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Nursing home report

Little Brook Nursing Home

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.

Facility ratings

Health inspections

Staffing

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 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).

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).

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.

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: 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.