Cornell Hall Care & Rehabilitation Center

Name: Cornell Hall Care & Rehabilitation Center
Address: 234 CHESTNUT STREET, Union, NJ, 07083, US
Telephone: 9086877800

234 Chestnut Street, Union, NJ 07083 · Union County · 177 certified beds · avg 133 residents/day · certified since Jun 28, 1969

Part of chain: AUTUMN LAKE HEALTHCARE (59 facilities, chain avg rating 2.8★)

2/5

Health inspection rating (on-site)

Serious findings on record

$175,196

Fines, last 3 years

3.09

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5

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 · Jan 24, 2024 · F-0692 · triggered by a complaint

The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.

Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.

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: Apr 11, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (34)

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
Apr 16, 2025	E · Potential for harm, repeated	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Apr 16, 2025	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Apr 16, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Apr 16, 2025	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.
Apr 16, 2025	B · Minimal risk, repeated	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Oct 25, 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
Jan 24, 2024	▲ G · Actual harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint
Jan 24, 2024	F · Potential for harm, facility-wide	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint
Jan 24, 2024	F · Potential for harm, facility-wide	The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records.
Jan 24, 2024	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Jan 24, 2024	E · Potential for harm, repeated	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
Jan 24, 2024	E · Potential for harm, repeated	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Jan 24, 2024	E · Potential for harm, repeated	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.
Jan 24, 2024	D · Potential for harm, one-off	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
Jan 24, 2024	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jan 24, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jan 24, 2024	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Jan 24, 2024	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.
Jan 24, 2024	D · Potential for harm, one-off	The facility did not observe each nurse aide's job performance or provide regular training as required.
Jan 24, 2024	D · Potential for harm, one-off	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Jan 24, 2024	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Jan 24, 2024	D · Potential for harm, one-off	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Jan 24, 2024	D · Potential for harm, one-off	The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months.
Jan 24, 2024	D · Potential for harm, one-off	The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program.
Jan 24, 2024	D · Potential for harm, one-off	The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention.
Jan 24, 2024	C · Minimal risk, facility-wide	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Jan 24, 2024	C · Minimal risk, facility-wide	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Jan 24, 2024	C · Minimal risk, facility-wide	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Nov 10, 2022	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Nov 10, 2022	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.
Nov 10, 2022	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.
Nov 10, 2022	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Nov 10, 2022	D · Potential for harm, one-off	The facility did not make sure residents actually saw their doctor face-to-face at all required visits. Doctors must examine nursing home residents in person on a regular schedule.
Nov 10, 2022	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (22 → 5).

Year	Citations	Serious (G–L)	Worst severity that year
2022	6	0	D
2024	23	1	G ▲
2025	5	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)

14 fines totaling $175,196.

Date	Type	Amount / length
Jan 24, 2024	Fine	$123,014
Nov 13, 2023	Fine	$4,587
Nov 6, 2023	Fine	$4,587
Oct 30, 2023	Fine	$4,587
Oct 23, 2023	Fine	$4,587
Oct 17, 2023	Fine	$4,587
Oct 10, 2023	Fine	$4,545
Oct 2, 2023	Fine	$4,587
Sep 25, 2023	Fine	$4,235
Sep 18, 2023	Fine	$3,882
Sep 11, 2023	Fine	$3,529
Sep 5, 2023	Fine	$3,176
Aug 28, 2023	Fine	$2,823
Aug 21, 2023	Fine	$2,470

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)	3.09	3.88	3.95	bottom 9% in New Jersey; bottom 17% in the U.S.
Registered Nurse hours	0.59	0.67	0.69	top 46% in New Jersey; top 49% in the U.S.
Weekend total nurse staffing	2.88	3.53	3.50	bottom 15% in New Jersey; bottom 25% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.59	0.50	0.48	top 24% in New Jersey; top 24% in the U.S.
Total nursing staff turnover (%)	25.6	39.7	45.8	top 15% in New Jersey; top 8% in the U.S.
RN turnover (%)	54.5	37.7	42.9	bottom 18% in New Jersey; bottom 29% 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 3.44, RN 0.66, weekend 3.20. 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: 4/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Jacobs, Hyman	Individual	5% or Greater Direct Ownership Interest	95%	04/30/2009
Jacobs, Livia	Individual	5% or Greater Direct Ownership Interest	5%	04/30/2009
Hayes, Vicki	Individual	W-2 Managing Employee	NOT APPLICABLE	02/26/2015
Jacobs, Hyman	Individual	Operational/Managerial Control	NOT APPLICABLE	12/16/2009
Metternich, Christopher	Individual	Corporate Officer	NOT APPLICABLE	08/17/2017

Questions to ask on your visit

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

"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
"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
Birchwood Rehabilitation and Healthcare Center	1.3 mi	Cranford, NJ	★★★★★	4/5
Cranford Park Care	2.2 mi	Cranford, NJ	★★☆☆☆	2/5
Plaza Healthcare & Rehabilitation Center	2.3 mi	Elizabeth, NJ	★★★★☆	4/5
Elmora Hills Health & Rehabilitation Center	2.4 mi	Elizabeth, NJ	★★★★★	4/5
Elizabeth Nursing and Rehab Center	2.4 mi	Elizabeth, NJ	★★★★☆	4/5
South Mountain HC	3.3 mi	Vauxhall, NJ	★★★☆☆	2/5
Alliance Care Rehabilitation and Nursing Center	3.3 mi	Irvington, NJ	★★☆☆☆	2/5
Aristacare at Parkside	3.4 mi	Linden, NJ	★★★☆☆	2/5
Trinitas Hospital	3.7 mi	Elizabeth, NJ	★★★☆☆	3/5
Winchester Gardens Health Care Center	3.9 mi	Maplewood, NJ	★★★★★	4/5
Mountainside Skilled Nursing and Rehab	4.1 mi	Mountainside, NJ	★★★☆☆	2/5
Complete Care at Clark LLC	4.2 mi	Clark, NJ	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Union →

Facility data as of CMS processing date 2026-08-01. CCN 315104.

The Care File

Visit checklist — Cornell Hall Care & Rehabilitation Center

234 Chestnut Street, Union, NJ 07083 · 9086877800

Health inspection rating 2/5 · CMS overall 3/5· Fines (3y): $175,196

Most serious findings on record:

▲ Jan 24, 2024 (F-0692, Actual harm, one-off): The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.

Questions for the administrator:

☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
☐ "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 315104 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)