Improvement 0.45
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.93% |
10.72%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 161 · Observed rate 13.66% · Lower 95% interval 8.95% |
| Discharge to community | 53.54% |
50.57%
3 pts better
|
No Different than the National Rate · Eligible stays 122 · Observed rate 45.9% · Lower 95% interval 44.42% |
| Medicare spending per beneficiary | 1.31 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 239 · Denominator 239 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 239 |
| Discharge self-care score | 58.5% |
53.69%
4.8 pts better
|
Numerator 86 · Denominator 147 |
| Discharge mobility score | 55.1% |
50.94%
4.2 pts better
|
Numerator 81 · Denominator 147 |
| Pressure ulcers or injuries, new or worsened | 1.26% |
2.29%
1 pts better
|
Numerator 3 · Denominator 239 · Adjusted rate 0.98% |
| Healthcare-associated infections requiring hospitalization | 5.79% |
7.12%
1.3 pts better
|
No Different than the National Rate · Eligible stays 110 · Observed rate 4.55% · Lower 95% interval 3.41% |
| Staff COVID-19 vaccination coverage | 1.1% |
8.2%
7.1 pts worse
|
Numerator 2 · Denominator 182 |
| Staff flu vaccination coverage | 97.56% |
42%
55.6 pts better
|
Numerator 200 · Denominator 205 |
| Discharge function score | 60.54% |
56.45%
4.1 pts better
|
Numerator 89 · Denominator 147 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 77 · Denominator 77 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 86 · Denominator 86 |
| Resident COVID-19 vaccinations up to date | 5.3% |
25.2%
19.9 pts worse
|
Numerator 7 · Denominator 132 |
Quality measures
| 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 2.0 · Expected 1.6 · 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 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.8% |
93.0%
6.8 pts better
|
93.4%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 99.3% · Q4 100.0% · 4Q avg 99.8% |
| 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 | 0.4% |
2.4%
2 pts better
|
3.3%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.0% · Q3 0.0% · Q4 0.7% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.5% |
11.4%
8.9 pts better
|
11.4%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 2.3% · Q3 0.0% · Q4 2.3% · 4Q avg 2.5% |
| Percentage of long-stay residents who lose too much weight | 10.6% |
4.6%
6 pts worse
|
5.4%
5.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.6% · Q2 10.4% · Q3 10.7% · Q4 8.7% · 4Q avg 10.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.1% |
19.0%
8.9 pts better
|
19.6%
9.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.3% · Q2 9.4% · Q3 8.7% · Q4 11.1% · 4Q avg 10.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 3.0% |
13.5%
10.5 pts better
|
16.7%
13.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 2.5% · Q3 3.3% · Q4 3.3% · 4Q avg 3.0% · 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 | 2.2% |
9.8%
7.6 pts better
|
16.3%
14.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 0.0% · Q3 4.0% · Q4 1.4% · 4Q avg 2.2% · 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 5.3% · Q2 3.4% · Q3 4.2% · Q4 5.2% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
0.7%
0.3 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.4% · 4Q avg 0.4% · 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 | 4.0% |
15.9%
11.9 pts better
|
19.8%
15.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 3.8% · Q3 6.4% · Q4 3.7% · 4Q avg 4.0% |
| Percentage of long-stay residents with pressure ulcers | 5.6% |
6.0%
0.4 pts better
|
5.1%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 7.3% · Q3 6.3% · Q4 3.4% · 4Q avg 5.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.1% |
78.7%
14.4 pts better
|
81.7%
11.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 87.3% · Q2 94.6% · Q3 96.6% · Q4 93.6% · 4Q avg 93.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.5% |
8.2%
3.7 pts better
|
12.0%
7.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.5% · Observed 4.4% · Expected 10.9% · 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 | 95.3% |
80.1%
15.2 pts better
|
79.7%
15.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.8% |
25.4%
1.6 pts better
|
23.9%
0.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.8% · Observed 29.2% · Expected 29.2% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (3 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Nursing and Physician Services (1 deficiency)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Infection Control (1 deficiency)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
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 2025-10-05
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-10-05
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2025-10-05
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-10-05
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-06-20
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-06-20
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-06-06
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-10-03
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 2022-10-03
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-10-20
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2022-10-03
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-10-20
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 2022-10-03
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-10-03
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-10-03
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-10-03
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2022-10-03
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-10-05
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-10-05
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2025-10-05
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-10-05
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 2025-10-05
Health
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2025-10-05
Health
Provide or obtain dental services for each resident.
Corrected 2025-10-05
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2024-07-01
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-06-20
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-10-03
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2022-10-03
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
W-2 Managing Employee · Individual
Nearby options
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