SNF
LIVINGSTON POST ACUTE CARE
CCN: 315526 · LIVINGSTON, NJ 07039 · Essex County
Overview
- Address
- 348 E CEDAR STREET, LIVINGSTON, NJ 07039
- Phone
- 9737588200
- Certified beds
- 124
- Avg daily residents
- 129 (104% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 2018-06-20
- Setting
- Urban
2 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.83 | 4.83 | 3.06 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.81 | 0.85 | 0.64 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.81 | 1.07 | 0.64 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.22 | 2.92 | 1.77 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.61 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.18 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.56
hrs / resident / day
RN (weekend)
0.67
hrs / resident / day
Total nurse (adjusted, weekend)
2.84
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
49.3%
annual
RN turnover
57.1%
annual
Administrators departed
1
last 12 months
Resident acuity
Nursing Case-Mix Index
1.71
higher acuity than avg
Case-Mix Index Ratio
1.24
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2024-09-20 | 21 | 21 | 6 | 136 | 1 | 136 |
| Cycle 2/3 (prior) | 2023-08-15 | 7 | 6 | 1 | 28 | 1 | 28 |
Total weighted health score
109.0
lower is better
Deficiencies (31)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
31 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-11-21 | 2026-11-28 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-09-20 | 2024-10-04 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-09-20 | 2024-10-04 |
| 0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | 2024-09-20 | 2024-10-08 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-09-20 | 2024-10-04 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2024-09-20 | 2024-10-01 |
| 0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-09-20 | 2024-10-04 |
| 0732 | Post nurse staffing information every day. | D | 2024-09-20 | 2024-10-10 |
| 0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2024-09-20 | 2024-09-23 |
| 0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2024-09-20 | 2024-10-08 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-09-20 | 2024-10-08 |
| 0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | 2024-09-20 | 2024-10-11 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-09-20 | 2024-10-10 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2024-09-20 | 2024-10-04 |
| 0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2024-09-20 | 2024-10-02 |
| 0920 | Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | F | 2024-09-20 | 2024-10-15 |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-09-20 | 2024-10-04 |
| 0641 | Ensure each resident receives an accurate assessment. | E | 2024-09-20 | 2024-10-10 |
| 0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | 2024-09-20 | 2024-10-04 |
| 0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2024-09-20 | 2024-10-04 |
| 0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-09-20 | 2024-10-04 |
| 0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2024-09-20 | 2024-10-10 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-02-12 | 2024-03-31 |
| 0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | 2023-08-15 | 2023-09-06 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2023-08-15 | 2023-09-06 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-08-15 | 2023-09-06 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-08-15 | 2023-09-06 |
| 0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2023-08-15 | 2023-09-06 |
| 0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2023-08-15 | 2023-09-06 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2021-06-21 | 2021-06-30 |
| 0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2021-06-21 | 2021-06-30 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 40.4% Medicaid 7.7% Other 51.9%
Operating performance
Operating Margin
-13.3%
Total Margin
-13.2%
Occupancy Rate
64.5%
Cost per Resident Day
$112
Revenue & costs
Net Patient Revenue
$9.3M
Total Costs
$1.9M
Net Income
-$1.2M
Balance sheet
Total Assets
$4.2M
Total Liabilities
$4.0M
Fund Balance
$156K
Current Ratio
1.95
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Owner / manager organizations (6)
| Organization | Role | Association |
|---|---|---|
| LHPA OPERATIONS HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 07/28/2023 |
| AMO HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 05/02/2023 |
| AMO TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 07/28/2023 |
| SJR HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 05/02/2023 |
| METROPOLITAN COMMERCIAL BANK | 5% OR GREATER SECURITY INTEREST | since 07/28/2023 |
| METROPOLITAN COMMERCIAL BANK | 5% OR GREATER MORTGAGE INTEREST | since 07/28/2023 |
Owner / manager individuals (5)
| Name | Role | Association |
|---|---|---|
| GASTWIRTH, JOSHUA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 07/28/2023 |
| SCHUSTER, JEREMY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 05/02/2023 |
| GASTWIRTH, JOSHUA | OPERATIONAL/MANAGERIAL CONTROL | since 07/28/2023 |
| KLEID, LAURIE | OPERATIONAL/MANAGERIAL CONTROL | since 07/28/2023 |
| SCHUSTER, JEREMY | OPERATIONAL/MANAGERIAL CONTROL | since 05/02/2023 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $112 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 1.95 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 7.7% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 40.4% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-1,230,116 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $9,297,885 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 64.5% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -13.3% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $4,158,861 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,863,222 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $156,172 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $4,002,689 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -13.2% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.64417 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 1.77073 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.64388 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.05877 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 2.84014 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 129.4 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 1.07276 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.91552 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.84557 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 4.83385 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 4.26053 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | — | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | — | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | — | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | — | Chain Average Staffing Rating |
| Provider Information | Chain ID | — | Chain ID |
| Provider Information | Chain Name | — | Chain Name |
| Provider Information | City/Town | LIVINGSTON | City/Town |
| Provider Information | CMS Certification Number (CCN) | 315526 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Essex | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 2018-06-20 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 1 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 40.7721 | Latitude |
| Provider Information | Legal Business Name | LIVINGSTON POST ACUTE OPERATOR LLC | Legal Business Name |
| Provider Information | Location | 348 E CEDAR STREET,LIVINGSTON,NJ,07039 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -74.301 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 1 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 124 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | — | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.71242 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.24300 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 2 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 348 E CEDAR STREET | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | LIVINGSTON POST ACUTE CARE | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 200 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 136 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 6 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 21 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2024-09-20 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 136 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 21 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 6 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2023-08-15 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 28 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 1 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 28 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 7 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.66943 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 57.1 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.61262 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.80649 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.21694 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.18483 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.80613 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.82956 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 5 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 2 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | NJ | State |
| Provider Information | Telephone Number | 9737588200 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.55583 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 49.3 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 109.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 07039 | ZIP Code |