Inspection Reports for
Heritage Assisted Living
45 US-206, Hammonton, NJ 08037, United States, NJ, 08037
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
23% better than New Jersey average
New Jersey average: 5.2 deficiencies/yearDeficiencies per year
12
9
6
3
0
Occupancy
Latest occupancy rate
72% occupied
Based on a February 2023 inspection.
Occupancy rate over time
Notice
Deficiencies: 0
Date: Nov 19, 2025
Visit Reason
This document serves to inform individuals about the privacy practices of NJDHSS, including how their medical information may be used and disclosed, and their rights related to this information.
Findings
The notice explains the types of information covered, reasons for use and disclosure of health information, individuals' rights to access and control their information, and the legal duties of NJDHSS to protect privacy.
Report Facts
Effective date: 2011
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Devon L. Graf | Director, Office of Legal and Regulatory Compliance | Listed as NJDHSS Privacy Officer contact for the notice |
Inspection Report
Complaint Investigation
Census: 77
Deficiencies: 0
Date: Feb 14, 2023
Visit Reason
The inspection was conducted as a complaint survey based on complaints NJ00157976, NJ00157991, and NJ00161039.
Complaint Details
Complaint investigation based on complaints NJ00157976, NJ00157991, and NJ00161039. The facility was in substantial compliance.
Findings
The facility was found to be in substantial compliance with New Jersey Administrative Code, Chapter 8:36, Standards for Licensure of Assisted Living Residences, Comprehensive Personal Care Homes, and Assisted Living Programs based on this complaint survey.
Report Facts
Sample size: 4
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Jul 22, 2022
Visit Reason
The inspection was conducted as a complaint investigation related to concerns about room temperatures exceeding regulatory limits in the facility.
Complaint Details
Complaint #: NJ 00156258. The complaint investigation found the facility was not in substantial compliance with New Jersey Administrative Code 8:36 standards due to failure to maintain safe room temperatures.
Findings
The facility failed to develop and implement a policy to ensure room temperatures did not exceed 82 degrees Fahrenheit during warm weather conditions, resulting in one resident's room reaching 85 degrees. The air conditioning unit was malfunctioning and removed for repair, and no system was in place to monitor room temperatures, placing residents at risk.
Deficiencies (2)
Failure to develop and implement a policy to ensure room temperatures did not exceed 82 degrees Fahrenheit during warm weather conditions.
Heating and air conditioning system was inadequate to maintain required temperature; resident's room temperature exceeded 82 degrees Fahrenheit.
Report Facts
Sample size: 4
Room temperature: 85
Room temperature: 71
Date of survey: Jul 22, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Maintenance | Director of Maintenance | Mentioned as responsible for air conditioning unit repair and temperature monitoring |
| Wellness Director | Wellness Director | Interviewed regarding system to monitor room temperatures |
| Executive Director | Executive Director | Failed to develop and implement policy to ensure room temperatures did not exceed regulatory limits |
Inspection Report
Complaint Investigation
Census: 81
Deficiencies: 8
Date: Jun 10, 2022
Visit Reason
Complaint investigation triggered by complaints NJ 00152155, NJ 00155271, and NJ00154731 regarding facility compliance with standards for licensure of assisted living residences.
Complaint Details
Complaints NJ 00152155, NJ 00155271, and NJ00154731 triggered the investigation. Substantiation status not explicitly stated.
Findings
The facility was found not in substantial compliance with standards, with deficiencies including failure to implement abuse and neglect policies, failure to protect residents from verbal and physical abuse, failure to provide required staff training, failure to address resident weight loss with dietician consultation, and medication administration errors including failure to document and notify prescribers and pharmacists.
Deficiencies (8)
Failure of Executive Director to implement and enforce policies on abuse, neglect, and weight management for residents #1 and #2.
Resident #2 experienced verbal and physical abuse by a Home Health Aide (HHA), including rude language, forcing resident to walk despite discomfort, rough handling of wheelchair, and taking snacks without permission.
Failure to conduct investigation into alleged abuse of Resident #2 and Resident #1 despite staff awareness.
Failure to provide required in-service education and training upon hire for one Home Health Aide employee.
Failure of Registered Nurse to consult dietician for Resident #2 who sustained significant weight loss from October 2021 to June 2022.
Failure to consistently initial medication administration records (MARs) and notify prescriber and consultant pharmacist for medication errors for Residents #7 and #8.
Failure to ensure accurate administration and documentation of medications for Residents #7 and #8 as per prescriber's orders.
Failure to ensure consultant pharmacist reviewed residents' MARs on a quarterly basis for Residents #7 and #8.
Report Facts
Census: 81
Sample size: 9
Weight loss: Resident #2 sustained weight loss from October 2021 to June 2022; exact pounds redacted
Medication administration omissions: Multiple dates in March, April, May, and June 2022 with missing medication administration documentation for Residents #7 and #8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Named in failure to enforce abuse and neglect policies and failure to investigate abuse allegations | |
| Wellness Director | Named in failure to investigate abuse allegations and failure to review medication administration records | |
| Home Health Aide (HHA) | Identified as staff member with abusive behavior toward Resident #2 and failure to receive required training | |
| Licensed Practical Nurse (LPN) | Reported HHA was rude and problematic | |
| Patient Care Assistants (PCA #1 and PCA #2) | Reported Resident #2 concerns about HHA behavior | |
| Registered Nurse (RN) | Failed to consult dietician for Resident #2's weight loss | |
| Human Resources Personnel | Failed to complete employee orientation checklist for HHA |
Inspection Report
Abbreviated Survey
Census: 78
Deficiencies: 3
Date: Sep 21, 2021
Visit Reason
A Covid-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with New Jersey Administrative Code 8:36 infection control regulations and CDC recommended practices related to COVID-19.
