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

WILEY MISSION

MARLTON, NJ · 86 certified beds · Last Life Safety survey September 27, 2024

CMS Certification Number 315418 · first certified December 1997

Ownership

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

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

10
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
5
Inspection & testing records
Of the citations on file

Position within NJ

10 citations — more than 23% 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 5 citations; the earlier surveys in the window averaged 2.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (January 2026 to June 2026). Most NJ facilities have been surveyed by October 2026. This facility’s last Life Safety survey was September 2024. 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

Get an email about WILEY MISSION

One email when it happens. No account; stop it any time with one click.

Which alerts

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 10 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 facility10NJ median15National median11
Citations on file over three years, compared
MeasureCitations
This facility10
Median facility in NJ15
Median facility nationally11

Survey history

Citations at each Life Safety survey
12021-1142023-0752024-09
Citations at each Life Safety survey
Survey dateCitations
November 23, 20211
July 21, 20234
September 27, 20245

Most-cited tags

Most-cited tags at this facility
K-03511K-03241K-03411K-09181K-05211K-05311K-09211K-07611
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0351Install an approved automatic sprinkler system.12023-07-21
K-0324Provide properly protected cooking facilities.12024-09-27
K-0341Install a fire alarm system that can be heard throughout the facility.12021-11-23
K-0918Have generator or other power source capable of supplying service within 10 seconds.12023-07-21
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12023-07-21
K-0531Have elevators that firefighters can control in the event of a fire.12024-09-27
K-0921Ensure that testing and maintenance of electrical equipment is performed.12024-09-27
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12024-09-27

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 3
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Services Deficiencies 2
  • Egress Deficiencies 2
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies3
Gas, Vacuum, and Electrical Systems Deficiencies2
Services Deficiencies2
Egress Deficiencies2
Miscellaneous Deficiencies1

Every citation on file

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

September 27, 2024 — 5 citations

Citations issued on September 27, 2024
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (October 22, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (October 22, 2024)
K-0531Have elevators that firefighters can control in the event of a fire.Deficient, Provider has date of correction (October 22, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (October 22, 2024)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (October 22, 2024)

July 21, 2023 — 4 citations

Citations issued on July 21, 2023
TagWhat the surveyor checksStatus
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (August 2, 2023)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (August 2, 2023)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (August 2, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (August 2, 2023)

November 23, 2021 — 1 citation

Citations issued on November 23, 2021
TagWhat the surveyor checksStatus
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (December 21, 2021)

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