Home / New Jersey / North Haledon
Windmere
151 Graham Avenue, North Haledon, NJ 07508 · Passaic County · (973) 427-4087
57 certified beds, about 18 residents a day · Non profit - Corporation · Medicare and Medicaid since 2024
Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
Not rated
CMS note: Not enough data available to calculate a star rating.
Quality measures
Not rated
CMS note: Not enough data available to calculate a star rating.
CMS Care Compare ratings, data as of September 1, 2026 · CCN 315531 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 3, 2026, inspectors cited 3 health deficiencies (the New Jersey average is 8.6, the national average 9.2).
None of its 5 health citations since August 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
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.
208/24
303/26
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 5 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
1D
0E
4F
Potential for minimal harm
0A
0B
0C
March 3, 2026Standard inspection · 3 citations
- F Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to complete and transmit Minimum Data Sets (MDS) in accordance with federal guidelines. This deficient practice was identified for 17 of 17 residents reviewed for resident assessment (Resident #1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 14, 16, 19, 20, and 21). This deficient practice was evidenced by the following:On 2/25/26 at 1:06 PM, the surveyor reviewed the MDS submissions for Resident #1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 14, 16, 19, 20, 21. The MDS's were completed yet they were not submitted/transmitted to CMS as required. The facility had submitted the MDS' exclusively as state-only assessments and did not the MDS's. As a result, the Residents are not showing up for the provider. [...]
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, record review and policy review, it was determined that the facility failed to sanitize and air dry steam table pans in a manner to prevent microbial growth. This deficient practice was evidenced by the following:On 2/26/26 at 10:32 AM, in the presence of the Executive Sous Chef (ESC) and the Senior Director of Dining and Nutrition Services (DNS), the surveyor observed the following:On a shelf, in the area of the dishwashing area, near the 3 compartment sink, the surveyor observed 4 deep full sheet sized steam table pans, stacked with water between them, 5 deep half sized steam table pans stacked with water between them, and 2 shallow full size steam table pans stacked with water between them. The ESC stated that these pans should have been air dried prior to stacking them as to prevent wet nesting. [...]
- D Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Inspectors wroteBased on observation, interview, and review of pertinent facility documents it was determined that the facility failed to notify CMS (Centers for Medicare & Medicaid Services) and receive authorization for a change in facility name in accordance with 42 CFR (Code of Federal Regulations) 424.516. This deficient practice was evidenced by the following:According to 42 CFR 424.516 Additional provider and supplier requirements for enrolling and maintaining active enrollment status in the Medicare Program:(a) Certifying compliance. [...]
August 8, 2024Standard inspection · 2 citations
- F Implement a program that monitors antibiotic use.
Inspectors wroteBased on observation, interview, and review of pertinent facility documentation, it was determined that the facility failed to ensure: a) the Antibiotic Stewardship Program (ASP) Policy and Procedure, part of the facility Infection Prevention Control Program (IPCP) was reviewed at least annually and included a procedure for the reporting of multidrug- resistant organisms (MDRO), and communicable diseases to local/state public health authorities, b) a standardized infection assessment tool or management algorithm (IST) was consistently utilized for prescribed antibiotics (Resident #2), c) residents with chronic urinary tract infection with multiple prescribed antibiotics were tracked to prevent development and/or transmission of MDRO, d) staff were educated when a Multidrug-Resistant Organism was identified (Resident #7), and e) the facility maintained evidence of an ongoing analysis of [...]
- F Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Inspectors wroteBased on observation, interview, and document review, it was determined that the facility failed to ensure that all licensed staff received training and competencies in accordance with the Facility Assessment, and to ensure facility policies and procedures for wound care competencies were met. This deficient practice was identified during an Initial Certification Survey for 1 of 7 Residents sampled for wound care (Resident #1) and one closed medical record (Resident #2). The deficient practice effected 2 of 2 Resident Units and was evidenced by the following: On 08/07/24 at 9:09 AM, during the facility entrance conference the surveyors requested a list of all the residents who received wound care. The Director of Nursing (DON) stated there was one resident (Resident #1) who received wound care treatments three times per week, and it was completed by the Wound Care Nurse. [...]
Fire safety inspections
10 fire safety citations on file: 4 on March 3, 2026, 6 on August 8, 2024.
Every fire safety citation10 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- E Meet requirements for sections of health care facilities separated by fire resistive construction.
- E Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Have simulated fire drills held at unexpected times.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Meet requirements for sections of health care facilities separated by fire resistive construction.
- D Have an enclosure around a vertical opening shaft.
