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Careone at Valley

300 Old Hook Road, Westwood, NJ 07675 · Bergen County · (201) 664-8888

98 certified beds, about 89 residents a day · For profit - Corporation · Medicare and Medicaid since 1997

Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
2 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 315369 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on September 25, 2025, inspectors cited 3 health deficiencies (the New Jersey average is 8.6, the national average 9.2).

None of its 8 health citations since August 2022 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.88 hours per resident per day, against 3.85 across New Jersey and 3.86 nationally. Registered nurses accounted for 0.61 of those hours.

23.6% of nursing staff left within the year CMS measured (New Jersey average 39.7%).

CMS links it to Careone, an affiliated group of 37 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 8 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
1E
0F
Potential for minimal harm
0A
0B
0C
April 24, 2026Complaint inspection · 1 citation
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 26, 2026
    Inspectors wroteBased on observations, interviews, medical record review, and review of other pertinent facility documentation on 4/23/26 and 4/24/26, it was determined that the facility failed to provide a safe environment for its residents. The facility failed to ensure that a resident (Resident #2) who was an elopement risk upon admission, remained in the facility. The facility failed to provide adequate supervision to prevent residents from eloping from the facility. This deficient practice was identified for 1 of 4 residents reviewed for elopement (Resident #2). A review of the Facility Reportable Event (FRE) submitted to the New Jersey Department of Health (NJDOH) was dated 4/17/26 and contained information regarding Resident #2's elopement. Resident #2 eloped from the facility which led the facility initiate a Code grey for a missing resident. [...]
September 25, 2025Standard inspection · 3 citations
  1. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 17, 2025
    Inspectors wroteBased on observations, document review, interviews, and policy review, the facility failed to ensure that temperatures were obtained for all altered food prior to serving. This had the potential to negatively impact seven residents (Residents (R)16, R22, R8, R48, R52, R102, R86) who received Pureed food, seven residents (R18, R28, R46, R58, R104, R74, R90) who received Soft & Bite sized prepared foods, and two residents (R31, R1) who received Minced & Moist prepared food out of 85 residents reviewed for diet texture.
  2. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 17, 2025
    Inspectors wroteBased on interview, record review, and policy review, the facility failed to ensure one resident (Resident (R) 66) of 24 residents reviewed was invited to their scheduled care plan conference. Specifically, the facility failed to invite R66 to her care conference to discuss discharge plans. This had to potential to cause R66 uncertainty about her plan of care.
  3. D
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 17, 2025
    Inspectors wroteBased on record review, interview, review of the McGeer's Infection Symptom Tracking criteria, and policy review, the facility failed to ensure one of two residents (Resident (R)71) reviewed for antibiotic use out of a sample of 24 residents received an antibiotic with justification for its use. This had the potential for R71 to receive an antibiotic unnecessarily and could potentially contribute to the development of antibiotic-resistant bacteria.
June 10, 2024Standard inspection · 3 citations
  1. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 25, 2024
    Inspectors wroteBased on observation, interview, and record review it was determined that the facility failed to accurately code the Minimum Data Set (MDS), an assessment tool used to facilitate the management of care, in accordance with federal guidelines for 1 of 21 residents, Resident #69 reviewed for accuracy for MDS coding. This deficient practice was evidenced by the following: Reference: According to the latest version of the Center for Medicare/Medicaid Services - Resident Assessment Instrument 3.0 Manual (updated October 2023) on Chapter 2-page 39 . According to the latest version of the Center for Medicare/Medicaid Services - Resident Assessment Instrument 3.0 Manual (updated October 2023). This item documents the location to which the resident is being discharged at the time of discharge. Knowing the setting to which the individual was discharged helps to inform discharge planning. [...]
  2. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 21, 2024
    Inspectors wroteBased on observation, interview, and review of pertinent medical records, it was determined that the facility failed to follow physician orders related to the use of continuous oxygen (O2) for 1 of 1 resident, Resident #3. This deficient practice was evidenced by the following: On 6/4/24 at 10:45 AM, the surveyor observed Resident #3, who was laying in bed in their room. Resident #3 was receiving O2 delivered through a nasal cannula (NC-plastic prongs attached to a tube, inserted into the nostrils that oxygen flows through) utilizing a concentrator (an oxygen delivery system) at 3.5 Liters per minute (LPM). Resident #3 stated their O2 should be running at 4 LPM. The surveyor reviewed the resident's medical chart which included a review of a paper as well as computerized medical chart. [...]
  3. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 24, 2024
    Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to properly store a controlled and noncontrolled medications in a secure manner. This deficient practice was identified for one (1) of 3 units inspected and involved two Residents, Resident #123 and #122. Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. The Nurse Practice Act for the State of New Jersey states: The practice of nursing as a registered professional nurse is defined as diagnosing and treating human responses to actual and potential physical and emotional health problems, through such services as case finding, health teaching, health counseling, and provision of care supportive to or restorative of life and wellbeing, and executing medical regimens as prescribed by a licensed or otherwise legally authorized physician or dentist. Reference: [...]
August 17, 2022Standard inspection · 1 citation
  1. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 7, 2022
    Inspectors wroteBased on observation, interview, and review of pertinent facility documentation, it was determined that the facility failed to 1.) appropriately put on personal protective equipment (PPE) while in the rooms of residents on transmission-based precautions (TBP). This was observed for1 of 1 housekeepers on the unit, and 2.) failed to appropriately handle potentially contaminated items coming from TBP rooms for 2 of 2 Certified Nursing Assistants (CNA) observed and evidenced by the following: 1. On 8/4/22 at 10:45 AM, the surveyor observed a sign on the door to resident room [ROOM NUMBER]-46 which indicated that the residents were on Isolation Droplet/ Contact Precautions and that PPE including a gown, N-95 respirator, eye protection, and gloves should be worn while in the room. At the same time the surveyor observed the housekeeper inside room [ROOM NUMBER]-46 mopping the floor. [...]

Fire safety inspections

14 fire safety citations on file: 2 on September 25, 2025, 2 on June 10, 2024, 10 on August 17, 2022.

Every fire safety citation14 citations
  1. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · September 25, 2025 · Corrected (the home has a date of correction)
  2. F
    Have simulated fire drills held at unexpected times.
    K 712 · September 25, 2025 · Corrected (the home has a date of correction)
  3. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · June 10, 2024 · Corrected (the home has a date of correction)
  4. F
    Provide properly protected cooking facilities.
    K 324 · June 10, 2024 · Corrected (the home has a date of correction)
  5. F
    Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
    K 111 · August 17, 2022 · Waiver
  6. F
    Have exits that are accessible at all times.
    K 271 · August 17, 2022 · Waiver
  7. F
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · August 17, 2022 · Corrected (the home has a date of correction)
  8. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · August 17, 2022 · Corrected (the home has a date of correction)
  9. E
    Install proper backup exit lighting.
    K 281 · August 17, 2022 · Corrected (the home has a date of correction)
  10. E
    Have properly located and lighted "Exit" signs.
    K 293 · August 17, 2022 · Corrected (the home has a date of correction)
  11. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · August 17, 2022 · Corrected (the home has a date of correction)
  12. E
    Install an approved automatic sprinkler system.
    K 351 · August 17, 2022 · Corrected (the home has a date of correction)
  13. E
    Install corridor and hallway doors that block smoke.
    K 363 · August 17, 2022 · Corrected (the home has a date of correction)
  14. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · August 17, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeNew JerseyUnited States
All nursing staff (RN, LPN and aides)3.883.853.86
Registered nurses0.610.680.69
All nursing staff on weekends3.613.503.42
Nurse aides2.18
Licensed practical nurses1.09
Nursing staff turnover (share who left in a year)23.6%39.7%45.8%
Registered nurse turnover47.1%37.7%42.9%
Administrators who left1

CMS expects 5.06 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.99 on weekdays and 3.61 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.21 in April to June 2025 to 3.88 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.880.613.993.61 0.0%0 of 9089
Oct to Dec 20253.450.533.533.25 0.0%0 of 9294
Jul to Sep 20254.130.674.263.79 0.0%0 of 9285
Apr to Jun 20254.210.784.323.92 0.0%0 of 9183
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
New Jersey, Jan to Mar 20263.680.593.823.3411.6%0.2% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for New Jersey

JobMedianMiddle halfEmployed
New Jersey, all employers
CNAs (nursing assistants)$22.52$21.13 to $23.4432,400
LPNs and LVNs$36.13$32.16 to $38.4517,410
Registered nurses$51.20$47.94 to $61.4192,680
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeNew JerseyUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
4.28.713.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
2.30.60.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.40.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.52.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.51.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
8.28.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
7.25.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
4.412.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
17.324.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
7.18.112.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.02.11.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.61.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Careone at Valley's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (63.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

63.6% this home

Better than the national rate

US median of homes 51.5% · New Jersey: 130 better, 19 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 529 eligible stays.

Potentially preventable readmissions

9.4% this home

No different from the national rate

US median of homes 10.7% · New Jersey: 2 better, 8 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 512 eligible stays.

Infections that led to a hospital stay

5.6% this home

No different from the national rate

US median of homes 7.1% · New Jersey: 3 better, 13 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 335 eligible stays.

Self-care and mobility at discharge

67.6% this home

Median of homes: New Jersey68.7% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 210 residents counted.

Falls with major injury

0.0% this home

Median of homes: New Jersey0.6% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 354 residents counted.

New or worsened pressure ulcers

0.5% this home

Median of homes: New Jersey1.7% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 354 residents counted.

Medication list given at discharge

91.1% this home

Median of homes: New Jersey99.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 101 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: MILLENNIUM HEALTHCARE CENTERS II, LLC. CMS links this home to Careone, a group of 37 nursing homes averaging 3.4 stars overall.

NameRoleTypeShareSince
Care One LLC5% or greater direct ownership interestOrganization100%12/01/2004
Des 2009 Gst Trust5% or greater indirect ownership interestOrganization18%03/01/2019
Des Holding Co., Inc.5% or greater indirect ownership interestOrganization24%12/16/2007
Des-C 2009 Grat5% or greater indirect ownership interestOrganization21%10/26/2009
Straus, Daniel5% or greater indirect ownership interestIndividual12/31/2007
Baruch, DavidW-2 managing employeeIndividual01/01/2022
Baruch, DavidCorporate officerIndividual01/01/2022
Care One Management, LLCOperational/managerial controlOrganization04/01/2007
Healthbridge Management LLCOperational/managerial controlOrganization07/25/2008

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on April 24, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on September 25, 2025: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on September 25, 2025: "Implement a program that monitors antibiotic use."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on September 25, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  5. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

New Jersey contacts for a concern about a nursing home

These are the official offices in New Jersey. NursingHomeClear cannot take or act on complaints.

Common questions

What is Careone at Valley's Medicare star rating?
CMS rates Careone at Valley 5 out of 5 stars overall, with 5 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Careone at Valley get at its last inspection?
3 health deficiencies at the standard inspection on September 25, 2025. The New Jersey average is 8.6.
Has Careone at Valley been fined?
CMS lists no fines in the last three years.
Does Careone at Valley accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Careone at Valley?
CMS lists 9 owners and managers, and links the home to Careone. Legal business name: MILLENNIUM HEALTHCARE CENTERS II, LLC.

Sources

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