Home›Browse›New Jersey›Califon›Little Brook Nursing and Convalescent Home

Nursing homeFAID #8147

Little Brook Nursing and Convalescent Home

78 SLIKER ROAD, CALIFON, NJ, 07830

(908) 832-2220

36 licensed beds

CMS rates Little Brook Nursing and Convalescent Home 1 out of 5 overall. Federal inspectors issued 97 citations across 11 inspections in the last three years, with $355,418 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall1/5 health inspections4/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

78 Sliker Road

Califon, NJ 07830

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Public record summary

What we can show you for free.

Bed capacity

State license

061003

CMS facility ID

315467

Care type

Nursing home

Facility name

Little Brook Nursing and Convalescent Home

Street address

78 SLIKER ROAD

City / state / ZIP

Califon, NJ 07830

Phone

(908) 832-2220

Website

littlebrooknursinghome.com

State license #

061003

About this facility — Little Brook Nursing and Convalescent Home

Little Brook Nursing and Convalescent Home is a Medicare/Medicaid-certified skilled nursing facility in Califon, New Jersey. It is licensed for 36 beds — well below the median for skilled nursing facilities in New Jersey (130 beds).

It is one of 2 senior care facilities in Califon and 348 skilled nursing facilities across New Jersey. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Little Brook Nursing and Convalescent Home 97 times across 11 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $355,418 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Operator / owner

Little Brook Home, Inc.

Ownership type

For profit - Individual

Administrator

Cynthia Bradford

Registered owners & officers

Lazare Group, Inc

Indirect owner · Operational control · Additional disclosable party — 100% stake — since 2002

Fernandez, Rosa

Direct owner · Trustee · Additional disclosable party — 51% stake — since 2005

Bethane Properties, Inc

Mortgage holder · Additional disclosable party — since 2002

Bradford, Cynthia

Director · Operational control · Additional disclosable party — since 2021

Caissie, Elizabeth

Officer · Operational control · Additional disclosable party — since 2017

Fernandez, Rosemarie

Officer — since 2005

Hampilos, John

Direct owner · Officer · Operational control · Trustee · Additional disclosable party — since 2005

Segaram, Sandira

Director · Operational control · Additional disclosable party — since 2005

Regulatory standing

Licensed / certified since

2001-02-01

License expires

2026-12-31

CMS overall rating

1 of 5 stars

Health deficiencies

16 at the last standard inspection

Federal fines

$355,418 total

Last standard inspection

2026-03-04

Nurse staffing

3.6 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$392 per day (≈ $11,920/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

76% Medicaid · 2% Medicare · 22% private/other

Occupancy

79% (fiscal year 2023)

Vs. state median

7% below the NJ median of $422/day — full state cost breakdown

Services & coverage

Licensed beds

Licensed as

LONG TERM CARE FACILITY SNF/NF

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.

2026-03-04Health inspection16 citations

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2026-04-24

F-0584

D · No harm found

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2026-04-24

F-0605

E · No harm found

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2026-04-26

F-0607

E · No harm found

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2026-04-24

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2026-04-24

F-0686

D · No harm found

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2026-04-24

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2026-03-25

F-0693

D · No harm found

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2026-04-24

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2026-04-24

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2026-04-25

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2026-04-24

F-0761

E · No harm found

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2026-04-24

F-0804

D · No harm foundFood safety

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2026-04-24

F-0868

D · No harm found

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2026-04-24

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-04-24

F-0882

E · No harm found

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2026-04-24

2025-07-10Health inspectionComplaint-triggered1 citation

F-0689

J · Immediate jeopardyFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-08-18

8 earlier / fire-safety inspections (80 citations)

2025-03-18Health inspectionComplaint-triggered5 citations

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-05-14

F-0610

J · Immediate jeopardyFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2025-05-14

F-0641

E · No harm foundFrom a complaint

Ensure each resident receives an accurate assessment.

Corrected 2025-05-14

F-0657

E · No harm foundFrom a complaint

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-05-14

F-0730

D · No harm foundFrom a complaint

Observe each nurse aide's job performance and give regular training.

Corrected 2025-05-14

2024-10-30Health inspectionComplaint-triggered15 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-12-09

F-0582

D · No harm found

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-11-21

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-11-21

F-0623

D · No harm found

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-11-22

F-0640

F · No harm found

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2024-11-21

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-11-21

F-0689

J · Immediate jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-11-20

F-0692

D · No harm found

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-11-22

F-0730

F · No harm found

Observe each nurse aide's job performance and give regular training.

Corrected 2024-11-21

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-11-21

F-0761

D · No harm found

Corrected 2024-11-21

F-0808

D · No harm foundFood safety

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Corrected 2025-01-22

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-11-21

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-11-21

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-01-22

2024-03-04Health inspectionComplaint-triggered1 citation

F-0641

D · No harm foundFrom a complaint

Ensure each resident receives an accurate assessment.

Corrected 2024-04-01

2023-12-12Health inspectionComplaint-triggered3 citations

F-0609

E · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-01-31

F-0610

E · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2024-01-31

F-0657

E · No harm foundFrom a complaint

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-01-31

2023-06-15Health inspection15 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-07-25

F-0607

D · No harm found

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2023-07-25

F-0622

D · No harm found

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Corrected 2023-07-25

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-07-25

F-0689

L · Immediate jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-07-25

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-07-25

F-0726

F · No harm found

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2023-07-25

F-0730

F · No harm found

Observe each nurse aide's job performance and give regular training.

Corrected 2023-07-25

F-0755

F · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-07-25

F-0756

K · Immediate jeopardy

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2023-07-25

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-07-25

F-0760

K · Immediate jeopardy

Ensure that residents are free from significant medication errors.

