Deficiency Index

Oaks at Denville, The

Denville, New Jersey · CCN 315329

12 surveys since 2011. The first finding at harm level was recorded in 2026.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
49
Surveys
12
Harm or worse
1
Immediate jeopardyall corrected before survey
1
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records. All were recorded as past non-compliance — corrected before the survey.

Beyond CMS’s monthly file8/12

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
84
Ownership
Non profit - Corporation
Chain
SPRINGPOINT SENIOR LIVING
County
Morris
Medicare-certified since
1994

CMS ratings

Overall
4
Health inspection
3
Staffing
5
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 23 facilities of 66–99 beds in New Jersey.

Last survey on record

May 22, 2026

171 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day5.134.13
Registered-nurse hours per resident day1.66—
Annual nurse turnover43.6%35.4%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$16,335 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K14.2%L—
Actual harmG—H—I—
No harm, potential for more than minimalD1145.8%E937.5%F28.3%
No harm, potential for minimalA—B14.2%C—
CMS’s current file: 24 of the 49 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6582×

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

  • F7582×

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

  • F7612×

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F5501×

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

In the surveyor’s words

From the most serious findings on record at Oaks at Denville, The, in the surveyor’s own words.

  • Immediate jeopardy, patternF726May 22, 2026

    Complaint #: 3008061 Based on interview, record review, and review of pertinent facility documents, it was determined that the facility failed to ensure a staff member, Unidentified Person (UP #1), who was providing resident direct care as a Certified Nursing Aide (CNA) was a.) certified as an nursing aide and b.) had the appropriate competencies and skills sets to provide resident care in a manner to assure resident safety and ensure each resident attained or maintained their highest practicable physical, mental, and psychosocial wellbeing. This deficient practice had the potential to affect all residents who resided on 2 of 3 nursing units. […]

  • No harm, potential for more than minimal, widespreadF809May 22, 2026

    Based on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to serve residents a nourishing snack when there was more than a 14-hour gap between dinner and breakfast. This deficient practice was identified for 5 of 5 residents sampled for bedtime snacks (Resident #13, # 17, #26, #36, and #50) and was evidenced by the following:On 05/18/2026 at 10:34 AM, the surveyor conducted a Resident Council meeting, which included five residents (Resident #13, #17, #26, #36, and #50). All five residents informed the surveyor during the meeting that bedtime (HS) snacks were not offered every night. All five residents stated that it would be nice if the facility automatically provided each resident with an HS snack. […]

  • No harm, potential for more than minimal, widespreadF812Jan 31, 2025

    Repeat deficiency Based on observation, interview, and review of facility policies, it was determined that the facility failed to maintain proper kitchen sanitation practices in a manner to prevent food borne illness. This deficient practice was observed and evidenced by the following: On 1/27/25 at 9:55 AM, while on the 4th floor in the kitchenette the surveyor observed the following: in refrigerator #1 had an individual cheesecake without a cover and missing a use by date, an open jar of molasses without an open/use by label, and in freezer #2 a paper cup with a brown frozen substance not dated and without a use by label. […]

  • No harm, potential for more than minimal, widespreadF812Nov 8, 2023

    Based on observation, interview and record review, it was determined that the facility failed to store potentially hazardous foods in a manner to prevent food borne illness as evidenced by the following: On 10/30/2023 at 9:59 AM, in the presence of the Food Service Manager (FSM) the surveyor observed the following: 1. In the tray line freezer, room service the surveyor observed a pack of vegetable burgers undated and opened, and six (6) trays of pastries prepared by the baker, the FSM was unable to state when the package was received, opened, or expiration date. 2. In the room service storage, cold prep, [soda brand] refrigerator the surveyor observed shredded mozzarella cheese that was opened and undated. […]

  • No harm, potential for more than minimal, patternF657Jan 31, 2025

    Based on observation, interview, and record review, it was determined that the facility failed to revise the comprehensive care plans (CP) for 2 of 15 residents reviewed (Resident #35 and #13). This deficient practice was evidenced by the following: 1. On 1/27/25 at 11:00 AM, the surveyor observed Resident #35 sitting in the wheelchair inside the recreation room, unable to answer the surveyor's inquiry. On 1/27/25 at 1:25 PM, the surveyor reviewed the hybrid medical record (paper and electronic) of Resident #35, which revealed the following: A review of the Face Sheet (FS; an admission summary) reflected that Resident #35 was admitted with diagnoses that included but were not limited to unspecified dementia (loss of memory), unspecified severity without behavioral disturbance, psychotic… […]

Read 20 findings in full →The most serious and the most recent: 20 of 49 on record.

Every survey on record

FindingsAt actual harm or above

  • May 22, 2026Standard and complaint6 findings · 1 harm
  • Jan 31, 2025Standard6 findings
  • Nov 8, 2023Standard10 findings
  • Jul 22, 2021Standard and complaint9 findings
  • Dec 2, 2020Complaint1 finding
  • Sep 18, 2019Standard5 findings
  • Jun 29, 2017Standard1 finding
  • Jul 12, 2016Standard2 findings
Show the 4 earlier surveys
  • Aug 4, 2014Standard4 findings
  • Oct 25, 2013—1 finding
  • Dec 20, 2012—1 finding
  • Nov 3, 2011—3 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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