Careone At Oradell

REPEAT DEFICIENCY Based on observation, interview, and review of pertinent facility documentation it was determined that the facility failed to ensure the accurate daily report of licensed nurses, certified nursing assistant staffing, and the resident census was posted at the beginning of the current shift for 2 of 6 days during the annual re-certification survey. This deficient practice was evidenced by the following: On 12/2/24 at 9:00 AM, upon entry to the facility, the surveyor observed a Nursing Home Resident Care Staffing Report (NHRCSR) posted at the front desk by the main entrance. The NHRCSR posted was dated 11/30/24 with a census of 107, for the [7:00 AM to 3:00 PM] day shift. There was no NHRCSR for 12/2/24 posted. On 12/4/24 at 11:21 AM, the surveyor interviewed the covering Receptionist on the main entrance, who was also the Unit 2 South Unit Clerk (UC), regarding the posting of the NHRCSR. The UC stated, The Staffing Coordinator (SC), will print it out and give it to the receptionist to put it up. She will also print out the weekend and Monday schedules and give it to…

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 pertinent facility documents, it was determined that the facility failed to properly store medication for 1 of 2 medication storage areas and 2 of 3 medication carts inspected according to facility's policy and standard of clinical practice. 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 physician or dentist. Reference: New Jersey Statutes Annotated, Title 45, Chapter 11. Nursing Board. The Nurse Practice Act for…

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 interview, review of medical record, and review of other pertinent facility documents, it was determined that the facility failed to offer residents a pneumococcal and influenza vaccines or document the refusal and reason for ineligibility for the vaccines for 4 of 22 residents reviewed for immunizations (Resident #42, #66, #94 and #197). The deficient practice was evidenced by the following: Reference: According to the Centers for Disease Control (CDC) and Prevention, recommends pneumococcal vaccination (PCV) for many adults based on age, having certain risk conditions, and pneumococcal vaccines already received . CDC recommends PCV15, PCV20, or PCV21 for adults who never received a PCV and are Ages 65 years or older Ages 19 through 64 years with certain risk conditions. Chronic conditions and other factors that increase someone's risk for pneumococcal disease include Chronic heart, kidney, liver, or lung disease (Chronic lung disease includes chronic obstructive pulmonary disorder (COPD), emphysema, and asthma); Diabetes; Immunocompromising condition (having a weakened…

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 Complaint #: NJ00178451 Based on interviews, records review, and review of pertinent facility documents on 11/22/2024 and 11/25/2024, it was determined that the facility failed to ensure and provide the correct medication for a resident (Resident #1) according to the Physician's Order when the facility's providing pharmacy sent a different medication to the facility. This deficient practice was observed in 1 of 4 residents reviewed for medications and was evidenced by the following: According to the admission Record (AR), Resident #1 was admitted to the facility with diagnoses which included but was not limited to Malignant Neoplasm of Left Breast, Cerebral Infarction, Altered Mental Status, Osteoarthritis, Muscle Weakness, and Anxiety Disorder. According to the Minimum Data Set (MDS), an assessment tool that provides a comprehensive assessment of a resident's functional capabilities, dated 09/30/2024, Resident #1 had a Brief Interview for Mental Status (BIMS) score of 06, indicating the Resident's cognition 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 Complaints #: NJ00163185, NJ00166154, NJ00157351, NJ00155283 Based on observation, interview, record review, and review of other pertinent facility documentation, it was determined that the facility failed to provide sufficient nursing staff to ensure resident's highest practical wellbeing by failing to: a.) maintain the required minimum direct care staff-to-shift ratios as mandated by the state of New Jersey (NJ) and b.) ensure that 7 AM-3 PM, 3-11 PM, and 11-7 shifts were staffed to provide the ADLs (activities of daily living) for nine (9) of 17 residents, (Residents#4, #13, #22, #23, #32, #233, #235, #312, and #263) according to facility practice, required minimum direct care staff-to-shift ratios as mandated by the state of NJ, and facility assessment. This deficient practice was evidenced by the following: Reference: New Jersey Department of Health (NJDOH) memo, dated 01/28/2021, Compliance with N.J.S.A. (New Jersey Statutes Annotated) 30:13-18, new minimum staffing requirements for nursing homes,…

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#00154889 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. 1. The surveyor reviewed Resident #161's medical records. The admission Record (AR; or face sheet; an admission summary) revealed that the resident was admitted to the facility with diagnoses that included but were not limited to Dementia in other diseases classified elsewhere without behavioral disturbance, essential hypertension (occurs when you have abnormally high blood pressure that's not the result of a medical condition), muscle weakness, dysphagia (difficulty swallowing), and difficulty walking. The admission Minimum Data Set (aMDS), an assessment tool used to facilitate the management of care, with an Assessment Reference Date (ARD) of 4/21/22 showed a Brief Interview for Mental…

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 Complaints#: NJ00160781 and NJ00157351 Based on interviews, record review, and review of pertinent facility documentation, it was determined that the facility failed to ensure that: a) the discharge summary provides necessary information to continuing care providers pertaining to the course of treatment while the resident was in the facility and the resident's plans for care after discharge and b) the discharge summary must include an accurate and current description of the clinical status of the resident and sufficiently detailed, individualized care instructions, for four (4) of five (5) residents (Residents #108, #109, #262, and 263) reviewed for discharge home. This deficient practice was evidenced by the following: 1. The surveyor reviewed the medical records of Resident #108. The admission Record (or AR; face sheet; an admission summary) reflected that the resident was admitted to the facility and had diagnoses that were not limited to essential hypertension (elevated blood pressure), unspecified fracture…

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 # NJ00160781 Based on interviews and record review and review of pertinent facility documentation, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice that meet each resident's physical, mental and psychosocial needs. This deficient practice was identified for one (1) of four (4) residents reviewed for closed record review, (Resident #262) and was evidenced by the following: Reference: NEW JERSEY ADMINISTRATIVE CODE TITLE 13 LAW AND PUBLIC SAFETY CHAPTER 37 NEW JERSEY BOARD OF NURSING 13:37-6.5 NON-DELEGABLE NURSING TASKS b) A registered professional nurse shall not delegate the physical, psychological, and social assessment of the patient, which requires professional nursing judgment, intervention, referral, or modification of care. The surveyor reviewed Resident #262's closed medical record. The admission Record (or face sheet; an admission summary) reflected that the resident was admitted to the facility with diagnoses which included but were not limited to hemiplegia (paralysis of one side 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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and review of pertinent documentation it was determined the facility failed to: a) ensure the facility policy for Accidents and Incidents was followed to thoroughly investigate each fall, appropriately assess a resident, determine the causal factor of each fall and provide conclusion and summary, implement appropriate interventions to prevent recurrent falls, and update care plan for six (6) out of six (6) investigations, b) implement policies and procedure for reporting a fall that resulted in a major injury to State Agency in accordance to current guidelines for one (1) of three (3) residents, (Resident #46) reviewed for falls; and c) complete an initial smoking assessment and initiate a care plan for smoking for one (1) of one (1) resident reviewed for smoking (Resident #93). This deficient practice was evidenced by the following: According to the N.J. (New Jersey) Admin. (Administrative) Code 8:43E-10.6 Current through Register Vol. 54, No. 41, September 5,…

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 # NJ00160781 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 one (1) of 24 residents, (Resident #262) reviewed for MDS accuracy, and was evidenced by the following: According to the Centers for Medicare & Medicaid Services (CMS) Minimum Data Set 3.0 Public Reports page last modified 12/01/21, included that the MDS is part of the federally mandated process for clinical assessment of all residents in Medicare and Medicaid certified nursing homes. This process provides a comprehensive assessment of each resident's functional capabilities and helps nursing home staff identify health problems. Care Area Assessments (CAAs) are part of this process, and provide the foundation upon which a resident's individual care plan is formulated. MDS assessments are completed for all residents in certified nursing homes, regardless of the source of payment for the individual resident. MDS…

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#NJ00157351 Based on interviews, record review, and review of pertinent facility documentation, it was determined that the facility failed to adhere to professional standards of clinical practice for a) not initialing the Electronic Treatment Administration Record (eTAR) for one (1) of three (3) residents (Resident#110), reviewed for oxygen order and b) ensure that the Speech Therapist's recommendations were followed through for one (1) of two (2) residents (Resident #263), reviewed for nutrition. The deficient practices are 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…

