Adroit Care Rehabilitation and Nursing Center

Name: Adroit Care Rehabilitation and Nursing Center
Address: 1777 LAWRENCE STREET, Rahway, NJ, 07065, US
Telephone: 7324997927

1777 Lawrence Street, Rahway, NJ 07065 · Union County · 122 certified beds · avg 116 residents/day · certified since Nov 29, 1983

Part of chain: EXCELSIOR CARE GROUP (33 facilities, chain avg rating 2.5★)

3/5

Health inspection rating (on-site)

Serious findings on record

$11,175

Fines, last 3 years

3.16

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Sep 2, 2025 · F-0656 · triggered by a complaint

The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.

Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Oct 22, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (22)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 6, 2026	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Mar 24, 2026	E · Potential for harm, repeated	The facility did not have a policy covering how food brought in by family and visitors is used and stored safely.
Mar 24, 2026	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Mar 24, 2026	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Mar 24, 2026	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Mar 24, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Sep 2, 2025	▲ G · Actual harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Sep 2, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Sep 2, 2025	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
May 9, 2025	D · Potential for harm, one-off	The facility did not let a resident or their legal representative see or buy copies of the resident's own records. · from a complaint
Nov 13, 2024	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Nov 13, 2024	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Nov 13, 2024	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Nov 13, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Nov 13, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Sep 6, 2023	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Sep 6, 2023	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Sep 6, 2023	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Sep 6, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Sep 6, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Sep 6, 2023	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Sep 6, 2023	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 5).

Year	Citations	Serious (G–L)	Worst severity that year
2023	7	0	E
2024	5	0	E
2025	4	1	G ▲
2026	6	0	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $11,175.

Date	Type	Amount / length
Sep 2, 2025	Fine	$11,175

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	New Jersey avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.16	3.88	3.95	bottom 11% in New Jersey; bottom 20% in the U.S.
Registered Nurse hours	0.53	0.67	0.69	bottom 44% in New Jersey; bottom 42% in the U.S.
Weekend total nurse staffing	2.83	3.53	3.50	bottom 11% in New Jersey; bottom 22% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.31	0.50	0.48	bottom 32% in New Jersey; bottom 35% in the U.S.
Total nursing staff turnover (%)	43.6	39.7	45.8	bottom 37% in New Jersey; top 46% in the U.S.
RN turnover (%)	55.0	37.7	42.9	bottom 17% in New Jersey; bottom 28% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.17, RN 0.53, weekend 2.84. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Leifer, Joel	Individual	5% or Greater Direct Ownership Interest	—	12/20/2021
Zupnick, Joel	Individual	5% or Greater Direct Ownership Interest	—	12/20/2021
Alexander, Sherita	Individual	W-2 Managing Employee	NOT APPLICABLE	02/14/2022
Stern, Samuel	Individual	Corporate Officer	NOT APPLICABLE	12/20/2021

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can you show me an example care plan, and how are families included when it's created and updated?"
"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"What are your rules for bringing in my family member's favorite foods, and how are they stored?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Care Connection Rahway	1.1 mi	Rahway, NJ	★★★★☆	4/5
Aristacare at Parkside	1.6 mi	Linden, NJ	★★★☆☆	2/5
Complete Care at Clark LLC	2.9 mi	Clark, NJ	★★★★☆	4/5
Cranford Park Care	3.4 mi	Cranford, NJ	★★☆☆☆	2/5
Complete Care at Westfield, LLC	3.5 mi	Westfield, NJ	★★★★☆	3/5
St Joseph's Home Al & NC, INC	3.6 mi	Woodbridge, NJ	★★★★★	5/5
Plaza Healthcare & Rehabilitation Center	4.0 mi	Elizabeth, NJ	★★★★☆	4/5
Elizabeth Nursing and Rehab Center	4.1 mi	Elizabeth, NJ	★★★★☆	4/5
Birchwood Rehabilitation and Healthcare Center	4.2 mi	Cranford, NJ	★★★★★	4/5
Cornell Hall Care & Rehabilitation Center	4.4 mi	Union, NJ	★★★☆☆	2/5
Elmora Hills Health & Rehabilitation Center	4.5 mi	Elizabeth, NJ	★★★★★	4/5
Brighton Gardens of Edison	5.0 mi	Edison, NJ	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Rahway →

Facility data as of CMS processing date 2026-08-01. CCN 315198.

The Care File

Visit checklist — Adroit Care Rehabilitation and Nursing Center

1777 Lawrence Street, Rahway, NJ 07065 · 7324997927

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $11,175

Most serious findings on record:

▲ Sep 2, 2025 (F-0656, Actual harm, one-off): The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.

Questions for the administrator:

☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "What are your rules for bringing in my family member's favorite foods, and how are they stored?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 315198 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)