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.
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).
Last yrNowTrend
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).
Last yrNowTrend
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.
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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.
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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.
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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.
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F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: K
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
PENALTY
A federal fine of $62,493 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $248,671 was recorded.
INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $37,522 was recorded.
INSPECTION
Health inspection found 15 health deficiencies.
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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.