Occupancy rate
89%
In line with New Jersey averagePrimarily long-term care, limited rehab
Most residents stay long-term, while a smaller portion are admitted for short-term rehab.
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Nursing Home in New Jersey
CMS overall rating
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.
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.
Little Brook Nursing And Convalescent Home
Nursing Home in New Jersey
CMS overall rating
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.
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.
Little Brook Nursing And Convalescent Home
Little Brook Nursing and Convalescent Home is a skilled nursing facility located in Califo, NJ. It offers a home-like environment with 24-hour nursing care, rehabilitation services, and organized daily activities. The facility is family-owned and has been serving the community since 1955.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
36
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
88.9%
Residents per day (avg)
33
Occupancy rate
88.9%
Residents per day (avg)
33
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term residence
Daily assistance
Occasional rehab needs
Breakdown by payment type
Medicare
6% of new residents, usually for short-term rehab.
Typical stay
6 - 7 months
Private pay
82% of new residents, often for short stays.
Typical stay
5 - 6 months
Medicaid
12% of new residents, often for long-term daily care.
Typical stay
10 - 11 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$4.5M
Profit
$15.7K
Privately-owned community
Operated by a business corporation.
Home revenue
$4.5M
Profit
$15.7K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.9M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.6M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$4.4M
36-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Occupancy
In line with New Jersey averageOccupied beds
32 / 36
Average residents
119 per day
Facility TypeLong Term Care Facility
ExpirationDecember 31, 2025
License Number61003
CMS Certification Number315467
Awards5-STAR Government Rating in 2016, 2017, and 2018; U.S. News & World Report 2018-2019 award recipient.
Little Brook Nursing And Convalescent Home is administrated by Ms. CYNTHIA BRADFORD.
Owner NameLITTLE BROOK HOME, INC.
Officers
Officers are individuals or entities with formal legal or financial responsibility for the organization that owns this facility
Lazare Grp INC., John Hampilos, Dr . Rosa Maria Fernandez
Accept Medicaid
Accept Medicare
Rehabilitation Services
Respite Care
Short-Term Rehab
Doctor on Staff
Skilled Nursing
24-Hour Staffing
Short-Term/Medicare Rehab
Respite Stays
Home Cooked Meals
Organized Daily Activities
Free Access To Led Tv & Cable
Telephone And Internet
Weekly Beauty Salon And Barbershop
Community Involvement In Programs
Weekly Religious Services
Social And Recreational Programs
Professional Entertainment Scheduled Monthly
ActivitiesDaily activities coordinated by Activities Director.
Specific Programs24 Hour Skilled Nursing, Alzheimer’s Disease and Dementia Sensitive Staff, Physician / Medical Director on Staff, Social Worker on Staff, Physical Therapist on Staff, Occupational and Speech Therapies, Psychiatric Consultations, Visiting Dental Services, Visiting Visual Services, Pharmacy Services available 24 Hours, Registered Dietician, Podiatric Care, Audiology Services, Palliative and Hospice Care, Pet Therapies, Transfer Agreements with local hospitals.
Religious ServicesYes
Volunteer ProgramsYes
Food DescriptionHome cooked meals on site.
Meals IncludedYes
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Medicare Accepted
This facility is certified for eligible Medicare services.
Inspection History
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.
14 visits/inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Results
92 with citations
0 without citations
New Jersey average: 8 visits/inspections
New Jersey average: 6 inspections
New Jersey average: 22 inspections with citations
Show Inspection Reports
Latest inspection
Date
November 19, 2025
45 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
New Jersey average: 18 deficiencies
Inspection Report Summary for Little Brook Nursing And Convalescent Home
The most recent inspection on November 19, 2025, did not identify any deficiencies and focused on informing individuals about privacy practices. Earlier inspections showed a pattern of deficiencies related mainly to resident care, staffing, medication management, infection control, and life safety compliance. Complaint investigations substantiated issues with abuse reporting, incomplete investigations, and staffing shortages, though fines or enforcement actions were not listed in the available reports. Most complaints were substantiated, including failures to report abuse and maintain accurate medical records. The facility’s inspection history shows ongoing challenges with regulatory compliance, but the latest report suggests some improvement in addressing prior concerns.
Health Inspection History
Inspections
Total health inspections
7
New Jersey average 4
Last Health inspection on Jul 2025
Total health citations
54
New Jersey average 20.9
Citations per inspection
7.71
New Jersey average 5.35
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
40 of 54 citations resulted from standard inspections; 10 of 54 resulted from complaint investigations; and 4 of 54 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
8
8
1043% worse than New Jersey averageNew Jersey average: 0.7
Serious Health citations
0
0
100% better than New Jersey averageNew Jersey average: 0.4
8 critical citations
0 serious citations
43 moderate citations
3 minor citations
Citations history (last 3 years)
Quality of Care critical citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jul 10, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jul 10, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Mar 18, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Mar 18, 2025
Corrected
Abuse/Neglect critical citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Mar 18, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Mar 18, 2025
Corrected
Nursing Services moderate citation
Issues related to the availability and quality of nursing staff and the care they provide.
Mar 18, 2025
Issues related to the availability and quality of nursing staff and the care they provide.
Mar 18, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around New Jersey The information below is reported by the New Jersey Department of Health, Health Facilities Evaluation and Licensing.
Filter by care type
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| Peace Care St. Joseph’s |
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.
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).
