Lutheran Social Ministries Cranes Mill
459 Passaic Avenue, West Caldwell, NJ 07006 · Essex County · 56 certified beds · avg 40 residents/day · certified since Jun 30, 1999
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
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 · Feb 25, 2021 · F-0686
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.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
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: Mar 31, 2021 (Deficient, Provider has date of correction)
All citations in the current public record (13)
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 |
|---|---|---|
| Mar 14, 2025 | 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. |
| Mar 14, 2025 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Mar 14, 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. |
| Aug 22, 2023 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Jan 27, 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. |
| Jan 27, 2023 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jan 27, 2023 | 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 27, 2023 | 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. |
| Jan 27, 2023 | 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. |
| Feb 25, 2021 | ▲ G · Actual 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. |
| Feb 25, 2021 | 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. |
| Feb 25, 2021 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Feb 25, 2021 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (5 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 4 | 1 | G ▲ |
| 2023 | 6 | 0 | E |
| 2025 | 3 | 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) | 4.47 | 3.88 | 3.95 | top 18% in New Jersey; top 24% in the U.S. |
| Registered Nurse hours | 0.91 | 0.67 | 0.69 | top 17% in New Jersey; top 20% in the U.S. |
| Weekend total nurse staffing | 4.40 | 3.53 | 3.50 | top 11% in New Jersey; top 14% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.91 | 0.50 | 0.48 | top 7% in New Jersey; top 8% in the U.S. |
| Total nursing staff turnover (%) | 25.0 | 39.7 | 45.8 | top 14% in New Jersey; top 7% in the U.S. |
| RN turnover (%) | 50.0 | 37.7 | 42.9 | bottom 26% in New Jersey; bottom 39% 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 4.37, RN 0.89, weekend 4.30. Staffing rating: 4/5.
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
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Lutheran Social Ministries of New Jersey, INC. | Organization | 5% or Greater Direct Ownership Interest | — | 04/13/1995 |
| Bartholomew, Tracie | Individual | Corporate Director | NOT APPLICABLE | 01/16/2018 |
| Bartholomew, Tracie | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2024 |
| Frankenfield, Colleen | Individual | Corporate Director | NOT APPLICABLE | 10/06/2014 |
| Frankenfield, Colleen | Individual | Corporate Officer | NOT APPLICABLE | 10/06/2014 |
| Frankenfield, Colleen | Individual | ADP of the SNF | NOT APPLICABLE | 10/06/2014 |
| Garozzo, Brenden | Individual | ADP of the SNF | NOT APPLICABLE | 05/18/2026 |
| Gewecke, Stephen | Individual | Corporate Director | NOT APPLICABLE | 01/01/2022 |
| Gewecke, Stephen | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2022 |
| Haciski, Rafael | Individual | Corporate Director | NOT APPLICABLE | 01/16/2019 |
| Haciski, Rafael | Individual | Trustee of the SNF | NOT APPLICABLE | 01/16/2019 |
| Noble, Edward | Individual | Corporate Director | NOT APPLICABLE | 01/16/2018 |
| Noble, Edward | Individual | Corporate Officer | NOT APPLICABLE | 01/16/2018 |
| Noble, Edward | Individual | Trustee of the SNF | NOT APPLICABLE | 01/16/2018 |
| Richman, Jeannine | Individual | Corporate Officer | NOT APPLICABLE | 08/24/2020 |
| Richman, Jeannine | Individual | ADP of the SNF | NOT APPLICABLE | 08/24/2020 |
| Runne, Juhan | Individual | Corporate Director | NOT APPLICABLE | 01/16/2018 |
| Runne, Juhan | Individual | Corporate Officer | NOT APPLICABLE | 01/16/2018 |
| Runne, Juhan | Individual | Trustee of the SNF | NOT APPLICABLE | 01/16/2018 |
| Shaker, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
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 prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "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 |
|---|---|---|---|---|---|
| Complete Care at West Caldwell LLC | 1.3 mi | West Caldwell, NJ | ★★★★☆ | 3/5 | |
| St Catherine of Siena | 1.8 mi | Caldwell, NJ | ★★★☆☆ | 3/5 | |
| Green Hill | 3.0 mi | West Orange, NJ | ★★☆☆☆ | 2/5 | |
| Alaris Health at Cedar Grove | 3.7 mi | Cedar Grove, NJ | ★★★★☆ | 3/5 | |
| Canterbury at Cedar Grove | 3.8 mi | Cedar Grove, NJ | ★★★☆☆ | 3/5 | |
| Complete Care at Summit Ridge | 4.0 mi | West Orange, NJ | ★★★★☆ | 3/5 | |
| Arbor Glen Center | 4.0 mi | Cedar Grove, NJ | ★★☆☆☆ | 2/5 | |
| Inglemoor Rehabilitation and Care Center | 4.1 mi | Livingston, NJ | ★★★★★ | 5/5 | |
| Daughters of Israel Pleasant Valley Home | 4.1 mi | West Orange, NJ | ★★★☆☆ | 2/5 | |
| Family of Caring Healthcare at Montclair | 4.3 mi | Montclair, NJ | ★★★★☆ | 4/5 | |
| Complete Care at St Vincents LLC | 4.4 mi | Cedar Grove, NJ | ★★★★★ | 5/5 | |
| Complete Care at Cedar Grove | 4.4 mi | Cedar Grove, NJ | ★★★★☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 315457.