Atrium At Navesink Harbor, The

Based on observation, interview, record review, and review of facility documentation, it was determined that the facility failed to ensure dependent residents were provided with routine and appropriate nail care in a timely manner. This deficient practice was identified for 1 of 2 resident reviewed for Activities of Daily Living Care (Residents #18) and was evidenced by the following: On 02/18/2026 at 8:25 AM, the surveyor observed Resident #18, seated in a recliner chair adjacent to the nursing, their breakfast tray was on the bedside table. The surveyor observed the resident's nails long, jagged and discolored with a black substance underneath the fingernails. The resident was unable to answer the surveyor's inquiries when asked if they would like their nails to be trimmed and cleaned.On 02/19/2026 at 12:50 AM, the surveyor observed Resident #18 being assisted with the lunch meal by a Certified Nursing Aide (CNA), the resident's fingernails were long, jagged and the black substance was still present underneath the fingernails.On 02/20/2026 the surveyor reviewed Resident #18's…

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 ensure a system was in place to ensure wound treatment recommendations were clarified and implemented in a timely manner. This deficient practice was identified for one (1) of three (3) residents reviewed for pressure ulcers (Resident #1), who had a wound treatment recommended by the Wound Consultant (WC) on 1/13/26, which was implemented on 1/21/26 (7 days later) and the dose was not clarified by the physician until 2/19/26 (38 days later). The deficient practice was evidenced by the following:On 2/18/26 at 12:16 PM, the surveyor observed Resident #1 in the seated in a recliner in the dining room and was being assisted with the meal by facility staff. On 2/19/26 at 8:57 AM, the surveyor observed Resident #1 sleeping in bed. At that time, the surveyor then reviewed the medical record for Resident #1which revealed the following: The admission Record face sheet (an admission summary) reflected…

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 pertinent facility documentation, it was determined that the facility failed to have a system in place to ensure a) weights were consistently and accurately monitored and verified a weight loss and implemented interventions in response to a significant weight loss, and b) staff implemented identified nutritional interventions appropriately and consistently. The deficient practice was identified for 2 of 2 residents reviewed for nutrition, who sustained significant unplanned weight loss (Resident #1 lost 9.53% in 10 days (from 12/17/25 to 12/27/25) and Resident #5 who had a 14 % weight loss x 6 months). The deficient practice was evidenced by the following: Refer to F804, F805 a) On 2/18/26 at 12:16 PM, the surveyor observed Resident #1 in the dining room seated in a recliner with legs elevated and was being assisted with the meal by a facility staff. The meal appeared pureed, and the cold tea nectar thickened On 2/19/26 at 8:57 AM, the surveyor observed Resident #1 was asleep in bed and the surveyor then reviewed 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 observations, interviews and record review the facility failed to assure the nursing staff had the competency and skills sets to provide nursing care to two sampled residents to provide appropriate wound care and ensure nursing staff were competent in a process to verify physician recommendations and clarify orders for wound care. The deficient practice was evidenced for 2 of 3 residents reviewed for wound care (Resident #1 and Resident #3) and was evidenced by the following: a. On 1/13/26 [untimed], WC #2's documented, on a Consultation form, New Findings and Recommended Treatment: measurements 13.5 [cm] x 8.5[cm] x 2[cm]; and wound was debrided. the wound was debrided; Cleanse wound with Vashe, apply Santyl to slough, pack with Dakin's (sodium hypochlorite; modified bleach used as an antiseptic to clean and treat infected wounds or ulcers; dosing available in full strength equivalent to 0.5%, half strength equivalent to 0.25% and quarter strengths equivalent to 0.125%) soaked gauze [twice daily] and cover with foam dressing. The Attending Physician and Consulting…

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 document review it was determined that the facility failed to ensure a system was in place to ensure that a resident who required a mechanically altered diet, received appropriate meal items. The deficient practice was identified for 1 of 3 Residents reviewed for nutrition (Resident #5) and who required a mechanical soft diet and had the potential to affect all residents who required a mechanical soft diet. The deficient practice was evidenced by the following: On 2/19/26 at 8:48 AM, the surveyor interviewed the Registered Dietitian (RD) about Resident #5's weight loss. The RD stated that the resident has had weight loss, has become increasingly confused, and she has added interventions in response to the weight loss. On 2/19/26 at 2:30 PM, the surveyor reviewed the electronic medical record for Resident #5 which revealed the following: The Face Sheet (an admission summary) revealed the resident had diagnoses which included, but were not limited to Alzheimer's disease, Dysphagia, oropharyngeal phase (difficulty initiating a swallow,…

