Little Brook Nursing and Convalescent Home
Califon, New Jersey
Skilled nursing facility in Califon, NJ with 36 certified beds and a 1-star CMS overall rating.
Little Brook Nursing and Convalescent Home is a skilled nursing facility in Califon, New Jersey (Hunterdon County), with 36 Medicare/Medicaid-certified beds.
Address: 78 Sliker Road, Califon, NJ 07830. Phone: (908) 832-2220.
Ownership: For profit - Individual. Certified for Medicare and Medicaid. Automatic sprinkler systems in all required areas. Has a resident council.
CMS Five-Star ratings (source: Medicare Care Compare): overall 1 of 5, health inspections 1, staffing 4, quality measures 3.
Levels of care
- Skilled nursing
Facility details
- Street address
- 78 Sliker Road
- City
- Califon
- State
- New Jersey
- ZIP code
- 07830
- Phone
- (908) 832-2220
- Levels of care
- Skilled nursing
- Payment options accepted
- Medicare, Medicaid
- Cms Ccn
- 315467
- County
- Hunterdon
- Ownership Type
- For profit - Individual
- Provider Type
- Medicare and Medicaid
- Certified Beds
- 36
- Avg Daily Residents
- 27
- Continuing Care Community
- No
- Resident Family Council
- Resident
- Sprinklers All Areas
- Yes
- Medicare Medicaid Approved Date
- 2001-02-01
- Overall Rating
- 1
- Health Inspection Rating
- 1
- Staffing Rating
- 4
- Quality Measure Rating
- 3
- Total Nurse Hours Per Resident Day
- 3.51763
- Rn Hours Per Resident Day
- 0.92807
- Latitude
- 40.7363
- Longitude
- -74.857
Medicare & Medicaid quality data
Published by the Centers for Medicare & Medicaid Services (CMS) [1] , data as of October 1, 2026. CMS ID 315467. Ratings compare this home with other nursing homes; they are not a pass or fail.
How does it compare in Califon? · Lowest-rated in New Jersey
CMS overall rating
1 / 5
Much below average- Certified beds
- 36
- Residents per day
- 27
- Ownership
- For profit - Individual
- Health citations (latest)
- 16
- Fines
- 3 ($355,418)
Star ratings
CMS rates every certified nursing home from 1 to 5 stars in three areas and combines them into an overall rating. The ratings compare homes with each other: 5 is much above average, 3 is average, 1 is much below average.
Overall rating
Much below averageThe headline score, from 1 to 5 stars.
✗ Worse than the state average. State 3.5 · National 3.0
How is this scored?
Three steps: start with the health inspection stars; add one star if staffing is 5 stars (subtract one if it is 1 star); then add one star if quality measures are 5 stars (subtract one if 1 star). It never goes above 5 or below 1, and a home with 1 health inspection star can gain at most one star from the other two. It compares homes with each other; it is not a pass/fail grade. [11]
Health inspections
Much below averageHow the home did in recent state inspections and complaint investigations.
✗ Worse than the state average. State 2.8 · National 2.8
How is this scored?
Based on the two most recent annual inspections plus 36 months of complaint and infection-control inspections, and on how many revisits were needed to confirm fixes. Each citation is weighted by scope and severity. Homes are then ranked within their own state: the best 10% (lowest scores) earn 5 stars, the middle 70% earn 2, 3 or 4 stars in equal shares, and the worst 20% earn 1 star. [11]
Staffing
Above averageHow many nurses care for each resident, and how stable the nursing team is.
✓ Better than the state average. State 3.2 · National 3.0
How is this scored?
Six measures: three of staffing level (total nurse, registered nurse and weekend nurse hours per resident per day, adjusted for how much care residents need) and three of turnover (nursing staff, RNs and administrators). The hours come from payroll records submitted to CMS each quarter; turnover uses six quarters of that data. [11]
Quality measures
Above averageHow residents are actually doing.
✗ Worse than the state average. State 4.6 · National 3.7
How is this scored?
