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Health Center At Bloomingdale

255 Union Ave, Bloomingdale, NJ 07403 · For profit - Corporation · 120 certified beds · (973) 283-1700 Medicare & Medicaid certified

Call the home — (973) 283-1700 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0610) — cited Mar 2024
Insights

On the public record, this home looks stronger than most — but visit before you decide.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (28) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • about 18% of its spending goes to commonly-owned related companies

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

5/5
CMS overall
5 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 5 of 5

Location & what’s nearby

Urgent care / clinic
19 Wanaque Ave · (973) 324-8833 · Call to confirm hours
Pharmacy
36 Main St · (973) 838-0909 · Call to confirm hours
Grocery
163 Union Ave · (973) 557-7909 · Call to confirm hours
Park
Midland Ave · (973) 835-1500 · Typically dawn to dusk
Place of worship

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 5 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 4 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 1 to 5 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating5★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased7.0%8.7%15.4%better
Long-stay residents who lose too much weight3.1%4.6%5.4%better
Long-stay residents with a catheter left in their bladder0.5%0.6%0.9%better
Long-stay residents with a urinary tract infection0.0%0.8%2.0%better than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms34.2%12.1%6.5%check this — see note marked dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury1.1%2.3%3.3%better
Long-stay residents whose ability to walk worsened10.2%8.2%16.1%better
Long-stay residents on antianxiety or hypnotic medication18.7%18.8%18.9%typical
Long-stay residents given the seasonal flu vaccine100.0%97.2%95.3%typical
Long-stay residents with pressure ulcers1.9%5.4%4.7%better
Long-stay residents with worsening bladder/bowel control8.2%15.6%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table18.8%12.7%17.1%typical
Short-stay residents who newly got an antipsychotic medication1.3%1.2%1.4%typical
Short-stay residents given the seasonal flu vaccine91.1%80.1%79.4%better
Short-stay residents rehospitalized after admission20.1%24.9%22.6%better
Short-stay residents with an outpatient ER visit4.4%8.1%12.0%better
Long-stay hospitalizations per 1,000 resident days2.122.071.67worse
Long-stay outpatient ER visits per 1,000 resident days0.571.111.80better

This value is several times the typical-state benchmark. It can be real, or it can be a coding artifact in what the facility submitted. Weigh it against the inspection record above.

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

54.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 177 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

54.9%U.S. median 51.5%
Got home and stayed home
11.7%U.S. median 10.7%
Went back to hospital
40.4%U.S. median 56.6%
Met the expected recovery
0.26U.S. median 0.31
Therapy hours / resident / day
0.07hours / resident / day
Physical therapy
0.15hours / resident / day
Occupational therapy
0.05hours / resident / day
Speech therapy

Met the expected recovery: 40.4% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 109 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.26 therapist hours per resident per day in 2026Q1 — more than 38% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 18% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF54.9%CMS range 48.5–61.551.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.7%CMS range 8.7–15.210.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge40.4%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge57.8%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge27.5%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified25.7%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay1.4%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened4.3%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.5%CMS range 4.2–10.27.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.091.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.55
RN hours/ resident / day
0.92
LPN hours/ resident / day
1.92
Aide hours/ resident / day
3.40
Total nurse hours/ resident / day
0.44
RN hoursweekends
41.6%
Total nursing turnover
44.4%
RN turnover

How full it usually is: this home is certified for 120 beds and averages 99.3 residents a day — about 83% occupied, or roughly 21 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.40 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.552 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.92 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.14 hrs/resident/day on weekends vs 3.51 on weekdays — 11% thinner on weekends. RN hours go from 0.60 to 0.44 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 42% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

5
deficiencies at the latest standard inspection (2025-08-28)
12
at the previous standard inspection (2024-03-08)

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

28 citations, most serious first. The 10 most serious are shown; the remaining 18 are one tap away and print in full.

