Autumn Lake Healthcare At Berkeley Heights - 2-Star Tracheostomy Rehab Facility in Berkeley Heights, NJ | Placet0.40h
RN HOURS
per resident/day
2/5
CMS STARS
overall rating
3.9★Enhanced
TRUST INDEX
Placet score
30.0%
BOUNCE BACK
30-day readmission
Clinical Quality Indicators
Long-stay residents — lower is better
Antipsychotic medication use 12.73%Falls causing major injury 1.25%Pressure ulcers (high-risk) 5.42%Admissions Contacts
Availability & Insurance
Payer Types
MedicareMedicaidCommercialPrivate Pay CMS Star Ratings
Last inspected: Feb 2025 (433 days ago)🔍 Health Inspection
1/5
★☆☆☆☆
📊 Quality Measures
5/5
★★★★★
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IV Antibiotics
Cardiac Rehab Program
Stroke Program
Orthopedic Program
Dementia Unit
Source: CMS MDS Quality Measures. Updated quarterly.
State avg: 41 min · US avg: 41 min
Total Nurse / Resident / Day
3h 34m
State avg: 3h 51m · US avg: 3h 53m
7 min
State avg: 6 min · US avg: 4 min
51 per 100
State avg: 41 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
45%well below avg
US avg: 64%
Total Nurse Weekend
4h 38m
Federal Penalties
9 penalties · $923,940 total
| Date | Type | Fine | Denial Days |
|---|
| 7/19/2024 | Fine | $102,660 | - |
| 7/19/2024 | Fine | $102,660 | - |
| 7/19/2024 | Fine | $102,660 | - |
| 7/19/2024 | Fine | $102,660 | - |
| 7/19/2024 | Fine | $102,660 | - |
| 7/19/2024 | Fine | $102,660 | - |
| 7/19/2024 | Fine | $102,660 | - |
| 7/19/2024 | Fine | $102,660 | - |
| 7/19/2024 | Fine | $102,660 | - |
Inspection Citations
Survey: February 10, 2025(3 citations)
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
Survey: July 19, 2024(42 citations)
🟠 Actual HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
30.0 per 100
State avg: 25.4 · US avg: 23.9
7.0 per 100
State avg: 8.2 · US avg: 12.0
1.2 per 100
State avg: 2.4 · US avg: 3.3
5.4 per 100
State avg: 6.0 · US avg: 5.1
0.4 per 100
State avg: 1.2 · US avg: 1.6
99.5 per 100
State avg: 80.1 · US avg: 79.7
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
VBP Performance Score
57/100
Incentive Payment
+1.21% bonus
Healthcare-Assoc. Infections
4.7 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
170
Avg Length of Stay
20.2 days
Avg Payment / Stay
$13,350.68
Patient Complexity
2.57 × avg
Avg LOS 15-30 days is typical for short-term rehab · Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟠 Actual HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟠 Actual HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
Survey: November 15, 2022(9 citations)
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
Survey: September 23, 2020(12 citations)
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmInfection Control Deficiencies