Little Brook Nursing and Convalescent Home
78 Sliker Road · Califon, NJ · 07830 · 9088322220
36 certified beds For profit - Corporation
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $348,686 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$348,686 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | 50% | median 45% |
| Fines (3-yr window) | 3 · $348,686 |
Inspection citations (54 in the current record)
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Immediate jeopardy · J July 10, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 18, 2025 · Quality of Life and Care
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Immediate jeopardy · J March 18, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected May 14, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 18, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 14, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 18, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected May 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · E March 18, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 18, 2025 · found via complaint
Observe each nurse aide's job performance and give regular training.
Corrected May 14, 2025 · Nursing and Physician Services
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Immediate jeopardy · J October 30, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 20, 2024 · Quality of Life and Care
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Potential for harm · D October 30, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 9, 2024 · Resident Rights
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Potential for harm · D October 30, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected November 21, 2024 · Resident Rights
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Potential for harm · D October 30, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected November 22, 2024 · Resident Rights
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Potential for harm · F October 30, 2024
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected November 21, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 30, 2024
Ensure each resident receives an accurate assessment.
Corrected November 21, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 30, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected November 22, 2024 · Quality of Life and Care
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Potential for harm · F October 30, 2024
Observe each nurse aide's job performance and give regular training.
Corrected November 21, 2024 · Nursing and Physician Services
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Potential for harm · D October 30, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 21, 2024 · Pharmacy Service
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Potential for harm · D October 30, 2024
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected November 21, 2024 · Pharmacy Service
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Potential for harm · D October 30, 2024
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected January 22, 2025 · Nutrition and Dietary
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Potential for harm · F October 30, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 21, 2024 · Nutrition and Dietary
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Potential for harm · D October 30, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected November 21, 2024 · Resident Assessment and Care Planning
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Potential for harm · F October 30, 2024
Provide and implement an infection prevention and control program.
Corrected January 22, 2025 · Infection Control
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Potential for harm · D October 30, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 21, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 4, 2024 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected April 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · E December 12, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 31, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 12, 2023 · found via complaint
Respond appropriately to all alleged violations.
Corrected January 31, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 12, 2023 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 31, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 10, 2025 | Fine | $62,493 |
| March 18, 2025 | Fine | $248,671 |
| October 30, 2024 | Fine | $37,522 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 315467 · certified since February 1, 2001. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.