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The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
Spring Hills Livingston in New Jersey has been providing care and services to seniors for over 20 years. The community offers a luxurious and elegant atmosphere, with a variety of floor plans to choose from, including studios, one-bedroom, and two-bedroom apartments, each featuring private bathrooms and kitchens. This home strikes a good balance between a peaceful atmosphere and an active environment.
Residents can enjoy a range of amenities such as a tranquil courtyard, social areas to connect with friends, a salon and barber for grooming and pampering, and a movie theater for entertainment. Housekeeping services ensure that residents can relax and enjoy their surroundings, while drivers and valet services are available for easy transportation. The community also offers concierge services to cater to residents’ unique needs and preferences. With its upscale amenities and welcoming environment, Spring Hills Livingston is a perfect choice for seniors looking for a comfortable and fulfilling retirement experience.
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 230th out of 259 homes in New Jersey.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Total Nursing (Weekend)
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 |
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
47% of new residents, usually for short-term rehab.
48% of new residents, often for short stays.
5% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #204 / 256Payroll — state benchmarkedThis home is ranked 204th out of 256 homes in New Jersey.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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Lower than the New Jersey average: 77%Spring Hills Livingston is legally operated by Livingston Al Amop Llc, and administrated by Mr. Alexander Markowits.
Officers are individuals or entities with formal legal or financial responsibility for the organization that owns this facility
Spring Hill Holdings, LLC
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 are formal regulatory issues recorded during state inspections.
| Metric | This Facility | NJ Average | vs. NJ Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 1 | 18 | This facility has 94% fewer total deficiencies than a typical New Jersey nursing home (1 vs. NJ avg 18).↓ 94% better |
|
Deficiencies per year
Average deficiencies per year since 2021.
| 0.2 | 3.6 | This facility has 94% fewer deficiencies per year than a typical New Jersey nursing home (0.2 vs. NJ avg 3.6).↓ 94% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 0.5 | 2 | This facility has 75% fewer deficiencies per inspection than a typical New Jersey nursing home (0.5 vs. NJ avg 2).↓ 75% better |
Per-category split of the 1 deficiencies recorded across all inspections. Counts are compared against the New Jersey state average for each category. A green dot means this facility is below the state average for that category; an amber dot means it is above.
State inspections evaluate whether the facility meets health and safety standards.
| Metric | This Facility | NJ Average | vs. NJ Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 2 | 9 | This facility has 78% fewer total inspections than a typical New Jersey nursing home (2 vs. NJ avg 9).↓ 78% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on November 19, 2025, did not identify any deficiencies. Earlier inspections showed a generally positive compliance record, with the exception of the initial licensing survey on April 21, 2023, when inspectors cited a deficiency related to the emergency generator annunciator panel not being located where staff could observe it 24 hours a day. No fines, enforcement actions, or substantiated complaints were listed in the available reports. Complaint investigations were not noted in any report. The inspection history suggests improvement since the initial licensing survey, with no recent issues reported.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsNew Jersey average 4
Last Health inspection on Sep 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.
23 of 30 citations resulted from standard inspections; 1 of 30 resulted from complaint investigations; and 6 of 30 came from combined inspections (standard and complaint).
100% better than New Jersey averageNew Jersey average: 0.7
0
100% better than New Jersey averageNew Jersey average: 0.4
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Sep 20, 2024
Corrected
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Sep 20, 2024
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 20, 2024
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 20, 2024
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.
Spring Hills Livingston is located in Livingston, New Jersey.
Here are the financial assistance programs available to residents in New Jersey.
1.2 miles from city center
Estimated distance in miles from Livingston's city center to Spring Hills Livingston's address, calculated via Google Maps.
— 4.64 miles to nearest hospital (Overlook Medical Center)
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
5% worse than New Jersey averageNew Jersey average ratio: 1.77:1
9% worse than New Jersey averageNew Jersey average: 8 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursNo contractors work on this role.
