Public Record
St Catherine of Siena
From CMS
Facility profile
- CMS overall rating
- 2 / 5
- Certified beds
- 30
- Avg. residents per day
- 25
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Citations on record
- 39
- Inspections on file
- 6
- Last inspection
- 2025-01-07
*CMS
*CMS
*CMS
Citations
39 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.
- 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.
- 0625Generalpotential for harm
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- 0641Generalpotential for harm
Ensure each resident receives an accurate assessment.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0730Generalpotential for harm
Observe each nurse aide's job performance and give regular training.
- 0811Generalpotential for harm
Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.
- 0947Generalpotential for harm
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- 0225Generalpotential for harm
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- 0281Generalpotential for harm
Install proper backup exit lighting.
- 0291Generalpotential for harm
Install emergency lighting that can last at least 1 1/2 hours.
- 0293Generalpotential for harm
Have properly located and lighted "Exit" signs.
- 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.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0521Generalpotential for harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0921Generalpotential for harm
Ensure that testing and maintenance of electrical equipment is performed.
- 0923Generalpotential for harm
Have proper medical gas storage and administration areas.
- 0582Generalpotential for harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- 0637Generalpotential for harm
Assess the resident when there is a significant change in condition
- 0641Generalpotential for harm
Ensure each resident receives an accurate assessment.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 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.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0311Generalpotential for harm
Have an enclosure around a vertical opening shaft.
- 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.
- 0293Generalpotential for harm
Have properly located and lighted "Exit" signs.
- 0291Generalpotential for harm
Install emergency lighting that can last at least 1 1/2 hours.
- 0882Generalpotential for harm
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- 0637Generalpotential for harm
Assess the resident when there is a significant change in condition
- 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.
- 0211Generalpotential for harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 0311Generalpotential for harm
Have an enclosure around a vertical opening shaft.
- 0341Generalpotential for harm
Install a fire alarm system that can be heard throughout the facility.
- 0345Generalpotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0372Generalpotential for harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0926Generalpotential for harm
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0732Generalno actual harm
Post nurse staffing information every day.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspection17 deficiencies
- View inspection reportInspection17 deficiencies
- View inspection reportInspection10 deficiencies
- View inspection reportInspection10 deficiencies
- View inspection reportInspection12 deficiencies
- View inspection reportInspection12 deficiencies
FAQ
Questions and answers
- What is St Catherine of Siena?
- St Catherine of Siena is a Medicare- and Medicaid-certified nursing home in Caldwell, NJ, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 315471.
- What is the CMS rating for St Catherine of Siena?
- St Catherine of Siena has a CMS overall rating of 2 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does St Catherine of Siena have?
- St Catherine of Siena is certified for 30 beds. It serves an average of 25 residents per day.
- How many citations does St Catherine of Siena have?
- St Catherine of Siena has 39 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was St Catherine of Siena last inspected?
- St Catherine of Siena was last inspected on January 7, 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.
/nursing-home/315471-st-catherine-of-siena