Cycle 1
Health 2025-05-06 · Fire 2025-05-06
3 health deficiencies
Top issue: Nursing and Physician Services (2 deficiencies)
17 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Woodcliff Lake, NJ
Woodcliff Lake Health & Rehabilitation Center
5-star overall rating with 4-star inspections with $9,750 in total fines with 3 recent health deficiencies with 17 fire-safety deficiencies in the latest cycle
555 Chestnut Ridge Road, Woodcliff Lake, NJ
(201) 391-0900
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
114
Certified beds
Average residents
86
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Family Of Caring Healthcare
Operator or chain grouping
Approved since
1972-02-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
8 facilities
Chain averages 4 overall / 3 health / 4 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.72
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.04
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
4.01
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.77
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.73
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.67
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.37
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.57
CMS adjusted RN staffing hours
Adjusted total hours
3.16
CMS adjusted total nurse staffing hours
Case-mix index
1.74
Higher values indicate more complex resident acuity
RN turnover
14%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
38%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
7,817
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
28.69
Composite VBP score used to determine payment impact.
Payment multiplier
0.9851
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.01
Baseline 19.93% · Performance 20.04% · Measure score 3.01 · Achievement 3.01 · Improvement 0
Healthcare-associated infections
2.77
Baseline 10.03% · Performance 8.38% · Measure score 2.77 · Achievement 0 · Improvement 2.77
Total nurse turnover
5.54
Baseline 37.50% · Performance 41.05% · Measure score 5.54 · Achievement 5.54 · Improvement 0
Adjusted total nurse staffing
0.16
Baseline 2.99 hours · Performance 3.17 hours · Measure score 0.16 · Achievement 0 · Improvement 0.16
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.32% |
10.72%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 506 · Observed rate 10.47% · Lower 95% interval 8.74% |
| Discharge to community | 66.57% |
50.57%
16 pts better
|
Better than the National Rate · Eligible stays 540 · Observed rate 60.56% · Lower 95% interval 62.43% |
| Medicare spending per beneficiary | 1.26 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 302 · Denominator 302 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 302 |
| Discharge self-care score | 64.04% |
53.69%
10.4 pts better
|
Numerator 114 · Denominator 178 |
| Discharge mobility score | 69.1% |
50.94%
18.2 pts better
|
Numerator 123 · Denominator 178 |
| Pressure ulcers or injuries, new or worsened | 2.32% |
2.29%
About the same
|
Numerator 7 · Denominator 302 · Adjusted rate 2.46% |
| Healthcare-associated infections requiring hospitalization | 8.38% |
7.12%
1.3 pts worse
|
No Different than the National Rate · Eligible stays 351 · Observed rate 7.98% · Lower 95% interval 6.2% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 139 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 66.85% |
56.45%
10.4 pts better
|
Numerator 119 · Denominator 178 |
| Transfer of health information to provider | 96.2% |
95.95%
0.2 pts better
|
Numerator 76 · Denominator 79 |
| Transfer of health information to patient | 99.01% |
96.28%
2.7 pts better
|
Numerator 200 · Denominator 202 |
| Resident COVID-19 vaccinations up to date | 4.2% |
25.2%
21 pts worse
|
Numerator 6 · Denominator 143 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.0 |
2.1
1.1 pts better
|
1.9
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.9 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.5 |
1.1
0.6 pts better
|
1.8
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.5 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
93.0%
7 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 | 2.1% |
2.4%
0.3 pts better
|
3.3%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 2.1% · Q3 0.0% · Q4 2.2% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.7% |
11.4%
4.7 pts better
|
11.4%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 8.5% · Q3 6.7% · Q4 7.0% · 4Q avg 6.7% |
| Percentage of long-stay residents who lose too much weight | 8.9% |
4.6%
4.3 pts worse
|
5.4%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 10.9% · Q3 12.2% · Q4 7.5% · 4Q avg 8.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.2% |
19.0%
3.8 pts better
|
19.6%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.4% · Q2 15.2% · Q3 12.2% · Q4 16.3% · 4Q avg 15.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.9% |
13.5%
2.6 pts better
|
16.7%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.7% · Q2 10.8% · Q3 9.8% · Q4 8.6% · 4Q avg 10.9% · 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 | 13.5% |
9.8%
3.7 pts worse
|
16.3%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.3% · Q2 14.8% · Q3 15.2% · Q4 3.6% · 4Q avg 13.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.1% |
9.7%
2.4 pts worse
|
14.9%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 11.6% · Q3 6.5% · Q4 14.3% · 4Q avg 12.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.2% |
0.7%
1.5 pts worse
|
1.0%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.9% · Q3 3.2% · Q4 3.9% · 4Q avg 2.2% · 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 | 21.6% |