Scores 15 quality measures drawn from resident assessments (the Minimum Data Set) and Medicare claims, such as falls with major injury, pressure ulcers, rehospitalizations and medication use. Long-stay and short-stay residents are rated separately and combined. [11]
This home State average National average
- Long-stay quality
- Residents who live in the home: outcomes such as falls, pressure ulcers and medication use.
How to read the numbers on this page
- Star ratings — 1 to 5 (no stars = not rated)
- 5 is much above average and 1 is much below average, compared with other nursing homes. A home with too little data may have no rating.
- Health inspection score — 0 and up, lower is better
- Points added up from citations (see the scope and severity grid) and revisits. 0 means a clean record; the state table shows which scores earn which stars.
- Quality measure percentages — 0 to 100%
- The share of residents with an outcome, such as a fall with major injury. For most measures a lower percentage is better; for vaccination measures a higher percentage is better.
- Nurse hours per resident per day — Hours, higher is better
- Paid nursing time divided by residents. For example 4.0 means each resident gets about four hours of nursing care a day, shared across all shifts.
- Staff turnover — 0 to 100%, lower is better
- The share of nursing staff who left during the year. High turnover can mean less continuity of care.
- Case-mix index — Around 1.0 is typical
- How much care the residents need. Above 1 means sicker or more dependent residents who need more staff time.
- Fines — Dollars; payment denials in days
- Penalties CMS imposed for serious or repeated problems. A payment denial stops Medicare/Medicaid payment for new admissions.
Sources: Nursing Home Provider Information [1] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Staffing & turnover
More nursing time per resident and a steadier team are both signs of better care. Hours come from payroll records the home submits to CMS each quarter.
Nurse hours per resident per day, by role
A resident's day is 24 hours; this is how much paid nursing time each resident gets, shared across all shifts.
RN 1.11 · LPN 0.42 · Nurse aide 2.06. What the home's payroll records show.
RN 0.60 · LPN 0.74 · Nurse aide 2.02. What CMS predicts a home with these residents' needs would staff.
RN 1.28 · LPN 0.48 · Nurse aide 2.37. The reported hours rescaled so homes with sicker or healthier residents can be compared fairly.
Compared with NJ and the nation
This home State average National average
- Total nurse hours (hrs/resident/day, higher is better)
- 3.58
✗ Worse than the state average. State 3.90 · National 3.90
- Registered nurse (RN) hours (hrs/resident/day, higher is better)
- 1.11
✓ Better than the state average. State 0.70 · National 0.69
- Licensed nurse hours (RN + LPN) (hrs/resident/day, higher is better)
- 1.52
✗ Worse than the state average. State 1.64 · National 1.55
- Nurse aide hours (hrs/resident/day, higher is better)
- 2.06
✗ Worse than the state average. State 2.27 · National 2.35
- Weekend total nurse hours (hrs/resident/day, higher is better)
- 3.40
✗ Worse than the state average. State 3.50 · National 3.43
- Weekend RN hours (hrs/resident/day, higher is better)
- 0.61
✓ Better than the state average. State 0.50 · National 0.48
- Physical therapist hours (hrs/resident/day, higher is better)
- 0.03
✗ Worse than the state average. State 0.11 · National 0.07
- Nursing staff turnover (%, lower is better)
- 41.9%
✗ Worse than the state average. State 39.3% · National 45.3%
- RN turnover (%, lower is better)
- 55.6%
✗ Worse than the state average. State 37.2% · National 42.5%
- Administrators who left (people, lower is better)
- 0
✓ Better than the state average. State 1 · National 1
- Nursing case-mix index (index)
- 1.22
State 1.40 · National 1.41
Turnover is the share of nursing staff who left over the year. The case-mix index shows how much care residents need: about 1.0 is typical, higher means more dependent residents.
Sources: Nursing Home Provider Information [1] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Inspections
State inspectors visit each home about once a year and investigate complaints. Every problem they cite is a deficiency, lettered A to L by how serious and how widespread it was.
Health inspection score
203.0 points — in NJ that earns (Much below average).
