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Complete Care At Barn Hill

Nursing Home, Hospice Care, Memory Care, Palliative Care & Respite Care · Newton, NJ

CMS overall rating

249 High Street, Newton, NJ 07860 View map

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Complete Care At Barn Hill accepts Medicare, Medicaid, and private pay.

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Complete Care At Barn Hill accepts Medicare, Medicaid, and private pay.

Overview of Complete Care at Barn Hill

The operational baseline for Complete Care at Barn Hill, a 154-bed facility administered by Joseph Dickson under Barn Hill Holdco LLC, is centered at 249 High Street in Newton, Sussex County, New Jersey. Logistically, its placement within a highly walkable environment (Walk Score: 86) offers a significant advantage for external engagement. The admissions profile exhibits a stable bifurcation, largely balancing short-stay Medicare-insured cases against private-pay admissions.

At 90% capacity (139 occupied beds), the facility manages an average length of stay of 54 days, positioning it as a functional intermediary between acute post-rehabilitation and moderate long-term care requirements. The personnel allocation provides a specific data point of 3 hours and 3 minutes of nursing time per resident per day. This metric is distributed as 37 minutes for RN oversight, 58 minutes for LPN/LVN tasks, and approximately 120 minutes of Certified Nurse Aide essential support. The service spectrum is robust, offering 24-hour staffing, comprehensive rehabilitation, respite, short-term, post-acute, and palliative programming.

Analysis of the seven-year regulatory history reveals a trajectory toward systemic correction, yet with notable operational discontinuities. The 2024 inspections, in particular, isolated multiple points of failure: deficits in staffing adherence, failures in pharmacy protocol execution, food safety discrepancies, and non-compliance with fire code and structural maintenance standards. A contemporaneous, substantiated complaint in April confirmed deficiencies in care planning and staffing levels. Significantly, the November 2025 inspection returned a zero-deficiency result, indicating a successful mitigation of prior systemic issues.

Financially, the facility operates within a tripartite payment model: Medicare, Medicaid, and private coverage. An empirical review of admission patterns confirms a focus on short-duration stays: Medicare admissions (44% of new volume) average 24 days, while the majority, private-pay admissions (56%), average a mere 20 days. Medicaid admissions, constituting a statistically minor 1%, skew the average length of stay significantly due to multi-year residency. Therefore, the core competency is demonstrably situated within rapid-turnover post-acute rehabilitation and skilled nursing, rather than high-duration custodial care provision.

Facility Direct Line (973) 383-5600

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 3m per day

vs avg

3 of 6 metrics below state avg

Standout metric LPN / LVN is +20% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	32m per day	▼ 21% State avg: 41m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	1h 7m per day	▲ 20% State avg: 56m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 19m per day	▲ 3% State avg: 2h 14m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	3h 24m per day	■ Avg State avg: 3h 27m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	3m per day	▼ 52% State avg: 6m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	17m per day	▼ 40% State avg: 29m per day · National avg: 28m per day

Capacity and availability

54 days

154-bed community

A large-scale community that may provide a wide range of amenities, services, and structured programs.

Walk Score: 86 / 100

Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate

90%

Higher than the New Jersey average: 77%

Occupied beds

139 / 154

Average occupied beds in New Jersey homes 119 beds

Facility TypeLong Term Care Facility

ExpirationMarch 31, 2026 Expired

License Number61903

CMS Certification Number315137

Complete Care At Barn Hill is administered by Joseph Dickson.

Owner NameComplete Care At Barn Hill LLC

Officers

LLC Barn Hill Holdco

Hoyer Lift

Rehabilitation Services

Respite Care

Short-Term Rehab

24-Hour Staffing

Post-Acute Care

Palliative Care

Since 2019 · 7 years of data 48 deficiencies 13 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the New Jersey state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2019 vs. New Jersey state average

Overall vs. NJ average

Latest Inspection November 20, 2025

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	NJ Average	vs. NJ Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	48	18	This facility has 167% more total deficiencies than a typical New Jersey assisted living residence (48 vs. NJ avg 18).↑ 167% worse
Deficiencies per year Average deficiencies per year since 2019.	6.9	2.6	This facility has 165% more deficiencies per year than a typical New Jersey assisted living residence (6.9 vs. NJ avg 2.6).↑ 165% worse
Deficiencies per inspection Average deficiencies per inspection.	3.7	2	This facility has 85% more deficiencies per inspection than a typical New Jersey assisted living residence (3.7 vs. NJ avg 2).↑ 85% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	NJ Average	vs. NJ Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	13	9	This facility has 44% more total inspections than a typical New Jersey assisted living residence (13 vs. NJ avg 9).↑ 44% worse

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The most recent inspection on August 13, 2024, cited 14 deficiencies including fire safety, staffing, pharmacy, and food safety issues.
The facility failed to meet required CNA staffing ratios on 14 of 14 day shifts and did not develop a complete care plan for one resident in April 2024.
A medication error complaint in August 2024 was substantiated where metformin was given without a valid order, but no harm occurred and staff were retrained.

