Axia Care Center of Orange
135 South Center Street, Orange, NJ 07050
Axia Care Center of Orange, a 188-bed for profit - individual nursing facility in Orange, NJ, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #316 of 346 rated homes in NJ on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 9732663000
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- 1 / 5
- Much below average · CMS overall · nat'l 3.0
- #316 of 346
- In-state rank among rated NJ homes
- 4.14
- Above average · nurse hrs/day · nat'l 3.86
- 31
- Inspection findings · 2 serious
If a nursing-home resident is in immediate danger, call 911.
For elder abuse or neglect concerns, contact your state's Adult Protective Services (search "APS" + your state) or call the Eldercare Locator at 1-800-677-1116. For facility advocacy, reach your Long-Term Care Ombudsman. CMS ratings and inspection data below are a research screen, not an emergency channel.
The verdict
Axia Care Center of Orange, a 188-bed for profit - individual nursing facility in Orange, NJ, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #316 of 346 rated homes in NJ on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.
- 1 / 5
- CMS overall · national 3.0
- #316 of 346
- In-state rank among rated NJ homes
- 4.14
- Nurse hrs/resident-day · national 3.86
- 31
- Inspection findings · 2 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 348 NJ nursing homes split by ownership sector
This facility is recorded as For profit - Individual. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 315352
- Ownership
- For profit - Individual
- Provider Type
- Medicare and Medicaid
- Beds
- 188
- Residents
- 160
- In Hospital
- No
- County
- Essex
- Last Inspection
- Jan 23, 2025
Staffing Data
How the 4.14 total nursing hours per resident-day are staffed:
- RN Hours
- 0.85 (nat'l avg: 0.69)
- LPN Hours
- 0.97
- CNA Hours
- 2.32
- Total Nursing Hours
- 4.14 (nat'l avg: 3.86)
- PT Hours
- 0.11
- Nursing Turnover
- 47.3%
- RN Turnover
- 73.2%
What the CMS Record Reveals About Axia Care Center of Orange
According to CMS Nursing Home Compare, Axia Care Center of Orange ranks #316 of 346 rated nursing homes in NJ on overall stars (tie-broken by health+staffing+quality, then fewer fines). Axia Care Center of Orange operates 188 certified beds in Orange, NJ with approximately 160 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 4★ · quality 4★).
The inspection file contains 31 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 1 time by CMS, for a combined $125K. Per resident day, this facility reports 4.14 total nursing hours (national average 3.86) and 0.85 RN hours.
Classified as "For profit - Individual" ownership and operating as a "Medicare and Medicaid" provider, Axia Care Center of Orange falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 47.3% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (31 most recent)
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 21, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jan 21, 2026
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Category: Quality of Life and Care Deficiencies
Corrected: May 7, 2025
Plan the resident's discharge to meet the resident's goals and needs.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 7, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Feb 26, 2025
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Category: Administration Deficiencies
Corrected: Feb 26, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 26, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Feb 26, 2025
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Feb 26, 2025
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.
Category: Resident Rights Deficiencies
Corrected: Feb 26, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Category: Resident Rights Deficiencies
Corrected: Feb 26, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category: Resident Rights Deficiencies
Corrected: Feb 26, 2025
Provide appropriate foot care.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 26, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 26, 2025
Reasonably accommodate the needs and preferences of each resident.
Category: Resident Rights Deficiencies
Corrected: Feb 26, 2025
Have a plan that describes the process for conducting QAPI and QAA activities.
Category: Administration Deficiencies
Corrected: Feb 26, 2025
Assure the security of all personal funds of residents deposited with the facility.
Category: Resident Rights Deficiencies
Corrected: Feb 26, 2025
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Category: Resident Rights Deficiencies
Corrected: Feb 26, 2025
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Feb 26, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 26, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Sep 25, 2023
Provide enough food/fluids to maintain a resident's health.
Category: Quality of Life and Care Deficiencies
Corrected: Sep 27, 2023
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Category: Quality of Life and Care Deficiencies
Corrected: Oct 4, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Sep 21, 2023
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Sep 20, 2023
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.
Category: Resident Rights Deficiencies
Corrected: Sep 20, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Oct 2, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 21, 2022
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jan 20, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jan 25, 2022
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Category: Nursing and Physician Services Deficiencies
Corrected: Jan 25, 2022
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 8.4% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.2% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.5% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.1% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 13.0% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.5% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.6% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 2.1% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 0.2% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 96.4% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 12.9% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 98.0% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 8.5% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 80.8% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 66.2% | No |
Penalty History 1 penalties totaling $125K
| Date | Type | Amount |
|---|---|---|
| Jan 23, 2025 | Fine | $125K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Axia Care Center of Orange, both outside NJ so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside NJ (188 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside NJ (3.99 here).
Nearby Nursing Homes in NJ
347 other nursing homes are on record in NJ; 6 are shown here.
Abigail House for Nursing & Rehabilitation
Camden, NJ
Abingdon Care & Rehabilitation Center
Green Brook, NJ
Accela Post Acute Care at Hamilton
Hamilton, NJ
Accelerate Skilled Nursing and Rehab Piscataway
Piscataway, NJ
Acclaim Rehabilitation and Nursing Center
Jersey City, NJ
Actors Fund Home
Englewood, NJ
Understanding Nursing Home Data
What the CMS records show for Axia Care Center of Orange
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The NJ registry aggregates state averages and the highest-rated homes in this cohort. View NJ registry
- Peer homes near 188 beds show how CMS stars vary at a similar scale in NJ. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Axia Care Center of Orange?
Where does Axia Care Center of Orange rank among nursing homes in NJ?
What are the staffing levels at Axia Care Center of Orange?
How many beds does Axia Care Center of Orange have?
Does Axia Care Center of Orange have any deficiencies on record?
Has Axia Care Center of Orange received any fines or penalties?
Who owns Axia Care Center of Orange?
When was Axia Care Center of Orange last inspected?
What quality measures are tracked for Axia Care Center of Orange?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