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 (Journal Square) | 139 | 77.0% | 0% | 4.04 | +142% | +4% | 32 | 15 | 7.5 | 1 | 131 | - | 97 | Chester, Ernest | $19.4M | $8.0M | 41.4% | 315452 | ||||
| Accelerate Skilled Nursing And Rehab Piscataway |
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. | Piscataway | 124 | 39.0% | -49% | 4.10 | -14% | +6% | 1 | 34 | 6.8 | 3 | 99 | - | - | - | $12.2M | $3.6M | 29.6% | 315522 | ||||
| Little Brook Nursing And Convalescent Home |
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. | Califon | 36 | 79.0% | +3% | 2.84 | +46% | -27% | 18 | 54 | 7.7 | 8 | 33 | - | - | Fernandez, Rosa | $4.1M | $1.9M | 45.6% | 315467 | ||||
| Active Day Adult Services | - |
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. | Sayreville | 50 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | - | - | - | - | - |
Places of interest near Little Brook Nursing And Convalescent Home
0.0 miles from city center
Estimated distance in miles from Califon's city center to Little Brook Nursing And Convalescent Home's address, calculated via Google Maps.
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
36
Employees
34
Contractors
2
Staff to resident ratio
1.13:1
37% worse than New Jersey averageNew Jersey average ratio: 1.77:1
Avg staff/day
14
Average shift
7.4 hours
8% worse than New Jersey averageNew Jersey average: 8 hours
Total staff hours (quarter)
9,437
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
5
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
4
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.3 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
17
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
0.3%
33 contractor hours this quarter
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 17 | 0 | 17 | 4,632 | 91 | 100% | 7.5 |
| Licensed Practical Nurse | 4 | 0 | 4 | 1,979 | 91 | 100% | 10.3 |
| Registered Nurse | 5 | 0 | 5 | 1,176 | 88 | 97% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 450 | 60 | 66% | 7.5 |
| Administrator | 1 | 0 | 1 | 443 | 59 | 65% | 7.5 |
| Dietitian | 1 | 0 | 1 | 424 | 55 | 60% | 7.7 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 164 | 62 | 68% | 2.5 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 87 | 22 | 24% | 3.9 |
| Qualified Social Worker | 1 | 0 | 1 | 49 | 20 | 22% | 2.5 |
| Medical Director | 0 | 1 | 1 | 22 | 5 | 5% | 4.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 11 | 4 | 4% | 2.8 |
17 Certified Nursing Assistant
% of Days
100%
4 Licensed Practical Nurse
% of Days
100%
5 Registered Nurse
% of Days
97%
2 Nurse Practitioner
% of Days
66%
1 Administrator
% of Days
65%
1 Dietitian
% of Days
60%
2 Respiratory Therapy Technician
% of Days
68%
1 Clinical Nurse Specialist
% of Days
24%
1 Qualified Social Worker
% of Days
22%
1 Medical Director
% of Days
5%
1 Occupational Therapy Assistant
% of Days
4%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
32
Medicare
4
12.5% of residents
Medicaid
20
62.5% of residents
Private pay or other
8
25% 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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
20.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
20.2
197% worse than New Jersey averageNew Jersey average: 6.8
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
33.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
33.6
170% worse than New Jersey averageNew Jersey average: 12.4
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
44.9%
Percent of long-stay residents whose need for help with daily activities has increased
44.9%
347% worse than New Jersey averageNew Jersey average: 10.1%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
41.2%
Percent of long-stay residents whose ability to move independently worsened
41.2%
274% worse than New Jersey averageNew Jersey average: 11.0%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.7%
8% better than New Jersey averageNew Jersey average: 16.0%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.6%
Percent of long-stay residents experiencing one or more falls with major injury
1.6%
34% better than New Jersey averageNew Jersey average: 2.4%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
8.5%
Percent of long-stay high risk residents with pressure ulcers
8.5%
39% worse than New Jersey averageNew Jersey average: 6.1%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.7%
Percent of long-stay residents with a urinary tract infection
1.7%
76% worse than New Jersey averageNew Jersey average: 1.0%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.9%
Percent of long-stay residents who lose too much weight
4.9%
6% worse than New Jersey averageNew Jersey average: 4.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.8%
Percent of long-stay residents who have depressive symptoms
1.8%
84% better than New Jersey averageNew Jersey average: 11.3%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
34.0%
Percent of long-stay residents who received an antipsychotic medication
34.0%
208% worse than New Jersey averageNew Jersey average: 11.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
66.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
66.9%
28% worse than New Jersey averageNew Jersey average: 93.0%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.9%
In line with New Jersey averageNew Jersey average: 97.2%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
26.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
26.0%
67% worse than New Jersey averageNew Jersey average: 78.9%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
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 (Data as of Jan 2026)
Total fines amount
$437K
466% higher than New Jersey averageNew Jersey average: $77K
Number of fines
12
496% more fines than New Jersey averageNew Jersey average: 2.0
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than New Jersey averageNew Jersey average: 0.1
Fines amount comparison
Fines amount comparison
This facility
$437K
New Jersey average
$77K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 10, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 10, 2025
$95K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 18, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 18, 2025
$255K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 30, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 30, 2024
$38K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 15, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 15, 2023
$14K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Little Brook Nursing And Convalescent Home based on CMS SNF Cost Reports.
Occupancy Rate
79.0%
↓ 2.5pp vs 2022
Net Income
$15.7K
↑ ~$7.8K vs 2022
Total Payroll
$2.2M
↑ ~$417.1K vs 2022
Profit Margin
0.4%
↑ 0.2pp vs 2022
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