Show Inspection Reports

Inspections since 2019

Total health inspections 4

State average N/A

Last Health inspection on Aug 2024

Total health citations

State average N/A

Citations per inspection

3.75

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

13 of 15 citations resulted from standard inspections; 1 of 15 resulted from complaint investigations; and 1 of 15 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 7 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

14 moderate citations State average: N/A

1 minor citation State average: N/A

Citations history (last 7 years)

Administration minor citation Aug 13, 2024

Corrected

Nutrition moderate citation Aug 13, 2024

Corrected

Pharmacy moderate citation Aug 13, 2024

Corrected

Care Planning moderate citation Aug 13, 2024

Corrected

Total staff 340

Employees 173

Contractors 167

Staff to resident ratio 2.45 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 78

Average shift 8.4 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 60,299

Nursing staff breakdown

8.1 hours

9.4 hours

165

8.9 hours

Contractor staffing

13,611 contractor hours this quarter

Certified Nursing Assistant: 112 Licensed Practical Nurse: 34 Respiratory Therapy Technician: 6 Physical Therapy Assistant: 5 Qualified Social Worker: 4 Physical Therapy Aide: 3 Speech Language Pathologist: 3

Staff by category


Certified Nursing Assistant	53	112	165	26,424	92	100%	8.9
Licensed Practical Nurse	27	34	61	10,887	92	100%	9.4
Registered Nurse	12	0	12	3,703	92	100%	8.1
RN Director of Nursing	9	0	9	3,405	88	96%	8.6
Nurse Aide in Training	23	0	23	3,153	81	88%	6.5
Clinical Nurse Specialist	9	0	9	2,692	72	78%	8.3
Other Dietary Services Staff	10	0	10	2,027	81	88%	6.7
Physical Therapy Aide	0	3	3	1,429	71	77%	7.8
Physical Therapy Assistant	0	5	5	1,180	70	76%	7.9
Speech Language Pathologist	0	3	3	972	72	78%	8
Dental Services Staff	16	0	16	966	49	53%	6.9
Respiratory Therapy Technician	0	6	6	611	76	83%	7.4
Mental Health Service Worker	3	0	3	559	65	71%	8
Nurse Practitioner	1	0	1	519	64	70%	8.1
Occupational Therapy Aide	1	0	1	504	63	68%	8
Qualified Social Worker	0	4	4	446	53	58%	7.3
Administrator	1	0	1	440	55	60%	8
Dietitian	6	0	6	283	11	12%	7.1
Other Social Services Staff	2	0	2	101	9	10%	7.2

