Alliance Care Rehabilitation and Nursing Center — nursing home in Irvington, NJ

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 212 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 191.5 CMS, MDS-derived
CMS Certification Number: 315359
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Sep 15, 1996
Ownership type: For profit - Limited Liability company
Operator (legal business name): Essex Garden Group LLC
CMS chain: Excelsior Care Group 33 facilities
Phone: (973) 371-7878
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Jun 30, 2026

Citations

39

24 health · 15 fire

Harm or worse

1

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D10	E14	F13
Minimal	A·	B·	C1

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 315359
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 212
First approved: Sep 15, 1996
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for New Jersey.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jun 30, 2026	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Jun 30, 2026	Health	Health Complaint, Health Standard	2	Potential harm	—	Open →
Oct 17, 2024	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Oct 17, 2024	Health	Health Standard	7	Potential harm	—	Open →
Nov 23, 2022	Fire safety	Fire Safety Standard	8	Potential harm	—	Open →
Nov 23, 2022	Health	Health Standard	15	Actual harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D10	E14	F13
Minimal	A·	B·	C1

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jun 30, 2026	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 31, 2026
Jun 30, 2026	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 31, 2026
Jun 30, 2026	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 31, 2026
Jun 30, 2026	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 30, 2026	Complaint
Jun 30, 2026	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jul 30, 2026
Oct 17, 2024	K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 4, 2024
Oct 17, 2024	K-0227	Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 15, 2024
Oct 17, 2024	K-0271	Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 15, 2024
Oct 17, 2024	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 15, 2024
Oct 17, 2024	F-0582	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Oct 31, 2024
Oct 17, 2024	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 21, 2024
Oct 17, 2024	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 30, 2024
Oct 17, 2024	F-0693	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. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 21, 2024
Oct 17, 2024	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Nov 30, 2024
Oct 17, 2024	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Nov 21, 2024
Oct 17, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Nov 21, 2024
Nov 23, 2022	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Jan 12, 2023
Nov 23, 2022	K-0311	Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 23, 2022
Nov 23, 2022	K-0341	Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 23, 2022
Nov 23, 2022	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 23, 2022
Nov 23, 2022	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 23, 2022
Nov 23, 2022	K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 23, 2022
Nov 23, 2022	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 23, 2022
Nov 23, 2022	K-0531	Have elevators that firefighters can control in the event of a fire. Services Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 23, 2022
Nov 23, 2022	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 23, 2022
Nov 23, 2022	F-0584	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jan 19, 2023
Nov 23, 2022	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jan 19, 2023
Nov 23, 2022	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jan 19, 2023
Nov 23, 2022	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jan 19, 2023
Nov 23, 2022	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jan 19, 2023
Nov 23, 2022	F-0725	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected Jan 19, 2023
Nov 23, 2022	F-0742	Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jan 19, 2023
Nov 23, 2022	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Jan 19, 2023
Nov 23, 2022	F-0838	Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Administration & records	F · Potential harm Widespread	Corrected Jan 19, 2023
Nov 23, 2022	F-0868	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Administration & records	E · Potential harm Pattern	Corrected Dec 23, 2022
Nov 23, 2022	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected Jan 12, 2023
Nov 23, 2022	F-0882	Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected Jan 12, 2023
Nov 23, 2022	F-0919	Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 19, 2023
Nov 23, 2022	F-0732	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision	C · Minimal Widespread	Corrected Jan 19, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.5

Health inspectionsstate 2.8

Staffingstate 3.2

Quality measuresstate 4.6

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.62

State avg 3.90US avg 3.90

Registered nurse (RN)0.64

State avg 0.70US avg 0.69

Licensed practical nurse0.90

State avg 0.94US avg 0.86

Nurse aide2.09

State avg 2.27US avg 2.35

Weekend total nurse3.16

State avg 3.50US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.25 (case-mix index 1.56).

Staff turnover

Total nursing staff turnover37.3%

State avg 39.3%US avg 45.3%

Registered nurse turnover33.3%

State avg 37.2%US avg 42.5%

Administrators who left2

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jun 30, 2026
Cycle 1 health score: 8
Total weighted score: 14

Operating entity

Essex Garden Group LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Excelsior Care Group

33 facilities in 3 states. CMS chain ID 217.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.8

Ownership disclosures

Disclosures

4

Organizations

0

Individuals

4

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Joel Leifer	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Dec 20, 2021
Joel Zupnick	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Dec 20, 2021

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Joel Leifer	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Dec 20, 2021
Joel Zupnick	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Dec 20, 2021
Samuel Stern	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Dec 20, 2021
Kevin Woodard	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Dec 20, 2021

Same chain in New Jersey

All 32 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Acclaim Rehabilitation and Nursing Center 198 Stevens Ave, Jersey City, NJ 07305 CCN 315083	183	Apr 4, 2025	27	—
Arnold Walter Nursing & Rehabilitation Center 622 S Laurel Avenue, Hazlet, NJ 07730 CCN 315119	202	Jun 25, 2026	64	—
Adroit Care Rehabilitation and Nursing Center 1777 Lawrence Street, Rahway, NJ 07065 CCN 315198	122	Jul 31, 2026	341 harm	$11k
River Front Rehabilitation and Healthcare Center 5101 North Park Drive, Pennsauken, NJ 08109 CCN 315225	180	Jan 15, 2026	62	—
Anchor Care and Rehabilitation Center 3325 Highway 35, Hazlet, NJ 07730 CCN 315314	170	Jun 19, 2025	27	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 155 40th Street, Irvington, NJ 07111
ZIP: 07111
County: Essex County FIPS 34013
State: New Jersey
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Winchester Gardens Health Care Center 333 Elmwood Avenue, Maplewood, NJ 07040 CCN 315527	1 km	30	Feb 20, 2026	33	—
South Mountain Hc 2385 Springfield Avenue, Vauxhall, NJ 07088 CCN 315283	3.5 km	195	Aug 25, 2025	29	—
Brookhaven Health Care Center 120 Park End Place, East Orange, NJ 07018 CCN 315268	4.4 km	122	Jul 24, 2026	26	—
White House Healthcare and Rehabilitation Center 560 Berkeley Avenue, Orange, NJ 07050 CCN 315372	4.6 km	176	Sep 5, 2025	28	—
New Community Extended Care Facility 266 S Orange Ave, Newark, NJ 07103 CCN 315393	5 km	180	Feb 12, 2025	461 IJ	$70k
Cornell Hall Care & Rehabilitation Center 234 Chestnut Street, Union, NJ 07083 CCN 315104	5.4 km	177	Apr 16, 2025	621 harm	$146k
Axia Care Center of Orange 135 South Center Street, Orange, NJ 07050 CCN 315352	5.6 km	188	Jun 12, 2026	361 IJ1 harm	$125k
Grove Park Healthcare and Rehabilitation Center 101 North Grove Street, East Orange, NJ 07017 CCN 315147	6 km	185	Feb 21, 2026	481 IJ	$51k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	315359	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	315359	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 315359

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction