Public Record
Little Brook Nursing and Convalescent Home
From CMS
Facility profile
- CMS overall rating
- 1 / 5
- Certified beds
- 36
- Avg. residents per day
- 26.1
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Citations on record
- 93
- Inspections on file
- 10
- Last inspection
- 2025-07-10
*CMS
*CMS
*CMS
Citations
93 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0689Seriousimmediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0610Seriousimmediate jeopardy
Respond appropriately to all alleged violations.
- 0641Generalpotential for harm
Ensure each resident receives an accurate assessment.
- 0657Generalpotential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- 0730Generalpotential for harm
Observe each nurse aide's job performance and give regular training.
- 0609Generalpotential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- 0355Generalpotential for harm
Properly select, install, inspect, or maintain portable fire extinguishes.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0324Generalpotential for harm
Provide properly protected cooking facilities.
- 0321Generalpotential for harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 0291Generalpotential for harm
Install emergency lighting that can last at least 1 1/2 hours.
- 0281Generalpotential for harm
Install proper backup exit lighting.
- 0223Generalpotential for harm
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- 0006Generalpotential for harm
Conduct risk assessment and an All-Hazards approach.
- 0015Generalpotential for harm
Address subsistence needs for staff and patients.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0609Generalpotential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- 0921Generalpotential for harm
Ensure that testing and maintenance of electrical equipment is performed.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0914Generalpotential for harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- 0761Generalpotential for harm
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.
- 0511Generalpotential for harm
Have properly installed electrical wiring and gas equipment.
- 0363Generalpotential for harm
Install corridor and hallway doors that block smoke.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0550Generalpotential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 0582Generalpotential for harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- 0623Generalpotential for harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- 0640Generalpotential for harm
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- 0641Generalpotential for harm
Ensure each resident receives an accurate assessment.
- 0689Seriousimmediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0692Generalpotential for harm
Provide enough food/fluids to maintain a resident's health.
- 0730Generalpotential for harm
Observe each nurse aide's job performance and give regular training.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0808Generalpotential for harm
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.
- 0641Generalpotential for harm
Ensure each resident receives an accurate assessment.
- 0609Generalpotential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- 0657Generalpotential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- 0610Generalpotential for harm
Respond appropriately to all alleged violations.
- 0321Generalpotential for harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 0550Generalpotential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 0607Generalpotential for harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- 0622Generalpotential for harm
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.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0726Generalpotential for harm
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.
- 0730Generalpotential for harm
Observe each nurse aide's job performance and give regular training.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0756Seriousimmediate jeopardy
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- 0759Generalpotential for harm
Ensure medication error rates are not 5 percent or greater.
- 0760Seriousimmediate jeopardy
Ensure that residents are free from significant medication errors.
- 0868Generalpotential for harm
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- 0689Seriousimmediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0835Seriousimmediate jeopardy
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- 0836Seriousimmediate jeopardy
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.
- 0252Generalpotential for harm
Provide at least two remote exits on each floor or fire section of the building.
- 0291Generalpotential for harm
Install emergency lighting that can last at least 1 1/2 hours.
- 0345Generalpotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0347Generalpotential for harm
Properly provide smoke detection systems in areas open to corridors.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0355Generalpotential for harm
Properly select, install, inspect, or maintain portable fire extinguishes.
- 0712Generalpotential for harm
Have simulated fire drills held at unexpected times.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0004Generalpotential for harm
Develop and maintain an Emergency Preparedness Program (EP).
- 0009Generalpotential for harm
Include a process for Emergency Preparedness collaboration.
- 0025Generalpotential for harm
Create arrangements with other facilities to receive patients.
- 0031Generalpotential for harm
Provide emergency officials' contact information.
- 0039Generalpotential for harm
Conduct testing and exercise requirements.
- 0918Generalno actual harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0920Generalpotential for harm
Ensure proper usage of power strips and extension cords.
- 0610Generalpotential for harm
Respond appropriately to all alleged violations.
- 0211Generalpotential for harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 0222Generalpotential for harm
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.
- 0252Generalpotential for harm
Provide at least two remote exits on each floor or fire section of the building.
- 0291Generalpotential for harm
Install emergency lighting that can last at least 1 1/2 hours.
- 0311Generalpotential for harm
Have an enclosure around a vertical opening shaft.
- 0353Generalno actual harm
Inspect, test, and maintain automatic sprinkler systems.
- 0541Generalpotential for harm
Install properly constructed and protected linen or trash chutes.
- 0712Generalno actual harm
Have simulated fire drills held at unexpected times.
- 0781Generalpotential for harm
Have restrictions on the use of portable space heaters.
- 0881Generalno actual harm
Implement a program that monitors antibiotic use.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0835Generalpotential for harm
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0758Generalpotential for harm
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.
- 0732Generalno actual harm
Post nurse staffing information every day.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0657Generalpotential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- 0623Generalno actual harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- 0609Generalpotential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- 0604Generalpotential for harm
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
FAQ
Questions and answers
- What is Little Brook Nursing and Convalescent Home?
- Little Brook Nursing and Convalescent Home is a Medicare- and Medicaid-certified nursing home in Califon, NJ, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 315467.
- What is the CMS rating for Little Brook Nursing and Convalescent Home?
- Little Brook Nursing and Convalescent Home has a CMS overall rating of 1 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Little Brook Nursing and Convalescent Home have?
- Little Brook Nursing and Convalescent Home is certified for 36 beds. It serves an average of 26.1 residents per day.
- How many citations does Little Brook Nursing and Convalescent Home have?
- Little Brook Nursing and Convalescent Home has 93 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Little Brook Nursing and Convalescent Home last inspected?
- Little Brook Nursing and Convalescent Home was last inspected on July 10, 2025. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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