Deficiency Index

Woodcliff Lake Health & Rehabilitation Center

Woodcliff Lake, New Jersey · CCN 315133

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
35
Surveys
11
Harm or worse
0
Immediate jeopardy
0
The record, 2012–2025
’12’15’20’25
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 file9/11

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

The facility

Certified beds
114
Ownership
For profit - Individual
Chain
FAMILY OF CARING HEALTHCARE
County
Bergen
Medicare-certified since
1972

CMS ratings

Overall
5
Health inspection
5
Staffing
2
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=11, floor 20).

Last survey on record

May 6, 2025

552 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 day3.813.53
Registered-nurse hours per resident day0.61—
Annual nurse turnover27.3%41.6%

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 minimalD685.7%E114.3%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 7 of the 35 citations on record.

In the surveyor’s words

From the most serious findings on record at Woodcliff Lake Health & Rehabilitation Center, in the surveyor’s own words.

  • No harm, potential for more than minimal, patternF711May 6, 2025

    Based on observation, interview, and record review, it was determined that the facility failed to ensure that the resident's primary physician (MD) accurately dated their physician progress notes (PPN) during their visit to ensure the resident's current medical regimen was up to date. This deficient practice was observed for 3 (three) of 18 residents (Residents #12, #18, and #40). This deficient practice was evidenced by the following: 1. On 4/30/25 at 10:30 AM, the surveyor observed Resident #12 asleep in bed. […]

  • No harm, potential for more than minimal, patternF880May 3, 2022

    Based on observation, interview, and review of pertinent facility documents it was determined that the facility failed to maintain infection control protocols during a Covid-19 outbreak. This was observed in 2 of 3 cohorts. The deficient practice was evidenced by the following: On 5/3/22 the survey team conducted a Focused Infection Control Survey at the Facility. The facility was in an outbreak of Covid-19 with 28 positive Covid-19 residents located in the red zone on the second floor. On 5/3/22 at 11:43 AM the surveyor arrived on the second floor. The red zone was located behind two clear plastic zippered barriers with a space in the middle for donning and doffing Personal Protective Equipment (PPE) when entering and exiting the red zone. […]

  • No harm, potential for more than minimal, isolatedF658May 6, 2025

    Complaint number: NJ00169346 Based on observation, interview, and record review, it was determined that the facility failed to follow professional standards of practice by not clarifying a Physician's Order (PO) for 1 of 5 residents reviewed (Resident #175). This deficient practice was evidenced by the following: On 5/1/25 at 9:52 AM, the surveyor reviewed the closed electronic medical record (E-mar) for Resident #175 which revealed the following: A review of the Resident #175's admission Record (an admission summary) documented that the resident was admitted to the facility with diagnoses that included but were not limited to: pneumonia, dysphagia (difficulty swallowing), gastrostomy (the creation of an artificial external opening into the stomach for nutritional support, tube feeding… […]

  • No harm, potential for more than minimal, isolatedF712May 6, 2025

    Based on observation, interview, and record review, it was determined that the facility failed to ensure the resident's primary physician (MD) responsible for supervising the care of residents conducted face-to-face visits and wrote progress notes at least once every 60 days for Medicaid recipient residents. This deficient practice was identified for 1 (one) of 18 residents (Resident #12) reviewed for physician visits. This deficient practice was evidenced by the following: On 4/30/25 at 10:30 AM, the surveyor observed Resident #12 asleep in bed. […]

  • No harm, potential for more than minimal, isolatedF550Mar 23, 2023

    Based on observations, interviews, record review, and facility policy review, it was determined the facility failed to ensure a urinary catheter drainage bag was covered to promote dignity for 1 (Resident #68) of 4 sampled residents reviewed for dignity. Findings included: Review of a facility policy titled, Quality of Life-Dignity, dated June 2022, specified, Each resident shall be cared for in a manner that promotes and enhances quality of life, dignity, respect and individuality. Policy Interpretation and Implementation Residents shall be treated with dignity and respect at all times. 'Treated with dignity' means the resident will be assisted in maintaining and enhancing his or her self-esteem and self-worth. […]

Read 20 findings in full →The most serious and the most recent: 20 of 35 on record.

Every survey on record

FindingsAt actual harm or above

  • May 6, 2025Standard and complaint3 findings
  • Mar 23, 2023Standard and complaint6 findings
  • May 3, 2022Infection control1 finding
  • Jan 4, 2021Infection control1 finding
  • Nov 19, 2020Infection control1 finding
  • Jul 8, 2019Standard3 findings
  • Jun 7, 2018Standard3 findings
  • Jan 6, 2016Standard7 findings
Show the 3 earlier surveys
  • Dec 9, 2014Standard7 findings
  • Feb 13, 2013—1 finding
  • Mar 15, 2012—2 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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