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/yearDeficiencies per year
4
3
2
1
0
Notice
Deficiencies: 0
Date: Nov 20, 2025
Visit Reason
This document serves as a Notice of Privacy Practices to inform individuals about how their medical information may be used and disclosed by the New Jersey Department of Health and Senior Services and to describe their rights related to this information.
Findings
The notice explains the types of information covered, reasons for use and disclosure of health information, individuals' rights regarding their health information, legal duties of the department, and contact information for privacy concerns.
Report Facts
Effective date: 2011
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Devon L. Graf | Director | NJDHSS Privacy Officer named as contact for privacy practices |
Inspection Report
Complaint Investigation
Census: 40
Deficiencies: 2
Date: Apr 5, 2023
Visit Reason
The inspection was conducted as a complaint investigation (Complaint #NJ00162535) due to the facility's failure to notify the Department of Health of a motor vehicle accident involving participants.
Complaint Details
Complaint #NJ00162535 involved failure to notify the Department of Health of a bus accident on 4/5/2023 involving six participants who were taken to the Emergency Room for evaluation and treatment. The Assistant Administrator was unaware that the Department of Health had to be notified.
Findings
The facility was found not in substantial compliance with New Jersey Administrative Code standards. The main deficiency was the failure to notify the Department of Health immediately about a bus accident involving six participants who were taken to the Emergency Room for evaluation. Additionally, the facility lacked a Licensed or Certified Social Worker available to provide services to participants.
Deficiencies (2)
Failure to notify the Department of Health of a facility motor vehicle accident involving six participants taken to the Emergency Room for evaluation.
Failure to ensure that a Licensed or Certified Social Worker was available to participants to provide services as needed.
Report Facts
Participants involved in accident: 6
Sample Size: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Assistant Administrator | Assistant Administrator | Interviewed regarding the bus accident and lack of notification to the Department of Health. |
| Director of Nursing | Director of Nursing | Provided staffing information and documented notes regarding participant injuries. |
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