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ELMORA HILLS HEALTH & REHABILITATION CENTER

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ELMORA HILLS HEALTH & REHABILITATION CENTER is a for profit - corporation facility in ELIZABETH, NJ with 200 certified beds and a 2-star overall CMS rating. The facility has 26 deficiency records on file.

225 W JERSEY STREET, ELIZABETH, NJ 07202

Phone: 9083531220

Overall Rating

2/5

Health Inspection

2/5

Staffing

2/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
315010
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
200
Residents
190
In Hospital
No
County
Union
Last Inspection
Aug 23, 2024

Staffing Data

RN Hours
0.42 (nat'l avg: 0.68)
LPN Hours
0.86
CNA Hours
2.20
Total Nursing Hours
3.48 (nat'l avg: 3.89)
PT Hours
0.04
Nursing Turnover
33.1%
RN Turnover
29.4%

What the CMS Record Reveals About ELMORA HILLS HEALTH & REHABILITATION CENTER

ELMORA HILLS HEALTH & REHABILITATION CENTER operates 200 certified beds in ELIZABETH, NJ with approximately 190 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 26 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 3.48 total nursing hours per resident day (national average 3.89), with RN coverage at 0.42 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, ELMORA HILLS HEALTH & 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 33.1%, 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 (26 most recent)

E — Pattern - Minimal harm Aug 23, 2024 Tag: 0946

Provide training in compliance and ethics.

Category: Administration Deficiencies

Corrected: Oct 1, 2024

E — Pattern - Minimal harm Aug 23, 2024 Tag: 0944

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Category: Administration Deficiencies

Corrected: Oct 2, 2024

E — Pattern - Minimal harm Aug 23, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 25, 2024

F — Widespread - Minimal harm Aug 23, 2024 Tag: 0838

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Category: Administration Deficiencies

Corrected: Sep 25, 2024

D — Isolated - Minimal harm Aug 23, 2024 Tag: 0804

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

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 2, 2024

D — Isolated - Minimal harm Aug 23, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Oct 1, 2024

D — Isolated - Minimal harm Aug 23, 2024 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Sep 23, 2024

D — Isolated - Minimal harm Aug 23, 2024 Tag: 0728

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

Category: Nursing and Physician Services Deficiencies

Corrected: Sep 25, 2024

D — Isolated - Minimal harm Aug 23, 2024 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 27, 2024

D — Isolated - Minimal harm Aug 23, 2024 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 4, 2024

D — Isolated - Minimal harm Aug 23, 2024 Tag: 0693

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 27, 2024

D — Isolated - Minimal harm Aug 23, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 1, 2024

D — Isolated - Minimal harm Aug 23, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 7, 2024

D — Isolated - Minimal harm Aug 23, 2024 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 1, 2024

D — Isolated - Minimal harm Aug 23, 2024 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 25, 2024

D — Isolated - Minimal harm Aug 23, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 1, 2024

D — Isolated - Minimal harm Aug 23, 2024 Tag: 0607

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 25, 2024

D — Isolated - Minimal harm Aug 23, 2024 Tag: 0578

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Category: Resident Rights Deficiencies

Corrected: Sep 25, 2024

F — Widespread - Minimal harm Apr 8, 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: May 4, 2022

D — Isolated - Minimal harm Apr 8, 2022 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: May 4, 2022

E — Pattern - Minimal harm Apr 8, 2022 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: May 4, 2022

D — Isolated - Minimal harm Apr 8, 2022 Tag: 0692

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

Category: Quality of Life and Care Deficiencies

Corrected: May 4, 2022

D — Isolated - Minimal harm Apr 8, 2022 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: May 4, 2022

D — Isolated - Minimal harm Apr 8, 2022 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 4, 2022

C — Widespread - No harm Apr 8, 2022 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: May 4, 2022

D — Isolated - Minimal harm Dec 9, 2019 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 3, 2020

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 11.3% Yes
Percentage of long-stay residents who lose too much weight Long Stay 8.5% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 2.1% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.3% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 3.2% 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 2.3% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 84.8% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 63.5% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.2% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 9.6% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 7.7% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 90.9% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 73.8% No
Percentage of long-stay residents with pressure ulcers Long Stay 5.5% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 11.4% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 11.1% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for ELMORA HILLS HEALTH & REHABILITATION CENTER?
ELMORA HILLS HEALTH & 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 ELMORA HILLS HEALTH & REHABILITATION CENTER?
ELMORA HILLS HEALTH & REHABILITATION CENTER reports 3.48 total nursing hours per resident day (national average: 3.89). RN hours are 0.42 per resident day (national average: 0.68). Nursing staff turnover is 33.1%.
How many beds does ELMORA HILLS HEALTH & REHABILITATION CENTER have?
ELMORA HILLS HEALTH & REHABILITATION CENTER has 200 certified beds with approximately 190 residents. The facility is located at 225 W JERSEY STREET, ELIZABETH, NJ 07202.
Does ELMORA HILLS HEALTH & REHABILITATION CENTER have any deficiencies on record?
Yes, ELMORA HILLS HEALTH & REHABILITATION CENTER has 26 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has ELMORA HILLS HEALTH & REHABILITATION CENTER received any fines or penalties?
No, ELMORA HILLS HEALTH & REHABILITATION CENTER has no fines or penalties on record.
Who owns ELMORA HILLS HEALTH & REHABILITATION CENTER?
ELMORA HILLS HEALTH & REHABILITATION CENTER is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was ELMORA HILLS HEALTH & REHABILITATION CENTER last inspected?
The most recent health inspection for ELMORA HILLS HEALTH & REHABILITATION CENTER was on Aug 23, 2024. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for ELMORA HILLS HEALTH & REHABILITATION CENTER?
ELMORA HILLS HEALTH & 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