  • Potential for harm · D2025-08-28 · tag F0640 — isolated
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on the interview and record review, it was determined that the facility failed to complete and transmit a Minimum Data Set (MDS, an assessment tool used to facilitate the management of care) in accordance with federal guidelines. This deficient practice was identified for 2 (two) of 21 residents (Resident #2 and #6) during the review of resident assessment. This deficient practice was evidenced by the following: The MDS is a comprehensive tool, a federally mandated process for clinical assessment of all residents that must be completed and transmitted to the Quality Measure System. The facility must electronically transmit the MDS within 14 days of completing the assessment. After the MDS is transmitted, a quality measure will be transmitted to enable a facility to monitor the residents' decline or progress. On 8/25/25 at 9:06 AM, the surveyor interviewed the Corporate Director of Clinical Reimbursement (CDCR) about the MDS Coordinator (MDSC). The CDCR stated that there are two MDSCs, one who works remotely and does not go to the facility, and the other one is working…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-08-28 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Repeat Deficiency Based on observation, interview, record review, and review of pertinent facility documentation, it was determined that the facility failed to accurately code the Minimum Data Set (MDS), an assessment tool used to facilitate the management of care, for two (2) of 21 residents, (Residents #15 and #114) reviewed for MDS accuracy, and was evidenced by the following: 1.The surveyor observed Resident #15 on 8/22/2025 at 12:00 pm eating lunch in the unit dining room. An observation of the resident’s room on 8/25/25 at 9:35 am revealed signage on the door leading to the room indicating the resident was on Enhanced Barrier Precautions (EBP). A plastic bin was placed at the entrance to the room in the hallway containing personal protective equipment (PPE). A review of the resident’s care plan indicated the resident was on EBP because of a history of multiple drug-resistant organisms (MDRO) in the urine. Additionally, the resident was care planned for a diagnosis of diabetes and the use of insulin…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-08-28 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, it was determined that the facility failed to develop a comprehensive, person-centered care plan (CP) for a resident on long-term use of insulin medication. This deficient practice was identified in 1 (one) of the 21 residents (Resident#6) reviewed for CP.This deficient practice was evidenced by the following: On 8/22/2025 11:00 AM, the surveyor observed Resident #6 sitting in bed awake, alert, and able to answer the surveyor's inquiry. Resident #6 confirmed to the surveyor that they have had diabetes and are taking insulin injections. On 8/25/2025 at 1:16 PM, the surveyor reviewed the electronic Medical Record (eMR)/hybrid medical record (paper and electronic) of Resident #6, which revealed the following: A review of the admission Record (AR, an admission summary) reflected that Resident #6 was admitted with diagnoses that included, but were not limited to, type 2 diabetes mellitus (high blood sugar levels). A review of the recent admission Minimum Data Set (A/MDS), (an assessment tool used to facilitate the management of care)…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-08-28 · tag F0712 — isolated
    Ensure that the resident and his/her doctor meet face-to-face at all required visits.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, it was determined that the facility failed to ensure that the resident's primary physician accurately dated their physician progress notes (PPN) during their visit to ensure the resident's current medical regimen was up to date. This deficient practice was observed for 3 of 21 residents (Residents #3, #6, and #10). This deficient practice was evidenced by the following: 1. On 8/22/2025 at 10:24 AM, the surveyor observed Resident #3 sitting in a wheelchair in the activity room. On 8/27/2025 at 1:46 PM, the surveyor reviewed the electronic Medical Record (eMR)/hybrid medical record (paper and electronic) of Resident #3, which revealed the following: A review of the admission Record (AR, an admission summary) reflected that Resident #3 was admitted with diagnoses that included but were not limited to seizure disorder (abnormal electrical activity in the brain). A review of the recent quarterly Minimum Data Set (Q/MDS) (an assessment tool used to facilitate the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-08-28 · tag F0759 — failed to keep medication error rate low — isolated
    Ensure medication error rates are not 5 percent or greater.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Repeat Deficiency Based on observations, interviews, and record review, it was determined that the facility failed to ensure that all medications (meds) were administered without error of 5% or more. During the morning med administration observation on 8/26/25, the surveyor observed 1 (one) nurse administering meds to 1 resident (Resident #115). There were 25 opportunities, and 3 errors resulting in a total error rate of 12%.The deficient practices were evidenced by the following: On 8/26/25 at 8:24 AM, during the morning med administration pass (med pass), the surveyor observed a Licensed Practical Nurse (LPN) preparing to administer meds to Resident #115. At that time, the surveyor observed that the LPN prepared and administered crushed meds to Resident #115 that included the following: - two tablets (tabs) of ascorbic acid 500 mg. (milligrams) [2 tabs=1000 mg] -one tablet (tab) of vitamin B-12 1000 mcg. (microgram)-one tab Colace 100 mg. At that time, the LPN acknowledged that she gave two tabs of ascorbic acid for a total of 1000 mg [ERROR #1]. The LPN stated that the house…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-25 · tag F0698 — failed to provide proper dialysis care — isolated
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    COMPLAINT # NJ00172263 Based on interview, record review, and review of other pertinent facility documents on 3/25/24, it was determined that the facility failed to consistently complete the dialysis communication form and maintain a residents dialysis communication record. This deficient practice was identified for 1 of 3 residents (Resident #1) reviewed for dialysis. This deficient practice is evidenced by the following: 1. According to the facility admission RECORD Resident #1 was admitted with diagnosis that included but were not limited to: End Stage Renal Disease. The Minimum Data Set (MDS) an assessment tool dated 9/15/23, Resident #1's cognitions were intact and required assistance during Activities of Daily Living (ADL). The care plan (CP), undated, revealed that Resident #1 had Seizure Disorder and Dysphagia. Interventions included but were not limited to the Resident attend dialysis three times a week on Tuesday, Thursday, and Saturday The surveyor reviewed Resident #1's Dialysis Communication Binder (DCB) on 3/25/24 at 10:31 AM. The DCB reflected forms titled Resident…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-03-08 · tag F0610 — failed to investigate and act on abuse reports — pattern
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on the interview and review of pertinent facility documentation, it was determined that the facility failed to complete a thorough investigation for six (6) of six (6) fall incidents of Resident #80 reviewed for fall investigations. This deficient practice was evidenced by the following: On 02/14/24 at 10:54 AM, the surveyor observed Resident #80, awake, and laying on a low bed with two floormats in use. On 02/15/24 at 8:18 AM, the surveyor asked the Licensed Nursing Home Administrator (LNHA) for the resident's fall investigations for the last six months. The surveyor reviewed the hybrid (combination of paper and electronic) medical records of Resident #80 as follows: According to the admission Record (admission summary), Resident #80 was admitted to the facility with a diagnosis that included but was not limited to essential hypertension (abnormally high blood pressure that's not the result of a medical condition), encephalopathy (a broad term for any brain disease that alters brain function or structure), major depressive disorder, mood disorder due to known physiological…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-03-08 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, it was determined that the facility failed to store potentially hazardous foods in a manner to prevent food borne illness as evidenced by the following: On 02/14/24 at 9:55, in the presence of the Food Service Manager (FSM) the surveyor observed the following: 1. In the freezer, the surveyor observed a pack of opened manufactured Cheese Omelet a bag of crunchy fish fillets, and a bag of tot potatoes. All were unlabeled and not dated with expiration or open dates. The FSM manager was unable to say when the package was received, opened, or the expiration date. 2. The Manual counter attached can opener and holder and blade unit was unclean with wipeable by the FSM with sticky brown substance and crumbs. The FSM acknowledged that it needed to be cleaned. On 02/15/24 at 11:34 AM, the surveyor interviewed the FSM. who stated, Having a dirty can opener can cause cross contamination of products being opened and can attract unwanted pests. It is cleaned daily but needs to be scrubbed prior to putting in the dishwasher. He further stated,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-03-08 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    REPEAT DEFICIENCY Based on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to follow appropriate infection control practices for performing hand hygiene to decrease the possibility of spreading infection. This deficient practice was observed during dining observation with four (4) of four (4) facility staff in one (1) of three (3) dining areas, in accordance with the facility's practice, policies, and Centers for Disease Control and Prevention (CDC) guidelines for infection control. This deficient practice was evidenced by the following: According to the CDC Hand Hygiene in Healthcare Settings, Hand Hygiene Guidance, last reviewed on January 30, 2020, included that Healthcare personnel should use an alcohol-based hand rub or wash with soap and water for the following clinical indications: Immediately before touching a patient Before performing an aseptic task or handling invasive medical devices Before moving from work on a soiled body site to a clean body site on the same patient After touching a patient or the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-08 · tag F0585 — failed to handle grievances — isolated
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Complaint# NJ169589 Based on interviews, record review, and review of pertinent facility documentation, it was determined that the facility failed to: a) ensure written grievance decisions met documentation requirements and b) maintain evidence of the result of all grievances for no less than three (3) years from the date the grievance decision was issued according to facility practice and policy. This deficient practice was identified for one (1) of five (5) residents (Resident #352) reviewed for complaints. This deficient practice was evidenced by the following: On 02/16/24 at 10:34 AM, the surveyor requested for all the reportable and grievances for the last six months for Resident #352 from the Licensed Nursing Home Administrator (LNHA). The surveyor reviewed the facility provided grievance log for November 2023 that included Resident #352. A review of the Complaint #NJ169589 dated 12/08/23, reflected that the complainant had spoken with the Social Worker around 11/13/23, to discuss concerns but conditions had not improved. The surveyor reviewed the closed record for Resident…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
Show the remaining 18 citations
  • Potential for harm · Dcited before2024-03-08 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on the interview, record review, and review of pertinent facility documentation it was determined that the facility failed to accurately code the Minimum Data Set (MDS) for one (1) of the 23 residents reviewed, Resident #80. This deficient practice was evidenced by the following: On 02/14/24 at 10:54 AM, the surveyor observed Resident #80, awake, and laying on a low bed with two floormats in use. The surveyor reviewed the hybrid (combination of paper and electronic) medical records of Resident #80 as follows: According to the admission Record (admission summary), Resident #80 was admitted to the facility with a diagnosis that included but was not limited to essential hypertension (abnormally high blood pressure that's not the result of a medical condition), encephalopathy (a broad term for any brain disease that alters brain function or structure), major depressive disorder, mood disorder due to known physiological condition, anxiety disorder (mental health disorder characterized by feelings of worry, anxiety, or fear that are strong enough to interfere with one's daily…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-08 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and review of pertinent facility documentation it was determined that the facility failed to: a) follow the weekly skin assessments schedule and documentation of the weekly skin assessment according to the order and facility policy for one (1) of 20 residents, (Resident #89) reviewed for quality of care and b) ensure appropriate care and services was provided to a resident with regard to vision for one (1) of two (2) residents, Resident #71, reviewed for visual impairment. This deficient practice was evidenced by the following: 1. On 02/14/24 at 11:21 AM, the surveyor observed the resident out of bed (OOB) in a wheelchair with the call bell within reach. The resident was actively watching TV (television) and had no complaints of the food or the staff. The surveyor reviewed the hybrid (combination of paper and electronic) medical records of Resident #89 as follows: The admission Record (AR, an admission summary) reflected that that resident was a long-term care…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-08 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, review of the medical record, and review of other facility documentation, it was determined that the facility failed to ensure that the left elbow splint was consistently applied according to the physician's order. This deficient practice was identified for one (1) of three (3) residents reviewed for the limited range of motion (ROM), Resident #80. This deficient practice was evidenced by the following: On 02/14/24 at 10:54 AM, the surveyor observed Resident #80, awake and laying on a low bed. The resident did not have a splint in use at the time of observation. There was a splint on top of the nightstand table. On 02/15/24 at 01:07 PM, the surveyor and the Licensed Practical Nurse (LPN) went inside the resident's room. The LPN informed the surveyor that Resident #80 was in the activity in the dining area. Then both the surveyor and the LPN went to the dining area and both observed that the resident was seated in a recliner wheelchair with no splint in use. At this time, the LPN informed the surveyor that the resident had limitations to the right arm…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-03-08 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and review of other pertinent facility provided documentation, the facility failed to a) ensure a root cause analysis conclusion was included routinely in a resident's fall investigation/incident report, b) implement the resident's care plan fall intervention, and c) ensure that fall assessments were done according to facility's practice and policy, and standard of practice, for one (1) of three (3) residents reviewed for falls (Resident #80). This deficient practice was evidenced by the following: Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. The Nurse Practice Act for the State of New Jersey states: The practice of nursing as a registered professional nurse is defined as diagnosing and treating human responses to actual and potential physical and emotional health problems, through such services as case-finding, health teaching, health counseling, and provision of care supportive to or restorative of life and wellbeing, and executing medical regimens as prescribed by a licensed or otherwise legally authorized…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-08 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to consistently document catheter urinary output according to the physician orders. This deficient practice was identified for one (1) of two (2) residents reviewed for urinary catheters (Resident #13) and was evidenced by the following. On 02/14/24 at 10:45 AM, during the initial tour, the surveyor did not observe the resident in the room. The resident's bed was at a high position and the bedside table was at the foot of the resident's bed. On the side of the bed was an intravenous pump for Vancomycin (antibiotic) that appeared to have been administered completely. At 02:14 PM, the surveyor observed the resident in the rehabilitation room with one of the rehabilitation staff. Resident #13 greeted the surveyor. Resident #13 was seated in front of the Occupational Therapy Director and was assisted by the Occupational Therapy Aid. The surveyor reviewed the medical record for Resident #13. Resident #13's admission Record (AR; an admission summary) reflected that the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-08 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, records review, and review of other facility documentation, it was determined that the facility failed to: a.) monitor the resident's nutritional supplement intake, b.) implement and monitor weekly weights, and c.) ensure the accuracy of a resident's weight who had a history of weight fluctuation. This deficient practice was identified for one (1) of three (3) residents reviewed for nutrition (Resident #45) and was evidenced by the following: Reference: American Thyroid Association A review of the brochure of Thyroid Function Test included, -A high TSH (thyroid stimulating hormone) level indicates that the thyroid gland is not making enough thyroid hormone (primary hypothyroidism). -TSH level is low, usually indicates that the thyroid is producing too much thyroid hormone (hyperthyroidism). A review of the brochure of The relationship between thyroid and weight included the following: Thyroid hormone regulates metabolism in both animals and humans. Metabolism is determined by measuring the amount of oxygen used by the body over a specific amount of…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-08 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, it was determined that the facility failed to: a) maintain consistent documentation of accounting of backup controlled substance inventory, b) ensure accurate accounting and reconciliation of backup controlled substances, and c) ensure that the facility management was notified of the identified discrepancies in the backup controlled substances according to the facility's practice, policy, and standard of practice. This deficient practice was identified in one (1) of two (2) medication storage rooms during the medication storage review. This deficient practice was evidenced by the following: Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. The Nurse Practice Act for the State of New Jersey states: The practice of nursing as a registered professional nurse is defined as diagnosing and treating human responses to actual and potential physical and emotional health problems, through such services as case-finding, health teaching, health counseling, and provision of care supportive to or restorative of life…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-03-08 · tag F0759 — failed to keep medication error rate low — isolated
    Ensure medication error rates are not 5 percent or greater.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, it was determined that the facility failed to ensure that all medications were administered without error of 5% or more. During the medication observation conducted on 02/16/23, the two (2) surveyors observed four (4) nurses administer medications to five (5) residents. There were 32 opportunities, and two errors were observed which resulted in a medication error rate of 6.25%. This deficient practice was identified for two (2) of six (6) residents (Resident #22 and #354), that was administered by two (2) of four (4) nurses. This deficient practice was evidenced by the following: A review of the manufacturer's specifications for Cosopt PF under section 17.4 Handing the Single-Use Container included: COSOPT PF is a sterile solution that does not contain a preservative. The solution from one individual unit is to be used immediately after opening for administration to one or both eyes. Since sterility cannot be maintained after the individual unit is opened, the remaining contents should be discarded immediately after administration.…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-08-08 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Complaint # NJ152823 Based on observation, interviews, record review, and facility policy review, the facility failed to provide patient care in a manner that prevented cross-contamination for one (Resident (R)11) of 26 sampled residents. Findings include: Review of the Face Sheet (facility provided) revealed R11 was admitted to the facility on [DATE] with diagnosis that included dementia, left sided weakness, and overactive bladder. Review of R11's electronic medical record (EMR) revealed no evidence of a urinary tract infection (UTI). Observation during incontinent care for R11 on 08/07/23 at 9:41 AM with Certified Nursing Assistant (CNA)1 and Licensed Practical Nurse/Unit Manager (LPN/UM)1, who was assisting to hold and turn R11, entered the room, washed their hands, and donned gloves. CNA1 gathered all her supplies, including new incontinent brief, water and soap in a pink basin, towels, washcloths, and trash bags. CNA1 then adjusted R11's bed, removed R11's linen from over R11, and placed two trash bags at…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2021-11-22 · tag F0658 — failed to meet professional standards of care — pattern
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview, and record review, it was determined that the facility failed to maintain professional standards of nursing practice for not following physician orders for 1 of 23 residents (Resident #70) which occurred over a three month period and failed to document in the Electronic Treatment Administration Record (ETAR) for 2 of 23 residents (Resident #88 and #61) reviewed. The deficient practice was evidenced by the following: Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. The Nurse Practice Act for the State of New Jersey states: The practice of nursing as a registered professional nurse is defined as diagnosing and treating human responses to actual and potential physical and emotional health problems, through such services as casefinding, health teaching, health counseling, and provision of care supportive to or restorative of life and wellbeing, and executing medical regimens as prescribed by a licensed or otherwise legally authorized physician or dentist. Reference: New Jersey Statutes Annotated, Title 45, Chapter 11. Nursing Board. The…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2021-11-22 · tag F0756 — failed to review each resident's drug regimen — pattern
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview, and record review, it was determined that the facility failed to respond to the consultant pharmacist recommendations for 1 of 21 residents (Resident #70) reviewed. This deficient practice continued over four months and was evidenced by the following: According to the November 2021 Clinical Physicians Order sheet Resident #70 had an order dated 2/25/2020 for Midodrine HCl 10 mg two times daily with parameters to hold the medication when the systolic blood pressure (SBP) is above 120. The surveyor reviewed the August 2021, September 2021, and October 2021 Electronic Medication Administration Record that revealed the nurses administered the Midodrine HCl 10 mg to Resident #70 when the SBP was above 120 on 21 occasions. The surveyor reviewed the Consultant Pharmacist Medication Regimen Review report for June 2021, July 2021, August 2021, and September 2021. The Consultant Pharmacist had submitted to the facility the report that identified for Resident #70 the medication Midodrine had not been held as per hold parameters in June, July, August, and September. On…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2021-11-22 · tag F0761 — failed to label and store drugs safely — pattern
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, it was determined that the facility failed to properly label, store and dispose of medications in 1 of 5 medication carts and 1 of 2 emergency boxes that were inspected. The expired medication in the emergency boxes continued for four months and was evidenced by the following: On [DATE] at 11:11 AM, the surveyor inspected the 2nd floor South-side medication cart in the presence of a Licensed Practical Nurse (LPN #1). The surveyor observed an opened bottle of Blood Glucose control solution with an opened date of [DATE] that was expired (90-day expiration date). The surveyor interviewed LPN #1 who stated that the opened bottle of Blood Glucose control solution was expired and should have been removed from the medication cart. On [DATE] at 11:30 AM, the surveyor inspected the 3rd floor emergency box in the presence of the Unit Manager (UM). The surveyor observed on the emergency kit contents page had an expiration date of [DATE]. A review of the contents inside…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-11-22 · tag F0637 — isolated
    Assess the resident when there is a significant change in condition
