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ST CATHERINE OF SIENA

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ST CATHERINE OF SIENA is a non profit - corporation facility in CALDWELL, NJ with 30 certified beds and a 2-star overall CMS rating. The facility has 18 deficiency records on file. Total penalties: $16K.

7 RYERSON AVENUE, CALDWELL, NJ 07006

Phone: 9732261577

Overall Rating

2/5

Health Inspection

3/5

Staffing

1/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
315471
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
30
Residents
26
In Hospital
No
County
Essex
Last Inspection
Jan 7, 2025

Staffing Data

RN Hours
0.50 (nat'l avg: 0.68)
LPN Hours
0.14
CNA Hours
1.09
Total Nursing Hours
1.73 (nat'l avg: 3.89)
PT Hours
0.00
Nursing Turnover
23.1%

What the CMS Record Reveals About ST CATHERINE OF SIENA

ST CATHERINE OF SIENA operates 30 certified beds in CALDWELL, NJ with approximately 26 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 (3★), staffing levels (1★), 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 18 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 4 penalties totaling $16K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 1.73 total nursing hours per resident day (national average 3.89), with RN coverage at 0.50 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, ST CATHERINE OF SIENA 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 23.1%, 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 (18 most recent)

F — Widespread - Minimal harm Jan 7, 2025 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: Jan 31, 2025

D — Isolated - Minimal harm Jan 7, 2025 Tag: 0811

Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 31, 2025

F — Widespread - Minimal harm Jan 7, 2025 Tag: 0730

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

Category: Nursing and Physician Services Deficiencies

Corrected: Jan 31, 2025

D — Isolated - Minimal harm Jan 7, 2025 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Jan 31, 2025

D — Isolated - Minimal harm Jan 7, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 31, 2025

D — Isolated - Minimal harm Jan 7, 2025 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: Jan 31, 2025

D — Isolated - Minimal harm Jan 7, 2025 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: Jan 31, 2025

D — Isolated - Minimal harm Oct 12, 2023 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Oct 29, 2023

D — Isolated - Minimal harm Oct 12, 2023 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: Oct 29, 2023

D — Isolated - Minimal harm Oct 12, 2023 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: Oct 29, 2023

D — Isolated - Minimal harm Oct 12, 2023 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 29, 2023

D — Isolated - Minimal harm Oct 12, 2023 Tag: 0637

Assess the resident when there is a significant change in condition

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 29, 2023

E — Pattern - Minimal harm Oct 12, 2023 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: Oct 29, 2023

F — Widespread - Minimal harm Oct 6, 2022 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: Dec 8, 2022

C — Widespread - No harm Oct 6, 2022 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Nov 28, 2022

D — Isolated - Minimal harm Oct 6, 2022 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Nov 28, 2022

D — Isolated - Minimal harm Oct 6, 2022 Tag: 0637

Assess the resident when there is a significant change in condition

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 28, 2022

D — Isolated - Minimal harm Oct 6, 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: Nov 30, 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 13.2% Yes
Percentage of long-stay residents who lose too much weight Long Stay 5.1% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.6% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% 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 11.9% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 96.3% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 12.5% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 28.8% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 13.5% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 39.2% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 6.8% Yes

Penalty History 4 penalties totaling $16K

Date Type Amount
Jan 30, 2024 Fine $9K
Nov 13, 2023 Fine $2K
Nov 6, 2023 Fine $2K
Oct 17, 2023 Fine $3K

Frequently Asked Questions

What is the overall CMS rating for ST CATHERINE OF SIENA?
ST CATHERINE OF SIENA has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (3★), staffing levels (1★), and quality measures (4★).
What are the staffing levels at ST CATHERINE OF SIENA?
ST CATHERINE OF SIENA reports 1.73 total nursing hours per resident day (national average: 3.89). RN hours are 0.50 per resident day (national average: 0.68). Nursing staff turnover is 23.1%.
How many beds does ST CATHERINE OF SIENA have?
ST CATHERINE OF SIENA has 30 certified beds with approximately 26 residents. The facility is located at 7 RYERSON AVENUE, CALDWELL, NJ 07006.
Does ST CATHERINE OF SIENA have any deficiencies on record?
Yes, ST CATHERINE OF SIENA has 18 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has ST CATHERINE OF SIENA received any fines or penalties?
Yes, ST CATHERINE OF SIENA has received 4 penalties totaling $16K.
Who owns ST CATHERINE OF SIENA?
ST CATHERINE OF SIENA is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was ST CATHERINE OF SIENA last inspected?
The most recent health inspection for ST CATHERINE OF SIENA was on Jan 7, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for ST CATHERINE OF SIENA?
ST CATHERINE OF SIENA 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