Findings
The facility was found not to be in compliance with infection prevention and control requirements, specifically failing to implement a policy for resident and staff screening during Phase 0 of reopening. The facility did not consistently perform full vital sign screenings or COVID-19 symptom questionnaires for residents and staff as required by NJDOH Executive Directive No. 20-026.
Deficiencies (3)
Failure to ensure the Executive Director developed and implemented a policy for resident and staff screening in Phase 0 of reopening according to NJDOH Executive Directive No. 20-026.
Residents were monitored only by temperature checks without full vital signs (blood pressure, pulse, pulse oximetry) as required.
No documented evidence of COVID-19 symptom questionnaires being completed by facility staff during screening.
Report Facts
Resident sample size: 3
Staff temperature list date range: 27
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Aide #1 | CNA | Reported temperature screening in Health and Wellness office |
| Certified Nursing Aide #2 | CNA | Reported temperature screening and hand sanitizing prior to assignment |
| Certified Home Health Aide #1 | CHHA | Reported temperature screening without symptom questionnaire |
| Certified Home Health Aide #2 | CHHA | Reported temperature screening without symptom questionnaire |
| Activities Director | AD | Reported daily temperature checks on activity staff without symptom questionnaire |
| Licensed Practical Nurse #1 | LPN | Reported staff temperature screening without symptom questionnaire |
Inspection Report
Routine
Census: 72
Capacity: 96
Deficiencies: 7
Date: Jul 8, 2021
Visit Reason
Standard survey of 96 residential units to assess compliance with New Jersey Administrative Code 8:36 for licensure of assisted living residences.
Findings
The facility was found not in substantial compliance with multiple standards including resident rights, dining services, pharmaceutical services, housekeeping, sanitation, safety, maintenance, and infection prevention. Deficiencies included restricted resident access to personal space, failure to post meal menus with portion sizes, medication administration errors, improper waste storage, unsafe water temperatures, fire safety hazards, and incomplete employee tuberculosis testing records.
Deficiencies (7)
Facility failed to allow residents access to their personal space and belongings, affecting 8 residents.
Failure to post meal menus with portion sizes, post changes or substitutions, and maintain a 30-day log of meal changes or substitutions.
Medications were not administered in accordance with prescriber orders for 1 of 3 observed residents.
Facility failed to store waste in a sanitary manner; dumpster lids missing and garbage bags left on ground.
Hot water temperatures exceeded 120 degrees Fahrenheit at 3 of 10 sinks tested in resident accessible areas.
Building not kept free of fire hazards; exit and fire doors failed to self-close, improper oxygen tank storage, and black substance on wall from water leak.
Facility failed to ensure 5 of 5 sampled employees completed required tuberculosis skin testing upon hire.
Report Facts
Census: 72
Total capacity: 96
Number of sampled residents: 6
Number of sinks tested: 10
Number of sinks exceeding 120°F: 3
Number of oxygen tanks improperly stored: 11
Size of black substance on wall: 240
Number of employees missing tuberculosis testing: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nurse Assistant #9 | Certified Nurse Assistant | Mentioned in relation to lack of training on serving food portions in dementia unit. |
| Dietary Manager | Dietary Manager | Mentioned regarding menu portion sizes and substitutions. |
| Certified Medication Aide #7 | Certified Medication Aide | Observed administering medication and interviewed about medication pass. |
| Director of Nurses | Director of Nurses | Interviewed about resident meal times and medication administration. |
| Maintenance Director | Maintenance Director | Interviewed about dumpster lids, water temperatures, and oxygen tank storage. |
| Administrator | Administrator | Acknowledged concerns during exit visit and informed about missing employee records. |
| Certified Nurse Assistant #5 | Certified Nurse Assistant | Sampled employee missing tuberculosis skin testing record. |
| Certified Nurse Assistant #6 | Certified Nurse Assistant | Sampled employee missing tuberculosis skin testing record. |
| Licensed Practical Nurse #3 | Licensed Practical Nurse | Sampled employee missing tuberculosis skin testing record. |
| Activity Aide #3 | Activity Aide | Sampled employee missing tuberculosis skin testing record. |
| Maintenance Supervisor | Maintenance Supervisor | Sampled employee missing tuberculosis skin testing record and interviewed about oxygen tank storage and door issues. |
Inspection Report
Routine
Census: 71
Deficiencies: 0
Date: Nov 20, 2020
Visit Reason
A Covid-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with New Jersey Administrative Code 8:36 infection control regulations and CDC recommended practices for COVID-19 preparation.
Findings
The facility was found to be in compliance with the infection control regulations and CDC recommended practices for COVID-19.
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