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review it was determined that the facility failed to complete a Significant Change in Status Assessment (SCSA) Minimum Data Set (MDS) an assessment tool for 1 of 23 residents reviewed for MDS accuracy (Resident #28). This deficient practice was evidenced by the following: The surveyor observed Resident #28 in bed with eyes open on 11/10/21 at 11:15 AM. On 11/12/21 at 11:19 AM, the surveyor completed a review of the electronic medical record. The admission Record revealed that the resident was admitted to the facility with diagnoses that included but were not limited to dementia, primary hypertension, osteoarthritis, and chronic kidney disease. The 9/5/2021 Annual MDS indicated that the resident had moderate cognitive impairment. According to the September 2021 Clinical Physician Orders, Resident #28 had physician orders to discontinue hospice service and treatment on 9/19/21. The surveyor reviewed the MDS assessments for Resident #28. There was no evidence that a SCSA was completed. A SCSA is required when a resident receiving hospice…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2021-11-22 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review it was determined that the facility failed to implement a comprehensive care plan for Resident #28, 1 of 23 residents reviewed. This deficient practice was evidenced by the following: On 11/10/21 at 11:15 AM, the surveyor observed Resident #28 in bed with eyes open. A nasal cannula was observed in the resident's nose. The oxygen concentrator was set to two liters of oxygen per minute. On 11/12/21 at 11:19 AM, the surveyor reviewed the medical record for Resident #28: The admission Record revealed that the resident was admitted to the facility with diagnoses that included but were not limited to primary hypertension. The 9/5/2021Annual MDS indicated that the resident had moderate cognitive impairment and was currently using oxygen therapy. According to the November 2021 Clinical Physician Orders, Resident #28 had physician orders for two liters of oxygen via nasal cannula. On 11/12/2021 at 12:07 PM, the Director of Nursing (DON) provided the surveyor with Resident #28's care plan. A review of the care plan failed to reveal a…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-11-22 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, it was determined that the facility failed to update and/or revise care plans for 3 of 23 residents reviewed, Resident # 9, Resident # 61, and Resident # 96. The deficient practice was evidenced by the following: 1. The surveyor reviewed an investigation for a fall Resident #9 had. The fall was on 2/10/21. The resident did not sustain any injuries. The investigation determined that the resident fell out of bed while reaching for their cell phone that had fallen on the floor. The investigation of the fall indicated that the Interdisciplinary Team agreed to add the following interventions to the care plan to prevent future falls; a longer phone charger cord and a side rail pouch for the resident to keep their cell phone. The surveyor asked the Director of Nursing (DON) for all of the active care plans for the resident. The DON confirmed that all of the care plans she provided were all of the resident's active care plans. There was no information, update, or…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2021-11-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review it was determined the facility failed to ensure a resident received the necessary supervision for smoking and storage of smoking materials. The deficient practice was identified for 1 resident (Resident #42) of 2 reviewed for smoking and is evidenced by the following: The surveyor interviewed Resident #42 on 11/10/21 at 10:27 AM. The resident stated they independently smoked and held their own cigarettes and lighter. The resident further stated they were able to go outside at any time unsupervised to smoke. The resident stated their smoking materials were kept in their pocket when not in use. The surveyor observed the resident smoking unsupervised on 11/10/21 at 11:04 AM and on 11/15/21 at 11:07 AM. A review of the medical record revealed the following information: The 9/25/21 quarterly Minimum Data Set (MDS) assessment tool indicated the resident had no cognitive deficits as evidenced by a Brief Interview for Mental Status score of 15 of a possible 15. The resident's needs with Activities of Daily Living (ADLs) varied from…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2021-11-22 · tag F0812 — failed to store, cook, and serve food safely — isolated
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation, interview, and record review, it was determined that the facility failed to restrain employee hair in the kitchen. This deficient practice was evidenced by the following: On 11/10/21 at 9:37 AM, in the presence of the Director of Nutritional Services (DNS), the surveyor observed the following: In the food preparation area, the surveyor observed the DNS without a hair net over his hair. The surveyor also observed a Food Service Worker in the food preparation area with a hair net on her head yet, her bangs were not fully restrained inside the hair net. The DNS agreed that the hair nets should have been worn appropriately according to facility's policy. The surveyor reviewed the facility's policy titled, Food Preparation and Service dated April 2021. The policy indicated that food and nutrition services staff wear hair restraints so that hair does not contact the food. On 11/10/21 at 12:48 PM, the surveyor brought the above concerns to the attention of the Administrator and Director of Nursing. NJAC 8:39-17.2(g)

