Elder Care Record

New Jersey › Hunterdon County › Califon

Little Brook Nursing and Convalescent Home

78 Sliker Road, Califon, NJ 07830

CCN 315467 · For-profit, corporation · 36 certified beds

Special Focus Facility candidate
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Little Brook Nursing and Convalescent Home is a For-profit, corporation nursing home in Califon, New Jersey, certified for 36 beds and caring for about 27 residents a day.

CMS gives it 1 of 5 stars overall, below the New Jersey median of 4; the health inspection rating is 1, staffing 1 and quality measures 3.

Inspectors recorded 54 health deficiencies across the three most recent survey cycles (14, 22, 18 by cycle, most recent first), 8 of them at the actual-harm or immediate-jeopardy level. That is 150.0 per 100 beds, more than the state median of 15.2.

CMS lists 3 penalties in the period covered: fines totalling $355K.

CMS flags that the facility is a Special Focus Facility candidate.

54health deficiencies, 3 survey cycles8 at actual harm or worse
$355Kfines listed by CMS3 penalties in period
—nurse hours per resident per daystate median 3.6
75%occupancy (residents ÷ beds)27 residents a day

Compared with county, state and nation

MeasureThis facilityHunterdon Co. medianNew Jersey medianUS average
Overall star rating1343.0
Health citations, 3 cycles54272128.7
Citations per 100 beds150.037.315.226.8
Total nurse hours per resident day—3.43.63.9
RN hours per resident day—0.50.50.7
Nursing staff turnover40.7%39.7%38.9%45.8%
Fines listed$355,418$43,001$0—

County and state figures are medians across facilities (4 in the county, 348 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)14
Cycle 222
Cycle 318

Dark bar: this facility. Grey bar: New Jersey average per facility for the same cycle, as published by CMS. Standard health survey dates: 30 Oct 2024, 15 Jun 2023.

Severity mix: J ×3 K ×2 L ×3 D ×25 E ×8 F ×10 B ×3

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
10 Jul 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation18 Aug 2025
18 Mar 2025F0610Respond appropriately to all alleged violations.JComplaint investigation14 May 2025
18 Mar 2025F0641Ensure each resident receives an accurate assessment.EComplaint investigation14 May 2025
18 Mar 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EComplaint investigation14 May 2025
18 Mar 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation14 May 2025
18 Mar 2025F0730Observe each nurse aide's job performance and give regular training.DComplaint investigation14 May 2025
30 Oct 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JStandard survey20 Nov 2024
30 Oct 2024F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.FStandard survey21 Nov 2024
30 Oct 2024F0730Observe each nurse aide's job performance and give regular training.FStandard survey21 Nov 2024
30 Oct 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey21 Nov 2024
30 Oct 2024F0880Provide and implement an infection prevention and control program.FStandard survey22 Jan 2025
30 Oct 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey9 Dec 2024
30 Oct 2024F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey21 Nov 2024
30 Oct 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey22 Nov 2024
30 Oct 2024F0641Ensure each resident receives an accurate assessment.DStandard survey21 Nov 2024
30 Oct 2024F0692Provide enough food/fluids to maintain a resident's health.DStandard survey22 Nov 2024
30 Oct 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey21 Nov 2024
30 Oct 2024F0761Ensure 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.DStandard survey21 Nov 2024
30 Oct 2024F0808Ensure 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.DStandard survey22 Jan 2025
30 Oct 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey21 Nov 2024
30 Oct 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation21 Nov 2024
4 Mar 2024F0641Ensure each resident receives an accurate assessment.DComplaint investigation1 Apr 2024
12 Dec 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint investigation31 Jan 2024
12 Dec 2023F0610Respond appropriately to all alleged violations.EComplaint investigation31 Jan 2024
12 Dec 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EComplaint investigation31 Jan 2024
15 Jun 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.LStandard survey25 Jul 2023
15 Jun 2023F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.LStandard survey25 Jul 2023
15 Jun 2023F0836Ensure 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.LStandard survey3 Jul 2023
15 Jun 2023F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.KStandard survey25 Jul 2023
15 Jun 2023F0760Ensure that residents are free from significant medication errors.KStandard survey25 Jul 2023
15 Jun 2023F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.FStandard survey25 Jul 2023
15 Jun 2023F0730Observe each nurse aide's job performance and give regular training.FStandard survey25 Jul 2023
15 Jun 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.FStandard survey25 Jul 2023
15 Jun 2023F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyEStandard survey25 Jul 2023
15 Jun 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey25 Jul 2023
15 Jun 2023F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard survey25 Jul 2023
15 Jun 2023F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard survey25 Jul 2023
15 Jun 2023F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey25 Jul 2023
15 Jun 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey25 Jul 2023
15 Jun 2023F0759Ensure medication error rates are not 5 percent or greater.DStandard survey25 Jul 2023
21 May 2021F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey10 Jun 2021
21 May 2021F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FStandard survey8 Jun 2021
21 May 2021F0880Provide and implement an infection prevention and control program.FStandard survey22 Jun 2021
21 May 2021F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EStandard survey4 Jul 2021
21 May 2021F0610Respond appropriately to all alleged violations.EStandard survey12 Jun 2021
21 May 2021F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard survey24 May 2021
21 May 2021F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey7 Jun 2021
21 May 2021F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey8 Jun 2021
21 May 2021F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey9 Jun 2021
21 May 2021F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey8 Jun 2021
21 May 2021F0758Implement 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.DStandard survey6 Jun 2021
21 May 2021F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.BStandard survey23 May 2021
21 May 2021F0732Post nurse staffing information every day.BStandard survey24 May 2021
21 May 2021F0881Implement a program that monitors antibiotic use.BStandard survey26 May 2021