Corrected 2023-07-25

F-0835

L · Immediate jeopardy

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2023-07-25

F-0836

L · Immediate jeopardy

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

Corrected 2023-07-03

F-0868

E · No harm found

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2023-07-25

2026-03-04Fire-safety inspection12 citations

E-0004

F · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2026-06-03

E-0006

F · No harm found

Conduct risk assessment and an All-Hazards approach.

Corrected 2026-06-17

E-0025

F · No harm found

Create arrangements with other facilities to receive patients.

Corrected 2026-06-03

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2026-07-13

K-0211

E · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2026-07-16

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2026-08-23

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-08-28

K-0355

F · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2026-06-12

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2026-07-20

K-0741

F · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2026-06-12

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2026-06-12

K-0923

F · No harm found

Have proper medical gas storage and administration areas.

Corrected 2026-06-03

2024-10-30Fire-safety inspection15 citations

E-0006

F · No harm found

Conduct risk assessment and an All-Hazards approach.

Corrected 2024-11-22

E-0015

F · No harm found

Address subsistence needs for staff and patients.

Corrected 2024-11-22

K-0223

E · No harm found

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2024-11-22

K-0281

F · No harm found

Install proper backup exit lighting.

Corrected 2024-11-22

K-0291

F · No harm found

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-11-27

K-0321

F · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-11-22

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2024-11-22

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-11-22

K-0355

F · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-11-25

K-0363

F · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2024-11-25

K-0511

F · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2024-11-25

K-0761

F · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-11-25

K-0914

F · No harm found

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-11-25

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-11-27

K-0921

F · No harm found

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-11-25

2023-06-15Fire-safety inspection14 citations

E-0004

F · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-07-26

E-0009

F · No harm found

Include a process for Emergency Preparedness collaboration.

Corrected 2023-07-26

E-0025

F · No harm found

Create arrangements with other facilities to receive patients.

Corrected 2023-07-26

E-0031

F · No harm found

Provide emergency officials' contact information.

Corrected 2023-07-26

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2023-07-26

K-0252

F · No harm found

Provide at least two remote exits on each floor or fire section of the building.

Corrected 2023-08-21

K-0291

E · No harm found

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-07-25

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-07-25

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-07-25

K-0347

F · No harm found

Properly provide smoke detection systems in areas open to corridors.

Corrected 2023-08-21

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-08-17

K-0355

F · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-07-25

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2023-08-16

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-07-27

Federal penalties

2025-07-10Fine$62,493

2025-03-18Fine$255,403

2024-10-30Fine$37,522

Total fines$355,418

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 315467.

Quality of care & staffing

How it compares in New Jersey.

Inspection citations, 3 years

More than 100% of nursing homes in the state

State median: 38

Federal fines, 3 years

$355,418

More than 99% of nursing homes in the state

State median: $0

Nurse staffing, hours per resident per day

3.6

Higher than 43% of nursing homes in the state

State median: 3.7

Nursing staff turnover, annual

42%

Higher than 62% of nursing homes in the state

State median: 38%

Resident outcomes

On 17 federal quality measures, this facility does better than the New Jersey average on 7 and worse on 7. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	8.5%	8.3%	13.5%	Near state average
Lose too much weight	5.0%	4.7%	5.1%	Near state average
With a catheter inserted and left in their bladder	0.0%	0.5%	0.7%	Better than state
With a urinary tract infection	0.0%	0.7%	1.5%	Better than state
Have depressive symptoms	1.1%	12.5%	13.5%	Better than state
Were physically restrained	0.0%	0.1%	0.1%	Better than state
Experiencing one or more falls with major injury	0.0%	2.3%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	72.7%	93.0%	93.7%	Worse than state
Received an antianxiety or hypnotic medication	6.0%	18.8%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	85.7%	96.8%	95.3%	Worse than state
With pressure ulcers	4.8%	5.3%	4.5%	Near state average
With new or worsened bowel or bladder incontinence	13.3%	15.2%	18.3%	Better than state
Received an antipsychotic medication	20.0%	12.9%	15.4%	Worse than state
Hospitalizations per 1000 long-stay resident days	2.38	1.96	1.81	Worse than state
Outpatient emergency department visits per 1000 long-stay resident days	1.39	1.05	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	29.0%	79.0%	82.3%	Worse than state
Newly received an antipsychotic medication	3.8%	1.1%	1.5%	Worse than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0755 3 inspections. Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
K-0353 3 inspections. Inspect, test, and maintain automatic sprinkler systems.
K-0355 3 inspections. Properly select, install, inspect, or maintain portable fire extinguishes.
K-0918 3 inspections. Have generator or other power source capable of supplying service within 10 seconds.
F-0689 3 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0609 3 inspections. Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Verify & compare

Where to check, and what's nearby.

Who to contact in New Jersey

Licensing: New Jersey Department of Health, Division of Health Facility Survey and Field Operations
File a complaint: 800-792-9770 · Online
Long-Term Care Ombudsman: 877-582-6995. A free advocate for residents and families.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Ahs Hospital Corp, about 8.9 miles. CMS rating 4 of 5.
St Luke's Warren Hospital, about 17 miles. CMS rating 5 of 5.
Robert Wood Johnson University Hospital - Somerset, about 18 miles. CMS rating 3 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Heath Village, Hackettstown, about 6.6 miles. CMS rating 4 of 5.
Warren Haven Rehab and Nursing Center, Oxford, about 8.0 miles. CMS rating 4 of 5.
Country Arch Care Center, Pittstown, about 9.4 miles. CMS rating 5 of 5.
Rolling Hills Care Center, Lebanon, about 10 miles. CMS rating 3 of 5.
Merry Heart Nursing Home, Succasunna, about 14 miles. CMS rating 3 of 5.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 97 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

Unlock the full file

Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered