Registered name: LITTLE BROOK NURSING AND CONVALESCENT HOME
CALIFON, NJ · Medicare-certified · 36 beds
Needs attention
Special Focus candidateFor-profit
Data as of July 1, 2026·
★★★★★1 of 5 overall
Little Brook Nursing Home in Califon, NJ has a 1-star overall rating, with 1-star health inspection and staffing ratings and a 3-star quality measures rating. It is listed as a Special Focus Facility candidate/attention flag and has had $348,686 in fines in the last 24 months; its staffing rating is below the 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 not reported.
Staffing detail
Total staff turnover: 41%
Registered nurse turnover: 75%
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
—19.6%—
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
14.8%5.8%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%10%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
—8.8%—
Residents whose ability to walk got worse
—29.5%—
Long-stay residents on antianxiety or sleep medication
0%5%Worsening
Short-stay residents newly given an antipsychotic
—7.4%—
Residents with a long-term catheter
2.1%0%Improving
Residents with new or worsening incontinence
18.3%19.9%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
65.5%68%Improving
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: 3 fines · $348,686 in total fines.
Federal fine
Jul 10, 2025
$62,493
Federal fine
Mar 18, 2025
$248,671
Federal fine
Oct 30, 2024
$37,522
Operator & ownership
Ownership
For profit - Corporation
Occupancy
27 residents on an average day (75% 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.