Hartwyck At Oak Tree

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interviews on 12/19/2024 in the presence of the Director of Maintenance (DOM), it was determined that the facility failed to ensure that the volume on the resident call bell system at the nurse's station on floor 3 was set to a level to be heard. This deficient practice had the potential to affect all residents and was evidenced by the following: An observation on at 11:50 AM revealed when the call bell was tested from resident room [ROOM NUMBER], there was no audible notification of the call bell activation. An observation at 11:55 AM revealed when the call bell was tested from resident room [ROOM NUMBER], there was no audible notification of the call bell activation. In an interview at 12:05 PM, nursing staff informed the surveyor that they discovered that the volume on the call bell system had been turned all the way down and it had been corrected. An observation at 12:07 PM revealed when the call bell was tested from room [ROOM NUMBER], there was now audible notification of the call…

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.

Based on observation, interview, and record review, it was determined that the facility failed to document the code status (medical instructions regarding resuscitation and other lifesaving measures in the event of a medical emergency) for 2 of 4 residents reviewed (Resident #31 and # 49) for code status. This deficient practice was evidenced by the following: 1. On 12/13/24 at 11:40 AM, during the initial tour, the surveyor observed Resident #31 in bed. The resident was observed with a tracheostomy and was dependent on a ventilator. The resident was not able to be interviewed. The surveyor reviewed Resident #31's electronic medical record (EMR). A review of the resident's Face Sheet (an admission summary) revealed the resident was admitted to the facility with diagnoses which included but were not limited to; acute respiratory failure, unspecified whether hypoxia hypercapnia (a medical condition that occurs when there is a problem with gas exchange between the lungs and blood) and multiple sclerosis (a chronic disease that affects the central nervous system, which includes 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.

Based on observation, interview and record review, it was determined that the facility failed to provide care and services in accordance with professional standards by adjusting medication times of administration to accommodate for dialysis (a medical treatment that removes waste products and excess fluid from the blood when the kidneys are unable to do so) scheduled times. This deficient practice was identified for 1 of 1 residents (Resident #56)reviewed for dialysis. 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 physician or dentist. Reference: New Jersey Statutes Annotated, Title…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and review of other pertinent facility documentation, it was determined that the facility failed to provide appropraite hygiene and fingernail care for resident's dependent on staff for activities of daily living. This deficient practice was identified for 2 of 21 residents, (Resident #11 & #31) reviewed for care. This deficient practice was evidenced by the following: 1. Resident #11 was admitted to the facility in 2011 with diagnoses which included acute respiratory failure, Ventilator Dependent /support, Seizure disorder and Pneumonia. The current Quarterly Minimum Data Set (MDS - an assessment tool) with an assessment Reference date (ARD) of 05/28/2021 coded Resident #11 of being severely impaired for decision making. On the Section G of the MDS which referred to Activity of Daily Living, Resident #11 coded 4 and 2 which indicated total dependence of staff for all activities of daily living. The Section G 0400 which referred to Functional limitation in Range 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.

Based on observation, interview, record review, and review of pertinent facility documentation it was determined that the facility failed to send a Urinalysis Culture and Sensitivity (UAC&S) specimen to the laboratory for analysis within an appropriate time frame which led to a delay in treatment for a resident. This deficient practice was identified for one of 21 residents reviewed, (Resident #88) for quality of care and was evidenced by the following: On 05/24/21 at 11:10 AM, the surveyor observed Resident #88 lying in bed. The resident was calm and pleasant. The surveyor observed that the resident had a urinary catheter drainage bag in a privacy bag attached to the bed frame, hanging below the level of the resident's bladder. The foley catheter tubing was observed to be clear and empty of urine. The surveyor asked the resident how long he/she had resided at the facility and the resident stated, thirty minutes. On 05/25/21 at 12:30 PM, the surveyor observed the resident in his/her room seated in a wheelchair. The surveyor observed that the resident's urinary catheter bag was…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and review of other pertinent facility documentation, it was determined that the facility failed to: a.) assess a resident with contractures (a permanent tightening of the muscles, tendons, and skin that limits mobility) for the use of splints (a ridged device used to protect, immobilize, or restrict motion), b.) apply splints as ordered by a physician, and c.) develop a comprehensive care plan for use of the splint. This deficient practice was identified for two out of five residents reviewed, (Resident #21 and Resident #50) for position and mobility related to limited range of motion and was evidenced by the following. 1. According to the Cumulative Diagnoses Record, Resident #21 had the diagnoses that included but not limited to; Vent Dependent Respiratory Failure (VDRF), Dementia, Hypertension (HTN) and Cerebral Vascular Accident (CVA). The admission Minimum Data Set (MDS) and assessment tool dated 03/03/2021, indicated that Resident # 21 had severe cognitive…

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.

Based on observation, interview, record review, and review of pertinent facility documentation, it was determined that the facility failed to: a.) dispose of a needle with a syringe (sharps) in it's appropriate receptacle and b.) maintain a safe environment during medication administration. This deficient practice was identified for two of four resident's reviewed, (Resident #67 and Resident #75) for medication administration. The deficient practice was evidenced by the following: 1. On 05/25/2021 at 7:40 AM, the surveyor observed the Registered Nurse (RN) on the 300 Unit administer the medication, Heparin (a blood thinning medication) to Resident #67. The RN administered the medication, pulled up the top of the plastic safety syringe attached to the needle so the needle was not exposed, removed her gloves, washed her hands, exited the room with the used syringe, and discarded the used syringe in the waste receptacle bin attached to the medication cart. The surveyor observed that the receptacle bin was directly underneath the sharps container (container used to dispose of used…

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.

Complaint: NJ00145612 Based on observation, interview, and review of pertinent facility documentation it was determined that the facility failed to: a.) serve hot and cold foods at an acceptable temperature for the residents and b.) have a facility policy and procedure for maintaining appropriate food temperatures. This deficient practice was identified on the second floor during a food test tray observation and by two out of seven residents during the February 2021 Resident Council Meeting Minutes. The deficient practice was evidenced by the following: On 05/28/21 at 11:30 AM, the surveyor observed the food trucks containing the resident's lunch meal leave the kitchen. At 11:31 AM, the surveyor observed the food trucks arrive on the second floor to be passed out to residents who resided on the unit. The surveyor observed that the food was stored and served to the residents on a plate which was covered by a dome container. The surveyor further observed that the soup was served in plastic container with a plastic lid over it. The cold drinks were placed on top of the resident's meal…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and review of other pertinent facility documentation, it was determined that the facility failed to: a.) ensure staff followed current standards of practice at point of care testing regarding transport and disposal of used lancets safely, b.) performed appropriate hand hygiene during a wound treatment observation according to facility policy and the Center of Disease Control (CDC) guidelines, and c.) wore the facility required Personal Protective Equipment (PPE) on the ventilator unit. This deficient practice was identified for one of five medication carts reviewed for infection control, one of one resident's reviewed, (Resident #1) during during a wound care observation, and on one of two nursing units in the facility. The deficient practice was evidenced by the following: 1. On 05/25/2021 at 09:30 AM, the surveyor went to the 300 Unit to check the medication carts as part of the survey process. At 09:45 AM, the surveyor checked the medication cart on the 300 B side with Nurse…

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.