Lower is better. The score adds up points for every citation (more for serious, widespread problems) and for revisits needed to confirm fixes, then weights recent inspections most. [11]
Score needed for each star in NJ [10]
- 5 ★
- 0.000-18.000
- 4 ★
- 18.001-37.000
- 3 ★
- 37.001-60.000
- 2 ★
- 60.001-93.750
- 1 ★ (this home)
- >93.750
| Period | Inspection | Citations (complaint) | Citation points | Revisits | Revisit points | Total |
|---|---|---|---|---|---|---|
| Most recent cycle | Mar 4, 2026 | 16 (0) | 80 | 1 | 0 | 80 |
| Prior cycles (2 and 3) | Oct 30, 2024 | 25 (11) | 381 | 2 | 191 | 572 |
Health citations per inspection
Mar 4, 2026
Oct 30, 2024
Jun 15, 2023
State average for that cycle. Fewer is better.
Fire-safety citations per inspection
Mar 4, 2026
Oct 30, 2024
Jun 15, 2023
State average for that cycle. Fewer is better.
What the latest health inspection cited
- Quality of Life and Care 4
- Emergency Preparedness 4
- Pharmacy Service 3
- Freedom from Abuse and Neglect and Exploitation 2
- Resident Rights 2
- Infection Control 2
- Resident Assessment and Care Planning 1
- Nutrition and Dietary 1
- Administration 1
What the latest fire-safety inspection cited
- Smoke 3
- Gas and Vacuum and Electrical Systems 2
- Miscellaneous 2
- Egress 1
How serious were the citations?
Each health citation gets a letter. The number in each cell is how many of this home's citations got that letter; the points show what each letter adds to the health inspection score. Citations where care was substandard score higher than shown. [11]
| Isolated (a few residents) | Pattern (some residents) | Widespread (many residents) | |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J · 50 pts 3 | K · 100 pts 2 | L · 150 pts 3 |
| Actual harm, not immediate jeopardy | G · 20 pts 0 | H · 35 pts 0 | I · 45 pts 0 |
| No actual harm, potential for more than minimal harm | D · 4 pts 31 | E · 8 pts 10 | F · 16 pts 7 |
| No actual harm, potential for minimal harm only | A · 0 pts 0 | B · 0 pts 0 | C · 0 pts 0 |
Darker cells mean more citations. Counts cover every health citation CMS lists for this home.
All health citations (56) [2]
Inspection on Mar 4, 2026 · 16 citations
-
D
Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Apr 24, 2026)
-
D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
F0693 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 24, 2026)
-
E
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F0882 · Infection Control Deficiencies · Deficient, Provider has date of correction (Apr 24, 2026)
-
D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Mar 25, 2026)
-
D
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Apr 24, 2026)
-
D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Apr 25, 2026)
-
D
Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 24, 2026)
-
D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Apr 24, 2026)
-
D
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F0868 · Administration Deficiencies · Deficient, Provider has date of correction (Apr 24, 2026)
-
D
Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Apr 24, 2026)
-
E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Apr 24, 2026)
-
D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 24, 2026)
-
D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F0584 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Apr 24, 2026)
-
D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Apr 24, 2026)
-
E
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.
F0761 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Apr 24, 2026)
-
E
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Apr 26, 2026)
Inspection on Jul 10, 2025 · 1 citation
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Aug 18, 2025) · From a complaint
Inspection on Mar 18, 2025 · 5 citations
-
D
Observe each nurse aide's job performance and give regular training.
F0730 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (May 14, 2025) · From a complaint
-
E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (May 14, 2025) · From a complaint
-
J
Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (May 14, 2025) · From a complaint
-
E
Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (May 14, 2025) · From a complaint
-
D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (May 14, 2025) · From a complaint
Inspection on Oct 30, 2024 · 15 citations
-
D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Dec 9, 2024)
-
D
Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Nov 21, 2024)
-
F
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Jan 22, 2025)
-
D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Nov 21, 2024) · From a complaint
-
F
Observe each nurse aide's job performance and give regular training.
F0730 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Nov 21, 2024)
-
D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Nov 22, 2024)
-
D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Nov 21, 2024)
-
F
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
F0640 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Nov 21, 2024)
-
F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Nov 21, 2024)
-
D
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.
