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

FOOTHILL ACRES REHABILITATION & NURSING CENTER

HILLSBOROUGH, NJ · 200 certified beds · Last Life Safety survey March 7, 2025

CMS Certification Number 315425 · first certified October 1998

Ownership

Independently operated (no chain recorded by CMS) · For profit - Limited Liability company

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

7
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within NJ

7 citations — more than 12% 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

Slippingmore 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 2. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: June 2026 to November 2026. This facility’s last Life Safety survey was March 2025. 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

1 inspection-and-testing tag has 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.

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 7 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

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 facility7NJ median15National median11
Citations on file over three years, compared
MeasureCitations
This facility7
Median facility in NJ15
Median facility nationally11

Survey history

Citations at each Life Safety survey
32021-0712023-0232025-03
Citations at each Life Safety survey
Survey dateCitations
July 15, 20213
February 23, 20231
March 7, 20253

Most-cited tags

Most-cited tags at this facility
K-09182K-07611K-02911K-02711K-03511K-03211
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0918Have generator or other power source capable of supplying service within 10 seconds.22025-03-07
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12023-02-23
K-0291Install emergency lighting that can last at least 1 1/2 hours.12021-07-15
K-0271Have exits that are accessible at all times.12025-03-07
K-0351Install an approved automatic sprinkler system.12025-03-07
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12021-07-15

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 2
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Egress Deficiencies 2
  • Miscellaneous Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies2
Egress Deficiencies2
Miscellaneous Deficiencies1

Every citation on file

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

March 7, 2025 — 3 citations

Citations issued on March 7, 2025
TagWhat the surveyor checksStatus
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (May 7, 2025)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (April 28, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 16, 2025)

February 23, 2023 — 1 citation

Citations issued on February 23, 2023
TagWhat the surveyor checksStatus
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (April 17, 2023)

July 15, 2021 — 3 citations

Citations issued on July 15, 2021
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (August 5, 2021)
K-0321Ensure 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 (July 23, 2021)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (July 23, 2021)

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