All citations for Autumn Lake Healthcare at Berkeley Heights

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Autumn Lake Healthcare at Berkeley Heights

Last standard health inspection on record

November 18, 2025

Showing 1 to 15 of 15 citations

  1. Harm to a resident

    Ensure services provided by the nursing facility meet professional standards of quality.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of July 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2024).

  2. No harm, with potential for more than minimal harm

    Respond appropriately to all alleged violations.

    Widespread (many residents). CMS level F.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 19, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 10, 2024).

  3. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Widespread (many residents). CMS level F.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of July 19, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 10, 2024).

  4. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Widespread (many residents). CMS level F.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of July 19, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 10, 2024).

  5. No harm, with potential for more than minimal harm

    Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

    Widespread (many residents). CMS level F.

    Health citation F-0728, Nursing and Physician Services Deficiencies. Inspection of July 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2024).

  6. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of July 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2024).

  7. No harm, with potential for more than minimal harm

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Widespread (many residents). CMS level F.

    Health citation F-0865, Administration Deficiencies. Inspection of July 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2024).

  8. No harm, with potential for more than minimal harm

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Widespread (many residents). CMS level F.

    Health citation F-0882, Infection Control Deficiencies. Inspection of July 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2024).

  9. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of July 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2024).

  10. No harm, with potential for more than minimal harm

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of July 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2024).

  11. No harm, with potential for more than minimal harm

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0883, Infection Control Deficiencies. Inspection of February 10, 2025. Found during an infection control inspection.

    The home gave a date the problem would be corrected (March 5, 2025).

  12. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of July 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2024).

  13. No harm, with potential for more than minimal harm

    Post nurse staffing information every day.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of July 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2024).

  14. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of July 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2024).

  15. No harm, with potential for more than minimal harm

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of July 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.