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.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
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.