Nursing Care Index

Little Brook Nursing And Convalescent Home

Califon, Hunterdon County, New Jersey · CCN 315467 · For-profit (Corporation) · not part of a chain

CMS rates Little Brook Nursing And Convalescent Home 1 of 5 overall as of August 2026. 36 certified beds, 27 residents a day on average. 54 citations on record from the current inspection cycles, 8 at immediate jeopardy; 3 fines totalling $355,418.

On record

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★☆☆☆☆ 1 of 5
Health inspections★☆☆☆☆ 1 of 5
Staffing★☆☆☆☆ 1 of 5
Quality measures★★★☆☆ 3 of 5
Quality: long-stay / short-stay3 / — of 5

Staffing

Total nurse staffingCMS withheld this rating (footnote 25)
Nursing staff turnover40.7% (registered nurses 75%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2025-07-10
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2025-08-18
2025-03-18
complaint survey
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2025-05-14
2025-03-18
complaint survey
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-05-14
2025-03-18
complaint survey
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-05-14
2025-03-18
complaint survey
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-05-14
2025-03-18
complaint survey
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · tag F0730
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-05-14
2024-10-30 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2024-11-20
2024-10-30 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · tag F0640
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-11-21
2024-10-30 Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · tag F0730
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-11-21
2024-10-30 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-11-21
2024-10-30 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-01-22
2024-10-30 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-12-09
2024-10-30 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · tag F0582
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-11-21
2024-10-30
complaint survey
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-11-21
2024-10-30 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · tag F0623
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-11-22
2024-10-30 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-11-21
2024-10-30 Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · tag F0692
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-11-22
2024-10-30 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-11-21
2024-10-30 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.
Pharmacy Service Deficiencies · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-11-21
2024-10-30 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.
Nutrition and Dietary Deficiencies · tag F0808
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-01-22
2024-10-30 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-11-21
2024-03-04
complaint survey
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-04-01
2023-12-12
complaint survey
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-01-31
2023-12-12
complaint survey
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-01-31
2023-12-12
complaint survey
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-01-31
2023-06-15 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
L Immediate jeopardy to resident health or safety; widespread Deficient, Provider has date of correction
2023-07-25
2023-06-15 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · tag F0835
L Immediate jeopardy to resident health or safety; widespread Deficient, Provider has date of correction
2023-07-25
2023-06-15 Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Administration Deficiencies · tag F0836
L Immediate jeopardy to resident health or safety; widespread Deficient, Provider has date of correction
2023-07-03
2023-06-15 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · tag F0756
K Immediate jeopardy to resident health or safety; pattern Deficient, Provider has date of correction
2023-07-25
2023-06-15 Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
K Immediate jeopardy to resident health or safety; pattern Deficient, Provider has date of correction
2023-07-25
2023-06-15 Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · tag F0726
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2023-07-25
2023-06-15 Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · tag F0730
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2023-07-25
2023-06-15 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2023-07-25
2023-06-15 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies · tag F0868
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-07-25
2023-06-15 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-07-25
2023-06-15 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-07-25
2023-06-15 Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Resident Rights Deficiencies · tag F0622
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-07-25
2023-06-15 Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-07-25
2023-06-15 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-07-25
2023-06-15 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · tag F0759
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-07-25
2021-05-21 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2021-06-10
2021-05-21 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · tag F0835
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2021-06-08
2021-05-21 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2021-06-22
2021-05-21 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2021-07-04
2021-05-21 Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2021-06-12
2021-05-21 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0604
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-05-24
2021-05-21 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-06-07
2021-05-21 Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-06-08
2021-05-21 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-06-09
2021-05-21 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-06-08
2021-05-21 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.
Pharmacy Service Deficiencies · tag F0758
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-06-06
2021-05-21 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · tag F0623
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2021-05-23
2021-05-21 Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · tag F0732
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2021-05-24
2021-05-21 Implement a program that monitors antibiotic use.
Infection Control Deficiencies · tag F0881
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2021-05-26

Fines and payment denials

DatePenaltyAmount
2025-07-10Fine$62,493
2025-03-18Fine$255,403
2024-10-30Fine$37,522

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Lazare Group, Inc.
Organization
5% or greater indirect ownership interest100%2002-02-13
Bethane Properties, Inc.
Organization
5% or greater mortgage interest2002-02-13
Bethane Properties, Inc.
Organization
adp of the snf2002-02-13
Lazare Group, Inc.
Organization
adp of the snf2002-02-13
Lazare Group, Inc.
Organization
operational/managerial control2002-02-13
Fernandez, Rosa
Individual
5% or greater direct ownership interest51%2005-11-09
Hampilos, John
Individual
5% or greater direct ownership interest2005-12-30
Bradford, Cynthia
Individual
adp of the snf2021-09-27
Caissie, Elizabeth
Individual
adp of the snf2017-11-03
Fernandez, Rosa
Individual
adp of the snf2005-11-09
Hampilos, John
Individual
adp of the snf2005-11-09
Segaram, Sandira
Individual
adp of the snf2005-12-30
Bradford, Cynthia
Individual
corporate director2021-09-27
Segaram, Sandira
Individual
corporate director2005-12-30
Caissie, Elizabeth
Individual
corporate officer2018-01-01
Fernandez, Rosemarie
Individual
corporate officer2005-12-30
Hampilos, John
Individual
corporate officer2005-12-30
Bradford, Cynthia
Individual
operational/managerial control2021-09-27
Caissie, Elizabeth
Individual
operational/managerial control2017-11-03
Hampilos, John
Individual
operational/managerial control2005-11-09
Segaram, Sandira
Individual
operational/managerial control2005-12-30
Fernandez, Rosa
Individual
trustee of the snf2005-11-09
Hampilos, John
Individual
trustee of the snf2005-11-09

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Hunterdon County.