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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 244th out of 274 homes in New Jersey for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| 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 |
Higher than the New Jersey average: 77%Complete Care At Barn Hill is administrated by Joseph Dickson.
Officers are individuals or entities with formal legal or financial responsibility for the organization that owns this facility
LLC Barn Hill Holdco
In New Jersey, the Department of Health, Health Facilities Evaluation and Licensing conducts mandatory unannounced surveys to ensure facilities provide safe and effective resident care.
This scorecard compares key inspection, citation, 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
| 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 nursing home (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 nursing home (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 nursing home (3.7 vs. NJ avg 2).↑ 85% worse |
Inspections
| 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 nursing home (13 vs. NJ avg 9).↑ 44% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
New Jersey average 4
Last Health inspection on Aug 2024
New Jersey average 20.9
New Jersey average 5.35
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).
100% better than New Jersey averageNew Jersey average: 0.7
100% better than New Jersey averageNew Jersey average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
36% more staff per resident than New Jersey average
5% better than New Jersey average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 12 RN Staff are full-time employees. No contractors work on this role.
12
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursAssists with medical care and medications.
61 total: 27 full-time employees and 34 contractors.
61
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursHelps with daily care and mobility.
165 total: 53 full-time employees and 112 contractors.
165
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
13,611 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| 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 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.5
25% worse than New Jersey averageNew Jersey average: 6.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.4
40% worse than New Jersey averageNew Jersey average: 12.4
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
11.6%
15% worse than New Jersey averageNew Jersey average: 10.1%
Percent of long-stay residents whose ability to move independently worsened
15.1%
37% worse than New Jersey averageNew Jersey average: 11.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.4%
59% worse than New Jersey averageNew Jersey average: 16.0%
Percent of long-stay residents experiencing one or more falls with major injury
4.2%
75% worse than New Jersey averageNew Jersey average: 2.4%
Percent of long-stay high risk residents with pressure ulcers
4.1%
33% better than New Jersey averageNew Jersey average: 6.1%
Percent of long-stay residents with a urinary tract infection
0.3%
73% better than New Jersey averageNew Jersey average: 1.0%
Percent of long-stay residents who lose too much weight
7.4%
60% worse than New Jersey averageNew Jersey average: 4.6%
Percent of long-stay residents who have depressive symptoms
6.8%
40% better than New Jersey averageNew Jersey average: 11.3%
Percent of long-stay residents who received an antipsychotic medication
5.0%
55% better than New Jersey averageNew Jersey average: 11.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.8%
7% better than New Jersey averageNew Jersey average: 93.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with New Jersey averageNew Jersey average: 97.2%
Number of hospitalizations per 1,000 long-stay resident days.
2.20
6% worse than New Jersey averageNew Jersey average: 2.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.82
27% better than New Jersey averageNew Jersey average: 1.12
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.7%
21% better than New Jersey averageNew Jersey average: 78.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
41% better than New Jersey averageNew Jersey average: 1.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.9%
19% better than New Jersey averageNew Jersey average: 80.1%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
30.5%
20% worse than New Jersey averageNew Jersey average: 25.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.7%
18% worse than New Jersey averageNew Jersey average: 8.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.6%
29% better than New Jersey averageNew Jersey average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
51.6%
In line with New Jersey averageNew Jersey average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
65.1%
29% better than New Jersey averageNew Jersey average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
44% of new residents, usually for short-term rehab.
56% of new residents, often for short stays.
1% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
139Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Complete Care At Barn Hill based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #126 / 272Payroll — State benchmarkedThis home is ranked 126th out of 272 homes in New Jersey for payroll. Shows total annual staff payroll benchmarked to the New Jersey average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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.
Add your location
Complete Care At Barn Hill is located in Newton, New Jersey.
Here are the financial assistance programs available to residents in New Jersey.
The information below is reported by the New Jersey Department of Health, Health Facilities Evaluation and Licensing.
| Fellowship Village |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Basking Ridge | 67
Facility
67
NJ AVG
125
Rank
#471 / 561 | 86.6% | +12% | 5.83 | +57% | +50% | $0 | 2 | 1.0 | - | 58 | - |
25
Facility
25
NJ AVG
47
Rank
#477 / 640 | Brian Lawrence | $67.1M | $22.8M | 34% | 315356 | ||||
| Brighton Gardens of Edison |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Edison (Oak Tree Road) | 118
Facility
118
NJ AVG
125
Rank
#287 / 561 | 90.5% | +18% | 4.90 | +93% | +26% | $33.4k | 17 | 8.5 | 1 | 25 | A+ |
64
Facility
64
NJ AVG
47
Rank
#198 / 640 | Tracey Borges | $17.0M | $7.7M | 45.3% | 315351 | ||||
| Harmony Village at CareOne Valley |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Westwood | 98
Facility
98
NJ AVG
125
Rank
#391 / 561 | 89.8% | +17% | 3.40 | +18% | -12% | $0 | 6 | 1.5 | - | 88 | - |
56
Facility
56
NJ AVG
47
Rank
#232 / 640 | Careone At Valley | $23.6M | $9.3M | 39.6% | 315369 | ||||
| Complete Care At Barn Hill |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Newton | 154
Facility
154
NJ AVG
125
Rank
#135 / 561 | 90.3% | +17% | 3.06 | -62% | -21% | $0 | 15 | 3.8 | - | 139 | - |
86
Facility
86
NJ AVG
47
Rank
#51 / 640 | Barn Hill Holdco LLC | $22.0M | $9.7M | 44.2% | 315137 | ||||
| Peace Care St. Ann’s |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Jersey City (Greenville) | 120
Facility
120
NJ AVG
125
Rank
#235 / 561 | 88.3% | +15% | 4.07 | +170% | +5% | $0 | 12 | 3.0 | - | 106 | - |
86
Facility
86
NJ AVG
47
Rank
#51 / 640 | Peace Care Inc | $24.2M | $11.0M | 45.3% | 315413 |
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.
According to NJ state health department records, Complete Care At Barn Hill's license number is 61903.
According to NJ state health department records, Complete Care At Barn Hill's license expires on March 31, 2026.
Complete Care At Barn Hill's occupancy is 90%.
Joseph Dickson is the administrator of Complete Care At Barn Hill.
Complete Care At Barn Hill has 154 beds.
Yes — there is 1 photo of Complete Care At Barn Hill in the photo gallery on this page.
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