Inspection Reports for Complete Care at Brakeley Park LLC

NJ

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Deficiencies (last 5 years)

Deficiencies (over 5 years) 10 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

92% worse than New Jersey average
New Jersey average: 5.2 deficiencies/year

Deficiencies per year

12 9 6 3 0
2021
2022
2023
2024
2025

Census

Latest occupancy rate 113 residents

Based on a September 2024 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Census over time

81 90 99 108 117 126 Jan 2021 Jul 2021 Oct 2021 Oct 2023 Aug 2024 Sep 2024

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, circumstances under which health information may be used or disclosed, and the rights of individuals to access, amend, and restrict their health information.

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

Routine
Deficiencies: 10 Date: May 16, 2025

Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, medication administration, infection control, food safety, and call system functionality.

Findings
The facility was found deficient in multiple areas including failure to inform residents or representatives about antipsychotic medication risks, improper placement of call devices, lack of privacy bags for catheter care, failure to follow physician orders for oxygen and medication administration, improper medication route clarification, inadequate food temperature control, poor kitchen sanitation, and failure to maintain a working call bell system.

Deficiencies (10)
Failed to inform resident or representative in advance of treatment risks and benefits, options, and alternatives to antipsychotic medications for Resident #25.
Failed to ensure resident's call device was readily accessible for Residents #25 and #41.
Failed to provide privacy bag for indwelling catheter for Resident #320.
Failed to ensure physician's orders for oxygen administration were followed for Resident #81.
Failed to administer medications according to physician orders and standards, including late administration and failure to clarify medication route for Resident #68.
Consultant Pharmacist failed to clarify medication route for Resident #68 during monthly medication review.
Failed to ensure meals were served at proper temperatures on one unit.
Failed to maintain proper kitchen sanitation practices, including unlabeled opened food items, grease buildup on equipment, and unclean coffee dispenser tubing.
Failed to follow appropriate infection control practices for nasal cannula storage and care for Resident #81.
Failed to ensure call bell light above resident rooms was visible and call bell volume was audible, affecting 57 residents.
Report Facts
Medication administration times: 2 Medication administration time: 7.5 Oxygen flow rate: 2 Food temperature: 139.8 Food temperature: 136.5 Food temperature: 121.3 Food temperature: 51.5 Food temperature: 122 Residents affected: 57

Employees mentioned
NameTitleContext
RN#1Registered NurseObserved administering medications to Resident #170 and acknowledged late medication administration
LPN#1Licensed Practical NurseObserved administering medications to Resident #94 and acknowledged medication timing issues
LPN/UMLicensed Practical Nurse/Unit ManagerInterviewed regarding call device accessibility and oxygen order compliance
LPN/IPLicensed Practical Nurse/Infection PreventionistInterviewed regarding nasal cannula infection control practices
DONDirector of NursingProvided facility policies and participated in interviews regarding medication and infection control deficiencies
LNHALicensed Nursing Home AdministratorParticipated in exit conferences and interviews regarding multiple deficiencies
CPConsultant PharmacistFailed to clarify medication route for Resident #68 during medication review
FSDFood Service DirectorObserved kitchen sanitation deficiencies and food temperature issues
MDMaintenance DirectorConfirmed call bell system deficiencies during observations

Inspection Report

Complaint Investigation
Census: 113 Deficiencies: 1 Date: Sep 25, 2024

Visit Reason
The inspection was conducted as a complaint investigation based on complaint numbers NJ00176509 and NJ00171054 to determine compliance with 42 CFR Part 483, Subpart B for long term care facilities.

Complaint Details
Complaint numbers NJ00176509 and NJ00171054 triggered the visit. The facility was found not in substantial compliance based on these complaints.
Findings
The facility was found not in substantial compliance due to failure to provide special eating equipment and appropriate assistance to a resident during meal service, as required by the resident's Comprehensive Care Plan. Specifically, Resident #2 did not receive the ordered assistive devices or supervision during meals.

Deficiencies (1)
Failure to provide special eating equipment and utensils and appropriate assistance to Resident #2 during meal service as required by the Comprehensive Care Plan.
Report Facts
Sample size: 5

Employees mentioned
NameTitleContext
Certified Nursing Assistant (CNA) #1Observed during meal service and interviewed regarding resident care and orders

Inspection Report

Routine
Deficiencies: 1 Date: Sep 24, 2024

Visit Reason
The inspection was conducted to assess compliance with feeding assistance and the provision of special eating equipment as required by the resident's care plan and physician orders.

