1/5
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.
1/5
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.
Little Brook operates as a modest 36-bed skilled nursing facility tucked into the rural town of Califon, in New Jersey’s Hunterdon County. Currently supporting 32 residents, the home maintains stable occupancy at 89%; the typical resident tenure of roughly 15 months suggests a population that includes both post-acute rehabilitation cases and longer-stay residents with ongoing clinical needs. Getting around the neighborhood on foot is workable but not convenient; its Walk Score of 49 places it in the “somewhat walkable” range, so families relying on transit should plan accordingly.
The facility accepts Medicare, Medicaid, and private-pay residents, making it accessible across insurance pathways. Residents receive just under three hours of combined nursing per day (RNs contributing 50 minutes, with LPNs and aides filling the gap), which lands solidly in the moderate range for this facility type.
A full-time physician heads the medical team, complemented by in-house physical therapy, occupational therapy, and speech pathology. Visitors needing specialist services will find dental, podiatry, and audiology available on-site or by arrangement. Psychiatric consultation, dietary oversight by a registered dietician, and round-the-clock pharmacy access round out the service menu. The facility explicitly offers palliative and hospice care, signaling openness to end-of-life planning.
Inspection history reveals a facility wrestling with the regulatory tangle that ensnares many small nursing homes: deficiencies related to staffing, medication handling, infection control, and life-safety infrastructure pepper the earlier record. Complaint investigations substantiated failures in abuse reporting and documentation rigor. The most recent inspection, however, identified no deficiencies and narrowed its focus to privacy-practice communication. Whether that represents genuine remediation or inspection variation is an open question for families to probe during tours.
The day-to-day atmosphere leans toward the homey: staffers serve home-cooked meals rather than tray service from a central kitchen. An activities director curates a calendar of programming that includes religious services, social gatherings, and monthly entertainment acts. Residents get unlimited television and internet access, weekly grooming services, and animal-assisted therapy if they’re amenable. The facility has reciprocal relationships with nearby hospitals, which streamlines handoffs when residents need acute care.
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.
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.
| 50m 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.
| 41m per day | ▼ 27% 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 2m per day | ▼ 9% 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 30m 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 | ▼ 50% 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.
| 32m per day | ▲ 12% State avg: 29m per day · National avg: 28m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Higher than the New Jersey average: 77%Little Brook Nursing And Convalescent Home is administered by Ms. Cynthia Bradford.
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
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, 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
| This Facility | NJ Average | vs. NJ Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 100 | 18 | This facility has 456% more total deficiencies than a typical New Jersey assisted living residence (100 vs. NJ avg 18).↑ 456% worse |
|
Deficiencies per year
Average deficiencies per year since 2021.
| 20 | 3.6 | This facility has 456% more deficiencies per year than a typical New Jersey assisted living residence (20 vs. NJ avg 3.6).↑ 456% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 7.1 | 2 | This facility has 255% more deficiencies per inspection than a typical New Jersey assisted living residence (7.1 vs. NJ avg 2).↑ 255% worse |
Inspections
| This Facility | NJ Average | vs. NJ Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 14 | 9 | This facility has had 56% more total inspections than the New Jersey average (14 vs. NJ avg 9). More inspections can mean more regulatory scrutiny rather than worse care.↑ 56% more |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
State average N/A
Last Health inspection on Jul 2025
State average N/A
State average N/A
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).
In line with State averageState average: N/A
In line with State averageState average: N/A
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State averageState average ratio: 0 : 0
0% compared with State averageState average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 6 RN Staff are full-time employees. No contractors work on this role.
6
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursAssists with medical care and medications.
All 5 LPN Staff are full-time employees. No contractors work on this role.
5
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursHelps with daily care and mobility.
All 17 CNA Staff are full-time employees. No contractors work on this role.