165 Certified Nursing Assistant

% of Days 100%

61 Licensed Practical Nurse

% of Days 100%

12 Registered Nurse

% of Days 100%

9 RN Director of Nursing

% of Days 96%

23 Nurse Aide in Training

% of Days 88%

9 Clinical Nurse Specialist

% of Days 78%

10 Other Dietary Services Staff

% of Days 88%

3 Physical Therapy Aide

% of Days 77%

5 Physical Therapy Assistant

% of Days 76%

3 Speech Language Pathologist

% of Days 78%

16 Dental Services Staff

% of Days 53%

6 Respiratory Therapy Technician

% of Days 83%

3 Mental Health Service Worker

% of Days 71%

1 Nurse Practitioner

% of Days 70%

1 Occupational Therapy Aide

% of Days 68%

4 Qualified Social Worker

% of Days 58%

1 Administrator

% of Days 60%

6 Dietitian

% of Days 12%

2 Other Social Services Staff

% of Days 10%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 8.5

25% worse than State average

State average: 6.8

Functional decline score 17.4

40% worse than State average

State average: 12.4

Long-stay resident measures

Significantly above average State avg: 4.5

Need for Help with Daily Activities Increased 11.6%

15% worse than State average

State average: 10.1%

Walking Ability Worsened 15.1%

37% worse than State average

State average: 11.0%

Low Risk Residents with Bowel/Bladder Incontinence 25.4%

59% worse than State average

State average: 16.0%

Falls with Major Injury 4.2%

75% worse than State average

State average: 2.4%

High Risk Residents with Pressure Ulcers 4.1%

33% better than State average

State average: 6.1%

Urinary Tract Infection 0.3%

73% better than State average

State average: 1.0%

Lost Too Much Weight 7.4%

60% worse than State average

State average: 4.6%

Depressive Symptoms 6.8%

40% better than State average

State average: 11.3%

Antipsychotic Use 5.0%

55% better than State average

State average: 11.1%

Pneumococcal Vaccine 99.8%

7% better than State average

State average: 93.0%

Influenza Vaccine 100.0%

In line with State average

State average: 97.2%

Hospitalizations per 1,000 days 2.20

6% worse than State average

State average: 2.08

ED visits per 1,000 days 0.82

27% better than State average

State average: 1.12

Short-stay resident measures

Significantly above average State avg: 3.8

Pneumococcal Vaccine 95.7%

21% better than State average

State average: 78.9%

Antipsychotic medication increase 0.7%

41% better than State average

State average: 1.2%

Influenza Vaccine 94.9%

19% better than State average

State average: 80.1%

Re-hospitalized after SNF stay 30.5%

20% worse than State average

State average: 25.4%

Emergency department visits 9.7%

18% worse than State average

State average: 8.2%

Falls with major injury 0.6%

29% better than State average

State average: 0.8%

Ability to care for self at discharge 51.6%

In line with State average

State average: 53.7%

Successful return to home or community 65.1%

29% better than State average

State average: 50.6%

Breakdown by payment type

Medicare

44% of new residents, usually for short-term rehab.

Typical stay 24 days

Private pay

56% of new residents, often for short stays.

Typical stay 20 days

Medicaid

1% of new residents, often for long-term daily care.

Typical stay 9 years

Total residents 139

Medicare

33.8% of residents

Medicaid

56.1% of residents

Private pay or other

10.1% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Complete Care At Barn Hill from 2011–2023, based on CMS SNF Cost Reports.

Occupancy Rate 86.8% ↑ 7.0pp vs 2022

Net Patient Income $1.3M ↓ ~$668.3K vs 2022

Payroll Costs $7.3M ↑ ~$125.9K vs 2022

Operating Margin 6.7% ↓ 4.4pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	90.6%	91.3%	92.4%	91.8%	89.8%	87.1%	87.2%	84.5%	85.0%	74.0%	72.3%	79.8%	86.8%
Beds	154	154	154	154	154	154	154	154	154	154	154	154	154
Net Income	$2,413,529	$2,219,629	$2,401,543	$2,175,770	$2,195,247	$2,033,367	$1,776,086	$634,009	$650,193	-$498,837	$436,262	$2,034,680	$1,331,840
Gross Revenue	$22,889,799	$24,742,362	$28,306,679	$29,563,421	$30,514,709	$32,044,996	$31,229,637	$29,749,589	$29,804,854	$26,695,349	$6,303,547	$20,322,210	$21,996,669
Operating Expenses	$14,933,830	$14,894,463	$15,586,160	$15,471,241	$15,886,359	$16,338,627	$16,646,094	$16,379,736	$15,653,061	$15,238,203	$5,124,303	$15,971,168	$18,498,431
Net Patient Income	$2,383,107	$2,189,844	$2,370,200	$2,140,712	$2,164,642	$2,004,362	$1,747,158	$607,483	$625,106	-$504,008	$435,896	$1,993,923	$1,325,585
Net Patient Revenue	$17,316,937	$17,084,307	$17,956,360	$17,611,953	$18,051,001	$18,342,989	$18,393,252	$16,987,219	$16,278,167	$14,734,195	$5,560,199	$17,965,091	$19,824,016
Payroll Costs	$8,284,750	$8,197,698	$8,336,671	$8,252,614	$8,119,866	$8,345,478	$8,565,624	$7,830,729	$7,535,566	$7,437,846	$2,367,325	$7,183,872	$7,309,769
Operating Margin %	13.8%	12.8%	13.2%	12.2%	12.0%	10.9%	9.5%	3.6%	3.8%	-3.4%	7.8%	11.1%	6.7%
Medicare %	28.6%	28.4%	29.7%	27.3%	30.3%	32.1%	28.2%	25.2%	19.0%	15.0%	21.5%	22.3%	19.5%
Medicaid %	51.4%	51.9%	50.9%	56.6%	46.5%	48.5%	50.1%	55.9%	61.7%	72.9%	62.8%	56.1%	60.0%
Private %	20.0%	19.7%	19.5%	16.1%	23.3%	19.3%	21.7%	18.9%	19.3%	12.1%	15.7%	21.6%	20.6%
Net Patient Revenue/Day	$340	$332	$346	$341	$358	$374	$375	$358	$341	$353	$367	$400	$406
Cost/Day	$293	$290	$300	$300	$315	$333	$340	$345	$328	$365	$338	$356	$379
Avg Length of Stay	55.8 days	55.6 days	60.4 days	65.0 days	54.3 days	48.4 days	50.3 days	57.2 days	57.0 days	75.0 days	64.5 days	56.0 days	53.6 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$19.8M

Net patient income

$1.3M

For-profit Operated by a single business entity.

Net patient revenue

$19.8M

Net patient income

$1.3M

Other income

$6.3K

Payroll costs

$7.3M 36.9% of net patient revenue

Other operating costs

$11.2M

Total costs

$18.5M

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Most new residents arrive under private pay (56% of admissions), and a typical private pay stay runs around 20 days.

Coverage residents most often arrive under.

Medicare 44%

Private pay 56%

Medicaid 1%

Coverage residents most often leave under.

Medicare 34%

Private pay 65%

Medicaid 1%

0.0 miles from city center Estimated distance in miles from Newton's city center to Complete Care At Barn Hill's address, calculated via Google Maps.

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The information below is reported by the New Jersey Department of Health, Health Facilities Evaluation and Licensing.


Complete Care At Barn Hill	NH HC MC PC RC	Newton	-	154	-	86	-
Fellowship Village	NH AL HC IL MC	Basking Ridge	-	67	-	25	Studio / 1 Bed / 2 Bed
Complete Care at Chestnut Hill	NH HC NC PC RC	Passaic	-	111	-	86	Private Suites / Semi-Private Suites
Job Haines Home	NH AL HC NC RC	Bloomfield (Bloomfield Avenue)	-	40	-	85	Studio / 1 Bed / Private / Semi-Private Rooms
Bridgeway Care and Rehabilitation Center at Hillsborough	NH	Hillsborough Township (Hillsborough)	-	129	A+	49	-

Nursing Home Explorer

Is Complete Care At Barn Hill in a walkable area?

Complete Care At Barn Hill has a walk score of 86. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of Complete Care At Barn Hill?

According to NJ state health department records, Complete Care At Barn Hill's license number is 61903.

When does Complete Care At Barn Hill's license expire?

According to NJ state health department records, Complete Care At Barn Hill's license expires on March 31, 2026.

What is the occupancy rate at Complete Care At Barn Hill?

Complete Care At Barn Hill's occupancy is 90%.

Does Complete Care At Barn Hill operate as a for-profit or non-profit?

Complete Care At Barn Hill is registered as a for-profit in NJ.

Who is the administrator of Complete Care At Barn Hill?

Joseph Dickson is the administrator of Complete Care At Barn Hill.

How many beds does Complete Care At Barn Hill have?

Complete Care At Barn Hill has 154 beds.

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Complete Care At Barn Hill

Overview of Complete Care at Barn Hill

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Officers

Safety & Compliance

Therapy & Rehabilitation

Staffing & Medical

Additional Services

Amenities & Lifestyle

Contact Complete Care At Barn Hill

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the New Jersey state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2019

Breakdown of citation severity (last 7 years)

Citations history (last 7 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

165 Certified Nursing Assistant

61 Licensed Practical Nurse

12 Registered Nurse

9 RN Director of Nursing

23 Nurse Aide in Training

9 Clinical Nurse Specialist

10 Other Dietary Services Staff

3 Physical Therapy Aide

5 Physical Therapy Assistant

3 Speech Language Pathologist

16 Dental Services Staff

6 Respiratory Therapy Technician

3 Mental Health Service Worker

1 Nurse Practitioner

1 Occupational Therapy Aide

4 Qualified Social Worker

1 Administrator

6 Dietitian

2 Other Social Services Staff

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

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