Autumn Lake Healthcare at Salem County

Name: Autumn Lake Healthcare at Salem County
Address: 438 SALEM-WOODSTOWN ROAD, Salem, NJ, 08079, US
Telephone: 8569356677

438 Salem-Woodstown Road, Salem, NJ 08079 · Salem County · 116 certified beds · avg 106 residents/day · certified since Aug 10, 1973

Part of chain: AUTUMN LAKE HEALTHCARE (59 facilities, chain avg rating 2.8★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.22

Nurse hours/resident/day (adjusted)

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.

All citations in the current public record (36)

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
Jun 22, 2026	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Nov 18, 2025	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. · from a complaint
Aug 7, 2025	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.
Aug 7, 2025	F · Potential for harm, facility-wide	The facility did not dispose of garbage and refuse properly.
Aug 7, 2025	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Aug 7, 2025	D · Potential for harm, one-off	The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings.
Aug 7, 2025	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.
Aug 7, 2025	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Aug 7, 2025	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.
Aug 7, 2025	D · Potential for harm, one-off	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Aug 7, 2025	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Aug 7, 2025	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Aug 7, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Aug 7, 2025	D · Potential for harm, one-off	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.
Aug 7, 2025	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.
Aug 7, 2025	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Aug 7, 2025	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
Jul 28, 2025	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Jul 28, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Nov 7, 2024	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
Nov 7, 2024	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Nov 7, 2024	D · Potential for harm, one-off	The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults. · from a complaint
Nov 7, 2024	D · Potential for harm, one-off	The facility did not provide or obtain laboratory tests when a doctor ordered them, or did not promptly report the results back to the doctor who ordered them. · from a complaint
Mar 13, 2024	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Mar 13, 2024	E · Potential for harm, repeated	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.
Mar 13, 2024	E · Potential for harm, repeated	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.
Mar 13, 2024	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Mar 13, 2024	D · Potential for 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
Mar 13, 2024	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.
Mar 13, 2024	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.
Mar 13, 2024	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Dec 8, 2021	E · Potential for harm, repeated	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Dec 8, 2021	E · Potential for harm, repeated	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.
Dec 8, 2021	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Dec 8, 2021	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.
Dec 8, 2021	B · Minimal risk, repeated	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (8 → 14).

Year	Citations	Worst severity that year
2021	5	E
2024	12	E
2025	18	F
2026	1	D

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)	4.22	3.88	3.95	top 23% in New Jersey; top 31% in the U.S.
Registered Nurse hours	0.14	0.67	0.69	bottom 1% in New Jersey; bottom 1% in the U.S.
Weekend total nurse staffing	3.98	3.53	3.50	top 19% in New Jersey; top 23% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.12	0.50	0.48	bottom 3% in New Jersey; bottom 3% in the U.S.
Total nursing staff turnover (%)	66.7	39.7	45.8	bottom 3% in New Jersey; bottom 8% in the U.S.
RN turnover (%)	77.8	37.7	42.9	bottom 3% in New Jersey; bottom 7% 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 3.92, RN 0.13, weekend 3.69. Staffing rating: 2/5.

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: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5

Who owns this facility

For profit - Individual

Owner / manager	Type	Role	Stake	Since
BSD Entities LLC	Organization	5% or Greater Direct Ownership Interest	100%	06/01/2011
Goldberg, Simchah	Individual	5% or Greater Indirect Ownership Interest	11%	06/01/2011
Kerman, Neil	Individual	5% or Greater Indirect Ownership Interest	45%	06/01/2011
Engelson, Daniel	Individual	W-2 Managing Employee	NOT APPLICABLE	12/30/2014
Stern, Samuel	Individual	Corporate Officer	NOT APPLICABLE	06/01/2011

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can I see where garbage is stored and how often it's removed?"
"If my family member is able to manage their own medications, would you allow it, and how is that decided?"
"How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"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
Autumn Lake Healthcare at Southgate	6.7 mi	Carneys Point, NJ	★★☆☆☆	2/5
Autumn Lake Healthcare at Memorial Bridge	10.1 mi	Penns Grove, NJ	★★☆☆☆	2/5
New Castle Health and Rehabilitation Center	10.9 mi	New Castle, DE	★★☆☆☆	1/5	SFF
Kutz Rehabilitation and Nursing	11.9 mi	Wilmington, DE	★★☆☆☆	2/5	abuse
Complete Care at Hillside LLC	12.2 mi	Wilmington, DE	★★★★☆	3/5
Regency Healthcare & Rehab Center	12.6 mi	Wilmington, DE	★★★★☆	4/5
Gilpin Hall	12.6 mi	Wilmington, DE	★★★☆☆	2/5	abuse
Kentmere Rehabilitation and Healthcare Center	13.3 mi	Wilmington, DE	★★★☆☆	3/5
Excelcare at Wilmington LLC	13.4 mi	Wilmington, DE	★★★☆☆	2/5	abuse
Excelcare at Newark LLC	14.0 mi	Newark, DE	★★☆☆☆	1/5
Wilmington Nursing & Rehabilitation Center	14.2 mi	Wilmington, DE		—/5	abuseSFF
Coral Springs Rehab & Healthcare	14.5 mi	Wilmington, DE	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Salem →

Facility data as of CMS processing date 2026-08-01. CCN 315058.

The Care File

Visit checklist — Autumn Lake Healthcare at Salem County

438 Salem-Woodstown Road, Salem, NJ 08079 · 8569356677

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can I see where garbage is stored and how often it's removed?"
☐ "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
☐ "How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 315058 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)