17
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
32 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 17 | 0 | 17 | 4,884 | 92 | 100% | 7 |
| Licensed Practical Nurse | 5 | 0 | 5 | 1,632 | 90 | 98% | 9.2 |
| Registered Nurse | 6 | 0 | 6 | 1,547 | 92 | 100% | 7.3 |
| Dietitian | 1 | 0 | 1 | 392 | 52 | 57% | 7.5 |
| Administrator | 1 | 0 | 1 | 383 | 51 | 55% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 288 | 42 | 46% | 6.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 208 | 39 | 42% | 5.3 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 150 | 39 | 42% | 3.8 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 120 | 55 | 60% | 2.1 |
| Qualified Social Worker | 2 | 0 | 2 | 111 | 24 | 26% | 4.4 |
| Physical Therapy Assistant | 1 | 0 | 1 | 31 | 12 | 13% | 2.5 |
| Medical Director | 0 | 1 | 1 | 22 | 8 | 9% | 2.8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 10 | 5 | 5% | 2 |
Includes penalties issued in 2024-2025
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)
466% higher than State averageState average: $77K
496% more fines than State averageState average: 2.0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than State averageState average: 0.1
Penalties are imposed by CMS for violations of federal nursing home regulations.
3 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
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.
Mar 18, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 30, 2024Last updated: Jan 2026
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.
20.2
197% worse than State averageState average: 6.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
33.6
170% worse than State averageState 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
44.9%
347% worse than State averageState average: 10.1%
Percent of long-stay residents whose ability to move independently worsened
41.2%
274% worse than State averageState average: 11.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.7%
8% better than State averageState average: 16.0%
Percent of long-stay residents experiencing one or more falls with major injury
1.6%
34% better than State averageState average: 2.4%
Percent of long-stay high risk residents with pressure ulcers
8.5%
39% worse than State averageState average: 6.1%
Percent of long-stay residents with a urinary tract infection
1.7%
76% worse than State averageState average: 1.0%
Percent of long-stay residents who lose too much weight
4.9%
6% worse than State averageState average: 4.6%
Percent of long-stay residents who have depressive symptoms
1.8%
84% better than State averageState average: 11.3%
Percent of long-stay residents who received an antipsychotic medication
34.0%
208% worse than State averageState average: 11.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
66.9%
28% worse than State averageState average: 93.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.9%
In line with State averageState average: 97.2%
Number of hospitalizations per 1,000 long-stay resident days.
3.07
48% worse than State averageState average: 2.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.59
42% worse than State averageState average: 1.12
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
26.0%
67% worse than State averageState average: 78.9%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
6% of new residents, usually for short-term rehab.
82% of new residents, often for short stays.
12% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
32Residents 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 Little Brook Nursing And Convalescent Home from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #290 / 292Payroll — State benchmarkedThis home is ranked 290th out of 292 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.Rankings are based only on facilities in New Jersey that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #152 / 292Payroll % — State benchmarkedThis home is ranked 152nd out of 292 homes in New Jersey for Payroll %. Shows payroll as a percentage of revenue versus the New Jersey average. Well-run New Jersey facilities typically land around 55–65% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in New Jersey that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents stay long-term, while a smaller portion are admitted for short-term rehab.
Most new residents arrive under private pay (82% of admissions), and a typical private pay stay runs around 5 - 6 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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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The information below is reported by the New Jersey Department of Health, Health Facilities Evaluation and Licensing.
| Job Haines Home | NH AL HC RC SNF | Bloomfield (Bloomfield Avenue) | - | 40 | - | 85 | Studio / 1 Bed / Private / Semi-Private Rooms |
| Fellowship Village | NH AL HC HOS IL MC SNF | Basking Ridge | - | 67 | - | 25 | Studio / 1 Bed / 2 Bed |
| Bartley Healthcare Nursing and Rehabilitation Center | NH HOS MC PC RC SNF | Jackson Township (Bennetts Mills) | - | 234 | A+ | 19 | - |
| Winchester Gardens | NH AL HC IL MC RC SNF | Maplewood (Newark Heights) | - | 30 | - | 24 | Studio / 1 Bed |
| Little Brook Nursing And Convalescent Home | NH ADC PC RC SNF | Califon | - | 36 | - | 49 | - |
Little Brook Nursing And Convalescent Home is legally operated by Little Brook Home, Inc., and administered by Ms. CYNTHIA BRADFORD.
Little Brook Nursing And Convalescent Home has a walk score of 49. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to NJ state health department records, Little Brook Nursing And Convalescent Home's license number is 61003.
According to NJ state health department records, Little Brook Nursing And Convalescent Home's license expires on December 31, 2025.
Little Brook Nursing And Convalescent Home's occupancy is 89%.
Little Brook Nursing And Convalescent Home is registered as a for-profit in NJ.
Ms. CYNTHIA BRADFORD is the administrator of Little Brook Nursing And Convalescent Home.
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