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

AUTUMN LAKE HEALTHCARE AT SALEM COUNTY

SALEM, NJ · 116 certified beds · Last Life Safety survey August 7, 2025

CMS Certification Number 315058 · first certified August 1973

Ownership

Operated by AUTUMN LAKE HEALTHCARE · For profit - Individual

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

9
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within NJ

9 citations — more than 18% 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 6 citations; the earlier surveys in the window averaged 1.5. 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

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 9 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-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • 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 facility9NJ median15National median11
Citations on file over three years, compared
MeasureCitations
This facility9
Median facility in NJ15
Median facility nationally11

Survey history

Citations at each Life Safety survey
32021-1202024-0362025-08
Citations at each Life Safety survey
Survey dateCitations
December 8, 20213
March 13, 20240
August 7, 20256

Most-cited tags

Most-cited tags at this facility
K-03551K-05111K-07411K-02911K-03211K-03531K-03411K-02221
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12025-08-07
K-0511Have properly installed electrical wiring and gas equipment.12025-08-07
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.12025-08-07
K-0291Install emergency lighting that can last at least 1 1/2 hours.12021-12-08
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12021-12-08
K-0353Inspect, test, and maintain automatic sprinkler systems.12025-08-07
K-0341Install a fire alarm system that can be heard throughout the facility.12021-12-08
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.12025-08-07

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 5
  • Egress Deficiencies 2
  • Services Deficiencies 1
  • Miscellaneous Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies5
Egress Deficiencies2
Services Deficiencies1
Miscellaneous Deficiencies1

Every citation on file

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

August 7, 2025 — 6 citations

Citations issued on August 7, 2025
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 (August 29, 2025)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (August 29, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 8, 2025)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (August 29, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (August 25, 2025)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (August 29, 2025)

December 8, 2021 — 3 citations

Citations issued on December 8, 2021
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (January 3, 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 (January 3, 2022)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (January 3, 2022)

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