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 appropriate catheter care and services for one (1) of two (2) residents (Resident #72) reviewed for catheter. This deficient practice was evidenced by: On 8/24/23 at 10:39 AM, the surveyor observed Resident #72 sitting on a wheelchair, dressed and was conversant. The resident stated they were being discharged that morning. The surveyor observed the resident had a catheter drainage bag secured to the bottom of wheelchair without a privacy cover. The surveyor reviewed Resident #72's medical record. According to the admission Record (or face sheet; an admission summary), Resident #72 was admitted with diagnoses that included acute kidney failure, sepsis (body's overactive and extreme response to an infection; is a life-threatening medical emergency) , hyperlipidemia (an abnormally high concentration of fats or lipids in the blood), indwelling ureteral stent (implanted device in the ureter to help drain urine from the kidney, type 2 diabetes mellitus, and anemia ( lower than normal…

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 record review, it was determined that the facility failed to ensure that a.) tracheostomy (trach) care and services were provided according to the standard of practice for one (1) of two (2) residents (Resident #28) reviewed for tracheostomy care and b.) a resident received oxygen as ordered by the physician for one (1) of two (2) residents (Resident #58) reviewed for respiratory care. This deficient practice was evidenced by the following: 1. On 8/23/23 at 11:07 AM, surveyor observed Resident #28, lying in bed with their eyes closed, tracheotomy (a surgically created hole in windpipe (trachea) that provides an alternative airway for breathing) clean, dry, and intact. The surveyor reviewed the medical records for resident #28. The admission Record (AR; or face sheet; an admission summary) reflected that the resident was admitted to the facility with a diagnosis that included but was not limited to down syndrome (a congenital condition ), contact with and (suspected) exposure…

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 review of pertinent facility documents, it was determined that the facility failed to ensure that the 24-hour staffing report that was posted was up to date and provided an accurate information. This deficient practice was evidenced by the following: On 8/23/23 at 8:56 AM, the survey team entered the facility and observed that the 24-hour staffing report that was posted was dated 8/18/23. The staffing report was not up to date. On 8/28/23 at 6:30 AM, two surveyors entered the facility and observed that the 24-hour staffing report that was posted was dated 8/25/23 and that the census listed was 118. The staffing report was not up to date. On 8/28/23 at 7:35 AM, the surveyor asked the Licensed Nursing Home Administrator (LNHA) to provide a copy of Resident Census from Friday, Saturday, Sunday, and Monday. On 8/28/23 at 8:11 AM, the LNHA provided a copy of the facility census from Friday through Monday as follows: Date: 8/25/23; Census: 121 Date: 8/26/23; Census: 121 Date: 8/27/23; Census: 122 Date: 8/28/23; Census: 122 The 24-hour staffing report…

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 interviews, record review, and review of the facility provided documents, it was determined that the facility failed to act upon the recommendations in the monthly Medication Regimen Reviews (MRR) identified irregularities of the Consultant Pharmacist's (CP's) for one (1) of three (3) residents, (Resident #110) reviewed for closed records. This deficient practice was evidenced by the following: The surveyor reviewed Resident #110's medical records. The resident's admission Record (or face sheet; admission summary) reflected that the resident was admitted to the facility and had diagnoses that were not limited to essential hypertension (elevated blood pressure), other seizures, type two diabetes mellitus without complications (is a chronic disease affecting blood glucose regulation), cerebral infarction unspecified (stroke), Alzheimer's disease unspecified. A review of the resident's Minimum Data Set (MDS), an assessment tool used to facilitate the management of care showed that the resident had no most recent admission MDS (aMDS) and quarterly MDS (qMDS) because 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 ensure that all medications were administered without error of 5% or more. During the medication observation conducted on 8/28/23, the surveyor observed four nurses administer medications to sixteen residents. There were 25 opportunities, and two errors were observed which resulted in a medication error rate of 8%. This deficient practice was identified for one (1) of three (3) residents, that was administered by one (1) of three (3) nurses. This deficient practice was evidenced by the following: A review of the manufacturer's specifications for Metoprolol Tartrate (Lopressor) reflected that the medication was to be administered with or immediately following a meal. A review of the manufacturer's specifications for Potassium Chloride (Klor-Con) reflected should be taken with meals and with glass of water or other liquid. This product should not be taken on an empty stomach because of its potential for gastric irritation. During the initial tour on 8/23/23 at 10:16 AM, the surveyors…

