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Nursing home report

LITTLE BROOK NURSING AND CONVALESCENT HOME

CALIFON, NJ · Medicare-certified · 36 beds

Needs attention
Special Focus candidateFor-profit
1 of 5 overall

Little Brook Nursing and Convalescent Home in Califon, NJ has a 1 out of 5 overall rating, with very weak health inspection and quality ratings, despite a 4 out of 5 staffing rating. It is a Special Focus Facility candidate/flagged facility, was fined $348,686 in the last 24 months, and reported nurse staffing of 3.54 hours per resident per day, below the 4.1-hour federal benchmark.

Facility ratings

Health inspections

Staffing

3.5449 hrs/resident/day

Quality measures

Last inspection: July 10, 2025Penalties, last 24 months: $348,686special focus facility

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5449.

Staffing detail

Registered nurses
0.83
Licensed practical nurses
0.68
Nurse aides
2.04
Weekend nursing
3.49

Hours per resident per day.

Total staff turnover: 50%
Registered nurse turnover: 80%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

24.6%

Residents with a fall causing major injury

0%0%No change

Residents with pressure ulcers (bedsores)

9.5%2.9%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

4%0%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

24.6%

Residents whose ability to walk got worse

33.4%

Long-stay residents on antianxiety or sleep medication

7.1%4.8%Improving

Short-stay residents newly given an antipsychotic

10.7%

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

12.3%16.7%Worsening

Residents with depressive symptoms

4.5%0%Improving

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

93.9%

Long-stay residents given the pneumonia vaccine

77.4%76%Worsening

Short-stay residents given the pneumonia vaccine

42.9%

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2023 — widespread issue, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: L

The home failed to run its operations effectively and efficiently using its available resources. Cited June 2023 — widespread issue, immediate jeopardy to residents.

View the original federal record

F-Tag 835 — 42 CFR §483.70 — S/S: L

The home failed to ensure it was properly licensed and following all required laws, rules, and professional standards. Cited June 2023 — widespread issue, immediate jeopardy to residents.

View the original federal record

F-Tag 836 — 42 CFR §483.70(a) — S/S: L

The home failed to ensure a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited June 2023 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 756 — 42 CFR §483.45(c) — S/S: K

The nursing home failed to ensure residents were free from significant medication errors. Cited June 2023 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: K

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. PENALTY

    A federal fine of $62,493 was recorded.

  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. PENALTY

    A federal fine of $248,671 was recorded.

  5. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  6. PENALTY

    A federal fine of $37,522 was recorded.

  7. INSPECTION

    Health inspection found 15 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 4 fines · $362,240 in total fines.

  • Federal fine

    Jul 10, 2025

    $62,493
  • Federal fine

    Mar 18, 2025

    $248,671
  • Federal fine

    Oct 30, 2024

    $37,522
  • Federal fine

    Jun 15, 2023

    $13,554

Operator & ownership

Ownership
For profit - Corporation
Occupancy
26.1 residents on an average day (73% of 36 beds)
Resident voice
Resident council
Medicare history
Certified for 25 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.