Autumn Lake Healthcare at Old Bridge
111 Route 516, Old Bridge, NJ 08857 · Middlesex County · 120 certified beds · avg 114 residents/day · certified since Oct 1, 1997
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: ★★★☆☆3/5 · CMS overall rating: 4/5
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.
All citations in the current public record (20)
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 |
|---|---|---|
| Feb 6, 2026 | 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. |
| Feb 6, 2026 | E · Potential for harm, repeated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Feb 6, 2026 | 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. |
| Feb 6, 2026 | 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. |
| Feb 6, 2026 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. |
| Feb 6, 2026 | 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. |
| Feb 6, 2026 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Feb 6, 2026 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Feb 6, 2026 | D · Potential for harm, one-off | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Feb 6, 2026 | 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. |
| Oct 8, 2024 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Oct 8, 2024 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Oct 8, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Oct 8, 2024 | 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. |
| May 18, 2023 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| May 18, 2023 | D · Potential for harm, one-off | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| May 18, 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. |
| May 18, 2023 | D · Potential for harm, one-off | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. |
| May 18, 2023 | D · Potential for harm, one-off | 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. |
| May 18, 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 0 | D |
| 2024 | 4 | 0 | D |
| 2026 | 10 | 0 | F |
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)
No fines or payment denials in the published 3-year window.
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) | 3.64 | 3.88 | 3.95 | bottom 49% in New Jersey; bottom 44% in the U.S. |
| Registered Nurse hours | 0.65 | 0.67 | 0.69 | top 38% in New Jersey; top 41% in the U.S. |
| Weekend total nurse staffing | 3.62 | 3.53 | 3.50 | top 32% in New Jersey; top 37% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.74 | 0.50 | 0.48 | top 14% in New Jersey; top 14% in the U.S. |
| Total nursing staff turnover (%) | 59.4 | 39.7 | 45.8 | bottom 7% in New Jersey; bottom 17% in the U.S. |
| RN turnover (%) | 46.2 | 37.7 | 42.9 | bottom 30% in New Jersey; bottom 42% 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 3.60, RN 0.65, weekend 3.58. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Kerman, Barbara | Individual | 5% or Greater Direct Ownership Interest | 10% | 01/01/2013 |
| Kerman, Neil | Individual | 5% or Greater Direct Ownership Interest | 50% | 01/01/2013 |
| Accurate Staffing LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2012 |
| Brand Sonnenschine LLP | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2012 |
| Moussa, Alber | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2012 |
| Moussa, Alber | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2012 |
| Neger, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/20/2022 |
| Neger, David | Individual | ADP of the SNF | NOT APPLICABLE | 07/20/2022 |
| Schwartz, Mark | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2025 |
| Schwartz, Mark | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2012 |
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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How do you coordinate and monitor care for residents who receive dialysis?"
- "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 |
|---|---|---|---|---|---|
| Preferred Care at Old Bridge, LLC | 1.8 mi | Old Bridge, NJ | ★★★★★ | 4/5 | |
| Reformed Church Home | 2.0 mi | Old Bridge, NJ | ★★★★★ | 4/5 | |
| Careone at East Brunswick | 3.4 mi | East Brunswick, NJ | ★★★☆☆ | 3/5 | |
| Roosevelt Care Center at Old Bridge | 3.7 mi | Old Bridge, NJ | ★★★★★ | 5/5 | |
| Complete Care at Madison, LLC | 5.7 mi | Matawan, NJ | ★★★★★ | 4/5 | |
| Village Point | 6.1 mi | Monroe Township, NJ | ★★★☆☆ | 2/5 | |
| Meadowbrook Respiratory and Nursing Center | 6.3 mi | Matawan, NJ | ★★★★☆ | 4/5 | |
| Venetian Care & Rehabilitation Center, LLC | 6.5 mi | South Amboy, NJ | ★★☆☆☆ | 1/5 | |
| Excel Care at Manalapan | 6.5 mi | Manalapan, NJ | ★★☆☆☆ | 1/5 | |
| Rose Mountain Care Center | 7.2 mi | New Brunswick, NJ | ★★★★☆ | 2/5 | |
| Alameda Center for Rehabilitation and Healthcare | 8.2 mi | Perth Amboy, NJ | ★★★★☆ | 3/5 | |
| Complete Care at Bayshore LLC | 8.5 mi | Holmdel, NJ | ★★★★☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 315381.