Deficiency Index

Barnert Subacute Rehabilitation Center, Llc

Paterson, New Jersey · CCN 315507

11 surveys since 2012, and no finding has been recorded at harm level.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
34
Surveys
11
Harm or worse
0
Immediate jeopardy
0
The record, 2012–2026
’12’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file8/11

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
68
Ownership
For profit - Limited Liability company
Chain
FAMILY OF CARING HEALTHCARE
County
Passaic
Medicare-certified since
2010

CMS ratings

Overall
4
Health inspection
4
Staffing
3
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=14, floor 20).

Last survey on record

Apr 23, 2025

565 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.394.13
Registered-nurse hours per resident day0.71—
Annual nurse turnover59.5%35.4%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1292.3%E17.7%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 13 of the 34 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6582×

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

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5781×

    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.

  • F5841×

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  • F6231×

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

In the surveyor’s words

From the most serious findings on record at Barnert Subacute Rehabilitation Center, Llc, in the surveyor’s own words.

  • No harm, potential for more than minimal, patternF842Aug 4, 2026

    Complaint #: 2990897 Based on interviews, medical record reviews, and review of other pertinent facility documents on 08/04/2026, it was determined that the facility failed to consistently document in the medical record wound care provided to a resident with pressure ulcers (PUs) (injuries to skin and the tissue below due to pressure on the skin for a long time) to their and heels and lower back and a skin tear to their arm (Resident #1), and to a resident with PUs to their lower back and heels (Resident #2). This deficient practice was identified for 2 of 3 residents (Resident #1 and Resident #2) reviewed for wound care.This deficient practice was evidenced by the following:1. […]

  • No harm, potential for more than minimal, patternF684Apr 23, 2025

    Based on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to ensure that resident receive treatment and care in accordance with professional standards of practice, by failing to ensure; a.) physicians' orders and approved plan of care were followed, b.) provider's (consultant) recommendation was followed through for 1 of 17 residents, (Resident #27), from March 2024 through April 2025, for a total of 13 months, and c.) routine Braden scale assessment was done for residents with history of facility acquired wounds, for 1 of 2 residents, (Resident #27), reviewed for pressure ulcer. This deficient practice was evidenced by the following: Reference: New Jersey Statutes, Annotated Title 45, Chapter 11. Nursing Board. […]

  • No harm, potential for more than minimal, isolatedF578Apr 23, 2025

    Based on interview, record review, and review of other pertinent facility documentation, it was determined the facility failed to ensure accurate documentation of a residents' advance directives for 2 of 3 residents, (Resident #15, Resident #16) reviewed. This deficient practice was evidenced by the following: 1. The surveyor reviewed the hybrid (electronic and paper) medical records of Resident #15, which revealed: A review of the Admission Record (AR) (an admission summary) revealed that the resident was admitted with diagnoses that included but were not limited to, urinary tract infection and hypertension (high blood pressure). […]

  • No harm, potential for more than minimal, isolatedF584Apr 23, 2025

    Based on observation, interview, and review of pertinent facility documentation, it was determined that the facility failed to provide a safe, clean, and comfortable homelike setting. This deficient practice was identified in dining room for 2 of 5 days observation, and was evidenced by the following: On 4/17/25 at 8:25 AM, the surveyor observed the dining room (and recreation area) with no residents inside the room. The surveyor observed the floor with accumulation of grayish and blackish substances, pieces of small plastic wrapper and paper, and the tv (television) with accumulation of grayish substances. […]

  • No harm, potential for more than minimal, isolatedF624Apr 23, 2025

    NJ#168277 Based on interview and review of facility documentation, the facility failed to provide and document sufficient preparation and orientation to resident to ensure safe and orderly transfer or discharge from the facility. This deficient practice was identified in 1 of 1 resident, (Resident #212), reviewed for discharge. The deficient practice was evidenced by the following: The surveyor reviewed the hybrid medical record (paper and electronic) for Resident #212. A review of Resident #212's admission Record (AR) (an admission summary) reflected that the resident was admitted to the facility with diagnoses which included but were not limited vertebral disc displacement (when a disc in the spine shifts and may cause pain) and difficulty walking. […]

Read 20 findings in full →The most serious and the most recent: 20 of 34 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 4, 2026Complaint1 finding
  • Apr 23, 2025Standard and complaint9 findings
  • Feb 24, 2023Standard3 findings
  • Mar 10, 2021Standard1 finding
  • Jun 5, 2019Complaint1 finding
  • May 23, 2019Standard10 findings
  • Mar 29, 2019Complaint1 finding
  • Apr 3, 2018Standard4 findings
Show the 3 earlier surveys
  • Jan 6, 2017Standard2 findings
  • Nov 25, 2013—1 finding
  • Sep 5, 2012—1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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