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

PEACE CARE ST ANN'S

JERSEY CITY, NJ · 120 certified beds · Last Life Safety survey March 9, 2026

CMS Certification Number 315413 · first certified October 1997

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.

21
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
9
Inspection & testing records
Of the citations on file

Position within NJ

21 citations — more than 74% 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 9 citations; the earlier surveys in the window averaged 6. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens June 2027 — about 9 months from now. This facility’s last Life Safety survey was March 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 21 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)

3 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 21 Life Safety citations above. The Physical Environment Index

  • 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.
  • 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 facility21NJ median15National median11
Citations on file over three years, compared
MeasureCitations
This facility21
Median facility in NJ15
Median facility nationally11

Survey history

Citations at each Life Safety survey
92022-1132024-1092026-03
Citations at each Life Safety survey
Survey dateCitations
November 22, 20229
October 17, 20243
March 9, 20269

Most-cited tags

Most-cited tags at this facility
K-09182K-03512K-03632K-02931K-05311E-00411K-03411K-03451
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.22024-10-17
K-0351Install an approved automatic sprinkler system.22026-03-09
K-0363Install corridor and hallway doors that block smoke.22026-03-09
K-0293Have properly located and lighted "Exit" signs.12024-10-17
K-0531Have elevators that firefighters can control in the event of a fire.12022-11-22
E-0041Implement emergency and standby power systems.12026-03-09
K-0341Install a fire alarm system that can be heard throughout the facility.12022-11-22
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12026-03-09

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 9
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Egress Deficiencies 4
  • Miscellaneous Deficiencies 2
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies9
Gas, Vacuum, and Electrical Systems Deficiencies4
Egress Deficiencies4
Miscellaneous Deficiencies2
Services Deficiencies1
Emergency Preparedness Deficiencies1

Every citation on file

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

March 9, 2026 — 9 citations

Citations issued on March 9, 2026
TagWhat the surveyor checksStatus
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (April 25, 2026)
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (April 25, 2026)
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 (April 25, 2026)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (April 25, 2026)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (April 25, 2026)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (April 25, 2026)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (April 25, 2026)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (April 25, 2026)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (April 25, 2026)

October 17, 2024 — 3 citations

Citations issued on October 17, 2024
TagWhat the surveyor checksStatus
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (October 30, 2024)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (November 19, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Waiver has been granted (December 6, 2024)

November 22, 2022 — 9 citations

Citations issued on November 22, 2022
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (December 24, 2022)
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (December 9, 2022)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (December 20, 2022)
K-0341Install a fire alarm system that can be heard throughout the facility.Waiver has been granted (January 27, 2023)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (January 20, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (December 28, 2022)
K-0531Have elevators that firefighters can control in the event of a fire.Deficient, Provider has date of correction (December 20, 2022)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (December 9, 2022)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (December 28, 2022)

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