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2021-11-22 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, it was determined that the facility failed to follow appropriate measures to prevent and control the spread of infection for: a.) hand hygiene during food and dish handling and b.) failure to properly don (put on) surgical and respirator masks. The deficient practices were evidenced by the following: 1. On 11/10/21 at 9:37 AM, the surveyor observed the Director of Nutritional Services (DNS) in the food preparation area of the kitchen with his respirator mask covering his mouth and not covering his nose. The DNS stated that he had just arrived for work and should have worn his mask appropriately. 2. In the food preparation area, the surveyor observed Food Service Worker (FSW) #1 with gloved hands adjust her hair net on her head, remove her gloves and immediately don a new pair of gloves with no hand hygiene performed. 3. At 9:47 AM, in the dish washing area of the kitchen, the surveyor observed FSW # 2 on the clean side of the dish machine with a surgical mask covering his mouth and not covering his nose. The DNS instructed the FSW…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to CONTINUUM HEALTHCARE — 13 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 5 of 52.5+2.5 vs chain
Health inspection 4 of 52.4+1.6 vs chain
Staffing 4 of 52.8+1.2 vs chain
Quality measures 5 of 53.4+1.6 vs chain
The other 12 homes this chain runs (chain average 2.5★, per CMS)

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleSince
BRUCKSTEIN, DANIELIndividualDIRECT OWNERSHIP INTEREST; INDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 10/03/2019
BRUCKSTEIN, ROBERTIndividualDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 10/03/2019
BLOOMINGDALE REAL PROPERTY, LLCOrganization5% OR GREATER MORTGAGE INTEREST; ADP OF THE SNFsince 10/03/2019
STONEBRIDGE HEALTHCARE HOLDINGS LLCOrganization5% OR GREATER MORTGAGE INTEREST; ADP OF THE SNFsince 10/03/2019
CONTINUUM HEALTHCARE I INCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/01/2025
EXECUCARE ASSOCIATESOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/15/2025
LESHKOWITZ & COMPANY LLPOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2020
TWOMAGNETS LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/07/2025
BRABSTON, TIMOTHYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/03/2019
DORN, CHERYLIndividualOPERATIONAL/MANAGERIAL CONTROLsince 02/01/2022
LITMAN, WARRENIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/01/2024
MANDELBAUM, DANIELIndividualOPERATIONAL/MANAGERIAL CONTROLsince 10/03/2019
OCHS, AVRAHAMIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 09/03/2024
STONEBRIDGE HEALTHCARE MEMBER III LLCOrganizationADP OF THE SNFsince 10/03/2019

CMS files one row per role, so the 26 rows in the source record cover these 14 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

7 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$14.5M
Net patient revenuemost recent cost report
+2.5%
Operating marginrevenue minus expenses
$2.5M
Related-party expense18% of expenses
Who pays — share of resident-days
Medicaid 64%Medicare 15%Other / private 21%

This home reported $2.5M paid to related parties — landlords or management companies under common ownership — equal to about 18% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$369per resident / day
operating cost
$11,205per month
≈ monthly operating cost
$378per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NJ

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the New Jersey Medicaid page.

Typical monthly cost in New Jersey
$12,775/mo
Nursing home (semi-private)
$14,448/mo
Nursing home (private)
$8,710/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 315348. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-08-28, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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