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Nursing HomeMedicaid Investigative

Axia Care Center of Orange

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

135 South Center Street, Orange, NJ 07050188 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Axia Care Center of Orange Nursing Home in Orange, NJ — Street View
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4/ 10
moderate Risk

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

Source: Medicare data

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 2026
RN Hours
1.01hrs
OK
Registered nurses for medical care
Total Nursing
4.55hrs
OK
All nurses + aides combined
Staff Turnover
50%
Lower is better (< 30% = good)
RN Turnover
73%
Lower is better (< 30% = good)

This 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

Medicare Rating
4/ 5
Better Than Avg

14

measures

Worse Than Avg

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
NJ
11.7%
Essex
18.6%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility10.1%
Better than Avg
Here
10.1%
US
15.5%
NJ
12.7%
Essex
23.3%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility10.1%
Better than Avg
Here
10.1%
US
19.4%
NJ
15.7%
Essex
21.1%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility13.2%
Worse than Avg
Here
13.2%
US
4.9%
NJ
5.7%
Essex
4.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility8.1%
Better than Avg
Here
8.1%
US
15.3%
NJ
9.1%
Essex
13.3%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility13.8%
Better than Avg
Here
13.8%
US
19.5%
NJ
18.9%
Essex
19.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility66.2%
Worse than Avg
Here
66.2%
US
79.8%
NJ
80.1%
Essex
82.2%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility72.9%
Worse than Avg
Here
72.9%
US
81.8%
NJ
78.7%
Essex
82.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.6%
Better than Avg
Here
0.6%
US
1.6%
NJ
1.2%
Essex
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

18deficiencies
1penalties
Well above state avg (8.5)
9 complaint-triggered
$124,800 in fines

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, 2025Complaint
2
0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Apr 15, 2025Complaint
2
0660Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Plan the resident's discharge to meet the resident's goals and needs.

0745Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Jan 23, 2025Routine
12
0569Potential for harm · WidespreadCorrected

Resident Rights Deficiencies

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

0570Potential for harm · WidespreadCorrected

Resident Rights Deficiencies

Assure the security of all personal funds of residents deposited with the facility.

0865Potential for harm · WidespreadCorrected

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0687Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate foot care.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0584Potential for harm · IsolatedCorrected

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0847Potential for harm · IsolatedCorrected

Administration Deficiencies

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jan 23, 2025Complaint
5
0689Immediate jeopardy · WidespreadCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0610Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0558Potential for harm · PatternCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0580Potential for harm · IsolatedCorrected

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, 2023Routine
9
0311Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0578Potential for harm · IsolatedCorrected

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0657Potential for harm · IsolatedCorrected

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.

0690Potential for harm · IsolatedCorrected

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.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0812Potential for harm · IsolatedCorrected

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, 2022Routine
5
0711Potential for harm · WidespreadCorrected

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.

0656Potential for harm · IsolatedCorrected

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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0222Potential for harm · IsolatedCorrected

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

Owner / Operator

Axia Care Center of Orange

Organization Type

for profit

Chain Affiliation

Chain Name

Alaris Health

Chain Size

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

Domingo, MargotW-2 Managing EmployeeStern, SamuelOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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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.

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