The Subacute at Autumn Lake Healthcare

113 Route 73 · Voorhees, NJ · 08043 · 8568093500

124 certified beds For profit - Individual Chain: Autumn Lake Healthcare

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (3 citations).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $130,206 in fines in the last 24 months.
  • Inspection results are getting worse cycle over cycle, not better.

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Red flags

3 immediate-jeopardy citations in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

$130,206 in federal fines in the last 24 months

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

69% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 25
Serious harm & abuse 20% 24
Staffing 20% 67
Federal penalties 15% 45
Trend 10% 18
Context 5% 100

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

CMS ratings & staffing

Overall: 2 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day4.483.48 min · 4.1 strong
RN hours / resident-day0.350.55–0.75
Weekend hours / resident-day4.14≈ weekday level
Nursing turnover / year69%median 45%
Fines (3-yr window)2 · $130,206

Inspection citations (27 in the current record)

  • Potential for harm · E March 24, 2026

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected April 10, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 24, 2026

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

    Corrected April 10, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D March 24, 2026

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected April 10, 2026 · Quality of Life and Care

  • Potential for harm · D March 24, 2026

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected April 10, 2026 · Pharmacy Service

  • Potential for harm · D March 24, 2026

    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 April 15, 2026 · Pharmacy Service

  • Potential for harm · D March 24, 2026

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected April 10, 2026 · Nutrition and Dietary

  • Potential for harm · D March 24, 2026

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

    Corrected April 15, 2026 · Nutrition and Dietary

  • Potential for harm · E March 24, 2026 · found via complaint

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

    Corrected April 10, 2026 · Pharmacy Service

  • Potential for harm · D December 10, 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 January 20, 2026 · Resident Assessment and Care Planning

  • Immediate jeopardy · J September 26, 2025 · found via complaint

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

    Corrected September 24, 2025 · Quality of Life and Care

  • Immediate jeopardy · J September 26, 2025 · found via complaint

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected September 26, 2025 · Quality of Life and Care

  • Immediate jeopardy · J September 26, 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 26, 2025 · Pharmacy Service

  • Potential for harm · F September 26, 2025 · found via complaint

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

    Corrected November 11, 2025 · Administration

  • Potential for harm · D September 26, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected November 10, 2025 · Infection Control

  • Immediate jeopardy · J November 27, 2024 · found via complaint

    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

    Corrected November 13, 2024 · Nutrition and Dietary

  • Potential for harm · D November 27, 2024 · found via complaint

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected December 24, 2024 · Resident Rights

  • Potential for harm · D October 30, 2024 · found via complaint

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected November 30, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D October 30, 2024 · found via complaint

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected November 30, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E October 30, 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 November 30, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D October 30, 2024 · found via complaint

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Corrected November 30, 2024 · Administration

  • Potential for harm · D July 30, 2024 · found via complaint

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

    Corrected August 29, 2024 · Quality of Life and Care

  • Potential for harm · E January 22, 2024 · found via complaint

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected March 4, 2024 · Nursing and Physician Services

  • Potential for harm · D June 23, 2023 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected August 8, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E June 23, 2023

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected August 8, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D June 23, 2023

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

    Corrected August 8, 2023 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
September 26, 2025Fine$120,167
November 27, 2024Fine$10,039

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 315513 · certified since February 7, 2013. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.