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.
| Measure | This home | New Jersey | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | not reported | 3.85 | 3.86 |
| Registered nurses | not reported | 0.68 | 0.69 |
| All nursing staff on weekends | not reported | 3.50 | 3.42 |
| Nurse aides | not reported | ||
| Licensed practical nurses | not reported | ||
| Nursing staff turnover (share who left in a year) | not reported | 39.7% | 45.8% |
| Registered nurse turnover | not reported | 37.7% | 42.9% |
| Administrators who left | not reported |
CMS note on this home's staffing data: This facility submitted data that did not meet the criteria required to calculate a staffing measure.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | New Jersey | US |
|---|---|---|---|
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.0 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.3 | 3.2 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.0 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 9.5 | 12.8 | 15.4 |
Owners and operators
Legal business name: HOLLAND CHRISTIAN HOME ASSOCIATION.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Belanus, John | Corporate officer | Individual | 10/04/2023 | |
| Cusack, Beverly | Corporate officer | Individual | 10/04/2023 | |
| Debel, Rick | Corporate officer | Individual | 10/04/2023 | |
| Deyoung, Sandra | Corporate officer | Individual | 10/04/2023 | |
| Dykhouse, Thomas | Corporate officer | Individual | 10/04/2023 | |
| Kuiken, Matthew | Corporate officer | Individual | 10/04/2023 | |
| Lyman, Paul | Corporate officer | Individual | 10/04/2023 | |
| Shotmeyer, Amy | Corporate officer | Individual | 10/04/2023 | |
| Struyk, Douglas | Corporate officer | Individual | 10/04/2023 | |
| Vriesema, Charlotte | Corporate officer | Individual | 03/07/2024 | |
| Christian Health Care Center | Operational/managerial control | Organization | 10/03/2022 | |
| Balkema, Bruce | Operational/managerial control | Individual | 08/01/2024 | |
| De Sclafani, John | Operational/managerial control | Individual | 08/01/2024 | |
| Deyoung, Sandra | Operational/managerial control | Individual | 10/04/2023 | |
| Dumke, Stephen | Operational/managerial control | Individual | 01/01/2025 | |
| Dykhouse, Thomas | Operational/managerial control | Individual | 10/04/2023 | |
| Gorter, Rod | Operational/managerial control | Individual | 08/01/2024 | |
| Grimm, Daniel | Operational/managerial control | Individual | 08/01/2024 | |
| Holland, Julie | Operational/managerial control | Individual | 08/01/2024 | |
| King, Deborah | Operational/managerial control | Individual | 08/01/2024 | |
| Montgomery, David | Operational/managerial control | Individual | 08/01/2024 | |
| Stocker, Beryl | Operational/managerial control | Individual | 11/17/2023 | |
| Tokarski, Julie | Operational/managerial control | Individual | 08/01/2024 | |
| Van Dyk, Elizabeth | Operational/managerial control | Individual | 08/01/2024 | |
| Vanorden, Andrew | Operational/managerial control | Individual | 12/11/2023 | |
| Stocker, Beryl | Adp of the SNF | Individual | 11/17/2023 | |
| Svensson, Erik | Adp of the SNF | Individual | 12/12/2025 | |
| Vanorden, Andrew | Adp of the SNF | Individual | 12/11/2023 |
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.
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 2 problems in this area, most recently on March 3, 2026: "Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on March 3, 2026: "Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment."
- 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 March 3, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on August 8, 2024: "Implement a program that monitors antibiotic use."
Other nursing homes nearby
- Christian Health Care Center Wyckoff, 1.2 mi · 3 of 5 stars · 35 citations
- Excel Care at Wayne Wayne, 1.9 mi · 1 of 5 stars · 22 citations
- Preakness Healthcare Center Wayne, 2.5 mi · 2 of 5 stars · 35 citations
- Atrium Post Acute Care of Wayne Wayne, 3.6 mi · 4 of 5 stars · 21 citations
- Barnert Subacute Rehabilitation Center, LLC Paterson, 3.8 mi · 4 of 5 stars · 13 citations
- Oakland Rehabilitation and Healthcare Center Oakland, 3.8 mi · 3 of 5 stars · 32 citations
- Doctors Subacute Healthcare, LLC Paterson, 3.9 mi · 5 of 5 stars · 16 citations
- Family of Caring Healthcare at Ridgewood Ridgewood, 4.1 mi · 5 of 5 stars · 16 citations
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.
- Inspections and complaints: New Jersey Department of Health, Health Facilities, License Surveys and Inspections, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: New Jersey Long-Term Care Ombudsman, 1-877-582-6995. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: New Jersey Long Term Care Facilities Search, where New Jersey publishes its own records on licensed homes.
Common questions
- What is Windmere's Medicare star rating?
- CMS rates Windmere 4 out of 5 stars overall, with 4 for health inspections, no for staffing and no for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Windmere get at its last inspection?
- 3 health deficiencies at the standard inspection on March 3, 2026. The New Jersey average is 8.6.
- Has Windmere been fined?
- CMS lists no fines in the last three years.
- Does Windmere 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 Windmere?
- CMS lists 28 owners and managers. Legal business name: HOLLAND CHRISTIAN HOME ASSOCIATION.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.