Mohawk Meadows
1 O'Brien Lane, Lafayette, NJ 07848 · Sussex County · 159 certified beds · avg 144 residents/day · certified since Jan 1, 1967
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
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)
▲ Immediate jeopardy, facility-wide · Nov 21, 2023 · F-0835
The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Why it matters: Poor administration often shows up as understaffing, supply shortages, and care problems across the whole facility.
Severity (L): A life-threatening or extremely dangerous situation existed throughout the facility. The single most serious citation CMS can issue.
Corrected: Jan 11, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, facility-wide · Nov 21, 2023 · F-0880
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.
Why it matters: Weak infection control lets illnesses like flu, COVID-19, and drug-resistant infections spread quickly among vulnerable residents.
Severity (L): A life-threatening or extremely dangerous situation existed throughout the facility. The single most serious citation CMS can issue.
Corrected: Jan 11, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Nov 21, 2023 · F-0684
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Dec 18, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (21)
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 |
|---|---|---|
| Aug 18, 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 |
| Aug 18, 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 |
| Aug 18, 2025 | 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. · from a complaint |
| Nov 19, 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. |
| Nov 19, 2024 | 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. |
| Nov 19, 2024 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Nov 19, 2024 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. |
| Nov 19, 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. |
| Nov 19, 2024 | D · Potential for harm, one-off | 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. |
| Nov 19, 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. |
| Nov 21, 2023 | ▲ L · Immediate jeopardy, facility-wide | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. |
| Nov 21, 2023 | ▲ L · Immediate jeopardy, facility-wide | 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, 2023 | ▲ J · Immediate jeopardy, 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. |
| Jul 17, 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. |
| Jul 17, 2023 | 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. |
| Jul 17, 2023 | 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. |
| Jul 17, 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. |
| Jul 17, 2023 | 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. |
| Dec 3, 2021 | 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. |
| Dec 3, 2021 | 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. |
| Dec 3, 2021 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (5 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 3 | 0 | D |
| 2023 | 8 | 3 | L ▲ |
| 2024 | 7 | 0 | E |
| 2025 | 3 | 0 | D |
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 $713,795, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Nov 21, 2023 | Fine | $713,795 |
| Nov 21, 2023 | Payment Denial | 8 days from Jan 3, 2024 |
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) | 3.29 | 3.88 | 3.95 | bottom 23% in New Jersey; bottom 26% in the U.S. |
| Registered Nurse hours | 0.50 | 0.67 | 0.69 | bottom 40% in New Jersey; bottom 38% in the U.S. |
| Weekend total nurse staffing | 2.86 | 3.53 | 3.50 | bottom 13% in New Jersey; bottom 24% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.30 | 0.50 | 0.48 | bottom 31% in New Jersey; bottom 33% in the U.S. |
| Total nursing staff turnover (%) | 17.6 | 39.7 | 45.8 | top 5% in New Jersey; top 2% in the U.S. |
| RN turnover (%) | 18.8 | 37.7 | 42.9 | top 14% in New Jersey; top 12% 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 2.83, RN 0.43, weekend 2.46. Staffing rating: 3/5.
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: 5/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Kushner, Judy | Individual | 5% or Greater Direct Ownership Interest | 100% | 02/01/2024 |
| Casella, Joseph | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2024 |
| Casella, Joseph | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2024 |
| Heinemann, David | Individual | Corporate Officer | NOT APPLICABLE | 02/01/2024 |
| Heinemann, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2024 |
| Heinemann, David | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2024 |
| Katz, Harold | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 04/15/2025 |
| Kushner, Judy | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/01/2024 |
| Kushner, Judy | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2024 |
| Kushner, Judy | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2024 |
| Rothner, William | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2024 |
| Velmonte, Sonia | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2024 |
| Velmonte, Sonia | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What were the findings behind this administration citation, and what has leadership changed since?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "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 Barn Hill | 3.4 mi | Newton, NJ | ★★★★★ | 4/5 | |
| Valley View Rehabilitation and Healthcare Ctr | 3.4 mi | Newton, NJ | ★☆☆☆☆ | 1/5 | |
| United Methodist Communities at Bristol Glen | 3.5 mi | Newton, NJ | ★★★★☆ | 4/5 | |
| Homestead Rehabilitation & Health Care Center | 6.2 mi | Newton, NJ | ★★☆☆☆ | 1/5 | SFF |
| Dwelling Place at St Clares | 12.7 mi | Dover, NJ | ★★★★★ | 4/5 | |
| Merry Heart Nursing Home | 13.1 mi | Succasunna, NJ | ★★★★☆ | 4/5 | |
| Excel Care at Dover | 13.1 mi | Dover, NJ | ★★☆☆☆ | 1/5 | |
| Forest Manor HCC | 14.6 mi | Blairstown, NJ | ★★★☆☆ | 3/5 | |
| Oaks at Denville, the | 16.0 mi | Denville, NJ | ★★★★☆ | 3/5 | |
| Complete Care at Milford Manor LLC | 16.2 mi | West Milford, NJ | ★☆☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 315044.