Autumn Lake Healthcare at Berkeley Heights

35 Cottage Street · Berkeley Heights, NJ · 07922 · 9088971000

130 certified beds For profit - Limited Liability company Chain: Autumn Lake Healthcare

  • Inspection results have improved across recent cycles.

The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

$102,660 in federal fines in the last 24 months

1 fine — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 54
Serious harm & abuse 20% 94
Staffing 20% 66
Federal penalties 15% 59
Trend 10% 92
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.693.48 min · 4.1 strong
RN hours / resident-day0.390.55–0.75
Weekend hours / resident-day3.40≈ weekday level
Nursing turnover / year40%median 45%
Fines (3-yr window)1 · $102,660

Inspection citations (21 in the current record)

  • Potential for harm · D January 21, 2026 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected March 3, 2026 · Quality of Life and Care

  • Potential for harm · D November 18, 2025

    Ensure each resident receives an accurate assessment.

    Corrected December 18, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E November 18, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected December 18, 2025 · Quality of Life and Care

  • Potential for harm · D February 10, 2025

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

    Corrected March 5, 2025 · Infection Control

  • Actual harm · G July 19, 2024

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

    Corrected September 10, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E July 19, 2024

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

    Corrected September 10, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E July 19, 2024

    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.

    Corrected September 10, 2024 · Quality of Life and Care

  • Potential for harm · D July 19, 2024

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

    Corrected September 10, 2024 · Quality of Life and Care

  • Potential for harm · F July 19, 2024

    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.

    Corrected September 10, 2024 · Nursing and Physician Services

  • Potential for harm · D July 19, 2024

    Post nurse staffing information every day.

    Corrected September 10, 2024 · Nursing and Physician Services

  • Potential for harm · D July 19, 2024

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

    Corrected September 10, 2024 · Pharmacy Service

  • Potential for harm · D July 19, 2024

    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.

    Corrected September 10, 2024 · Pharmacy Service

  • Potential for harm · F July 19, 2024

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

    Corrected September 10, 2024 · Nutrition and Dietary

  • Potential for harm · F July 19, 2024

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

    Corrected September 10, 2024 · Administration

  • Potential for harm · F July 19, 2024

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

    Corrected September 10, 2024 · Infection Control

  • Potential for harm · F July 19, 2024 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected September 10, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · F July 19, 2024 · found via complaint

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

    Corrected September 10, 2024 · Quality of Life and Care

  • Potential for harm · F July 19, 2024 · found via complaint

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

    Corrected September 10, 2024 · Quality of Life and Care

  • Potential for harm · D November 15, 2022

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

    Corrected December 16, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D November 15, 2022

    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.

    Corrected November 24, 2022 · Pharmacy Service

  • Potential for harm · D November 15, 2022

    Provide and implement an infection prevention and control program.

    Corrected November 24, 2022 · Infection Control

Federal penalties

DateTypeAmount / length
July 19, 2024Fine$102,660

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 315195 · certified since July 19, 1983. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.