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

CHILDRENS SPECIALIZED HOSPITAL MOUNTAINSIDE

MOUNTAINSIDE, NJ · 64 certified beds · Last Life Safety survey January 23, 2026

CMS Certification Number 315239 · first certified October 1986

Ownership

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

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

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
5
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

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

The latest survey found 1 citation; 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 May 2027 — about 7 months from now. This facility’s last Life Safety survey was January 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

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 13 Life Safety citations above. The Physical Environment Index

  • 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
52023-0672024-0912026-01
Citations at each Life Safety survey
Survey dateCitations
June 27, 20235
September 26, 20247
January 23, 20261

Most-cited tags

Most-cited tags at this facility
K-03512K-05212K-03411K-07611K-09281K-05111K-01321K-03631
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0351Install an approved automatic sprinkler system.22026-01-23
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.22024-09-26
K-0341Install a fire alarm system that can be heard throughout the facility.12023-06-27
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12024-09-26
K-0928Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled.12024-09-26
K-0511Have properly installed electrical wiring and gas equipment.12023-06-27
K-0132Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.12024-09-26
K-0363Install corridor and hallway doors that block smoke.12024-09-26

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 5
  • Services Deficiencies 3
  • Egress Deficiencies 2
  • Construction Deficiencies 1
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies5
Services Deficiencies3
Egress Deficiencies2
Construction Deficiencies1
Miscellaneous Deficiencies1
Gas, Vacuum, and Electrical Systems Deficiencies1

Every citation on file

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

January 23, 2026 — 1 citation

Citations issued on January 23, 2026
TagWhat the surveyor checksStatus
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (April 3, 2026)

September 26, 2024 — 7 citations

Citations issued on September 26, 2024
TagWhat the surveyor checksStatus
K-0132Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.Deficient, Provider has date of correction (October 11, 2024)
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (December 4, 2024)
K-0342Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.Deficient, Provider has date of correction (October 2, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (October 9, 2024)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (December 13, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (December 24, 2024)
K-0928Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled.Deficient, Provider has date of correction (October 2, 2024)

June 27, 2023 — 5 citations

Citations issued on June 27, 2023
TagWhat the surveyor checksStatus
K-0222Add 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 11, 2023)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (July 31, 2023)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (July 31, 2023)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (July 11, 2023)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (June 29, 2023)

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