Findings
The facility failed to provide a lip plate and Kennedy cup to Resident #2 during meal service and did not provide required supervision or assistance with feeding. Resident #2's care plan and physician orders specified the need for these adaptive devices and feeding assistance, but these were not consistently followed.

Deficiencies (1)
Failure to provide a lip plate and Kennedy cup to a resident during meal service and failure to provide supervision or assistance in feeding as required by the resident's care plan and physician orders.
Report Facts
Residents Affected: 1 BIMS score: 2 Care Plan initiation date: Mar 11, 2024 Physician order start date: Apr 16, 2024

Employees mentioned
NameTitleContext
Certified Nursing Assistant (CNA) #1Aide assigned to Resident #2 who acknowledged the resident needed feeding assistance and that she would oversee feeding
Director of Rehab (DOR)Interviewed regarding assessment and evaluation of adaptive devices for residents
Speech Therapist (ST)Interviewed and affirmed Resident #2's use of lip plate and Kennedy cup and need for feeding assistance
Food Service Director (FSD)Interviewed about meal slip tickets and dietary aides' responsibility for adding adaptive equipment to meal trays

Inspection Report

Complaint Investigation
Census: 113 Deficiencies: 2 Date: Aug 30, 2024

Visit Reason
The inspection was conducted based on complaint numbers NJ175583 and NJ176533 to investigate allegations related to staffing ratios and failure to obtain appropriate physician orders for residents.

Complaint Details
Complaint numbers NJ175583 and NJ176533 triggered the investigation. The complaint was substantiated as the facility failed to obtain appropriate physician orders for Resident #1 and failed to meet staffing requirements on numerous shifts.
Findings
The facility was found not in substantial compliance with professional standards of care due to failure to obtain appropriate physician orders for one resident and failure to meet required staffing ratios on multiple shifts over several weeks. The facility had deficient CNA staffing for many day shifts and total staff shortages on evening and night shifts, potentially affecting all residents.

Deficiencies (2)
Failure to obtain appropriate physician orders for placement and function checks of a wanderguard device for Resident #1.
Failure to meet minimum staffing ratios for Certified Nurse Aides (CNAs) and total staff on multiple day, evening, and night shifts.
Report Facts
Census: 113 Staffing Deficiencies: 33 Staffing Deficiencies: 3 Staffing Deficiencies: 15 Staffing Deficiencies: 19 Staffing Deficiencies: 6 Staffing Deficiencies: 14 Staffing Deficiencies: 2 Staffing Deficiencies: 7

Inspection Report

Complaint Investigation
Deficiencies: 1 Date: Aug 30, 2024

Visit Reason
The inspection was conducted based on a complaint (NJ00176533) regarding the facility's failure to obtain appropriate physician's orders for the use and monitoring of a WanderGuard device for Resident #1, and failure to follow facility policies and Nurse Manager job description related to clinical practice standards.

Complaint Details
Complaint NJ00176533 was substantiated based on observation, interviews, and record review indicating failure to obtain appropriate physician orders for WanderGuard device use and monitoring for Resident #1.
Findings
The facility failed to obtain timely physician orders for the placement and function checks of the WanderGuard device for Resident #1, despite documented exit-seeking behavior and risk of elopement. Interviews with the Unit Manager and Regional Nurse confirmed the lack of physician orders prior to 8/22/2024, and the Nurse Manager's responsibilities to ensure timely physician orders were not met.

Deficiencies (1)
Failure to obtain appropriate physician's orders for WanderGuard device placement and function checks for Resident #1.
Report Facts
Order date for WanderGuard device: Aug 25, 2024 BIMS score: 2

Employees mentioned
NameTitleContext
Unit ManagerInterviewed regarding WanderGuard checks and physician orders for Resident #1
Regional NurseInterviewed regarding elopement assessments and physician orders responsibility

Inspection Report

Annual Inspection
Deficiencies: 10 Date: Jan 5, 2024

Visit Reason
The inspection was conducted as part of the facility's annual recertification survey and included review of resident care, complaint follow-up, and compliance with regulatory requirements.

