Inspection Reports for Care One At Somerset Valley Assisted Living

1621 Route 22 West, NJ, 08805

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Deficiencies (last 2 years)

Deficiencies (over 2 years) 1 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

81% better than New Jersey average
New Jersey average: 5.2 deficiencies/year

Deficiencies per year

4 3 2 1 0
2024
2025

Notice

Deficiencies: 0 Date: Nov 20, 2025

Visit Reason
This document serves to inform individuals about the privacy practices of NJDHSS, including how their medical information may be used and disclosed, and their rights related to this information.

Findings
The notice details the types of information covered, reasons for use and disclosure of health information, individuals' rights regarding their health information, and the legal duties of NJDHSS to protect privacy.

Report Facts
Effective date: 2011

Employees mentioned
NameTitleContext
Devon L. GrafDirector, Office of Legal and Regulatory ComplianceListed as NJDHSS Privacy Officer contact for questions about the notice

Inspection Report

Complaint Investigation
Census: 52 Deficiencies: 2 Date: Aug 6, 2024

Visit Reason
The inspection was conducted as a complaint investigation (Complaint #: NJ 00160638) to determine compliance with New Jersey Administrative Code 8:36 standards for licensure of assisted living residences.

Complaint Details
Complaint #: NJ 00160638. The complaint was substantiated based on observations, interviews, and record reviews indicating medication administration failures for Resident #3.
Findings
The facility was found not in substantial compliance due to failure to implement and enforce medication administration policies, resulting in one resident (Resident #3) not receiving prescribed medication for a total of 5 days. Documentation deficiencies and lack of proper notification for missed medications were also noted.

Deficiencies (2)
Failure to implement and enforce policies regarding medication administration, documentation, and notification for missed medication for Resident #3.
Failure to ensure medications were administered in accordance with prescriber's orders for Resident #3.
Report Facts
Census: 52 Days medication not administered: 5

Employees mentioned
NameTitleContext
Regional Director of Clinical Services (RDCS)Interviewed regarding medication administration and documentation.
AdministratorInterviewed regarding medication administration issues and family complaint.
Assistant Executive Director (AED)Interviewed regarding medication administration.
LPN SupervisorInterviewed regarding medication administration.
Licensed Practical Nurse (LPN)Wrote progress notes regarding missing medication and ordering STAT medication.
Former Director of Nursing (DON)Worked with back-up pharmacy to obtain medication and should have documented follow-ups.

Report

Nov 7, 2024

Report

Nov 7, 2024

Report

Sep 21, 2023

Report

Sep 21, 2023

Report

Jun 16, 2021

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