Penalties

DateTypeAmountDetail
10 Jul 2025Fine$62,493
18 Mar 2025Fine$255,403
30 Oct 2024Fine$37,522

Staffing

Total nursing—
Nurse aides—
LPN—
RN—
Weekend total—

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the New Jersey average. Turnover: nursing staff 40.7%, RNs 75.0%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityNew Jersey medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay8.8%7.3%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.6%0.2%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.4%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.0%2.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay7.4%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay29.5%6.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay8.1%4.8%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay19.6%11.8%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. Legal business name: Little Brook Home, Inc.

OrganisationRole in the CMS recordInterestSince
Lazare Group, Inc5% or greater indirect ownership interest100%02/13/2002
Bethane Properties, Inc5% or greater mortgage interestNOT APPLICABLE02/13/2002
Lazare Group, IncOperational/managerial controlNOT APPLICABLE02/13/2002
Bethane Properties, IncAdp of the snfNOT APPLICABLE02/13/2002
Lazare Group, IncAdp of the snfNOT APPLICABLE02/13/2002

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Hunterdon County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Country Arch Care CenterPittstown1305442720.8—8 Apr 2026
Hunterdon Care Center LLCFlemington1853232413.0—14 Aug 2025
Rolling Hills Care CenterLebanon671132537.3$43K7 Feb 2025

All 4 facilities in Hunterdon County

Questions and answers

How many deficiencies has Little Brook Nursing and Convalescent Home been cited for?

54 health deficiencies across the three most recent survey cycles, 8 at the actual-harm or immediate-jeopardy level. The New Jersey median is 21 per facility.

Has Little Brook Nursing and Convalescent Home been fined?

Yes. CMS lists fines totalling $355K in the period covered.

How does staffing at Little Brook Nursing and Convalescent Home compare?

CMS does not report staffing hours for this facility.

Who operates Little Brook Nursing and Convalescent Home?

Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Lazare Group, Inc and Lazare Group, Inc. Individual owners and managers are not listed on this site.

When was Little Brook Nursing and Convalescent Home last inspected?

The most recent survey or investigation in the CMS record is dated 10 Jul 2025; the most recent standard health survey was 30 Oct 2024.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.