Autumn Lake Healthcare at Berkeley HeightsCMS ratings, inspections and fines
- Address
- 35 Cottage Street, Berkeley Heights, NJ 07922
- CCN
- 315195
- Ownership type
- For-profit, limited liability company
- Certified beds
- 130
- Residents per day
- 99
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Autumn Lake Healthcare at Berkeley Heights an overall rating of 4 of 5 stars. The last standard survey was on 18 Nov 2025. The latest survey cycle has 3 health citations. The median for nursing homes in New Jersey is 8. CMS lists 1 fine of $102,660 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in New Jersey (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Union County median | New Jersey median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 4 | 4.0 | 4.0 | 3.0 |
| Health inspection rating | 3 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 5 | 5.0 | 5.0 | 3.6 |
A median is the middle value of the homes in the group: 23 homes in the county, 348 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | New Jersey median |
|---|---|---|---|
| Cycle 1 (latest) | 18 Nov 2025 | 3 | 8 |
| Cycle 2 | 19 Jul 2024 | 15 | 7 |
| Cycle 3 | No date | 3 | 4 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 3 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 21 Jan 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 3 Mar 2026 |
| 18 Nov 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 18 Dec 2025 |
| 18 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 18 Dec 2025 |
Survey cycle 2: 15 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 10 Feb 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Infection control inspection | 5 Mar 2025 |
| 19 Jul 2024 | F0610 | Respond appropriately to all alleged violations. | F | Complaint investigation | 10 Sep 2024 |
| 19 Jul 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 10 Sep 2024 |
| 19 Jul 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | G | Standard survey | 10 Sep 2024 |
| 19 Jul 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | F | Complaint investigation | 10 Sep 2024 |
| 19 Jul 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | F | Complaint investigation | 10 Sep 2024 |
| 19 Jul 2024 | F0688 | 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. | E | Standard survey | 10 Sep 2024 |
| 19 Jul 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 10 Sep 2024 |
| 19 Jul 2024 | F0728 | 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. | F | Standard survey | 10 Sep 2024 |
| 19 Jul 2024 | F0732 | Post nurse staffing information every day. | D | Standard survey | 10 Sep 2024 |
| 19 Jul 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 10 Sep 2024 |
| 19 Jul 2024 | F0761 | 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. | D | Standard survey | 10 Sep 2024 |
| 19 Jul 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 10 Sep 2024 |
| 19 Jul 2024 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 10 Sep 2024 |
| 19 Jul 2024 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard survey | 10 Sep 2024 |
Survey cycle 3: 3 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 15 Nov 2022 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 16 Dec 2022 |
| 15 Nov 2022 | F0761 | 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. | D | Standard survey | 24 Nov 2022 |
| 15 Nov 2022 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 24 Nov 2022 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 19 Jul 2024 | Fine | $102,660 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | New Jersey median | New Jersey average (CMS) |
|---|---|---|---|
| All nurse staff | 3.62 | 3.60 | 3.85 |
| Registered nurses (RN) | 0.41 | 0.50 | 0.68 |
| Licensed practical nurses (LPN) | 1.00 | 0.93 | |
| Nurse aides | 2.20 | 2.23 | |
| All nurse staff, weekends | 3.37 | 3.30 | 3.50 |
- Nurse staff turnover in a year
- 42.2%
- Nurse staff turnover, New Jersey median
- 38.9%
- RN turnover in a year
- 52.9%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | New Jersey median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 3.9% | 7.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 0.2% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.4% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.8% | 2.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.3% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 0.6% | 6.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.8% | 4.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.9% | 11.8% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Bheights Associates LLC
- Chain
- Autumn Lake Healthcare (59 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| MJH Group LLC | Indirect ownership interest | 1 Jun 2017 | |
| BH Associates Realty LLC | 5% or greater mortgage interest | 1 Jun 2017 | |
| BH Associates Realty LLC | Adp of the snf | 1 Jun 2017 |
The site shows organisations only. It does not show the names of persons.
Other homes in Union County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Runnells Center for Rehabilitation & Healthcare | Berkeley Heights | 2 of 5 | 10 | $14,901 | 14 Aug 2025 | |
| Continuing Care at Lantern Hill | New Providence | 3 of 5 | 3 | $21,645 | 15 Jan 2026 | |
| Spring Grove Rehabilitation and Healthcare Center | New Providence | 3 of 5 | 15 | $10,527 | 30 Mar 2026 | |
| Aristacare at Norwood Terrace | Plainfield | 5 of 5 | 4 | $0 | 3 Apr 2025 | |
| Childrens Specialized Hospital Mountainside | Mountainside | 5 of 5 | 1 | $0 | 23 Jan 2026 | |
| Mountainside Skilled Nursing and Rehab | Mountainside | 3 of 5 | 20 | $0 | 4 Mar 2025 | |
| Complete Care at Plainfield LLC | Plainfield | 5 of 5 | 1 | $0 | 20 Mar 2025 | |
| Complete Care at Woodlands | Plainfield | 5 of 5 | 2 | $0 | 24 Jul 2025 | |
| Ashbrook Care & Rehabilitation Center | Scotch Plains | 2 of 5 | 11 | $89,583 | 9 May 2025 | |
| Complete Care at Westfield, LLC | Westfield | 4 of 5 | 5 | $0 | 10 Mar 2025 | |
| Complete Care at Clark LLC | Clark | 4 of 5 | 4 | $25,753 | 15 May 2025 | |
| Cranford Park Care | Cranford | 2 of 5 | 12 | $0 | 21 Aug 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- New Jersey Department of Health: complaints and hotlinesThe complaint page of the State Survey Agency for New Jersey, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Autumn Lake Healthcare at Berkeley Heights (CCN 315195). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/autumn-lake-healthcare-at-berkeley-heights-berkeley-heights-nj-315195/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Autumn Lake Healthcare at Berkeley Heights last inspected?
- The latest inspection with a citation in the CMS record was on 21 Jan 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 19 Jul 2024.
- Who operates Autumn Lake Healthcare at Berkeley Heights?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Autumn Lake Healthcare. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Autumn Lake Healthcare at Berkeley Heights a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in New Jersey as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.