F0761 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Nov 21, 2024)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Nov 20, 2024)
-
D
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
F0808 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Jan 22, 2025)
-
D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Nov 21, 2024)
-
D
Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Nov 22, 2024)
-
D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Nov 21, 2024)
Inspection on Mar 4, 2024 · 1 citation
-
D
Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Apr 1, 2024) · From a complaint
Inspection on Dec 12, 2023 · 3 citations
-
E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jan 31, 2024) · From a complaint
-
E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jan 31, 2024) · From a complaint
-
E
Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jan 31, 2024) · From a complaint
Inspection on Jun 15, 2023 · 15 citations
-
E
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F0868 · Administration Deficiencies · Deficient, Provider has date of correction (Jul 25, 2023)
-
D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jul 25, 2023)
-
D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jul 25, 2023)
-
D
Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Jul 25, 2023)
-
K
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Jul 25, 2023)
-
K
Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Jul 25, 2023)
-
F
Observe each nurse aide's job performance and give regular training.
F0730 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Jul 25, 2023)
-
L
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
F0836 · Administration Deficiencies · Deficient, Provider has date of correction (Jul 3, 2023)
-
D
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
F0622 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jul 25, 2023)
-
F
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
F0726 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Jul 25, 2023)
-
L
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F0835 · Administration Deficiencies · Deficient, Provider has date of correction (Jul 25, 2023)
-
D
Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jul 25, 2023)
-
L
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jul 25, 2023)
-
F
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Jul 25, 2023)
-
D
Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jul 25, 2023)
All fire-safety citations (41) [3]
Inspection on Mar 4, 2026 · 12 citations
-
F
Conduct risk assessment and an All-Hazards approach.
E0006 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jun 17, 2026)
-
F
Have proper medical gas storage and administration areas.
K0923 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Jun 3, 2026)
-
F
Inspect, test, and maintain automatic sprinkler systems.
K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Aug 28, 2026)
-
F
Have simulated fire drills held at unexpected times.
K0712 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Jul 20, 2026)
-
E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K0211 · Egress Deficiencies · Deficient, Provider has date of correction (Jul 16, 2026)
-
F
Create arrangements with other facilities to receive patients.
E0025 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jun 3, 2026)
-
F
Conduct testing and exercise requirements.
E0039 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jul 13, 2026)
-
F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
K0741 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Jun 12, 2026)
-
F
Have generator or other power source capable of supplying service within 10 seconds.
K0918 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Jun 12, 2026)
-
F
Have approved installation, maintenance and testing program for fire alarm systems.
K0345 · Smoke Deficiencies · Deficient, Provider has date of correction (Aug 23, 2026)
-
F
Develop and maintain an Emergency Preparedness Program (EP).
E0004 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jun 3, 2026)
-
F
Properly select, install, inspect, or maintain portable fire extinguishes.
K0355 · Smoke Deficiencies · Deficient, Provider has date of correction (Jun 12, 2026)
Inspection on Oct 30, 2024 · 15 citations
-
F
Conduct risk assessment and an All-Hazards approach.
E0006 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Nov 22, 2024)
-
F
Install corridor and hallway doors that block smoke.
K0363 · Smoke Deficiencies · Deficient, Provider has date of correction (Nov 25, 2024)
-
E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
K0223 · Egress Deficiencies · Deficient, Provider has date of correction (Nov 22, 2024)
-
F
Inspect, test, and maintain automatic sprinkler systems.
K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Nov 22, 2024)
-
F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K0761 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Nov 25, 2024)
-
F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
K0914 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Nov 25, 2024)
-
F
Provide properly protected cooking facilities.
K0324 · Smoke Deficiencies · Deficient, Provider has date of correction (Nov 22, 2024)
-
F
Properly select, install, inspect, or maintain portable fire extinguishes.
K0355 · Smoke Deficiencies · Deficient, Provider has date of correction (Nov 25, 2024)
-
F
Have properly installed electrical wiring and gas equipment.
K0511 · Services Deficiencies · Deficient, Provider has date of correction (Nov 25, 2024)
-
F
Ensure that testing and maintenance of electrical equipment is performed.
K0921 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Nov 25, 2024)
-
F
Install proper backup exit lighting.
K0281 · Egress Deficiencies · Deficient, Provider has date of correction (Nov 22, 2024)
-
F
Address subsistence needs for staff and patients.
E0015 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Nov 22, 2024)
-
F
Install emergency lighting that can last at least 1 1/2 hours.
K0291 · Egress Deficiencies · Deficient, Provider has date of correction (Nov 27, 2024)
-
F
Have generator or other power source capable of supplying service within 10 seconds.
K0918 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Nov 27, 2024)
-
F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K0321 · Smoke Deficiencies · Deficient, Provider has date of correction (Nov 22, 2024)
Inspection on Jun 15, 2023 · 14 citations
-
F
Provide at least two remote exits on each floor or fire section of the building.
K0252 · Egress Deficiencies · Waiver has been granted (Aug 21, 2023)
-
F
Conduct testing and exercise requirements.
E0039 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jul 26, 2023)
-
F
Create arrangements with other facilities to receive patients.
E0025 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jul 26, 2023)
-
E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K0321 · Smoke Deficiencies · Deficient, Provider has date of correction (Jul 25, 2023)
-
F
Inspect, test, and maintain automatic sprinkler systems.
K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Aug 17, 2023)
-
F
Have generator or other power source capable of supplying service within 10 seconds.
K0918 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Jul 27, 2023)
-
F
Include a process for Emergency Preparedness collaboration.
E0009 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jul 26, 2023)
-
F
Properly select, install, inspect, or maintain portable fire extinguishes.
K0355 · Smoke Deficiencies · Deficient, Provider has date of correction (Jul 25, 2023)
-
F
Develop and maintain an Emergency Preparedness Program (EP).
E0004 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jul 26, 2023)
-
F
Properly provide smoke detection systems in areas open to corridors.
K0347 · Smoke Deficiencies · Deficient, Provider has date of correction (Aug 21, 2023)
-
F
Provide emergency officials' contact information.
E0031 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jul 26, 2023)
-
E
Install emergency lighting that can last at least 1 1/2 hours.
K0291 · Egress Deficiencies · Deficient, Provider has date of correction (Jul 25, 2023)
-
F
Have simulated fire drills held at unexpected times.
K0712 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Aug 16, 2023)
-
F
Have approved installation, maintenance and testing program for fire alarm systems.
K0345 · Smoke Deficiencies · Deficient, Provider has date of correction (Jul 25, 2023)
Sources: Nursing Home Provider Information [1] ; Nursing Home Survey Summary [4] ; Nursing Home Health Deficiencies [2] ; Nursing Home Fire Safety Deficiencies [3] ; Nursing Home Health Inspection Cut Points [10] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Fines & penalties
CMS can fine a home or stop Medicare and Medicaid payments for new admissions when problems are serious or keep recurring. Most homes have none.
- Fines
- 3 State avg 0.7 · National 0.9
- Total fined
- $355,418 State avg 34,248 · National 30,351
- Payment denials
- 0 Periods with no Medicare/Medicaid payment for new admissions
Fines by year
| Date | Type | Amount | Payment denial |
|---|---|---|---|
| Jul 10, 2025 | Fine | $62,493 | — |
| Mar 18, 2025 | Fine | $255,403 | — |
| Oct 30, 2024 | Fine | $37,522 | — |
Sources: Nursing Home Provider Information [1] ; Nursing Home Penalties [5] ; Nursing Home State & National Averages [9]
Resident quality measures
These measure what actually happens to residents, as a percentage from 0 to 100 (or events per 1,000 resident days). For almost all of them a lower number is better; the vaccination measures are the exception and are marked. A star means the measure counts toward the quality star rating.
This home State average National average
Long-stay residents (14) [7]
Residents who live in the home. From their regular health assessments (the Minimum Data Set), averaged over four quarters. Period: 2025Q3-2026Q2.
- Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Higher is better
- 72.7
✗ Worse than the state average. State 93.0 · National 93.7
- Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Higher is better
- 85.7
✗ Worse than the state average. State 96.8 · National 95.3
- Percentage of long-stay residents experiencing one or more falls with major injury ★ Lower is better
- 0.0
✓ Better than the state average. State 2.3 · National 3.2
- Percentage of long-stay residents who have depressive symptoms Lower is better
- 1.1
✓ Better than the state average. State 12.5 · National 13.5
- Percentage of long-stay residents who lose too much weight Lower is better
- 5.0
✗ Worse than the state average. State 4.7 · National 5.1
- Percentage of long-stay residents who received an antianxiety or hypnotic medication Lower is better
- 6.0
✓ Better than the state average. State 18.8 · National 19.5
- Percentage of long-stay residents who received an antipsychotic medication ★ Lower is better
- 20.0
✗ Worse than the state average. State 12.9 · National 15.4
- Percentage of long-stay residents who were physically restrained Lower is better
- 0.0
✓ Better than the state average. State 0.1 · National 0.1
- Percentage of long-stay residents whose need for help with daily activities has increased ★ Lower is better
- 8.5
≈ About the state average. State 8.3 · National 13.5
- Percentage of long-stay residents with a catheter inserted and left in their bladder ★ Lower is better
- 0.0
✓ Better than the state average. State 0.5 · National 0.7
- Percentage of long-stay residents with a urinary tract infection ★ Lower is better
- 0.0
✓ Better than the state average. State 0.7 · National 1.5
- Percentage of long-stay residents with new or worsened bowel or bladder incontinence Lower is better
- 13.3
✓ Better than the state average. State 15.2 · National 18.3
- Percentage of long-stay residents with pressure ulcers ★ Lower is better
- 4.8
✓ Better than the state average. State 5.3 · National 4.5
Short-stay residents (3) [7]
Residents staying for rehab or recovery. From their health assessments, averaged over four quarters. Period: 2025Q3-2026Q2.
- Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Higher is better
- 29.0
✗ Worse than the state average. State 79.0 · National 82.3
- Percentage of short-stay residents who newly received an antipsychotic medication ★ Lower is better
- 3.8
✗ Worse than the state average. State 1.1 · National 1.5
Long-stay residents: hospital use (2) [8]
Hospital stays and emergency visits found in Medicare claims, adjusted for how sick residents were. Period: 20250401-20260331.
- Number of hospitalizations per 1000 long-stay resident days ★ Lower is better · Expected for these residents: 1.3
- 2.4
✗ Worse than the state average. State 2.0 · National 1.8
- Number of outpatient emergency department visits per 1000 long-stay resident days ★ Lower is better · Expected for these residents: 1.3
- 1.4
✗ Worse than the state average. State 1.0 · National 1.7
Short-stay residents: hospital use (2) [8]
Rehospitalizations and emergency visits after admission, found in Medicare claims and adjusted for how sick residents were. Period: 20250401-20260331.
Sources: Nursing Home MDS Quality Measures [7] ; Nursing Home Medicare Claims Quality Measures [8] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Ownership & operator
Who owns and runs a home can matter: for-profit, non-profit and chain-owned homes tend to differ on staffing and inspection results.
- Ownership type
- For profit - Individual
- Legal business name
- LITTLE BROOK HOME, INC
- Certified for
- Medicare and Medicaid
- Certified beds
- 36
- Residents per day (average)
- 27.1
- In Medicare/Medicaid since
- Feb 1, 2001
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
- County
- Hunterdon
- Located in a hospital
- No
Owners, officers and managers (23) [6]
Adp Of The Snf
- BETHANE PROPERTIES, INC (organization, NOT APPLICABLE, since 02/13/2002)
- BRADFORD, CYNTHIA (individual, NOT APPLICABLE, since 09/27/2021)
- CAISSIE, ELIZABETH (individual, NOT APPLICABLE, since 11/03/2017)
- FERNANDEZ, ROSA (individual, NOT APPLICABLE, since 11/09/2005)
- HAMPILOS, JOHN (individual, NOT APPLICABLE, since 11/09/2005)
- LAZARE GROUP, INC (organization, NOT APPLICABLE, since 02/13/2002)
- SEGARAM, SANDIRA (individual, NOT APPLICABLE, since 12/30/2005)
5% Or Greater Mortgage Interest
- BETHANE PROPERTIES, INC (organization, NOT APPLICABLE, since 02/13/2002)
Operational/Managerial Control
- BRADFORD, CYNTHIA (individual, NOT APPLICABLE, since 09/27/2021)
- CAISSIE, ELIZABETH (individual, NOT APPLICABLE, since 11/03/2017)
- HAMPILOS, JOHN (individual, NOT APPLICABLE, since 11/09/2005)
- LAZARE GROUP, INC (organization, NOT APPLICABLE, since 02/13/2002)
- SEGARAM, SANDIRA (individual, NOT APPLICABLE, since 12/30/2005)
Corporate Director
- BRADFORD, CYNTHIA (individual, NOT APPLICABLE, since 09/27/2021)
- SEGARAM, SANDIRA (individual, NOT APPLICABLE, since 12/30/2005)
Corporate Officer
- CAISSIE, ELIZABETH (individual, NOT APPLICABLE, since 01/01/2018)
- FERNANDEZ, ROSEMARIE (individual, NOT APPLICABLE, since 12/30/2005)
- HAMPILOS, JOHN (individual, NOT APPLICABLE, since 12/30/2005)
Trustee Of The Snf
- FERNANDEZ, ROSA (individual, NOT APPLICABLE, since 11/09/2005)
- HAMPILOS, JOHN (individual, NOT APPLICABLE, since 11/09/2005)
5% Or Greater Direct Ownership Interest
- FERNANDEZ, ROSA (individual, 51%, since 11/09/2005)
- HAMPILOS, JOHN (individual, since 12/30/2005)
5% Or Greater Indirect Ownership Interest
- LAZARE GROUP, INC (organization, 100%, since 02/13/2002)
Sources: Nursing Home Provider Information [1] ; Nursing Home Ownership [6]
Sources
All figures on this page come from the U.S. government's published nursing home data, as of October 1, 2026. We reproduce them without change except for rounding and layout; ratings, scores and flags are CMS's, not ours. Averages and comparisons use the state and national figures CMS publishes in the same release.
- 1. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Provider Information. Star ratings, staffing, turnover, inspection scores, fines, chain and flag data. https://data.cms.gov/provider-data/dataset/4pq5-n9py
- 2. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Health Deficiencies. Each health deficiency cited, with scope and severity. https://data.cms.gov/provider-data/dataset/r5ix-sfxw
- 3. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Fire Safety Deficiencies. Each fire-safety deficiency cited. https://data.cms.gov/provider-data/dataset/ifjz-ge4w
- 4. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Survey Summary. Deficiency totals by inspection cycle and category. https://data.cms.gov/provider-data/dataset/tbry-pc2d
- 5. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Penalties. Fines and payment denials. https://data.cms.gov/provider-data/dataset/g6vv-u9sr
- 6. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Ownership. Owners, officers, directors and managers. https://data.cms.gov/provider-data/dataset/y2hd-n93e
- 7. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home MDS Quality Measures. Quarterly quality measure scores from resident assessments. https://data.cms.gov/provider-data/dataset/djen-97ju
- 8. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Medicare Claims Quality Measures. Risk-adjusted quality measures from Medicare claims. https://data.cms.gov/provider-data/dataset/ijh5-nb2v
- 9. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home State & National Averages. State and national averages used for comparison. https://data.cms.gov/provider-data/dataset/xcdc-v8bm
- 10. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Health Inspection Cut Points. Score ranges that earn each health inspection star in a state. https://data.cms.gov/provider-data/dataset/hicp-9999
- 11. Centers for Medicare & Medicaid Services. Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide. How the star ratings, scope and severity points, and abuse and Special Focus flags are defined. https://www.cms.gov/medicare/provider-enrollment-and-certification/certificationandcomplianc/downloads/usersguide.pdf
- 12. Centers for Medicare & Medicaid Services. Medicare Care Compare. CMS's own consumer site, with the latest figures. https://www.medicare.gov/care-compare/
Attendant Homes is not affiliated with or endorsed by CMS. The data describes past inspections and reported figures and can be out of date or contain errors; it is not a recommendation. Confirm current information with the facility and on Medicare Care Compare [12] .
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