Nursing home report
Registered name: LITTLE BROOK NURSING AND CONVALESCENT HOME
CALIFON, NJ · Medicare-certified · 36 beds
Little Brook Nursing Home in Califon, NJ has a 1 out of 5 overall rating, with a 1-star health inspection rating and a recent federal penalty after $355,418 in fines over the last 24 months. Staffing is rated 4 stars, but reported nurse staffing is 3.52 hours per resident per day, below the 4.1-hour federal benchmark.
Health inspections
Staffing
3.5176 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5176.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the pneumonia vaccine
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.
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.
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.
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.
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.
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: K
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 16 health deficiencies.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
A federal fine of $62,493 was recorded.
Health inspection found 1 health deficiency.
A federal fine of $255,403 was recorded.
A federal fine of $248,671 was recorded.
Health inspection found 5 health deficiencies.
A federal fine of $37,522 was recorded.
Health inspection found 15 health deficiencies.
On record with Medicare: 3 fines · $355,418 in total fines.
Federal fine
Jul 10, 2025
Federal fine
Mar 18, 2025
Federal fine
Oct 30, 2024
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.
