Middlesex County, New Jersey · Nursing home
The Elms Rehab and Healthcare Center of Cranbury
2 of 5 overall from CMS
61 Maplewood Avenue, Cranbury, NJ 08512
At a glance
- Overall rating 2 of 5 Below the state average of 3.3
- Nurse time per resident, per day 3.82 hours Below the state average of 3.85
- Nursing staff who left in a year 62.5% Above the state average of 39.7%
- Health citations, last 3 inspection cycles 11 3 at the harm level or above
- Fines in 3 years $57,282 1 fine
- Certified beds in use 85.2% of 120 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
The Elms Rehab and Healthcare Center of Cranbury is a 120-bed nursing home in Cranbury, New Jersey (Middlesex County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 3.82 nurse staffing hours per resident per day, below the New Jersey average of 3.85. CMS lists 1 fine totaling $57,282 in the past three years.
- Certified beds
- 120
- Residents per day (average)
- 102.2
- Certified since
- 1998 (28 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Atlas Healthcare (30 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask The Elms Rehab and Healthcare Center of Cranbury
Chosen from this home's public data.
- CMS lists 1 fine totaling $57,282 in the past three years. What changed after the most recent one?Penalties in CMS data
- Nursing staff turnover is 62.5%, above the New Jersey average of 39.7%. How often would the same aides care for my relative?Turnover in CMS data
- Registered nurse time is 0.59 hours per resident per day; the New Jersey average is 0.68. Is an RN on site overnight?RN staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 New Jersey average 3.3
- Health inspections 1 of 5 New Jersey average 2.8
- Staffing 2 of 5 New Jersey average 3.1
- Quality measures 5 of 5 New Jersey average 4.4
The vertical line marks the New Jersey average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.82 h New Jersey average 3.85
- Nurse aides 2.02 h New Jersey average 2.23
- Licensed practical nurses 1.21 h New Jersey average 0.93
- Registered nurses 0.59 h New Jersey average 0.68
- All staff, weekends 3.55 h New Jersey average 3.50
How much nurse staffing is enough? All bars share one scale, 0 to 11 hours. The vertical line marks the New Jersey average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover62.5%
- New Jersey average39.7%
- Registered nurse turnover100.0%
- New Jersey average37.7%
- Administrators who left1
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the New Jersey and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | New Jersey | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 2.5% | 8.7% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 1.7% | 4.6% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% | 0.6% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.0% | 0.8% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 9.3% | 12.1% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 3.1% | 2.3% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.1% | 93.0% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 2.3% | 8.2% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.1% | 18.8% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.6% | 97.2% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 6.1% | 5.4% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 33.3% | 15.6% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 6.4% | 12.7% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.17 | 2.07 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 0.96 | 1.11 | 1.78 |
Short-stay residents
| Measure | This home | New Jersey | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.7% | 79.0% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% | 1.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.4% | 80.1% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.1% | 24.9% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 7.4% | 8.1% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 11 health deficiencies in the three most recent inspection cycles. Of these, 3 were at the immediate jeopardy level; the rest were graded as no actual harm. 4 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Feb 12, 2026: Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Nov 19, 2025 | 3 | 12 |
| Mar 7, 2024 | 5 | 0 |
| Nov 19, 2021 | 3 | 4 |
New Jersey homes averaged 8.6 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (11)
-
JImmediate jeopardy, isolated
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Feb 19, 2026)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 6, 2025)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 6, 2025)
-
JImmediate jeopardy, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jan 22, 2025)
-
JImmediate jeopardy, isolated
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Complaint investigation · Administration · Deficient, Provider has date of correction (Jan 22, 2025)
Show 6 more
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 30, 2024)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Apr 15, 2024)
-
BPotential for minimal harm, pattern
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 15, 2024)
-
EPotential for more than minimal harm, pattern
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Jan 31, 2022)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jan 31, 2022)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jan 31, 2022)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Dec 20, 2024 | Fine | $57,282 |
New Jersey homes averaged 0.7 fines and $34,926 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within New Jersey
- Size238 of 348 by certified beds
- New Jersey average residents per day122.4
- ChainAtlas Healthcare
- Chain average overall rating3.5 of 5
- Resident or family councilBoth
- Homes in Middlesex County25
Common questions
What is the CMS star rating for The Elms Rehab and Healthcare Center of Cranbury?
The Elms Rehab and Healthcare Center of Cranbury has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 2 and quality measures is 5.
How many beds does The Elms Rehab and Healthcare Center of Cranbury have?
The Elms Rehab and Healthcare Center of Cranbury has 120 certified beds. It averages 102.2 residents per day, about 85.2% of its certified beds.
How much nursing care do residents get at The Elms Rehab and Healthcare Center of Cranbury?
The home reports 3.82 hours of nurse staffing per resident per day, including 0.59 hours from registered nurses. The New Jersey average is 3.85 hours and 0.68 hours from registered nurses.
Has The Elms Rehab and Healthcare Center of Cranbury been fined?
Yes. CMS lists 1 fine totaling $57,282 in the past three years.
Does The Elms Rehab and Healthcare Center of Cranbury accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 2 of 5 Cranbury Center 154beds 62.9%in use 3.21nurse hours a day
- 4 of 5 Gardens at Monroe Healthcare and Rehabilitation, T 136beds 73.3%in use 4.01nurse hours a day
- 3 of 5 Meadow Lakes 60beds 85.2%in use 4.63nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Middlesex County
Who to call in New Jersey
These offices serve residents of every nursing home in New Jersey.
- Long-term care ombudsman New Jersey Long-Term Care Ombudsman 1-877-582-6995 (Fax 1-609-943-3479. Email: ombudsman@ltco.nj.gov. Mail: P.O. Box 852, Trenton, NJ 08625-0852.) An advocate for residents and their families.
- File a complaint about a nursing home Department of Health Complaint Hotline 1-800-792-9770 (24-hour hotline, seven days a week; complaints may be made by phone without giving a name. Long-term care complaints can also be faxed to 609-943-4977 (reviewed during business hours), submitted online (web.doh.nj.gov/fc/search.aspx), or mailed to NJ Department of Health, PO Box 367, Trenton, NJ 08625-0367.) The state agency that inspects nursing homes.
New Jersey staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 315451. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.