Little Brook Nursing And Convalescent Home

For profit - Individual · 78 Sliker Road, Califon, NJ 07830 · See home’s Medicare page

Special Focus Facility Candidate

Has a history of serious quality issues but has not been formally flagged by the government.

3.70

Nurse hours/resident/day

Reported total nurse staffing hours per resident per day.

State Average: 3.8

71.4%

Nurse turnover

The percentage of nursing staff who stopped working at the home over a 12-month period.

State Average: 47.8%

Certified beds

Qualifying beds in the certified provider or supplier facility.

Average residents/day

Average number of residents based on daily census.

Direct owners are the layer of ownership closest to the nursing home while indirect owners have a stake in the nursing home but are further removed, like a company that owns the direct owner of a home. All owners listed below are people or companies who have at least a 5% stake in the nursing home. Entities with “managerial control” are those who conduct the day-to-day operations of the nursing home.

Direct owners

Rosa Fernandez
John Hampilos

Indirect owners

No indirect owner information

Managerial control

No information available

Managing employee(s)

Elizabeth Caissie since Nov, 2017

Inspection Reports

total deficiencies

infection-related deficiencies

Inspection reports document deficiencies, which are nursing homes’ failures to meet care requirements. The Centers for Medicare and Medicaid Services releases the last three standard inspection reports, as well as the last 36 months of complaint and infection-control reports.

Jun 15, 2023

Standard report

15 deficiencies

$148,539 Fine

to L

Full report

Quality of Life and Care Deficiency — F0689

Failure to: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity

Immediate jeopardy to resident health or safety

Scope

Many people affected

Seriousness

Administration Deficiency — F0835

Failure to: Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Severity

Immediate jeopardy to resident health or safety

Scope

Many people affected

Seriousness

Administration Deficiency — F0836

Failure to: 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.

Severity

Immediate jeopardy to resident health or safety

Scope

Many people affected

Seriousness

Pharmacy Service Deficiency — F0756

Failure to: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Severity

Immediate jeopardy to resident health or safety

Scope

Some people affected

Seriousness

Pharmacy Service Deficiency — F0760

Failure to: Ensure that residents are free from significant medication errors.

Severity

Immediate jeopardy to resident health or safety

Scope

Some people affected

Seriousness

Nursing and Physician Services Deficiency — F0726

Failure to: 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.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Many people affected

Seriousness

Nursing and Physician Services Deficiency — F0730

Failure to: Observe each nurse aide's job performance and give regular training.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Many people affected

Seriousness

Pharmacy Service Deficiency — F0755

Failure to: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Many people affected

Seriousness

Administration Deficiency — F0868

Failure to: Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Resident Rights Deficiency — F0550

Failure to: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Freedom from Abuse, Neglect, and Exploitation Deficiency — F0607

Failure to: Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Resident Rights Deficiency — F0622

Failure to: 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.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Resident Assessment and Care Planning Deficiency — F0658

Failure to: Ensure services provided by the nursing facility meet professional standards of quality.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Quality of Life and Care Deficiency — F0695

Failure to: Provide safe and appropriate respiratory care for a resident when needed.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Pharmacy Service Deficiency — F0759

Failure to: Ensure medication error rates are not 5 percent or greater.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Sep 13, 2022

Infection report

3 deficiencies

$3,250 Fine

Full report

Pharmacy Service Deficiency — F0755

Failure to: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Infection Control Deficiency — F0880

Failure to: Provide and implement an infection prevention and control program.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Infection Control Deficiency — F0888

Failure to: Ensure staff are vaccinated for COVID-19

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Mar 23, 2022

Complaint report

1 deficiency

Full report

Freedom from Abuse, Neglect, and Exploitation Deficiency — F0607

Failure to: Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

May 21, 2021

Standard report

14 deficiencies

to F

Full report

Nutrition and Dietary Deficiency — F0812

Failure to: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Many people affected

Seriousness

Administration Deficiency — F0835

Failure to: Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Many people affected

Seriousness

Infection Control Deficiency — F0880

Failure to: Provide and implement an infection prevention and control program.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Many people affected

Seriousness

Freedom from Abuse, Neglect, and Exploitation Deficiency — F0609

Failure to: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Freedom from Abuse, Neglect, and Exploitation Deficiency — F0610

Failure to: Respond appropriately to all alleged violations.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Freedom from Abuse, Neglect, and Exploitation Deficiency — F0604

Failure to: Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Resident Assessment and Care Planning Deficiency — F0657

Failure to: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Resident Assessment and Care Planning Deficiency — F0658

Failure to: Ensure services provided by the nursing facility meet professional standards of quality.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Quality of Life and Care Deficiency — F0684

Failure to: Provide appropriate treatment and care according to orders, resident's preferences and goals.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Quality of Life and Care Deficiency — F0689

Failure to: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Pharmacy Service Deficiency — F0758

Failure to: Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Resident Rights Deficiency — F0623

Failure to: Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Severity

No actual harm, with potential for minimal harm

Scope

Some people affected

Seriousness

Nursing and Physician Services Deficiency — F0732

Failure to: Post nurse staffing information every day.

Severity

No actual harm, with potential for minimal harm

Scope

Some people affected

Seriousness

Infection Control Deficiency — F0881

Failure to: Implement a program that monitors antibiotic use.

Severity

No actual harm, with potential for minimal harm

Scope

Some people affected

Seriousness

Aug 2, 2019

Standard report

2 deficiencies

Full report

Resident Assessment and Care Planning Deficiency — F0658

Failure to: Ensure services provided by the nursing facility meet professional standards of quality.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Pharmacy Service Deficiency — F0756

Failure to: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Penalties

$379K

total fines

A nursing home receives a penalty, either a fine or payment suspensions, when it has a serious health citation or fails to fix a citation. Fines may be imposed once per citation or regularly until the nursing home corrects the citation. Fines not associated with inspection reports can include fines for not reporting COVID-19 data or not complying with infection-control requirements. Payment suspensions are when the government stops payments to the nursing home until an issue is fixed. The Centers for Medicare and Medicaid Services releases the last three years of penalty information.

Jun 15, 2023

$148,539 fine