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

Warren Haven Rehab and Nursing Center

OXFORD, NJ · 180 certified beds · Last Life Safety survey December 24, 2024

CMS Certification Number 315304 · first certified November 1991

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.

14
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
5
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within NJ

14 citations — more than 44% 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 2 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?

Past the typical window (April 2026 to September 2026). Most NJ facilities have been surveyed by January 2027. This facility’s last Life Safety survey was December 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

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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.

Physical environment (health survey)

4 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 14 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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 facility14NJ median15National median11
Citations on file over three years, compared
MeasureCitations
This facility14
Median facility in NJ15
Median facility nationally11

Survey history

Citations at each Life Safety survey
62022-0762023-0922024-12
Citations at each Life Safety survey
Survey dateCitations
July 18, 20226
September 25, 20236
December 24, 20242

Most-cited tags

Most-cited tags at this facility
K-03212K-09182K-02222K-03512K-03452K-01611K-05211K-03551
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.22023-09-25
K-0918Have generator or other power source capable of supplying service within 10 seconds.22024-12-24
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.22023-09-25
K-0351Install an approved automatic sprinkler system.22023-09-25
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22023-09-25
K-0161Use approved construction type or materials.12024-12-24
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12023-09-25
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12023-09-25

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 7
  • Egress Deficiencies 3
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Services Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies7
Egress Deficiencies3
Gas, Vacuum, and Electrical Systems Deficiencies2
Services Deficiencies1
Construction Deficiencies1

Every citation on file

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

December 24, 2024 — 2 citations

Citations issued on December 24, 2024
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (February 4, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (February 4, 2025)

September 25, 2023 — 6 citations

Citations issued on September 25, 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 (October 25, 2023)
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 (October 25, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (October 25, 2023)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (October 25, 2023)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (October 25, 2023)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (October 25, 2023)

July 18, 2022 — 6 citations

Citations issued on July 18, 2022
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (August 22, 2022)
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 (August 22, 2022)
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 22, 2022)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (August 22, 2022)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (August 22, 2022)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (August 22, 2022)

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