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, interviews, and review of pertinent facility documentation, it was determined that the facility failed to maintain proper infection control practices for a) hand hygiene and establishing a clean field during a wound treatment b) hand hygiene during resident meal service one (1) of two (2) nurses who administered medications to one (1) of four (4) residents during the medication administration observation, to limit the potential of spreading infection. The deficient practice was evidenced by the following: Reference: According to Centers for Disease Control and Prevention, Guideline for Disinfection and Sterilization in Healthcare Facilities, dated 11/28/23, included that: Semicritical items contact mucous membranes or non-intact skin. This category included respiratory therapy. These medical devices should be free from all microorganisms. a. On 2/20/2026 at 11:47 AM, the surveyor observed Licensed Practical Nurse (LPN #2) perform a treatment for Resident #3 in the resident's bathroom. Prior to performing the treatment LPN #2 was observed performing hand…

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, record review, and document review, it was determined that the facility failed to issue the required Skilled Nursing Advance Beneficiary Notice of Non-Coverage (SNFABN) and Notice of Medicare Non-Coverage (NOMNC) in the proper time frame for 2 of 3 residents (Resident #12, and Resident #46) reviewed for Beneficiary Protection Notification. This deficient practice was evidenced by the following:On 2/18/26 at 1:36 PM, the surveyor reviewed the facility provided list of residents who were discharged from Medicare covered Part A in the last six months and randomly chose three residents and requested the Beneficiary Notices from the Licensed Nursing Home Administrator (LNHA). On 2/21/26 at 1:55 PM, the surveyor reviewed the Beneficiary Notices provided which revealed the following: Resident #12 had a Medicare Part A episode that began on 8/28/25 and a last covered day of 9/26/25. An email provided by the facility revealed the SNF ABN and the NOMNC were both sent to the Resident #12's responsible party (RP) on 9/25/25 at 4:06 PM. Resident #46 had a Medicare Part 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 interview, record review, and review of facility documents, it was determined that the facility failed to identify medication irregularity from 1/13/26 to 2/19/26, during the monthly Medication Record Review (MRR) of the Consultant Pharmacist (CP) for one (1) of three (3) residents (Resident #1) reviewed for pressure ulcers. The deficient practice was evidenced by the following: On 2/18/26 at 12:16 PM, the surveyor observed Resident #1 in the dining room seated in a recliner with legs elevated and was fed by a facility staff.On 2/19/26 at 8:57 AM, the surveyor observed Resident #1 asleep on their back, unaroused by the surveyor's voice, head of the bed was elevated, and legs were covered with a blanket. The surveyor reviewed the medical record for Resident #1. A review of the admission Record face sheet (an admission summary) reflected that the resident was admitted to the facility with diagnoses which included but were not limited to; Parkinson's Disease (a movement disorder of the nervous system that worsens over time), pressure ulcer of the sacral region (bottom of 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 interview, record review, and document review, it was determined that the facility failed to have a current written agreement between the Medicare-certified hospice and the facility for 1 of 1 resident (Resident #28) reviewed for hospice/end of life care. The deficient practice was evidenced by the following:On 2/20/2026 at 9:23 AM, the surveyor observed and interviewed Resident #28 who was in their room. On 2/24/26 at 10:20 AM, the surveyor reviewed the resident's hard chart (paper chart) which revealed the following: The Face Sheet revealed the resident had diagnoses including but not limited to; arteriosclerotic heart disease (thickening and hardening of the arteries of the heart). The physician's orders included an order dated 10/27/25 for [name redacted #1] Hospice (H #1). A review of Resident #28's electronic medical record (EMR) revealed the following: The quarterly Minimum Data Set (MDS), an assessment tool, dated 2/25/26 included a Brief Interview for Mental Status (BIMS) score of 13, which indicated intact cognition. A review of the individual comprehensive 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.

