Axia Care Center of Orange
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Above-median deficiencies (20 vs median 7)
- High RN turnover (74%)
Bottom 25% in NJ · Meets national RN staffing standard · Above recommended total nurse staffing · Worst in ALARIS HEALTH chain · $124,800 in fines
What this means for your family
This facility has areas of concern that warrant careful consideration. The facility has 18 deficiencies, which is above the state average. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
Staffing
Staffing Hours
per resident/day · Medicare 2026This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
14
measures
3
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents with pressure sores (bedsores)
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed multiple complaints about this facility, triggering several investigations that revealed concerning patterns in daily care assistance, resident assessment and care planning, and safety hazards. Issues with quality standards and daily care support have persisted across multiple surveys from 2022 to 2025, suggesting ongoing challenges despite correction claims. While the facility reports addressing deficiencies, the recurring nature of core care problems warrants careful consideration during any visit.
Oct 23, 2025Complaint2
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Apr 15, 2025Complaint2
Resident Assessment and Care Planning Deficiencies
Plan the resident's discharge to meet the resident's goals and needs.
Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Jan 23, 2025Routine12
Resident Rights Deficiencies
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident Rights Deficiencies
Assure the security of all personal funds of residents deposited with the facility.
Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Quality of Life and Care Deficiencies
Provide appropriate foot care.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Administration Deficiencies
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jan 23, 2025Complaint5
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Sep 18, 2023Routine9
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Jan 13, 2022Routine5
Nursing and Physician Services Deficiencies
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Egress Deficiencies
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.
Federal Penalties
Fine
Jan 23, 2025
$124,800
Ownership & Operations
Who Operates This Facility
Axia Care Center of Orange
for profit
Chain Affiliation
Alaris Health
8 facilities nationwide
Chain avg rating: 2.9/5 · Rank 7 of 7 (Worst)
Ownership & Management
Owners
South Center Street Nursing LLC
Owner · Organization
Zelmanovitz, Joseph
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
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Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
White House Healthcare and Rehabilitation Center
< 1 miNursing Home · Orange, NJ
New Community Extended Care Facility
2.7 miNursing Home · Newark, NJ
Alliance Care Rehabilitation and Nursing Center
3.5 miNursing Home · Irvington, NJ
Canterbury at Cedar Grove
5.5 miNursing Home · Cedar Grove, NJ
Alaris Health at Cedar Grove
5.7 miNursing Home · Cedar Grove, NJ
Complete Care at Cedar Grove
6.1 miNursing Home · Cedar Grove, NJ