Findings
The facility was found deficient in multiple areas including failure to treat residents with dignity, inadequate resident council communication, incomplete and non-person-centered care plans, failure to follow physician orders and monitor residents properly, medication administration errors, failure to initiate CPR for a full code resident, improper respiratory care, inadequate dialysis care, unsigned physician orders, and poor kitchen sanitation practices.

Deficiencies (10)
Failure to consistently treat residents in a dignified manner during meal service, including placing meal trays next to urinals without disinfecting the tray table.
Failure to consistently demonstrate and communicate responses to resident council concerns, especially regarding dining services and meal delivery issues.
Failure to develop and implement comprehensive, person-centered care plans addressing residents' needs including left arm weakness, antibiotic use, oxygen usage, and new diagnoses.
Failure to follow physician orders and consultant recommendations for urogynecology consult for a resident with a prolapsed bladder.
Failure to initiate CPR and call emergency services for a full code resident found unresponsive, resulting in immediate jeopardy to resident health and safety.
Failure to provide appropriate respiratory care including following oxygen orders and changing oxygen tubing as ordered.
Failure to provide safe and appropriate dialysis care including ongoing assessment and monitoring of vascular access site post-hemodialysis.
Failure to ensure residents' primary physicians sign and date monthly physician orders consistently.
Medication administration errors including crushing enteric-coated and delayed-release medications and failure to offer water after inhaled medications.
Failure to maintain proper kitchen sanitation practices including unlabeled opened food items, improper storage of milk on the floor, unclean fans with sticky residue, and wet nesting of pots and pans.
Report Facts
Medication administration opportunities: 33 Medication administration errors: 5 Medication administration error rate: 15.1

Employees mentioned
NameTitleContext
LPN #1Licensed Practical NurseInvolved in failure to initiate CPR for Resident #112 and medication administration errors
RN #1Registered NurseInvolved in failure to initiate CPR for Resident #112
LPN #2Licensed Practical NurseInvolved in medication administration errors and oxygen care
LPN #3Licensed Practical NurseObserved administering medications including crushing enteric-coated and delayed-release medications
CNA #1Certified Nursing AssistantReported resident condition changes and involved in meal tray incident
Director of NursingDirector of NursingInterviewed regarding multiple deficiencies including care plans, physician orders, and CPR incident
Licensed Nursing Home AdministratorAdministratorInterviewed regarding multiple deficiencies and facility management

Inspection Report

Annual Inspection
Census: 113 Deficiencies: 11 Date: Jan 5, 2024

Visit Reason
A Recertification Survey was conducted to determine compliance with 42 CFR Part 483, Requirements for Long-Term Care Facilities. Complaint investigations were also completed during this survey.

Complaint Details
Complaint investigations were completed during this survey for multiple complaint numbers including NJ163658, 163827, 163852, 164702, 165037, 165040, 165610, 169353. The Immediate Jeopardy was related to failure to initiate emergency response for Resident #112.
Findings
Deficiencies were cited including failure to initiate emergency response for a resident, failure to treat residents with dignity during meal service, failure to communicate and respond to resident council concerns, failure to develop comprehensive care plans, failure to follow physician orders and consultant recommendations, failure to initiate CPR and call emergency services, failure to provide respiratory and dialysis care according to standards, failure to ensure physician orders were signed timely, medication administration errors, and food safety violations.

Deficiencies (11)
Failure to initiate emergency response and call 911 for a resident designated as full code.
Failure to treat residents in a dignified manner during meal service, including leaving urinals on bedside tables.
Failure to consistently demonstrate and communicate responses to resident council concerns.
Failure to develop or update comprehensive, person-centered care plans for residents.
Failure to follow physician orders and consultant recommendations for resident care.
Failure to provide CPR and call emergency services as required by policy and resident wishes.
Failure to provide respiratory care and oxygen administration according to physician orders and standards.
Failure to provide dialysis care including post dialysis assessment and monitoring.
Failure to ensure physician orders were signed and dated timely by the physician.
Medication administration errors resulting in a 15.1% error rate during observed medication passes.
Failure to maintain proper kitchen sanitation practices including labeling, storage, and cleaning.
Report Facts
Census: 113 Sample Size: 27 Medication administration error rate: 15.1 Sanitizer concentration: 500 Staffing noncompliance days: 12

