Autumn Lake Healthcare at Memorial Bridge
201 Fifth Avenue, Penns Grove, NJ 08069 · Salem County · 161 certified beds · avg 143 residents/day · certified since Jan 9, 1989
Part of chain: AUTUMN LAKE HEALTHCARE (59 facilities, chain avg rating 2.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Jun 2, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jun 27, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (28)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Nov 25, 2025 | E · Potential for harm, repeated | The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit. · from a complaint |
| Nov 25, 2025 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint |
| Jun 2, 2025 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jun 2, 2025 | F · Potential for harm, facility-wide | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jun 2, 2025 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jun 2, 2025 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jun 2, 2025 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Jun 2, 2025 | D · Potential for harm, one-off | The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. |
| Jun 2, 2025 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Jun 2, 2025 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Jun 2, 2025 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Jun 2, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jun 2, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Sep 29, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| Sep 29, 2023 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Sep 29, 2023 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Sep 29, 2023 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Sep 29, 2023 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint |
| Sep 29, 2023 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Sep 29, 2023 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Sep 29, 2023 | C · Minimal risk, facility-wide | The facility was not properly licensed, or did not operate in compliance with federal, state, and local laws, regulations, and accepted professional standards. · from a complaint |
| May 31, 2022 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| May 31, 2022 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| May 31, 2022 | E · Potential for harm, repeated | The facility did not provide the social services residents need — such as counseling, help with adjustment, or connecting to outside resources — to achieve the best possible quality of life. |
| May 31, 2022 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| May 31, 2022 | E · Potential for harm, repeated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| May 31, 2022 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| May 31, 2022 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (8 → 11).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 7 | 0 | E |
| 2023 | 8 | 0 | F |
| 2025 | 13 | 1 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $15,935.
| Date | Type | Amount / length |
|---|---|---|
| Jun 2, 2025 | Fine | $15,935 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | New Jersey avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.17 | 3.88 | 3.95 | top 24% in New Jersey; top 33% in the U.S. |
| Registered Nurse hours | 0.25 | 0.67 | 0.69 | bottom 3% in New Jersey; bottom 6% in the U.S. |
| Weekend total nurse staffing | 3.77 | 3.53 | 3.50 | top 26% in New Jersey; top 30% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.18 | 0.50 | 0.48 | bottom 9% in New Jersey; bottom 9% in the U.S. |
| Total nursing staff turnover (%) | 38.0 | 39.7 | 45.8 | top 46% in New Jersey; top 31% in the U.S. |
| RN turnover (%) | 25.0 | 37.7 | 42.9 | top 25% in New Jersey; top 20% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.73, RN 0.23, weekend 3.37. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Kerman, Barbara | Individual | 5% or Greater Direct Ownership Interest | 10% | 01/01/2008 |
| Kerman, Neil | Individual | 5% or Greater Direct Ownership Interest | 39% | 01/01/2008 |
| Accurate Staffing LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2008 |
| Brand Sonnenschine LLP | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2008 |
| Lapa, Moshe | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/20/2021 |
| Lapa, Moshe | Individual | ADP of the SNF | NOT APPLICABLE | 08/20/2021 |
| Schwartz, Mark | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2008 |
| Schwartz, Mark | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2008 |
| Sultan, Wamiq | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2017 |
| Sultan, Wamiq | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2017 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How often does each resident's doctor visit and review their care in person?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "Where do you post your latest state inspection results and the ombudsman's contact information?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Kutz Rehabilitation and Nursing | 2.1 mi | Wilmington, DE | ★★☆☆☆ | 2/5 | abuse |
| Autumn Lake Healthcare at Southgate | 3.5 mi | Carneys Point, NJ | ★★☆☆☆ | 2/5 | |
| Gilpin Hall | 4.7 mi | Wilmington, DE | ★★★☆☆ | 2/5 | abuse |
| Wilmington Nursing & Rehabilitation Center | 4.7 mi | Wilmington, DE | —/5 | abuseSFF | |
| Encore at Foulk | 4.8 mi | Wilmington, DE | ★★★★★ | 5/5 | |
| Regency Healthcare & Rehab Center | 5.1 mi | Wilmington, DE | ★★★★☆ | 4/5 | |
| Kentmere Rehabilitation and Healthcare Center | 5.1 mi | Wilmington, DE | ★★★☆☆ | 3/5 | |
| Complete Care at Hillside LLC | 5.4 mi | Wilmington, DE | ★★★★☆ | 3/5 | |
| Naamans Creek Country Manor | 5.7 mi | Boothwyn, PA | ★★★★☆ | 4/5 | |
| Cadia Rehabilitation Silverside | 6.0 mi | Wilmington, DE | ★★★★★ | 3/5 | |
| Excelcare at Wilmington LLC | 6.0 mi | Wilmington, DE | ★★★☆☆ | 2/5 | abuse |
| Encore at Wilmington | 6.3 mi | Wilmington, DE | ★★★☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 315271.