Total hours from contractors
0 contractor hours this quarter
No contractor roles were reported this quarter.
| Certified Nursing Assistant | 78 | 0 | 78 | 24,631 | 91 | 100% | 7.2 |
| Licensed Practical Nurse | 31 | 0 | 31 | 9,763 | 91 | 100% | 7.5 |
| Registered Nurse | 31 | 0 | 31 | 6,087 | 91 | 100% | 7.3 |
| Physical Therapy Assistant | 10 | 0 | 10 | 2,539 | 90 | 99% | 7.4 |
| Clinical Nurse Specialist | 7 | 0 | 7 | 2,478 | 81 | 89% | 7.1 |
| Respiratory Therapy Technician | 7 | 0 | 7 | 2,205 | 84 | 92% | 7.6 |
| Physical Therapy Aide | 10 | 0 | 10 | 1,419 | 90 | 99% | 5.7 |
| Speech Language Pathologist | 10 | 0 | 10 | 1,216 | 87 | 96% | 8.1 |
| Therapeutic Recreation Specialist | 5 | 0 | 5 | 993 | 82 | 90% | 6.8 |
| Mental Health Service Worker | 2 | 0 | 2 | 807 | 68 | 75% | 7.3 |
| Other Dietary Services Staff | 3 | 0 | 3 | 669 | 76 | 84% | 7.5 |
| Qualified Social Worker | 5 | 0 | 5 | 644 | 67 | 74% | 7.8 |
| Dietitian | 2 | 0 | 2 | 616 | 79 | 87% | 7 |
| Occupational Therapy Aide | 2 | 0 | 2 | 568 | 71 | 78% | 6.6 |
| Physical Therapist | 1 | 0 | 1 | 530 | 61 | 67% | 8.7 |
| Nurse Practitioner | 2 | 0 | 2 | 464 | 58 | 64% | 8 |
| Administrator | 1 | 0 | 1 | 433 | 54 | 59% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 209 | 30 | 33% | 7 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
124Residents 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.
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.
3.7
46% better than New Jersey averageNew Jersey average: 6.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
9.5
23% better than New Jersey averageNew Jersey average: 12.4
Percent of long-stay residents whose need for help with daily activities has increased
7.3%
28% better than New Jersey averageNew Jersey average: 10.1%
Percent of long-stay residents whose ability to move independently worsened
3.0%
73% better than New Jersey averageNew Jersey average: 11.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.4%
15% worse than New Jersey averageNew Jersey average: 16.0%
Percent of long-stay residents experiencing one or more falls with major injury
2.6%
6% worse than New Jersey averageNew Jersey average: 2.4%
Percent of long-stay high risk residents with pressure ulcers
2.3%
63% better than New Jersey averageNew Jersey average: 6.1%
Percent of long-stay residents with a urinary tract infection
0.5%
52% better than New Jersey averageNew Jersey average: 1.0%
Percent of long-stay residents who lose too much weight
3.2%
30% better than New Jersey averageNew Jersey average: 4.6%
Percent of long-stay residents who have depressive symptoms
15.5%
38% worse than New Jersey averageNew Jersey average: 11.3%
Percent of long-stay residents who received an antipsychotic medication
8.7%
21% better than New Jersey averageNew Jersey average: 11.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
88.9%
In line with New Jersey averageNew Jersey average: 93.0%
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%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
61.0%
23% worse than New Jersey averageNew Jersey average: 78.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
34% better than New Jersey averageNew Jersey average: 1.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.5%
12% better than New Jersey averageNew Jersey average: 80.1%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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.
Historical financial and operational data for Spring Hills Livingston based on CMS SNF Cost Reports.
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Spring Hills Livingston is in the Livingston neighborhood of Livingston.
The legal owner and operator of Spring Hills Livingston is Livingston Al Amop Llc.
Spring Hills Livingston has a walk score of 24. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to NJ state health department records, Spring Hills Livingston's license number is 07A022.
According to NJ state health department records, Spring Hills Livingston's license expires on April 30, 2026.
Spring Hills Livingston's occupancy is 59%.
Mr. ALEXANDER MARKOWITS is the administrator of Spring Hills Livingston.
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