Autumn Lake Healthcare at Berkeley Heights
35 Cottage Street, Berkeley Heights, NJ 07922
Autumn Lake Healthcare at Berkeley Heights is a nursing home in Berkeley Heights, New Jersey. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating4 of 5
- Last standard health inspectionNovember 18, 2025 (11 months ago)
- Health citations since November 15, 202221 (New Jersey average 24)
- Fines in the past three years1, $102,660 in total
- CMS flagsNone listed by CMS
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of April 29, 2026
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
CMS update of February 25, 2026
Star rating
The CMS overall star rating changed from 2 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 1 of 5 to 3 of 5.
Health inspection on January 21, 2026
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on March 3, 2026.
CMS has cited this home for F0689 2 times since 2025.
CMS update of November 20, 2025
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
Health inspection on November 18, 2025
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation F0689. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on December 18, 2025.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on December 18, 2025.
Fire safety inspection on November 18, 2025
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation K0291. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Install emergency lighting that can last at least 1 1/2 hours.
CMS lists it as corrected on December 18, 2025.
Citation K0347. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Properly provide smoke detection systems in areas open to corridors.
CMS lists it as corrected on December 18, 2025.
CMS has cited this home for K0347 2 times since 2022.
Citation K0321. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on December 18, 2025.
CMS has cited this home for K0321 2 times since 2024.
Citation K0372. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on December 18, 2025.
Citation K0374. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install smoke barrier doors that can resist smoke for at least 20 minutes.
CMS lists it as corrected on December 18, 2025.
CMS has cited this home for K0374 2 times since 2024.
CMS update of April 30, 2025
CMS abuse icon
CMS removed its abuse icon from this home.
Health citation
CMS changed citation F0688 from severity F to E. It is from the health inspection on July 19, 2024. Severity E: potential for more than minimal harm, pattern.
Health citation
CMS changed citation F0728 from severity L to F. It is from the health inspection on July 19, 2024. Severity F: potential for more than minimal harm, widespread.
Health citation
CMS removed citation F0600 from the health inspection on July 19, 2024.
CMS update of March 26, 2025
Fine
CMS changed the fine from July 19, 2024 from $213,315 to $102,660.
CMS update of February 26, 2025
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
CMS abuse icon
CMS added its abuse icon to this home.
Health citation
CMS removed citation F0558 from the health inspection on July 19, 2024.
Health inspection on February 10, 2025
1 citationShow the 1 citation
Citation F0883. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS lists it as corrected on March 5, 2025.
CMS update of October 30, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 1 of 5.
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
Health inspection on July 19, 2024
14 citationsCMS lists this as a standard inspection and a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
28 of 348 New Jersey homes (8%) got a citation at the actual harm level in 2024.
CMS fine of $102,660 on July 19, 2024.
Show the 14 citations
Citation F0658. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on September 10, 2024.
CMS has cited this home for F0658 2 times since 2022.
Citation F0610. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Respond appropriately to all alleged violations.
CMS lists it as corrected on September 10, 2024.
Citation F0677. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on September 10, 2024.
Citation F0684. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on September 10, 2024.
Citation F0728. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
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.
CMS lists it as corrected on September 10, 2024.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on September 10, 2024.
Citation F0865. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have a plan that describes the process for conducting QAPI and QAA activities.
CMS lists it as corrected on September 10, 2024.
Citation F0882. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
CMS lists it as corrected on September 10, 2024.
Citation F0657. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on September 10, 2024.
Citation F0688. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on September 10, 2024.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on September 10, 2024.
Citation F0732. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Post nurse staffing information every day.
CMS lists it as corrected on September 10, 2024.
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on September 10, 2024.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on September 10, 2024.
CMS has cited this home for F0761 2 times since 2022.
Fire safety inspection on July 19, 2024
10 citationsCMS lists this as a standard inspection.
Show the 10 citations
Citation K0222. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
CMS lists it as corrected on September 10, 2024.
Citation K0321. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on September 10, 2024.
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on September 10, 2024.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on September 10, 2024.
Citation K0363. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on September 10, 2024.
CMS has cited this home for K0363 2 times since 2022.
Citation K0374. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Install smoke barrier doors that can resist smoke for at least 20 minutes.
CMS lists it as corrected on September 10, 2024.
Citation K0914. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
CMS lists it as corrected on September 10, 2024.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on September 10, 2024.
CMS has cited this home for K0918 2 times since 2022.
Citation K0927. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
CMS lists it as corrected on September 10, 2024.
CMS has cited this home for K0927 2 times since 2022.
Citation K0521. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on September 10, 2024.
CMS update of April 25, 2024
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
CMS update of January 31, 2024
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
Health inspection on November 15, 2022
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation F0658. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on December 16, 2022.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on November 24, 2022.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on November 24, 2022.
Fire safety inspection on November 15, 2022
9 citationsCMS lists this as a standard inspection.
Show the 9 citations
Citation K0211. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on January 19, 2023.
Citation K0341. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Install a fire alarm system that can be heard throughout the facility.
CMS lists it as corrected on January 24, 2023.
Citation K0347. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Properly provide smoke detection systems in areas open to corridors.
CMS lists it as corrected on November 24, 2022.
Citation K0927. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
CMS lists it as corrected on December 16, 2022.
Citation K0281. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install proper backup exit lighting.
CMS lists it as corrected on December 16, 2022.
Citation K0324. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on December 16, 2022.
Citation K0363. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on December 16, 2022.
Citation K0911. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Meet requirements for the installation and maintenance of electrical systems.
CMS lists it as corrected on December 16, 2022.
Citation K0918. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on December 16, 2022.
CMS star ratings
- 4 of 5CMS overall star rating
- 3 of 5CMS health inspection star rating
- 3 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (908) 897-1000
- Last standard health inspection
- November 18, 2025 (11 months ago)
- Certified beds
- 130
- Residents per day, on average
- 110.2
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Bheights Associates LLC
- Chain
- Autumn Lake Healthcare
- Takes part in
- Medicare and Medicaid
Fewer health citations than the New Jersey average (21 vs 24).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- GLUCK, RIVKA5% or greater direct ownership interest · 10% · since 06/01/2017
- HANDLER, SAMUEL5% or greater direct ownership interest · 5% · since 09/07/2016
- MJH GROUP LLCIndirect ownership interest · not applicable · since 06/01/2017
- SCHWARTZ, MARKOperational/managerial control · not applicable · since 09/07/2016
- SITZER, SHIMONOperational/managerial control · not applicable · since 03/24/2025
Questions
When was Autumn Lake Healthcare at Berkeley Heights last inspected?
CMS lists November 18, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Autumn Lake Healthcare at Berkeley Heights have?
CMS lists 21 health citations since November 15, 2022. CMS also calls these deficiencies.
Has Autumn Lake Healthcare at Berkeley Heights been fined?
CMS lists 1 fine in the past three years, $102,660 in total.
What is the CMS star rating of Autumn Lake Healthcare at Berkeley Heights?
Its CMS overall star rating is 4 of 5.
Is Autumn Lake Healthcare at Berkeley Heights a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.