Based on observation, interview, record review and policy review, it was determined that the facility failed to a.) store food in a manner to prevent food-borne illness and, b.) failed to maintain the kitchen environment and equipment in a sanitary manner to prevent contamination from foreign substances and potential for the development a food borne illness. This deficient practice was evidenced by the following: 1. On 09/17/24 at 7:30 AM, an initial brief tour of the kitchen was conducted in the presence of the Food Service Director (FSD), and the surveyor observed the following: - The large commercial food processor was stored on the metal table with the lid, and when the FSD lifted the lid the inside was wet. The FSD stated it should not have been left wet. - Various crumb type debris was observed on the bins which stored bulk flour and sugar. - The base of the can opener, affixed to the stainless steal table debris on the base and around - A large meat slicer was observed on the corner of the metal steam table, covered in plastic, and was identified as clean by the FSD. The FSD…

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 facility documentation, it was determined that the facility failed to maintain an Automated External Defibrillator (AED-equipment used for the purposes of immediate response for cardiac arrest) and other emergency items prior to their expiration date. This deficient practice was identified for 2 of 2 expired AED kits located on 2 of 2 resident units (2nd and 3rd floor), which contained expired defibrillator pads dated [DATE], and was evidenced by the following: On [DATE] at 11:01 AM, in the presence of the Licensed Practical Nurse (LPN), the surveyor observed an AED emergency response kit, mounted on the wall of the AED room on the Third floor. The surveyor observed the LPN, remove the AED kit from the wall mounting, opened it, and observed one defibrillator pad (AED electrode pad, an essential component of an AED to treat a sudden cardiac arrest emergency) attached to the AED machine, that expired on [DATE]. No other AED pads were observed…

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 interview, medical record review, and review of other pertinent facility documentation, it was determined the facility failed to consistently offer residents a pneumococcal vaccine. The deficient practice was identified for 2 of 5 residents (#2, #18) reviewed for immunizations and was evidenced by the following. Reference: A review of the CDC's Advisory Committee on Immunization Practices (ACIP) for Pneumococcal Vaccine Recommendations dated/last reviewed on 2/13/23, included the following. The CDC recommends routine administration of pneumococcal conjugate vaccine (PCV15 or PCV20) for all adults 65 years or older who have never received any pneumococcal conjugate vaccine or whose previous vaccination history is unknown . 1. The surveyor reviewed Resident #12's immunization history on the hybrid (paper and electronic) medical record on 9/18/24. Documentation supporting the administration of pneumococcal immunization could not be located on the paper or electronic sections of the record. In an interview…

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 a.) maintain the dignity of an unsampled resident. This deficient practice was found with 1 of 2 Certified Nursing Aides (CNA) observed during a dining observation on the third floor, and b.) place a urine drainage collection bag in a privacy cover to ensure a resident's dignity for 1 of 2 residents (Resident #26) reviewed for urine catheters. The deficient practice was evidenced by the following: a.) On 9/17/24 at 12:40 PM, during a lunch meal dining observation on the 3rd floor in the main dining room, an unsampled resident asked the surveyor a question regarding wanting pineapple chunks with their meal. The CNA was next to the resident when the request was made, and the CNA did not say anything. The surveyor asked the CNA if she could help the resident with their request. The CNA looked at the surveyor and said, the resident knows that the dessert is not given until after the meal is served. The surveyor asked the CNA if she could speak directly to the resident about the concern. 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 interviews, review of facility policy, and review of pertinent facility documents, it was determined that the facility failed to implement their abuse policy to ensure a criminal background checks were completed prior to the start date of employment. This deficient practice was identified for 1 of 10 employee files reviewed (Employee #7) and was evidenced by the following: The surveyor reviewed ten employee files who had been hired since the last standard survey conducted on 7/7/23, which revealed the following incomplete pre-employment screening documents: Employee #7, Activities Aide, hired 5/13/24. The background check revealed a report date of 5/17/24. A review of the employee's position description, signed on 5/13/24, revealed a job summary to provide therapeutic activity programs to the residents. Essential Functions, as follows but not limited to; assist in organizing, developing, and directing therapeutic activities for groups or individuals to meet the needs of the residents. A review of Employee Acknowledgement Form was a signed document acknowledging receipt 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 documentation, it was determined that the facility failed to ensure a urinary drainage collection bag and drainage tubing were not in direct contact with the floor to prevent potential contamination. This deficient practice was identified for 1 of 2 residents (Resident #26) reviewed for urinary catheter use and was evidenced by the following: A review of the facility provided policy, Indwelling Urinary Catheter Insertion/Maintenance (Male/Female) revised 01/29/24, included but was not limited to; 5. Both the drainage tubing and bag must be kept from touching the floor. On 09/17/2024 at 7:41 AM, the surveyor observed Resident #26 lying in bed with part of the urinary drainage tube and urinary drainage bag lying in direct contact with the floor. On 09/17/2024 at 10:41 AM, the surveyor observed Resident #26 in a high-backed wheelchair in the third-floor activity day room. The surveyor observed part of the urinary drainage tube and the urinary collection bag lying directly on the floor under the wheelchair. 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 interview and review of pertinent facility documents, it was determined that the facility failed to ensure a resident who received pain management: a.) had a comprehensive patient-centered care plan for pain, and b.) the pain management physician recommendation was acted upon in a timely manner. This deficient practice was identified for 1 of 1 resident, reviewed for pain management (Resident #15) and was evidenced by the following: On 9/17/24 at 7:43 AM, a surveyor observed Resident #15 in bed who complained of pain. The resident stated that the pain medication would be administered after breakfast. On 9/17/24 at 11:11 AM, a surveyor observed the resident in the rehabilitation room. At that time, during an interview with the surveyor, the Physical Therapist (PT) stated that they would provide a hot pad for the resident's back pain. The surveyor then interviewed the Registered Nurse/Charge Nurse (RN/CN) who informed the surveyor that they charted the resident's pain by exception (documenting only when…

