Careone At Ridgewood Avenue

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 provide pain management that is consistent with professional standards of practice, the resident's goal and preference, and ensure a.) an assessment of a resident's pain was conducted after verbalized pain, and an as needed pain medication was administered when requested (Resident #10) c.) administer the correct narcotic pain medication based on the resident's reported pain intensity and in accordance with the physician's order (Resident #47). This deficient practice was identified for 2 of 2 residents investigated for pain management and was evidenced by the following: 1.) On 6/3/25 at 9:26 AM, the surveyor observed Resident #10 seated in the dining area with other residents. The surveyor overheard the resident speaking loudly from the nurse's station, I want my pain medication. The surveyor observed the nurse's medication cart that was parked next to the nurse's station. The surveyor observed the Licensed Practical…

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 observations, interviews, record review, and review of other facility documents, it was determined that the facility failed to provide pharmaceutical services in accordance with professional standards to ensure a.) disposition and removal of a narcotic medication for an Unsampled Resident who was discharged on 5/21/25, b.) consistent quality control testing was conducted for the blood glucose (bg) used for residents, c) supplies that required dating when opened were dated, d.) a blood pressure medication was administered for Resident #47, in accordance with the physician orders, e.) a narcotic medication was disposed in accordance with facility policy that allowed for accurate reconciliation and accountability (Resident #10). The deficient practices were identified on 2 of the 3 medication carts inspected, and two of two residents reviewed for pain regimen (Resident #10 and 47) and was evidenced by the following: 1.) On 6/3/25 at 12:47 PM, the surveyor and the Licensed Practical Nurse (LPN #1) began the began the narcotic medication inspection, which was stored in 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.

Based on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to maintain the call bell within reach of the resident. This deficient practice was identified for 1 of 21 residents reviewed for accommodation of needs (Resident #62), and was evidenced by the following: On 05/30/25 at 11:50 AM, the surveyor observed Resident #62 in his room in bed. The call bell device was located on the floor between the resident's bed and roommates' bed not within Resident #62's reach. The surveyor reviewed the medical record for Resident #62. A review of the admission Record reflected that Resident #62 was admitted to the facility with diagnoses that included but were not limited to; malfunctioning of the cystostomy (medical device inserted into the bladder to drain urine) pneumonitis r/t inhalation of food and vomit, and Alzheimer's disease. A review of Resident #62's Annual Minimum Data Set (MDS), an assessment tool dated 3/17/25 revealed Resident #62 had a Brief Interview for Mental Status (BIMS) score of 00 out of 15 which indicated severe…

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 and interview, it was determined that the facility failed to post the prior year's State of New Jersey (State) inspection results in an area that was readily accessible to residents, families, and the public. The deficient practice was evidenced by the following: On 6/2/25 at 10:10 AM, the surveyor looked for the most recent State inspection results on the north and south Nursing Units and was unable to locate them. On 6/2/25 at 10:15 AM, during an interview with the surveyor, the receptionist stated that the prior year's survey results were in a binder in the lobby but was not sure where they were located. After a search, the surveyor located the binder on the back wall of the lobby lying flat on the top shelf of a cabinet behind a decorative container not easily accessible to residents. On 6/2/25 at 10:30 AM, the surveyor conducted a group meeting with 6 alert and oriented residents chosen by the facility. Six of 6 residents stated they did not know where to find the State inspection results. On 6/3/25 at 12:16 PM, during an interview with the surveyor, 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, record review, and review of pertinent facility documents, it was determined that the facility failed to ensure a nebulizer mask was stored in accordance with infection control measures for 1 of 4 residents reviewed for Respiratory therapy, Resident #41. 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.

NJ00173564 Based on observation, interview, and record review it was determined that the facility failed to maintain an accurately documented and complete record for 2 of 21 records reviewed (Resident #98, 363). The deficient practice was evidenced by the following: 1. The surveyor interviewed Resident #98 on 5/30/25 at 10:58 AM. The resident was seated in a wheelchair at the bedside. The resident stated they use the call bell device to request assistance getting from the bed to the wheelchair, for toileting, and for dressing. The resident stated the call bell response can be very slow. The resident described a fall incident which had occurred the previous week on 5/24/25. A review of the electronic medical record revealed the following information. The 5/2/25 admission Miniumum Data Set assessment tool (MDS) indicated the resident had no cognitive deficits as evidenced by a Brief Interview for Mental Status score of 15 out of a possible 15. The fall care plan, initiated 4/25/25 and revised 5/29/25, indicated the resident was at risk for falls due to impaired balance and poor…