Employees mentioned
NameTitleContext
LPN #1Licensed Practical NurseNamed in failure to initiate emergency response and medication administration error findings
RN #1Registered NurseNamed in failure to initiate emergency response finding
CNA #1Certified Nursing AssistantNamed in failure to initiate emergency response and dignity during meal service findings
UM/LPN #2Unit Manager / Licensed Practical NurseNamed in failure to initiate emergency response finding

Inspection Report

Complaint Investigation
Census: 117 Deficiencies: 1 Date: Oct 10, 2023

Visit Reason
The inspection was conducted as a complaint survey based on complaints NJ165331, NJ167365, and NJ168017 to determine compliance with 42 CFR Part 483, Subpart B for long term care facilities.

Complaint Details
Complaint investigation based on complaints NJ165331, NJ167365, and NJ168017. The facility was found not in substantial compliance. Resident #2 was injured during transfer due to failure to follow care plan interventions. The staff involved were suspended and terminated. The Director of Nursing initiated audits and education to ensure compliance.
Findings
The facility was found not in substantial compliance due to failure to ensure accident hazards were prevented and adequate supervision was provided during resident transfers. Specifically, Resident #2 was injured during a transfer when care plan interventions were not followed, resulting in a fall and hospital visit. The facility failed to follow its policies on safe resident handling and transfers.

Deficiencies (1)
Failure to ensure resident environment was free of accident hazards and to provide adequate supervision and assistance devices to prevent accidents, resulting in Resident #2 being lowered to the floor during transfer and sustaining injury.
Report Facts
Census: 117 Sample Size: 3 Completion Date: Oct 11, 2023

Employees mentioned
NameTitleContext
Director of NursingDirector of Nursing (DON)Named in relation to findings and corrective actions including audits and education on safe resident transfers.
Licensed Practical Nurse (LPN)Interviewed regarding Resident #2's transfer and care plan adherence.
Certified Nursing Assistants (CNAs)Two CNAs involved in the transfer incident leading to Resident #2's injury; staff members were suspended and terminated.

Inspection Report

Complaint Investigation
Deficiencies: 1 Date: Oct 10, 2023

Visit Reason
The inspection was conducted following complaints regarding failure to prevent an avoidable accident involving Resident #2 during transfer from bed to shower chair, where care plan interventions were not followed.

Complaint Details
Complaint numbers NJ165331, NJ167363, NJ168017 were investigated. The complaint was substantiated as the facility failed to follow the care plan and safe transfer policies, resulting in injury to Resident #2.
Findings
The facility failed to ensure safe transfer practices for Resident #2, resulting in the resident being lowered to the floor on knees and sustaining two closed fractures to both legs. The care plan requiring mechanical lift with two-person assistance was not followed by the CNAs involved. The Director of Nursing and Licensed Practical Nurse confirmed the policy and care plan requirements were not adhered to on the day of the incident.

Deficiencies (1)
Failure to ensure a nursing home area is free from accident hazards and provide adequate supervision to prevent accidents, specifically failure to follow care plan interventions for safe transfer of Resident #2.
Report Facts
Date of incident: Sep 6, 2023 Date of survey: Oct 10, 2023 BIMS score: 14 MDS assessment date: Aug 3, 2023 Care Plan initiation date: Feb 18, 2021 Care Plan revision date: Jul 22, 2022 Care Plan goal target date: Nov 2, 2023

Employees mentioned
NameTitleContext
Director of NursingDirector of Nursing (DON)Provided statements about transfer policies and confirmed CNAs did not follow care plan on day of incident
Licensed Practical NurseLicensed Practical Nurse (LPN)Observed Resident #2 on knees after incident and confirmed CNAs were familiar with transfer requirements

Inspection Report

Complaint Investigation
Census: 105 Deficiencies: 2 Date: Jun 1, 2023

Visit Reason
A complaint survey was conducted on behalf of the New Jersey Department of Health covering multiple complaint numbers between 05/28/2023 and 06/01/2023.

Complaint Details
The complaint investigation involved multiple complaint numbers (NJ00163992, NJ00157854, NJ00161866, NJ00155616, NJ00158139, NJ00163824, NJ00159823, NJ00149794, NJ00160741). The facility was found not in substantial compliance based on these complaints.
Findings
The facility was found not in substantial compliance with 42 CFR Part 483, Subpart B, for long term care facilities based on the complaint visit. Deficiencies included failure to maintain medical equipment in safe operating condition and failure to meet required staffing ratios.

Deficiencies (2)
Medical equipment was plugged into a non-hospital grade extension cord, risking malfunction or fire.
Facility failed to ensure staffing ratios were met for multiple shifts over several weeks.
Report Facts
Survey Census: 105 Sample Size: 23 Deficient shifts: 57 Deficient shifts: 7 Deficient shifts: 13

Employees mentioned
NameTitleContext
Unit Manager (UM) 1Observed the extension cord and reported it was brought in by resident's daughter.
Director of Nursing (DON)Stated expectation that no extension cords be used with medical equipment and provided fire safety policy.

Inspection Report

Annual Inspection
Deficiencies: 1 Date: Jun 1, 2023

Visit Reason
The inspection was conducted to assess compliance with safety regulations, specifically focusing on the proper use of electrical equipment and fire safety precautions in the facility.

Findings
The facility failed to ensure that medical equipment was plugged into a wall electrical outlet or hospital grade extension cord for one resident, posing a risk of equipment malfunction or fire. The use of a household extension cord for a CPAP machine was observed, which violates facility policy and fire safety standards.

Deficiencies (1)
Medical equipment was plugged into a lightweight household extension cord instead of a wall outlet or hospital grade extension cord.
Report Facts
Residents affected: 1 Residents reviewed: 23

Employees mentioned
NameTitleContext
Unit Manager 1Observed the extension cord and stated residents are not supposed to have extension cords
Director of NursingStated expectation that no extension cords would be used with medical equipment in patient rooms

Inspection Report

Routine
Deficiencies: 0 Date: Dec 16, 2022

Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the New Jersey Department of Health to assess compliance with infection control regulations.

Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and has implemented CMS and CDC recommended practices to prepare for COVID-19.

Inspection Report

Annual Inspection
Deficiencies: 3 Date: Oct 21, 2021

Visit Reason
The inspection was conducted to assess compliance with professional standards of quality, including review of physician orders, nutritional care, and food safety in the nursing facility.

Findings
The facility failed to obtain a physician order for a self-releasing seatbelt for one resident, failed to collaborate effectively on nutritional interventions for a resident with significant weight loss, and failed to maintain proper food temperatures and palatability for residents.

Deficiencies (3)
Failed to obtain a Physician Order for a self-releasing seatbelt for Resident #9.
Failed to collaborate as a multidisciplinary team and implement appropriate interventions for Resident #42 with significant weight loss.
Failed to provide foods at resident preferred palatable temperatures; refrigerator temperatures were above safe levels and food was served not hot enough.
Report Facts
Residents reviewed for seatbelt deficiency: 21 Residents reviewed for nutrition deficiency: 6 Resident weight loss percentage: 19.67 Refrigerator temperature: 52 Milk temperature: 51.6 Hot food temperature: 132

Employees mentioned
NameTitleContext
Registered Nurse/Unit ManagerRN/UMInterviewed regarding the need for physician orders and communication about nutritional supplements.
Certified Nursing AideCNAInterviewed about resident care and nutritional intake for Resident #42.
Licensed Practical NurseLPNInterviewed about resident's ability to remove seatbelt and nutritional status.
Food Service DirectorFSDInterviewed about refrigerator temperatures and food safety.
Registered DieticianRDProvided nutritional assessments and recommendations for Resident #42.
Nurse PractitionerNPInterviewed regarding resident assessment and medication orders.
Director of NursingDONInterviewed about communication regarding nutritional supplement orders.
AdministratorAdministratorInterviewed about physician orders for supplements.

Inspection Report

Routine
Census: 95 Deficiencies: 5 Date: Oct 21, 2021

Visit Reason
A Recertification Survey was conducted to determine compliance with 42 CFR Part 483, Requirements for Long Term Care Facilities.

Findings
Deficiencies were cited related to failure to obtain physician orders for self-releasing seatbelts, failure to implement appropriate nutritional interventions for residents with significant weight loss, and failure to maintain proper food storage temperatures. Additionally, the facility failed to maintain required minimum direct care staff-to-resident ratios and had a fire alarm system deficiency related to occupant notification in an enclosed courtyard.