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 review of the facility provided documents, it was determined that the facility failed to ensure: a) appropriate use of personal protective equipment (PPE) for two (2) of four (4) staff observed during meal observation and b) appropriate hand hygiene practice for one (1) of two (2) staff observed during treatment observation according to facility policy and Centers for Disease Control and Prevention (CDC) guidelines. This deficient practice was evidenced by the following: According to the CDC, Hand Hygiene in Healthcare Settings, last reviewed on January 30, 2020, Hand Hygiene Guidance, The Core Infection Prevention and Control Practices for Safe Care Delivery in All Healthcare Settings recommendations of the Healthcare Infection Control Practices Advisory Committee (HICPAC) include the following strong recommendations for hand hygiene in healthcare settings. 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…

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 the interview and review of pertinent facility documents, it was determined that the facility failed to ensure: a) the designated Infection Preventionist (IP) dedicated solely to the infection prevention and control program (IPCP) for one (1) of one (1) staff and b) the IP participated in Quality Assurance Performance Improvement (QAPI) for two (2) of three (3) quarters reviewed QAPI in accordance with the facility policy and Centers for Medicare and Medicaid Services (CMS) and New Jersey (NJ) guidelines. This deficient practice was evidenced by the following: According to the NJ Executive Directive 21-012 (revised 12/22/22) included ii. The facility's designated individual(s) with training in infection prevention and control shall assess the facility's IPCP by establishing or revising the infection control plan, annual infection prevention and control program risk assessment, and conducting internal quality improvement audits. According to the CMS QSO-22-19-NH Memo dated 6/29/22 and Fact Sheet, Updated…

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 review of pertinent facility documents, it was determined that the facility failed to ensure facility staff had mandatory training that outlined and informed staff of the elements and goals of the facility's QAPI (quality assurance and performance improvement) program for two (2) of five (5) Certified Nurse Assistants (CNAs) reviewed for mandatory education. This deficient practice was evidenced by the following: On 9/01/23 at 9:09 AM, the surveyor reviewed the annual in-service education hours for five randomly selected CNA files, which were provided by the facility. The Staff In-service Logs showed the following: CNA #1 had a hire date of 3/14/18. According to the Training Hours Transcripts, CNA #1 did not have QAPI training. CNA #2 had a hire date of 7/22/19. According to the Training Hours Transcripts, CNA #1 did not have QAPI training. On 9/01/23 at 10:45 AM, the surveyor interviewed the Facility Educator/Registered Nurse (FE/RN) regarding the process for CNA education. The FE/RN stated that they have 12 hours of mandatory continuing…

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 4. The surveyor observed LPN #3 administer medications to Resident #52 on 6/29/21 at 8:05 AM. LPN #3 stated she had sanitized the blood pressure machine and the cuff prior to the surveyor arriving at the medication cart. She measured the resident's blood pressure, brought the machine out of the room to the hallway, and did not sanitize the machine or cuff. LPN #3 completed Resident #52's medication administration at 8:20 AM. The surveyor asked the nurse if she had completed the medication administration. She replied that she had finished. The surveyor alerted the nurse that she had not sanitized the blood pressure machine or cuff after use. Additionally, she had not performed hand hygiene when the medication pass was completed. 5. The surveyor observed LPN #4 administer medications to Resident #41 on 6/29/21 at 8:25 AM. LPN #4 did not perform hand hygiene prior to pouring medications for the resident. LPN #4 sanitized the blood pressure machine and cuff without the use of gloves after pouring medications. 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.

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 consistently provide services in a manner to preserve the dignity of 5 residents observed (Residents #10, 88, 41, 52, and 87). The evidence is as follows: 1. The surveyor observed Resident #10 awake and alert in bed watching television on 6/23/21 at 10:23 AM. The surveyor observed four handwritten 8 1/2 by 11-inch signs posted over the resident's bed indicating the resident was not to use straws due to a choking hazard. The surveyor reviewed the medical record of the resident which revealed the following. The admission Record indicated the resident was admitted to the facility with a diagnosis of amyotrophic lateral sclerosis. The 3/27/21 Quarterly Minimum Data Set assessment tool (MDS) indicated the Brief Interview for Mental Status (BIMS) score was 13 of a possible 15, indicating the resident was cognitively intact. The resident was assessed to usually make self understood and to understand others. The 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.

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 adhere to professional standards of nursing practice for a) leaving medication unattended on a resident's bedside 1 of 2 residents (Resident #41); b) not checking medication labels three times prior to administering medications for 2 of 2 residents (Resident #41, 52); and c) not initialing the Electronic Treatment Administration Record (ETAR) for 1 of 21 residents (Resident #71). The deficient practices are 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…

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.