1 O'Brien Lane, Lafayette, NJ 07848 (opens Google Maps) · Sussex County · (973) 383-6200· 159 certified beds · avg 144 residents/day · certified since Jan 1, 1967 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
1/5
Health inspection rating (on-site)
inspected Nov 19, 2024
3
Serious findings on record
most recent Nov 21, 2023
$713,795
Fines, last 3 years
3.29
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
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 quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, widespread · 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): Immediate jeopardy to resident health or safety was cited. The scope was widespread: a systemic or pervasive problem. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jan 11, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, widespread · 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): Immediate jeopardy to resident health or safety was cited. The scope was widespread: a systemic or pervasive problem. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jan 11, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Dec 18, 2023 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 21 inspection findings. Open the full record below to read every finding.
D · Potential for more than minimal harm, isolated
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 complaintF-0609
D · Potential for more than minimal harm, isolated
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 complaintF-0658
D · Potential for more than minimal harm, isolated
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 complaintF-0695
View all 21 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
Date
Severity
What the facility was cited for
Aug 18, 2025
D · Potential for more than minimal harm, isolated
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 · F-0609
Aug 18, 2025
D · Potential for more than minimal harm, isolated
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 · F-0658
Aug 18, 2025
D · Potential for more than minimal harm, isolated
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 · F-0695
Nov 19, 2024
E · Potential for more than minimal harm, pattern
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. · F-0607
Nov 19, 2024
D · Potential for more than minimal harm, isolated
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. · F-0558
Nov 19, 2024
D · Potential for more than minimal harm, isolated
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. · F-0561
Nov 19, 2024
D · Potential for more than minimal harm, isolated
The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · F-0604
Nov 19, 2024
D · Potential for more than minimal harm, isolated
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Nov 19, 2024
D · Potential for more than minimal harm, isolated
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. · F-0690
Nov 19, 2024
D · Potential for more than minimal harm, isolated
The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Nov 21, 2023
▲ L · Immediate jeopardy, widespread
The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · F-0835
Nov 21, 2023
▲ L · Immediate jeopardy, widespread
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. · F-0880
Nov 21, 2023
▲ J · Immediate jeopardy, isolated
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Jul 17, 2023
D · Potential for more than minimal harm, isolated
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Jul 17, 2023
D · Potential for more than minimal harm, isolated
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. · F-0657
Jul 17, 2023
D · Potential for more than minimal harm, isolated
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. · F-0661
Jul 17, 2023
D · Potential for more than minimal harm, isolated
The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Jul 17, 2023
D · Potential for more than minimal harm, isolated
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. · F-0757
Dec 3, 2021
D · Potential for more than minimal harm, isolated
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. · F-0695
Dec 3, 2021
D · Potential for more than minimal harm, isolated
The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698
Dec 3, 2021
D · Potential for more than minimal harm, isolated
The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (5 → 7).
Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2021
All citations:
3
Serious citations (G–L):
0
2023
All citations:
8
Serious citations (G–L):
3
2024
All citations:
7
Serious citations (G–L):
0
2025
All citations:
3
Serious citations (G–L):
0
All bars start at zero. Exact values and supporting details remain below.
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.
1 fine totaling $713,795, plus 1 Medicare payment denial period.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
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)
Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityNew Jersey averageU.S. average
Total nurse staffing (hours per resident per day)
This facility:
3.29
New Jersey average:
3.88
U.S. average:
3.95
Registered Nurse hours
This facility:
0.50
New Jersey average:
0.67
U.S. average:
0.69
Weekend total nurse staffing
This facility:
2.86
New Jersey average:
3.53
U.S. average:
3.50
All bars start at zero. Exact values and supporting details remain below.
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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (2.83 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
No verified facility-specific private-pay price is available in our data for Mohawk Meadows. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
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Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Health inspection rating 1/5 · CMS overall 1/5· Fines (3y): $713,795
Most serious findings on record:
▲ Nov 21, 2023 (F-0835, Immediate jeopardy, widespread): 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 (F-0880, Immediate jeopardy, widespread): 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 (F-0684, Immediate jeopardy, isolated): The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Questions for the administrator:
☐ "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?"
☐ "Your weekend nurse staffing is reported below the New Jersey midpoint — how does the weekend schedule differ from a weekday?"
☐ "Can I see the plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 18% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "The ownership record on file lists 13 owning or managing parties — who makes the decisions about staffing levels?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"
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 315044 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)