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CORNELL HALL CARE & REHABILITATION CENTER

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CORNELL HALL CARE & REHABILITATION CENTER is a for profit - limited liability company facility in UNION, NJ with 177 certified beds and a 2-star overall CMS rating. The facility has 34 deficiency records on file. Total penalties: $182K.

234 CHESTNUT STREET, UNION, NJ 07083

Phone: 9086877800

Overall Rating

2/5

Health Inspection

2/5

Staffing

2/5

Quality Measures

4/5

Long-Stay Quality

5/5

Facility Information

Provider Number
315104
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
177
Residents
115
In Hospital
No
County
Union
Last Inspection
Apr 16, 2025

Staffing Data

RN Hours
0.67 (nat'l avg: 0.68)
LPN Hours
0.62
CNA Hours
2.25
Total Nursing Hours
3.53 (nat'l avg: 3.89)
PT Hours
0.04
Nursing Turnover
30.3%
RN Turnover
55.6%

What the CMS Record Reveals About CORNELL HALL CARE & REHABILITATION CENTER

CORNELL HALL CARE & REHABILITATION CENTER operates 177 certified beds in UNION, NJ with approximately 115 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (2★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 34 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 17 penalties totaling $182K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.53 total nursing hours per resident day (national average 3.89), with RN coverage at 0.67 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, CORNELL HALL CARE & REHABILITATION CENTER falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 30.3%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (34 most recent)

D — Isolated - Minimal harm Apr 16, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: May 30, 2025

D — Isolated - Minimal harm Apr 16, 2025 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 30, 2025

D — Isolated - Minimal harm Apr 16, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 30, 2025

E — Pattern - Minimal harm Apr 16, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: May 30, 2025

B — Pattern - No harm Apr 16, 2025 Tag: 0637

Assess the resident when there is a significant change in condition

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 30, 2025

D — Isolated - Minimal harm Oct 25, 2024 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 16, 2024

F — Widespread - Minimal harm Jan 24, 2024 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Feb 22, 2024

G — Isolated - Actual harm Jan 24, 2024 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 11, 2024

E — Pattern - Minimal harm Jan 24, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Feb 22, 2024

D — Isolated - Minimal harm Jan 24, 2024 Tag: 0947

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Category: Nursing and Physician Services Deficiencies

Corrected: Feb 22, 2024

D — Isolated - Minimal harm Jan 24, 2024 Tag: 0882

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Category: Infection Control Deficiencies

Corrected: Feb 22, 2024

E — Pattern - Minimal harm Jan 24, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 22, 2024

D — Isolated - Minimal harm Jan 24, 2024 Tag: 0868

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Category: Administration Deficiencies

Corrected: Feb 22, 2024

F — Widespread - Minimal harm Jan 24, 2024 Tag: 0851

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Category: Administration Deficiencies

Corrected: Feb 22, 2024

D — Isolated - Minimal harm Jan 24, 2024 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 22, 2024

D — Isolated - Minimal harm Jan 24, 2024 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: Feb 22, 2024

E — Pattern - Minimal harm Jan 24, 2024 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Feb 22, 2024

D — Isolated - Minimal harm Jan 24, 2024 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Feb 22, 2024

D — Isolated - Minimal harm Jan 24, 2024 Tag: 0730

Observe each nurse aide's job performance and give regular training.

Category: Nursing and Physician Services Deficiencies

Corrected: Feb 22, 2024

D — Isolated - Minimal harm Jan 24, 2024 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 22, 2024

D — Isolated - Minimal harm Jan 24, 2024 Tag: 0688

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 22, 2024

D — Isolated - Minimal harm Jan 24, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 22, 2024

D — Isolated - Minimal harm Jan 24, 2024 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 9, 2024

C — Widespread - No harm Jan 24, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 22, 2024

D — Isolated - Minimal harm Jan 24, 2024 Tag: 0640

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 18, 2024

C — Widespread - No harm Jan 24, 2024 Tag: 0625

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Category: Resident Rights Deficiencies

Corrected: Feb 22, 2024

C — Widespread - No harm Jan 24, 2024 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Feb 22, 2024

E — Pattern - Minimal harm Jan 24, 2024 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Feb 22, 2024

D — Isolated - Minimal harm Nov 10, 2022 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 31, 2023

D — Isolated - Minimal harm Nov 10, 2022 Tag: 0712

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Category: Nursing and Physician Services Deficiencies

Corrected: Feb 7, 2023

D — Isolated - Minimal harm Nov 10, 2022 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 20, 2022

D — Isolated - Minimal harm Nov 10, 2022 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 20, 2022

D — Isolated - Minimal harm Nov 10, 2022 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 20, 2022

D — Isolated - Minimal harm Nov 10, 2022 Tag: 0637

Assess the resident when there is a significant change in condition

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 20, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 10.8% Yes
Percentage of long-stay residents who lose too much weight Long Stay 7.5% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.9% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.6% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 23.1% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.7% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 83.9% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 65.5% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.5% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 5.4% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 7.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 99.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 84.2% No
Percentage of long-stay residents with pressure ulcers Long Stay 8.0% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 11.5% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 12.5% Yes

Penalty History 17 penalties totaling $182K

Date Type Amount
Jan 24, 2024 Fine $123K
Nov 13, 2023 Fine $5K
Nov 6, 2023 Fine $5K
Oct 30, 2023 Fine $5K
Oct 23, 2023 Fine $5K
Oct 17, 2023 Fine $5K
Oct 10, 2023 Fine $5K
Oct 2, 2023 Fine $5K
Sep 25, 2023 Fine $4K
Sep 18, 2023 Fine $4K
Sep 11, 2023 Fine $4K
Sep 5, 2023 Fine $3K
Aug 28, 2023 Fine $3K
Aug 21, 2023 Fine $2K
Aug 14, 2023 Fine $2K
Aug 7, 2023 Fine $2K
Jul 17, 2023 Fine $3K

Frequently Asked Questions

What is the overall CMS rating for CORNELL HALL CARE & REHABILITATION CENTER?
CORNELL HALL CARE & REHABILITATION CENTER has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (2★), and quality measures (4★).
What are the staffing levels at CORNELL HALL CARE & REHABILITATION CENTER?
CORNELL HALL CARE & REHABILITATION CENTER reports 3.53 total nursing hours per resident day (national average: 3.89). RN hours are 0.67 per resident day (national average: 0.68). Nursing staff turnover is 30.3%.
How many beds does CORNELL HALL CARE & REHABILITATION CENTER have?
CORNELL HALL CARE & REHABILITATION CENTER has 177 certified beds with approximately 115 residents. The facility is located at 234 CHESTNUT STREET, UNION, NJ 07083.
Does CORNELL HALL CARE & REHABILITATION CENTER have any deficiencies on record?
Yes, CORNELL HALL CARE & REHABILITATION CENTER has 34 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has CORNELL HALL CARE & REHABILITATION CENTER received any fines or penalties?
Yes, CORNELL HALL CARE & REHABILITATION CENTER has received 17 penalties totaling $182K.
Who owns CORNELL HALL CARE & REHABILITATION CENTER?
CORNELL HALL CARE & REHABILITATION CENTER is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was CORNELL HALL CARE & REHABILITATION CENTER last inspected?
The most recent health inspection for CORNELL HALL CARE & REHABILITATION CENTER was on Apr 16, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for CORNELL HALL CARE & REHABILITATION CENTER?
CORNELL HALL CARE & REHABILITATION CENTER is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial