Deficiency Index

Heath Village

Hackettstown, New Jersey · CCN 315072

13 surveys since 2011, 1 of them producing a finding at harm level or worse.

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

Citations on record
31
Surveys
13
Harm or worse
1
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file10/13

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

The facility

Certified beds
108
Ownership
Non profit - Corporation
Chain
Independent
County
Morris
Medicare-certified since
1967

CMS ratings

Overall
4
Health inspection
4
Staffing
4
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=17, floor 20).

Last survey on record

Mar 25, 2026

229 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 day4.724.21
Registered-nurse hours per resident day1.10—
Annual nurse turnover97.2%34.3%

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 minimalD1090.9%E—F19.1%
No harm, potential for minimalA—B—C—
CMS’s current file: 11 of the 31 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6892×

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

  • F5581×

    Reasonably accommodate the needs and preferences of each resident.

  • F6571×

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

  • F6581×

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

  • F6861×

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

In the surveyor’s words

From the most serious findings on record at Heath Village, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF690Sep 29, 2023

    Based on observation, interview and record review, it was determined that the facility failed to maintain proper care of indwelling urinary catheters to prevent Urinary Tract Infections (UTIs) for 4 of 4 residents (Resident #41, #23, #20 and #14) reviewed for urinary catheter care use. This deficient practice was evidenced by the following: 1. On 9/27/23 at 10:33 AM, Resident #41 was observed lying in bed with both eyes closed. The surveyor reviewed the medical record for Resident #41. […]

  • No harm, potential for more than minimal, patternF658Jun 14, 2022

    Based on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to follow professional standards of clinical practice concerning 1.) administration of medications for 1 of 4 residents(Resident #15) and 2.) following a physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . 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, patternF880Jun 14, 2022

    Based on observations, interviews, record review, and review of pertinent documentation, it was determined that the facility failed to a.) ensure that the facility's policy for the appropriate personal protective equipment (PPE) for staff to wear for a resident who was newly admitted to the facility, to address the risk for infection transmission, and was in accordance with acceptable standards of infection control practice, and b.) wear all required PPE in the room of a newly admitted resident who was on droplet precautions and was unvaccinated for COVID-19 for 2 of 3 staff, according to the facility policy and New Jersey Department of Health guidance. […]

  • No harm, potential for more than minimal, patternF880Jan 26, 2021

    Based on observation, interview, and review of records, it was determined that the facility failed to: a.) practice appropriate hand hygiene for 3 of 10 staff observed; and, b.) ensure that workers are knowledgeable of the cleaning chemical used in the workplace for 3 of 3 staff in accordance with the Centers for Disease Control and Prevention guidelines for infection control to mitigate the spread of COVID-19. This deficient practice was evidenced by the following: According to the U.S. CDC guidelines Hand Hygiene Recommendations, Guidance for Healthcare Providers for Hand Hygiene and COVID-19, updated 5/17/2020 included, Hands should be washed with soap and water for at least 20 seconds when visibly soiled, before eating, and after using the restroom. […]

  • No harm, potential for more than minimal, isolatedF558Mar 25, 2026

    Based on observation, interview, and record review, it was determined that the facility failed to ensure the resident's call device was readily accessible. The deficient practice was identified for 2 of the 21 residents (Resident #9 and Resident #14) reviewed for reasonable accommodations of needs/preferences. This deficient practice was evidenced by the following:1. On 3/18/26 at 10:11 AM, the surveyor observed Resident #14 in bed. The resident's call device hung down to the floor, out of reach of the resident.On 3/18/26 at 10:13 AM, the surveyor interviewed Resident #14 and asked where their call bell was located. The resident replied that they did not see where it was. […]

Read 21 findings in full →The most serious and the most recent: 21 of 31 on record.

Every survey on record

FindingsAt actual harm or above

  • Mar 25, 2026Standard6 findings
  • Dec 23, 2024Standard2 findings
  • Sep 29, 2023Standard3 findings
  • Jun 14, 2022Standard5 findings
  • Jan 26, 2021Infection control1 finding
  • Dec 21, 2018Standard1 finding
  • Sep 27, 2017Standard1 finding
  • Aug 31, 2016Standard1 finding
Show the 5 earlier surveys
  • Sep 18, 2015Standard1 finding
  • Nov 6, 2014Standard1 finding
  • Dec 5, 2013—3 findings · 1 harm
  • Sep 13, 2012—2 findings
  • Aug 1, 2011—4 findings

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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