Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

SKILLED NURSING AT FELLOWSHIP VILLAGE

BASKING RIDGE, NJ · 67 certified beds · Last Life Safety survey April 2, 2026

CMS Certification Number 315356 · first certified July 1996

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

13
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
9
Inspection & testing records
Of the citations on file

Position within NJ

13 citations — more than 38% of the 348 certified nursing homes in NJ. Compared within NJ rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens July 2027 — about 10 months from now. This facility’s last Life Safety survey was April 2026. Facilities in NJ are typically surveyed 16–20 months after the last one (median 17), measured over 431 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

1 of the 13 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

1 physical-environment citation on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 13 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in NJ, and nationally. Surveyors differ markedly between states, so the NJ figure is the meaningful one.

This facility13NJ median15National median11
Citations on file over three years, compared
MeasureCitations
This facility13
Median facility in NJ15
Median facility nationally11

Survey history

Citations at each Life Safety survey
42023-0762024-1132026-04
Citations at each Life Safety survey
Survey dateCitations
July 20, 20234
November 4, 20246
April 2, 20263

Most-cited tags

Most-cited tags at this facility
K-03532K-03452K-07121K-03421K-07611K-01111K-09181K-03631
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22026-04-02
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22024-11-04
K-0712Have simulated fire drills held at unexpected times.12026-04-02
K-0342Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.12024-11-04
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12026-04-02
K-0111Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.12023-07-20
K-0918Have generator or other power source capable of supplying service within 10 seconds.12024-11-04
K-0363Install corridor and hallway doors that block smoke.12023-07-20

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 7
  • Miscellaneous Deficiencies 2
  • Construction Deficiencies 1
  • Services Deficiencies 1
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies7
Miscellaneous Deficiencies2
Construction Deficiencies1
Services Deficiencies1
Gas, Vacuum, and Electrical Systems Deficiencies1
Emergency Preparedness Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

April 2, 2026 — 3 citations

Citations issued on April 2, 2026
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 5, 2026)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (May 5, 2026)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (May 5, 2026)

November 4, 2024 — 6 citations

Citations issued on November 4, 2024
TagWhat the surveyor checksStatus
E-0030List the names and contact information of those in the facility.Deficient, Provider has date of correction (November 22, 2024)
K-0342Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.Deficient, Provider has date of correction (December 13, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (December 13, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 6, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (December 13, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (November 22, 2024)

July 20, 2023 — 4 citations

Citations issued on July 20, 2023
TagWhat the surveyor checksStatus
K-0111Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.Deficient, Provider has date of correction (August 11, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (September 5, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (August 18, 2023)
K-0522Have an externally vented heating system.Deficient, Provider has date of correction (September 1, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.