Deficiencies (5)
Failure to obtain a Physician Order for a self-releasing seatbelt for Resident #9.
Failure to collaborate as a multidisciplinary team and implement appropriate nutritional interventions for Resident #42 with significant weight loss.
Failure to provide foods of resident preferred palatable temperatures; refrigerator temperatures were above safe limits and food trays were not consistently served at proper temperatures.
Failure to maintain required minimum direct care staff-to-resident ratios as mandated by the state of New Jersey.
Failure to provide notification by audible and visible signals for one enclosed courtyard as part of the fire alarm system.
Report Facts
Census: 95 Deficiencies cited: 5 Staffing ratios: 12.6 Staffing ratios: 19 Staffing ratios: 47.5 Refrigerator temperature: 52 Milk temperature: 49.8 Food temperature: 132 Required refrigerator temperature: 41

Employees mentioned
NameTitleContext
CNA#1Certified Nursing AssistantReported having 8-10 residents on assignment and difficulty finishing work
CNA#2Certified Nursing AssistantReported working OT and having 10-12 residents on assignment
CNA#3Certified Nursing AssistantReported occasionally working OT and having 8-10 residents on assignment
CNA#4Certified Nursing AssistantReported 14 residents on assignment and increased workload due to COVID-19
CNA#5Certified Nursing AssistantReported 14 residents on assignment and frequent OT
AdministratorLicensed Nursing Home AdministratorConfirmed minimum staffing requirements and was notified of fire alarm deficiency
Maintenance DirectorMaintenance DirectorConfirmed fire alarm system deficiency
Food Service DirectorFood Service DirectorReported responsibility for refrigerator temperature logs and confirmed food temperature issues
Registered DietitianRegistered DietitianProvided nutritional assessments and recommendations for Resident #42
Nurse PractitionerNurse PractitionerProvided clinical assessment and medication orders for Resident #42
Director of NursingDirector of NursingDiscussed communication issues regarding nutritional orders and time frames

Inspection Report

Complaint Investigation
Census: 95 Deficiencies: 1 Date: Jul 20, 2021

Visit Reason
The inspection was conducted as a complaint survey based on allegations of abuse involving Resident #1, specifically regarding failure to report verbal abuse by staff to the New Jersey Department of Health.

Complaint Details
Complaint NJ144286 involved failure to report allegations of staff to resident verbal abuse against Resident #1. The allegation was not reported to the NJDOH despite investigation. Resident #1 was no longer in the facility at the time of the report.
Findings
The facility failed to report an alleged verbal abuse violation involving Resident #1 to the NJDOH. The Nursing Home Administrator and Director of Nursing investigated and concluded no verbal abuse occurred, but the facility did not comply with reporting requirements under 42 CFR §483.12(c).

Deficiencies (1)
Failure to report alleged verbal abuse of Resident #1 to the New Jersey Department of Health as required by regulation.
Report Facts
Census: 95 Sample Size: 8

Employees mentioned
NameTitleContext
Nursing Home AdministratorInterviewed regarding the abuse allegation and investigation
Director of NursingInterviewed regarding the abuse allegation and investigation
Nurse SupervisorAlleged to have verbally abused Resident #1

Inspection Report

Routine
Census: 93 Deficiencies: 0 Date: Jul 15, 2021

Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the New Jersey Department of Health to assess compliance with infection control regulations.

Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and has implemented CMS and CDC recommended practices to prepare for COVID-19.

Report Facts
Sample size: 5

Inspection Report

Complaint Investigation
Census: 94 Deficiencies: 0 Date: Jan 27, 2021

Visit Reason
The inspection was conducted as a complaint survey based on multiple complaint numbers NJ135407, NJ139777, NJ140101, and NJ140554.

Complaint Details
Complaint numbers NJ135407, NJ139777, NJ140101, and NJ140554 were investigated and found to be in compliance.
Findings
The facility was found to be in compliance with the requirements of 42 CFR Part 483, Subpart B, for Long Term Care Facilities based on this complaint survey.

Report Facts
Sample Size: 9

Inspection Report

Routine
Census: 93 Deficiencies: 0 Date: Jan 14, 2021

Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the New Jersey Department of Health to assess compliance with infection control regulations related to COVID-19.

Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and has implemented the CMS and CDC recommended practices for COVID-19.

Report Facts
Sample size: 11

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