Autumn Lake Healthcare at Salem County
438 Salem-Woodstown Road · Salem, NJ · 08079 · 8569356677
116 certified beds For profit - Individual Chain: Autumn Lake Healthcare
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
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.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
RN staffing in the bottom 10% nationally
0.13 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
69% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.88 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.13 | 0.55–0.75 |
| Weekend hours / resident-day | 3.70 | ≈ weekday level |
| Nursing turnover / year | 69% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (35 in the current record)
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Potential for harm · D November 18, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 2, 2025 · Quality of Life and Care
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Potential for harm · D August 7, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 8, 2025 · Pharmacy Service
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Potential for harm · D August 7, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected September 8, 2025 · Resident Rights
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Potential for harm · D August 7, 2025
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected September 8, 2025 · Resident Rights
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Potential for harm · D August 7, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 8, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 7, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected September 8, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 7, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 8, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 7, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected September 8, 2025 · Resident Rights
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Potential for harm · D August 7, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected September 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 7, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 7, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 8, 2025 · Quality of Life and Care
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Potential for harm · D August 7, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 8, 2025 · Quality of Life and Care
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Potential for harm · D August 7, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected September 8, 2025 · Quality of Life and Care
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Potential for harm · D August 7, 2025
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected September 8, 2025 · Quality of Life and Care
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Potential for harm · F August 7, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 8, 2025 · Nutrition and Dietary
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Potential for harm · F August 7, 2025
Dispose of garbage and refuse properly.
Corrected August 29, 2025 · Nutrition and Dietary
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Potential for harm · D July 28, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected September 2, 2025 · Resident Rights
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Potential for harm · D July 28, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 2, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 7, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 31, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 7, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 31, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 7, 2024 · found via complaint
Provide appropriate foot care.
Corrected December 31, 2024 · Quality of Life and Care
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Potential for harm · D November 7, 2024 · found via complaint
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected December 31, 2024 · Administration
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Potential for harm · E March 13, 2024
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.
Corrected April 30, 2024 · Resident Rights
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Potential for harm · D March 13, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 30, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 13, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 30, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 315058 · certified since August 10, 1973. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.