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

OAKS AT DENVILLE, THE

DENVILLE, NJ · 84 certified beds · Last Life Safety survey May 22, 2026

CMS Certification Number 315329 · first certified February 1994

Ownership

Operated by SPRINGPOINT SENIOR LIVING · Non profit - Corporation

Ownership changed May 6, 2016 (change of ownership)to THE OAKS AT DENVILLE from ST. FRANCIS LIFE CARE CORPORATION

Citations on file

CMS's current file

Life Safety surveys

CMS's current file

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within NJ

28 citations — more than 91% 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 CMS's current file.

The latest survey found 8 citations; the earlier surveys on file averaged 10. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens September 2027 — about 10 months from now. This facility’s last Life Safety survey was May 2026. Facilities in NJ are typically surveyed 16–19 months after the last one (median 17), measured over 464 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 about three years in Virginia. How the window is measured

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3 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 cited for sprinkler inspection and testing in CMS’s current file are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

1 of the 28 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

E-0039

Physical environment (health survey)

2 physical-environment citations 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 28 Life Safety citations above. The Physical Environment Index

F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations in CMS's current file

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

Citations in CMS's current file, compared
Measure	Citations
This facility	28
Median facility in NJ	15
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
November 8, 2023	6
January 31, 2025	14
May 22, 2026	8

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	2	2025-01-31
K-0353	Inspect, test, and maintain automatic sprinkler systems.	2	2025-01-31
K-0912	Have power receptacles that are properly grounded.	2	2026-05-22
K-0920	Ensure proper usage of power strips and extension cords.	2	2026-05-22
K-0712	Have simulated fire drills held at unexpected times.	2	2026-05-22
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	1	2026-05-22
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.	1	2026-05-22
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	1	2025-01-31

What the citations cover

Citations by CMS category

Egress Deficiencies 8
Smoke Deficiencies 7
Gas, Vacuum, and Electrical Systems Deficiencies 6
Miscellaneous Deficiencies 3
Other 4

Citations by CMS category
Category	Citations
Egress Deficiencies	8
Smoke Deficiencies	7
Gas, Vacuum, and Electrical Systems Deficiencies	6
Miscellaneous Deficiencies	3
Construction Deficiencies	2
Emergency Preparedness Deficiencies	1
Services Deficiencies	1

Every citation on file

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

May 22, 2026 — 8 citations

Citations issued on May 22, 2026
Tag	What the surveyor checks	Status
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (July 6, 2026)
K-0131	Meet requirements for sections of health care facilities separated by fire resistive construction.	No revisit needed (September 17, 2026)
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.	Deficient, Provider has date of correction (July 1, 2026)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (July 1, 2026)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (July 1, 2026)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (July 1, 2026)
K-0912	Have power receptacles that are properly grounded.	Deficient, Provider has date of correction (July 1, 2026)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (July 1, 2026)

January 31, 2025 — 14 citations

Citations issued on January 31, 2025
Tag	What the surveyor checks	Status
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (January 31, 2025)
K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	Deficient, Provider has date of correction (January 31, 2025)
K-0225	Have stairways and smokeproof enclosures used as exits that meet safety requirements.	Deficient, Provider has date of correction (February 7, 2025)
K-0281	Install proper backup exit lighting.	Deficient, Provider has date of correction (February 6, 2025)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (January 31, 2025)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (February 28, 2025)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (February 28, 2025)
K-0362	Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.	Deficient, Provider has date of correction (February 28, 2025)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (February 28, 2025)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (January 31, 2025)
K-0911	Meet requirements for the installation and maintenance of electrical systems.	Deficient, Provider has date of correction (February 19, 2025)
K-0912	Have power receptacles that are properly grounded.	Deficient, Provider has date of correction (February 28, 2025)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (February 28, 2025)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (February 28, 2025)

November 8, 2023 — 6 citations

Citations issued on November 8, 2023
Tag	What the surveyor checks	Status
K-0161	Use approved construction type or materials.	Deficient, Provider has date of correction (December 31, 2023)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (December 1, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (December 12, 2023)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (December 1, 2023)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (December 1, 2023)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (December 1, 2023)

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