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

Compare this facility

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

Staffing

Hours and turnover

RN hours / resident day

0.72

Registered nurse staffing

LPN hours / resident day

1.04

Licensed practical nurse staffing

Aide hours / resident day

2.25

Nurse aide staffing

Weekend hours

3.73

Weekend nurse staffing

RN turnover

14%

Annual RN turnover

Total nurse turnover

38%

Annual nurse turnover

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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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

Survey summary

Recent inspection cycles

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)

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

0% 1 facilities 1992-02-01
Chesnut Ridge Care Associates LLC

Operational/Managerial Control · Organization

0% 1 facilities 1992-02-01
Friedman, Edward

Operational/Managerial Control · Individual

0% 8 facilities 1992-02-01
Friedman, Nathan

5% Or Greater Direct Ownership Interest · Individual

0% 9 facilities 1992-02-01

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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

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Staffing
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Fines
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4-star overall rating with 3-star inspections with 10 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

Overall
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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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