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

Avalon Rehab and Care Center

WAYNE, NJ · 170 certified beds · Last Life Safety survey June 5, 2026

CMS Certification Number 315291 · first certified January 1990

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.

24
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
12
Inspection & testing records
Of the citations on file

Position within NJ

24 citations — more than 85% 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 6 citations; the earlier surveys in the window averaged 9. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens September 2027 — about 12 months from now. This facility’s last Life Safety survey was June 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

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)

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 24 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • 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.

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 facility24NJ median15National median11
Citations on file over three years, compared
MeasureCitations
This facility24
Median facility in NJ15
Median facility nationally11

Survey history

Citations at each Life Safety survey
132022-1252024-1262026-06
Citations at each Life Safety survey
Survey dateCitations
December 13, 202213
December 19, 20245
June 5, 20266

Most-cited tags

Most-cited tags at this facility
K-03553K-03532K-03111K-05211K-03451K-03631K-09181K-09141
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.32026-06-05
K-0353Inspect, test, and maintain automatic sprinkler systems.22026-06-05
K-0311Have an enclosure around a vertical opening shaft.12024-12-19
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12022-12-13
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12022-12-13
K-0363Install corridor and hallway doors that block smoke.12022-12-13
K-0918Have generator or other power source capable of supplying service within 10 seconds.12022-12-13
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.12022-12-13

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 11
  • Gas, Vacuum, and Electrical Systems Deficiencies 6
  • Services Deficiencies 3
  • Egress Deficiencies 2
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies11
Gas, Vacuum, and Electrical Systems Deficiencies6
Services Deficiencies3
Egress Deficiencies2
Miscellaneous Deficiencies2

Every citation on file

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

June 5, 2026 — 6 citations

Citations issued on June 5, 2026
TagWhat the surveyor checksStatus
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Deficient, Provider has date of correction (July 21, 2026)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (July 21, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 21, 2026)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (July 21, 2026)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (July 21, 2026)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (July 21, 2026)

December 19, 2024 — 5 citations

Citations issued on December 19, 2024
TagWhat the surveyor checksStatus
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (February 6, 2025)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (January 30, 2025)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (February 7, 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 (January 30, 2025)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (February 6, 2025)

December 13, 2022 — 13 citations

Citations issued on December 13, 2022
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (January 16, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (January 16, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 16, 2023)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (January 16, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (January 16, 2023)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (January 16, 2023)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (January 16, 2023)
K-0531Have elevators that firefighters can control in the event of a fire.Deficient, Provider has date of correction (January 16, 2023)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (January 16, 2023)
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has date of correction (January 16, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (January 16, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (January 16, 2023)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (January 16, 2023)

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