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

CAMBRIDGE REHABILITATION AND HEALTHCARE CENTER

MOORESTOWN, NJ · 201 certified beds · Last Life Safety survey August 5, 2025

CMS Certification Number 315201 · first certified January 1984

Ownership

Operated by MARQUIS HEALTH SERVICES · For profit - Limited Liability company

  • Ownership changed January 31, 2020 (change of ownership)from LUTHERAN HOME AT MOORESTOWN
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
6
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

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

The latest survey found 8 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?

The window opens November 2026 — about 2 months from now. This facility’s last Life Safety survey was August 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)

5 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 13 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
  • 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 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
52021-0902024-0182025-08
Citations at each Life Safety survey
Survey dateCitations
September 15, 20215
January 24, 20240
August 5, 20258

Most-cited tags

Most-cited tags at this facility
K-03242K-03512K-09111K-03531K-07121K-02711K-03211K-03551
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0324Provide properly protected cooking facilities.22025-08-05
K-0351Install an approved automatic sprinkler system.22025-08-05
K-0911Meet requirements for the installation and maintenance of electrical systems.12025-08-05
K-0353Inspect, test, and maintain automatic sprinkler systems.12021-09-15
K-0712Have simulated fire drills held at unexpected times.12025-08-05
K-0271Have exits that are accessible at all times.12025-08-05
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12025-08-05
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12021-09-15

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 9
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Miscellaneous Deficiencies 1
  • Egress Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies9
Gas, Vacuum, and Electrical Systems Deficiencies2
Miscellaneous Deficiencies1
Egress Deficiencies1

Every citation on file

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

August 5, 2025 — 8 citations

Citations issued on August 5, 2025
TagWhat the surveyor checksStatus
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (August 25, 2025)
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 (August 31, 2025)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (August 13, 2025)
K-0341Install a fire alarm system that can be heard throughout the facility.Past Non-Compliance (July 28, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (August 25, 2025)
K-0351Install an approved automatic sprinkler system.Past Non-Compliance (July 28, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (August 8, 2025)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (August 8, 2025)

September 15, 2021 — 5 citations

Citations issued on September 15, 2021
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (November 16, 2021)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (January 14, 2022)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (November 15, 2021)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (November 16, 2021)
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has date of correction (November 19, 2021)

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