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, review of the medical record and other facility documentation, it was determined that the facility failed to ensure the consistent coordination/communication was provided between facility staff and hospice staff to meet the resident's needs (Resident #4). This deficient practice was identified for one (1) of one (1) resident reviewed for hospice and end of life care. This deficient practice was evidenced by the following: On 5/29/25 at 10:12 AM, during the initial tour, a surveyor observed Resident #4 seated in a geriatric chair (Geri chair; large, padded chair designed to assist individuals with limited mobility). At 11:30 AM, during an interview with a surveyor the Licensed Practical Nurse (LPN) on the unit stated Resident #4 was on hospice care. The surveyor reviewed the medical record for Resident #4. According to the admission Record (AR; or face sheet, an admission summary), the resident was admitted to the facility with diagnoses that included: Parkinson's Disease (progressive neurological disorder), seizures and dysphagia (difficulty…

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, record review, and staff interview the facility failed to ensure food stored in the unit refrigerators on one of four units was stored in a sanitary manner. This failure had the potential to affect the 15 residents on the 1south unit with a census of 82. Findings include: Observation on 09/25/23 at 9:03 AM revealed the first floor south resident refrigerator located by the nursing station contained a container of caramel dip that was not labeled with the date it was opened and was not labeled with a resident name; a container of what appeared to be partially eaten pasta dish with Resident (R) 49's name written on it, the container was not dated to indicate when it was placed in the refrigerator. There was one four-ounce container of Ready Care mighty shake on the shelf in the door. The container was not dated to indicate when it was thawed out. The manufacturer's instructions on the container stated to be used within 14 days of thawing. Interview with the Dietary Manager on 09/25/23 at 9:30 AM at the time of the observation revealed the food should have been…

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 record review, staff interview, and policy review, the facility failed to ensure each Medicare resident whose Medicare therapy services were terminated received a notice including the reason the services were ending or what the options were prior to the discontinuation of therapy services. This had the potential to affect one of three residents (Resident (R)259) who were reviewed for Skilled Nursing Facility (SNF) Beneficiary Protection Notification Review. Findings include: Review of the electronic medical record (EMR) for R259 revealed she was admitted to the facility on [DATE]. R259 had Medicare benefits and when she was discharged from skilled therapy services on 07/13/23, she had not exhausted her Medicare benefit days. However, the facility failed to notify her representative regarding the expiration of benefits prior to the expiration date. Further review of the EMR failed to reveal any documentation of R259 and/or R259's representative being given written notification of the discontinuation 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 facility policy review, the facility failed to protect the private health information for eleven of eleven (R49, R312, R65, R41, R311, R28, R309, R310, R35, R68 and R308) residents reviewed for resident rights out of 22 sampled residents by leaving the resident's personal and medical information exposed on an open and unattended computer screen in an area accessible to the public. Findings included: Review of a facility's policy titled, Computer Terminals/Workstations, revision date April 2014, revealed, .3. A user may not leave his/her workstation or terminal unattended unless the terminal screen is cleared and the user is logged off. Each user must log off at the end of his/her work shift . Observation of the medication cart on the 1 North Hall on 09/25/23 at 9:30 AM revealed the medication cart was observed unattended. The computer screen on the cart was open and showed R49's face, name, room number, and medications the resident received. The cart was unattended with the c until 9:33 AM when Registered Nurse (RN) 8 returned.…

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 observations, interview, record review and policy review, the facility failed to clean the filter of the Oxygen concentrator for the use of delivering supplemental oxygen for one of four residents (Resident (R) 9) reviewed for Oxygen of the twenty-six sampled residents Findings include: Review of R9's Face Sheet in the Electronic Medical Record (EMR) under the Profile tab revealed R9 was admitted to the facility on [DATE] with the following diagnosis of Parkinson's Disease and hypertension. Review of the annual Minimum Data Set (MDS) in the EMR, with an Assessment Reference Date (ARD) of 07/27/23 coded the resident as having a Brief Interview Mental Status (BIMS) score of 13 out of 15. This represented R9 was cognitively intact. On 09/25/23 at 9:49 AM an observation was made at which time the resident was wearing the oxygen at 2liters/minute by nasal cannula. The filter had a white lint like substance on it. On 09/27/23 at 11:20 AM R9's oxygen concentrator had a white lint like substance on it. Review…

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, staff interview, record review, and policy review, the facility failed to store medication in a locked compartment when left unattended (first floor medication cart #1), failed to have a medication label that could be read (second floor medication cart #2) as well as fail to ensure the medication cart was secure when out of the site of the nursing staff. Findings include: 1. Review of the facility's policy titled, Medication Labeling and Storage with a revision date of February 2023, stated . Compartments (including, but not limited to, drawers, cabinets, rooms, refrigerators, carts, and boxes) containing medications and biologicals are locked when not in use, and trays or carts used to transport such items are not left unattended if open or otherwise potentially available to others . During the Medication Pass Observation on 09/27/23 at 9:28 AM. Registered Nurse (RN)8 was preparing the pills to administer to R63. RN8 stated, There is no Tylenol in my cart, so I have to go and get it. RN8…

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.