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 appropriately administer medications used to manage low blood pressure in accordance with physician orders. The deficient practice was identified for one (1) of five (5) residents reviewed for unnecessary medications (Resident #15) and was evidenced by the following: On 9/17/24 at 7:43 AM, a surveyor observed Resident #15 in bed who complained of pain. The resident stated that the pain medication would be administered after breakfast. On 9/17/24 at 11:11 AM, a surveyor observed the resident in the rehabilitation room. At that time, during an interview with the surveyor, the Physical Therapist (PT). The surveyor then interviewed the Registered Nurse/Charge Nurse who informed the surveyor that they charted the resident's pain by exception. On 9/18/24 at 10:47 AM, during an interview with the surveyor, the Registered Nurse/Charge Nurse (RN) stated the resident had a fall on 6/4/24 while going to the bathroom and a risk assessment was conducted. The surveyor reviewed the hybrid 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.

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 complete a fall investigation for 1 of 2 residents (Resident #1) reviewed for falls. This deficient practice was evidenced by the following: On 6/29/23 at 9:59 AM, the surveyor observed Resident #1 ambulating with a walker with a staff member. On that same day at 10:03 AM, the surveyor observed the resident seated a table with another resident. The resident had a wander guard to the left ankle. The surveyor reviewed the medical record for Resident #1. Review of the face sheet (an admission summary) indicated that the resident was admitted to the facility on [DATE], with diagnoses which included but not limited to dementia with behavioral disturbances, paroxysmal atrial fibrillation, Alzheimer's disease and repeated falls. Review of the quarterly Minimum Data Set (MDS), an assessment tool used to facilitate the management of care dated 6/16/2023, reflected the resident had a Brief Interview for Mental Status (BIMS)…

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 develop a person-centered baseline care plan for a resident within 48 hours of admission. This deficient practice was identified for 1 of 15 residents reviewed for person-centered baseline care plans (Resident #8) and was evidenced by the following: The evidence was as follows: On 6/28/23 at 10:55 AM, two surveyors observed Resident #8 in a wheelchair on the third activity room. This resident was noted to require assistance at meals. The surveyor reviewed the medical record for Resident # 8. Review of the resident's Face Sheet (an admission record) reflected the resident was admitted on [DATE], with diagnoses that included but were not limited to; Alzheimer's disease, oropharyngeal dysphagia (difficulty swallowing) and hypothyroidism. Review of the admission Minimum Data Set (MDS), an assessment tool used to facilitate the management of care, dated 5/22/23 reflected…

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 the physician a.) addressed a significant weight loss of 5.5 pounds (lbs.) which was 5.4% in 20 days from admission on [DATE] through 6/5/23, b.) monitored weekly weights, and c.) implemented nutritional interventions in a timely manner for 1 of 4 residents (Resident #8) reviewed for nutrition. The deficient practice was evidenced by the following: On 6/28/23 at 10:55 AM, two surveyors observed Resident #8 in a wheelchair on the third activity room. This resident was noted to require assistance at meals. On 7/07/23 at 8:40 AM, the surveyor observed the resident in bed with the head of the bed elevated. The resident's eyes were opened, and he/she smiled, appeared to be missing his/her top two teeth. The residents Certified Nurses' Aides (CNA) opened the residents breakfast tray, sat at the bedside and fed Resident #8. The CNA stated that she was familiar with 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 a medication was administered according to physician orders and acceptable standards of practice in accordance with the New Jersey Board of Nursing. This deficient practice was identified in 1 (one) of 9 (nine) residents (Resident #9) observed during the medication observation pass. 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 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…

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.