Deficiencies (last 4 years)
Deficiencies (over 4 years)
4.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
17% better than New Jersey average
New Jersey average: 5.2 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Feb 11, 2025
Visit Reason
The inspection was conducted as an annual survey to assess compliance with health and safety regulations at Brighton Gardens of Edison.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Routine
Deficiencies: 5
Date: Oct 16, 2024
Visit Reason
The inspection was conducted as a routine survey to assess compliance with regulatory requirements including staffing, resident notifications, nutrition, medication administration, and kitchen sanitation.
Findings
The facility was found deficient in completing employee reference checks prior to employment, timely notification of residents and families regarding hospital transfers, obtaining admission weights for residents, medication administration errors exceeding 5%, and proper kitchen sanitation practices including hair restraints and hand hygiene.
Deficiencies (5)
Failed to complete reference checks on employees before their start date for 5 of 6 employees reviewed.
Failed to notify resident and/or resident representative in writing of the reason for transfer or discharge to the hospital for 2 of 2 residents reviewed.
Failed to obtain an admission weight for 1 of 3 residents reviewed for nutrition.
Medication administration error rate of 7.41% observed due to incorrect aspirin formulation administered and inaccurate measurement of PEG3350 powder.
Failed to handle, clean and sanitize dishware properly and failed to wear hair restraints in the kitchen to maintain proper sanitation.
Report Facts
Employees without reference checks prior to start: 5
Residents without written notification of hospital transfer: 2
Residents without admission weight: 1
Medication administration error rate: 7.41
Medications administered to Resident #12: 5
Medications administered to Resident #13: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #1 | Licensed Practical Nurse | Named in medication error findings for incorrect aspirin administration and inaccurate PEG3350 measurement |
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding reference checks, hospital transfer notifications, admission weights, and medication errors |
| Human Resources Director | Interviewed regarding employee reference checks | |
| Administrator | Licensed Nursing Home Administrator (LNHA) | Interviewed regarding hospital transfer notifications and employee reference checks |
| Assistant Director of Nursing | Assistant Director of Nursing (ADON) | Interviewed regarding medication administration errors and admission weights |
| Registered Dietician | Registered Dietician (RD) | Interviewed regarding admission weight for Resident #173 |
| Certified Nursing Assistant | Certified Nursing Assistant (CNA) | Interviewed regarding weighing of Resident #173 |
| Health Information Coordinator | Health Information Coordinator (HIC) | Interviewed regarding medication stock and ordering |
| Consultant Pharmacist | Consultant Pharmacist (CP) | Interviewed regarding medication formulations and administration |
| Dining Director | Dining Director | Interviewed regarding kitchen sanitation and staff hygiene practices |
Inspection Report
Routine
Deficiencies: 12
Date: Jun 27, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements including resident care, abuse prevention, medication management, infection control, and food safety.
Findings
The facility was found deficient in multiple areas including failure to treat residents with dignity, failure to protect residents from abuse, inaccurate resident assessments, incomplete and outdated care plans, medication administration errors, improper medication storage and expired medications, failure of the consultant pharmacist to identify medication irregularities, improper food labeling and storage, and inadequate infection control practices during wound care.
Deficiencies (12)
Failure to treat a resident with respect and dignity during wound dressing change.
Failure to protect a resident from verbal abuse and failure to follow abuse policy resulting in Immediate Jeopardy.
Failure to timely report suspected abuse to the New Jersey Department of Health.
Failure to respond appropriately to an allegation of verbal abuse and incomplete investigation.
Failure to accurately code resident's Minimum Data Set (MDS) assessments, missing documented falls.
Failure to carry out care plan interventions for fall prevention, including proper use of floor mats.
Failure to revise comprehensive care plans timely to reflect current resident conditions and needs.
Failure to consistently follow standards of clinical practice regarding medication administration and adherence to physician orders.
Failure to ensure medications were stored securely, expired medications removed, and expired narcotics removed from backup storage.
Failure of the consultant pharmacist to identify and notify the facility of medication irregularities including duplicate orders and lack of vital sign monitoring documentation.
Failure to properly label and date potentially hazardous foods to prevent food borne illness.
Failure to maintain proper infection control practices during wound treatment observation.
Report Facts
Deficiencies cited: 12
Fall incidents: 8
Expired medication count: 3
Duplicate medication orders: 2
Medication administration times: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) | Observed initialing wound dressing tape after application; acknowledged care plan not updated for pressure ulcer | |
| Licensed Nursing Home Administrator (LNHA) | Interviewed regarding abuse incident reporting and investigation failures | |
| Director of Nursing (DON) | Interviewed regarding abuse incident, medication administration, and care plan updates | |
| Senior Director of Nursing Services (SDNS) | Stated nurses should not sign and date dressing after application | |
| Social Worker (SW) | Conducted grievance investigation of abuse incident | |
| Consultant Pharmacist (CP) | Failed to identify medication irregularities and notify facility | |
| Food Service Director (FSD) | Interviewed regarding food labeling and storage practices | |
| Registered Nurse (RN) | Interviewed regarding medication administration and care plan review | |
| Licensed Practical Nurse/Charge Nurse (LPN/CN) | Interviewed regarding medication administration and documentation |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Oct 22, 2021
Visit Reason
Annual survey inspection of Brighton Gardens of Edison nursing home to assess compliance with health regulations.
Findings
No health deficiencies were found during the inspection.
Report
Nov 20, 2025
Report
Aug 13, 2024
Report
Dec 17, 2021
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