15.9%
5.7 pts worse
|
19.8%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.5% · Q2 16.9% · Q3 18.0% · Q4 27.9% · 4Q avg 21.6% |
| Percentage of long-stay residents with pressure ulcers | 2.5% |
6.0%
3.5 pts better
|
5.1%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.7% · Q3 3.5% · Q4 4.9% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.0% |
78.7%
20.3 pts better
|
81.7%
17.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.2% · Q2 99.1% · Q3 98.8% · Q4 98.8% · 4Q avg 99.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.6% |
8.2%
0.4 pts worse
|
12.0%
3.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.6% · Observed 7.0% · Expected 9.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.2%
0.7 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.7% · Q3 0.6% · Q4 0.6% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.1% |
80.1%
17 pts better
|
79.7%
17.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.6% |
25.4%
7.8 pts better
|
23.9%
6.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.6% · Observed 15.7% · Expected 21.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-03-23 · Fire 2023-03-23
4 health deficiencies
Top issue: Resident Rights (2 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2021-04-09 · Fire 2021-04-09
1 health deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
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
2025-05-06
E31 · Emergency Preparedness Deficiencies
Fire Safety
Provide emergency officials' contact information.
Corrected 2025-05-07
F · Potential for more than minimal harm
2025-05-06
E32 · Emergency Preparedness Deficiencies
Fire Safety
Provide primary/alternate means for communication.
Corrected 2025-05-07
F · Potential for more than minimal harm
2025-05-06
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-05-06
F · Potential for more than minimal harm
2025-05-06
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2025-05-12
F · Potential for more than minimal harm
2025-05-06
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2025-05-06
F · Potential for more than minimal harm
2025-05-06
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-05-06
F · Potential for more than minimal harm
2025-05-06
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 2025-05-06
F · Potential for more than minimal harm
2025-05-06
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-05-09
F · Potential for more than minimal harm
2025-05-06
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-06-05
F · Potential for more than minimal harm
2025-05-06
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-08
F · Potential for more than minimal harm
2025-05-06
K362 · Smoke Deficiencies
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2025-06-08
F · Potential for more than minimal harm
2025-05-06
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2025-05-07
F · Potential for more than minimal harm
2025-05-06
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-05-21
F · Potential for more than minimal harm
2025-05-06
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-06-07
F · Potential for more than minimal harm
2025-05-06
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-05-07
D · Potential for more than minimal harm
2025-05-06
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-06-08
D · Potential for more than minimal harm
2025-05-06
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-05-08
F · Potential for more than minimal harm
2023-03-23
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-05-22
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-05-06
F711 · Nursing and Physician Services Deficiencies
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2025-06-30
D · Potential for more than minimal harm
2025-05-06
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-06-30
D · Potential for more than minimal harm
2025-05-06
F712 · Nursing and Physician Services Deficiencies
Health
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2025-06-30
D · Potential for more than minimal harm
2023-03-23
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 2023-05-22
D · Potential for more than minimal harm
2023-03-23
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-05-22
D · Potential for more than minimal harm
2023-03-23
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 2023-05-22
D · Potential for more than minimal harm
2023-03-23
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-05-22
D · Potential for more than minimal harm
2023-03-23
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-05-22
Penalties and ownership
What sits behind the stars
$9,750
2023-03-23
Fine
Fine · fine $9,750
Fine
Ownership
Chesnut Ridge Care Associates LLC
5% Or Greater Direct Ownership Interest · Organization
Chesnut Ridge Care Associates LLC
Operational/Managerial Control · Organization
Friedman, Edward
Operational/Managerial Control · Individual
Friedman, Nathan
5% Or Greater Direct Ownership Interest · Individual
Nearby options
Other facilities in reach
#1
Atrium Post Acute Care at Park Ridge
Park Ridge, NJ
1-star overall rating with 1-star inspections with $133,120 in total fines with 25 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
#2
Allendale Rehabilitation And Healthcare Center
Allendale, NJ
4-star overall rating with 3-star inspections with 10 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Ridgewood Center
Ridgewood, NJ
1-star overall rating with 1-star inspections with 23 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
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