SNF

Axia Care Center of Orange

CCN: 315352 · ORANGE, NJ 07050 · Essex County

Overview

Address
135 SOUTH CENTER STREET, ORANGE, NJ 07050
Phone
9732663000
Certified beds
188
Avg daily residents
163 (86% of beds filled)
Ownership
For-profit (individual owner)
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1996-02-08
Setting
Urban
1 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 4/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 4/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 5/5
Short-Stay Quality Measures ★★★★★ 3/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 4.37 4.09 4.13 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 1.13 0.72 1.07 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.89 0.91 0.84 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.36 2.47 2.22 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 2.02 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.11 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.84
hrs / resident / day
RN (weekend)
0.93
hrs / resident / day
Total nurse (adjusted, weekend)
3.63
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
46.7%
annual
RN turnover
74.1%
annual
Administrators departed
1
last 12 months

Resident acuity

Nursing Case-Mix Index
1.45
higher acuity than avg
Case-Mix Index Ratio
1.05
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-01-23 20 16 9 315 1 315
Cycle 2/3 (prior) 2023-09-18 7 7 0 32 1 32
Total weighted health score
244.3
lower is better

Deficiencies (31)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

29 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
1 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2025-10-23 2026-01-21
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-10-23 2026-01-21
0660 Plan the resident's discharge to meet the resident's goals and needs. D 2025-04-15 2025-05-07
0745 Provide medically-related social services to help each resident achieve the highest possible quality of life. D 2025-04-15 2025-05-07
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2025-01-23 2025-02-26
0569 Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. F 2025-01-23 2025-02-26
0570 Assure the security of all personal funds of residents deposited with the facility. F 2025-01-23 2025-02-26
0584 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. D 2025-01-23 2025-02-26
0641 Ensure each resident receives an accurate assessment. D 2025-01-23 2025-02-26
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2025-01-23 2025-02-26
0687 Provide appropriate foot care. E 2025-01-23 2025-02-26
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2025-01-23 2025-02-26
0847 Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. D 2025-01-23 2025-02-26
0865 Have a plan that describes the process for conducting QAPI and QAA activities. F 2025-01-23 2025-02-26
0880 Provide and implement an infection prevention and control program. D 2025-01-23 2025-02-26
0558 Reasonably accommodate the needs and preferences of each resident. E 2025-01-23 2025-02-26
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2025-01-23 2025-02-26
0610 Respond appropriately to all alleged violations. G 2025-01-23 2025-02-26
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2025-01-23 2025-02-26
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. L 2025-01-23 2025-02-26
0578 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. D 2023-09-18 2023-09-20
0641 Ensure each resident receives an accurate assessment. D 2023-09-18 2023-09-20
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2023-09-18 2023-09-21
0658 Ensure services provided by the nursing facility meet professional standards of quality. E 2023-09-18 2023-10-02
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2023-09-18 2023-10-04
0692 Provide enough food/fluids to maintain a resident's health. D 2023-09-18 2023-09-27
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. D 2023-09-18 2023-09-25
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2022-01-13 2022-01-25
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2022-01-13 2022-01-20
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2022-01-13 2022-01-21
0711 Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. F 2022-01-13 2022-01-25

Penalties (1)

Fines issued
1
last 3 years
Total fines
$124,800
Date Type Fine amount
2025-01-23 Fine $124,800

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 6.8% Medicaid 79.8% Other 13.5%

Operating performance

Operating Margin
-17.5%
Total Margin
-17.5%
Occupancy Rate
80.2%
Cost per Resident Day
$36

Revenue & costs

Net Patient Revenue
$20.8M
Total Costs
$2.0M
Net Income
-$3.6M

Balance sheet

Total Assets
$7.3M
Total Liabilities
$14.6M
Fund Balance
-$7.3M
Current Ratio
0.40

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: ALARIS HEALTH

Chain ID
20
Facilities in chain
7
Legal business name
SOUTH CENTER STREET NURSING LLC
Chain-average star ratings (for peer context)
Overall
2.9
Health
2.6
Staffing
3.9
QM
4.1

Owner / manager organizations (1)

Organization Role Association
SOUTH CENTER STREET NURSING LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 07/28/2005

Owner / manager individuals (3)

Name Role Association
ZELMANOVITZ, JOSEPH 5% OR GREATER DIRECT OWNERSHIP INTEREST since 07/28/2005
STERN, SAMUEL CORPORATE OFFICER since 12/01/2003
DOMINGO, MARGOT W-2 MANAGING EMPLOYEE since 01/01/2010

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $36 metrics.cost_per_resident_day
Cost Report Current Ratio 0.40 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 79.8% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 6.8% metrics.medicare_day_share
Cost Report Net Income ($) $-3,631,584 metrics.net_income
Cost Report Net Patient Revenue ($) $20,759,856 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 80.2% metrics.occupancy_rate
Cost Report Operating Margin (%) -17.5% metrics.operating_margin
Cost Report Total Assets ($) $7,342,557 metrics.total_assets
Cost Report Total Costs ($) $1,956,349 metrics.total_costs
Cost Report Total Fund Balances ($) $-7,255,621 metrics.fund_balance
Cost Report Total Liabilities ($) $14,598,178 metrics.total_liabilities
Cost Report Total Margin (%) -17.5% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.83503 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.22302 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 1.06744 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 4.12549 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.62567 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 162.5 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.90851 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.46913 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.71611 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.09375 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.60821 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.6 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.9 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.1 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 3.9 Chain Average Staffing Rating
Provider Information Chain ID 20 Chain ID
Provider Information Chain Name ALARIS HEALTH Chain Name
Provider Information City/Town ORANGE City/Town
Provider Information CMS Certification Number (CCN) 315352 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Essex County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1996-02-08 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 40.7672 Latitude
Provider Information Legal Business Name SOUTH CENTER STREET NURSING LLC Legal Business Name
Provider Information Location 135 SOUTH CENTER STREET,ORANGE,NJ,07050 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -74.231 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 1 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 188 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 7 Number of Facilities in Chain
Provider Information Number of Fines 1 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.45023 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.05269 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Individual Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 135 SOUTH CENTER STREET Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name Axia Care Center of Orange Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 200 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 4 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 315 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 9 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 16 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-01-23 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 315 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 20 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 7 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-09-18 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 32 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 0 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 32 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 7 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.93054 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 74.1 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 2.01719 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.88538 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.35708 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.11032 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 1.13181 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 4.37427 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 3 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 4 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State NJ State
Provider Information Telephone Number 9732663000 Telephone Number
Provider Information Total Amount of Fines in Dollars 124800.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.84431 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 1 Total Number of Penalties
Provider Information Total nursing staff turnover 46.7 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 244.250 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 07050 ZIP Code