Inspection Reports for New Community Extended Care Facility

Complaint NJ00166888 was substantiated based on interviews and record review indicating failure to notify the responsible party of the resident's COVID-19 positive status and room change.

The facility failed to notify the responsible party of Resident #11's positive COVID-19 status and room relocation from the second to the third floor. Documentation showed no evidence of notification prior to the move, although the resident's daughter was later informed of the return to the original room.

The facility was found deficient in multiple areas including failure to provide dignified dining experience, failure to notify responsible parties of resident condition changes, inadequate call bell accessibility, poor maintenance of living environment, delayed resident assessments, medication administration errors, inadequate incontinence care, unsafe hot water temperatures posing immediate jeopardy, improper respiratory care, incomplete dialysis communication documentation, and failure to maintain infection control precautions.

Complaint NJ#169394 was investigated and substantiated with findings of deficient staffing ratios. The facility was required to submit a Plan of Correction.

The facility was found not in compliance with New Jersey staffing ratio requirements, failing to maintain the minimum direct care staff to resident ratios on 6 of 14 day shifts reviewed. No residents were directly affected by the deficient practice, but it had the potential to affect all residents.

The facility was found to have multiple deficiencies related to comprehensive care planning, cardio-pulmonary resuscitation equipment maintenance, pharmacy services, food safety, infection control, life safety code compliance, and emergency preparedness. Corrective actions and systemic changes were planned or implemented to address these deficiencies.

The facility was found deficient in multiple areas including failure to develop comprehensive care plans for residents with psychiatric disorders and pain management needs, failure to maintain functional and properly equipped AED devices, failure to administer medication according to manufacturer's specifications, failure to maintain sanitary kitchen conditions, and failure to provide proper infection prevention and control including wound care and water management.

The facility was found not to be in compliance with New Jersey staffing regulations, failing to maintain required minimum direct care staff-to-shift ratios for 14 of 14 day shifts reviewed and not employing a full-time Consultant Infection Preventionist as mandated. Corrective actions and systemic changes were planned and partially implemented.

The visit was complaint-related focusing on staffing and infection preventionist compliance. The deficiencies were substantiated with no residents directly affected.

The facility was found not in compliance with New Jersey staffing requirements, failing to maintain minimum direct care staff-to-resident ratios for multiple shifts and failing to employ a full-time infection preventionist as mandated. No residents were directly affected by these deficiencies. The facility implemented corrective actions including staffing policy revisions, increased salaries, recruitment efforts, and ongoing monitoring.

Complaint #: NJ148123 and #NJ148071. The complaint was substantiated as the facility did not meet minimum staffing requirements as per NJDOH memo dated 01/28/2021.

The facility failed to maintain the required direct care staff-to-resident ratios for 14 out of 42 shifts reviewed, which had the potential to affect all residents. The facility was not in substantial compliance with New Jersey Administrative Code 8:39 standards for licensure of long-term care facilities.

The complaint investigation revealed issues with Resident #5 not wearing a prescribed splint despite nurse documentation indicating otherwise, and Resident #6 experiencing multiple falls due to inadequate supervision and failure to update care plans with appropriate fall prevention interventions. Additionally, kitchen sanitation issues were identified.

The facility failed to follow a physician's order regarding the use of a splint for Resident #5, failed to implement adequate fall prevention measures for Resident #6 resulting in multiple falls, and failed to maintain kitchen equipment and food storage in a sanitary manner, including the presence of soiled equipment and dented cans.