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Complaint Investigation

Axia Care Center Of Orange

Inspection Date: October 23, 2025
Total Violations 2
Facility ID 315352
Location ORANGE, NJ
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Inspection Findings

F-Tag F0658

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0658 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

on 7/24/25 on the 7:00 AM shift. Gel cushion every shift check placement was blank on 7/24/25 on the 7:00 AM shift. Heel lifts, apply to bilaterally heels when in bed every shift, check placement was blank on 7/24/25

on the 7:00 AM shift. Lac-hydrin five external lotion 5% apply to bilateral feet topically every shift for dry skin, was blank on 7/24/25 on the 7:00 AM shift. Turn and reposition every 2 hours every shift was blank on 7/24/25 on the 7:00 AM shift. Vitamins A and D ointment apply to sacrum topically every shift for wound prevention was blank on 7/24/25 on the 7:00 AM shift. Zinc oxide cream 10% apply to sacrum topically every shift for wound care was blank on 7/24/25 on the 7:00 AM shift. A Review of the August 2025 TAR revealed blanks for the following treatments: Mupirocin external ointment 2% apply to low back topically every day shift for wound care for 30 days cleanse with Normal Saline (NSS) pat dry cover with dry dressing was blank on 8/26/25 on the 7:00AM shift, and on 8/27/25 on the 7:00 AM shift. Boudreauxs butt paste ointment 16% (zinc oxide), apply to sacrum topically every shift for wound prevention, and skin care was blank on 8/26/25 on the 7:00 AM. Gel cushion every shift check placement was blank on 8/16/25 on

the 11:00 PM shift. Heel lifts, apply to bilateral heels when in bed every shift check placement was blank on 8/26/25 on the 7:00 AM shift. Lac-hydrin five external lotion 5% apply to bilateral feet topically every shift for dry skin was blank on 8/26/25 on the 7:00 AM shift. Pressure relieving bed, mattress every shift check function was blank on 8/4/25 on the 3:00 PM shift. Turn and reposition every 2 hours every shift was blank

on 8/26/25 on the 7:00 AM shift. Zinc oxide cream 10% apply to sacrum topically every shift for wound care was blank on 8/16/25 on the 11:00 PM shift. 2. A review of the admission Record (AR) revealed that Resident #2 was admitted to facility with diagnoses that included but were not limited to heart failure, muscle weakness and morbid obesity. A Review of the June 2025 TAR revealed blanks for the following treatments: Turn and reposition every 2 hours every shift was blank on 6/29/25 on the 7:00 AM shift. A

Review of the July 2025 TAR revealed blanks for the following treatments: Turn and reposition every 2 hours every shift was blank on 7/15/25 on the 7:00 AM shift. On 10/23/25 at 10:54 AM the surveyor interviewed

the Unit Manager (UM) who stated that nurses documented on the TAR each shift. The UM further stated that the residents were turned and positioned. On 10/23/25 at 2:33 PM, an interview was conducted with

the Director of Nursing (DON) who stated that the nurses documented in the TAR after completing the resident's ordered treatment. The DON further revealed that the nurses also documented in the nursing progress notes. A review of the facility's policy Charting and Documentation Policy and Procedure with a revision date of July 2021 revealed in the Policy Interpretation and Implementation revealed that Documentation in the medical record will be objective, complete, and accurate. NJAC 8:39-3.2(a)(b)

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Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

10/23/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Axia Care Center of Orange

135 South Center Street Orange, NJ 07050

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0677

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0677 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

positioned. On 10/23/25 at 2:33 PM, an interview was conducted with the Director of Nursing (DON), who stated, if it is not documented it is not done. The DON further stated that both the nurses and the CNAs were responsible for completing the ADL documentation, and that it was important to document that the care was being provided as required. The DON also reported that the Assistant Director of Nursing (ADON) and the nurse manager were responsible for auditing ADL documentation to ensure completion. A review of

the Charting and Documentation Policy and Procedure with a revised date of July 2021, revealed under Policy Interpretation and Implementation 3. Documentation in the medical record will be objective, complete and accurate. NJAC 8:39, 27.2(b), (h).

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📋 Inspection Summary

Axia Care Center of Orange in ORANGE, NJ inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in ORANGE, NJ, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Axia Care Center of Orange or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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