Livingston Post Acute Care
348 E Cedar Street, Livingston, NJ 07039 · Essex County · 124 certified beds · avg 133 residents/day · certified since Jun 20, 2018
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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.
All citations in the current public record (43)
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 |
|---|---|---|
| Jan 5, 2026 | 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 5, 2026 | E · Potential for harm, repeated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Jan 5, 2026 | 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. |
| Jan 5, 2026 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Jan 5, 2026 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Jan 5, 2026 | D · Potential for harm, one-off | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. |
| Jan 5, 2026 | 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. |
| Jan 5, 2026 | 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 5, 2026 | 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 5, 2026 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Jan 5, 2026 | 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. |
| Jan 5, 2026 | D · Potential for harm, one-off | 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. |
| Jan 5, 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. |
| Jan 5, 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. |
| Nov 21, 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 |
| Sep 20, 2024 | F · Potential for harm, facility-wide | 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. |
| Sep 20, 2024 | F · Potential for harm, facility-wide | The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. |
| Sep 20, 2024 | F · Potential for harm, facility-wide | The facility did not provide at least one adequately sized room for dining and activities, with good lighting, airflow, and furniture. |
| Sep 20, 2024 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint |
| Sep 20, 2024 | E · Potential for harm, repeated | 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 20, 2024 | E · Potential for harm, repeated | 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 |
| Sep 20, 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. |
| Sep 20, 2024 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Sep 20, 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. |
| Sep 20, 2024 | D · Potential for harm, one-off | The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. · from a complaint |
| Sep 20, 2024 | D · Potential for harm, one-off | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. · from a complaint |
| Sep 20, 2024 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Sep 20, 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. |
| Sep 20, 2024 | 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. |
| Sep 20, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| Sep 20, 2024 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Sep 20, 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. |
| Sep 20, 2024 | D · Potential for harm, one-off | 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. |
| Sep 20, 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. |
| Sep 20, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Sep 20, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Feb 12, 2024 | 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 |
| Aug 15, 2023 | 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. |
| Aug 15, 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. |
| Aug 15, 2023 | 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. |
| Aug 15, 2023 | 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. |
| Aug 15, 2023 | 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. |
| Aug 15, 2023 | D · Potential for harm, one-off | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (21 → 14).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 0 | D |
| 2024 | 22 | 0 | F |
| 2025 | 1 | 0 | D |
| 2026 | 14 | 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)
No fines or payment denials in the published 3-year window.
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) | 3.12 | 3.88 | 3.95 | bottom 9% in New Jersey; bottom 18% in the U.S. |
| Registered Nurse hours | 0.68 | 0.67 | 0.69 | top 35% in New Jersey; top 38% in the U.S. |
| Weekend total nurse staffing | 2.95 | 3.53 | 3.50 | bottom 20% in New Jersey; bottom 28% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.75 | 0.50 | 0.48 | top 14% in New Jersey; top 13% in the U.S. |
| Total nursing staff turnover (%) | 55.0 | 39.7 | 45.8 | bottom 13% in New Jersey; bottom 25% in the U.S. |
| RN turnover (%) | 67.9 | 37.7 | 42.9 | bottom 6% in New Jersey; bottom 13% 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 3.73, RN 0.81, weekend 3.53. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Amo Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/02/2023 |
| Amo Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 07/28/2023 |
| Lhpa Operations Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/28/2023 |
| Schuster, Jeremy | Individual | 5% or Greater Indirect Ownership Interest | — | 05/02/2023 |
| SJR Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/02/2023 |
| 849 Big Oak Rd Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/02/2023 |
| 849 Big Oak Rd LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/02/2023 |
| Abe and Rachel Bak Family Trust | Organization | ADP of the SNF | NOT APPLICABLE | 05/02/2023 |
| Amo Trust | Organization | ADP of the SNF | NOT APPLICABLE | 05/02/2023 |
| Bagz Holdings, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/02/2023 |
| Gastwirth, Joshua | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/28/2023 |
| Kleid, Laurie | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/28/2023 |
| Kleid, Laurie | Individual | ADP of the SNF | NOT APPLICABLE | 07/28/2023 |
| Metropolitan Commercial Bank | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 07/28/2023 |
| Metropolitan Commercial Bank | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 07/28/2023 |
| Schuster, Jeremy | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/02/2023 |
| Schuster, Jeremy | Individual | ADP of the SNF | NOT APPLICABLE | 05/02/2023 |
| SJR Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/02/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "How do you explain health changes and treatment options to residents and their families?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "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 | Flags |
|---|---|---|---|---|---|
| Stratford Manor Rehabilitation and Care Center | 0.3 mi | West Orange, NJ | ★★★★☆ | 3/5 | |
| Alaris Health at West Orange | 0.9 mi | West Orange, NJ | ★★★★☆ | 3/5 | |
| Inglemoor Rehabilitation and Care Center | 1.1 mi | Livingston, NJ | ★★★★★ | 5/5 | |
| Complete Care at Summit Ridge | 1.6 mi | West Orange, NJ | ★★★★☆ | 3/5 | |
| Daughters of Israel Pleasant Valley Home | 1.8 mi | West Orange, NJ | ★★★☆☆ | 2/5 | |
| Careone at Livingston | 2.7 mi | Livingston, NJ | ★★★★☆ | 4/5 | |
| White House Healthcare and Rehabilitation Center | 3.2 mi | Orange, NJ | ★★★★★ | 4/5 | |
| Axia Care Center of Orange | 3.7 mi | Orange, NJ | ★☆☆☆☆ | 1/5 | |
| Brookhaven Health Care Center | 3.8 mi | East Orange, NJ | ★★★☆☆ | 3/5 | |
| South Mountain HC | 3.8 mi | Vauxhall, NJ | ★★★☆☆ | 2/5 | |
| Winchester Gardens Health Care Center | 4.0 mi | Maplewood, NJ | ★★★★★ | 4/5 | |
| Green Hill | 4.2 mi | West Orange, NJ | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 315526.