Inspection Reports for
Abigail House For Nursing & Rehabilitation
1105 -1115 Linden Street, Camden, NJ, 08102
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
5.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
6% worse than New Jersey average
New Jersey average: 5.2 deficiencies/yearDeficiencies per year
20
15
10
5
0
Census
Latest occupancy rate
95% occupied
Based on a April 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Notice
Deficiencies: 0
Date: Nov 19, 2025
Visit Reason
This document serves as a Notice of Privacy Practices informing individuals about how their medical information may be used and disclosed by the New Jersey Department of Health and Senior Services and their rights related to this information.
Findings
The notice outlines the types of information covered, reasons for use and disclosure of health information, individual rights regarding their health information, legal duties of the department, and contact information for privacy concerns.
Report Facts
Effective date: 2011
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Devon L. Graf | Director | NJDHSS Privacy Officer named as contact for privacy practices |
Inspection Report
Annual Inspection
Census: 179
Capacity: 188
Deficiencies: 17
Date: Apr 17, 2025
Visit Reason
A Recertification Survey was conducted to determine compliance with 42 CFR Part 483, Requirements for Long Term Care Facilities, including complaint investigation NJ #184823.
Complaint Details
Complaint NJ #184823 triggered the survey. The complaint involved issues with personal needs accounts and other resident care concerns. The complaint was substantiated as deficiencies were cited.
Findings
The facility was found deficient in multiple areas including notice and conveyance of personal funds, right to forms of communication, safe/clean/homelike environment, transfer and discharge requirements, care plan timing and revision, services provided meeting professional standards, bedrails, pharmacy services, free from unnecessary psychotropic medications, medication error rates, food procurement and safety, resident records confidentiality, infection prevention and control, life safety code compliance, and fire safety systems. Deficiencies were cited and plans of correction were submitted.
Deficiencies (17)
Facility failed to notify residents with Personal Needs Accounts approaching resource limits.
Facility failed to provide Saturday mail services to residents.
Facility failed to maintain resident rooms in a sanitary and homelike manner.
Facility failed to complete discharge summary for Resident #179.
Facility failed to revise care plans timely for residents with discontinued medications.
Facility failed to administer medications according to physician orders for multiple residents.
Facility failed to provide Saturday mail services to residents.
Facility failed to maintain safe environment and prevent accidents.
Facility failed to ensure proper medication storage temperatures.
Facility failed to maintain food safety and sanitation standards.
Facility failed to maintain confidentiality of resident records.
Facility failed to maintain proper staffing ratios.
Facility failed to ensure doors in a required means of egress were properly equipped and maintained.
Facility failed to ensure fire sprinklers and fire alarm systems were properly maintained and inspected.
Facility failed to ensure safe storage of gas equipment and oxygen cylinders.
Facility failed to maintain infection prevention and control program and hand hygiene compliance.
Facility failed to implement antibiotic stewardship program fully.
Report Facts
Census: 179
Total Capacity: 188
Sample size: 35
Deficiency count: 20
Medication error rate: 7
Staffing ratios: One CNA to every 8 residents day shift, 1:10 evening, 1:14 night shift.
Medication administration errors: 2
Medication opportunities: 26
Medication error rate: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse/Unit Manager (LPN/UM) #1 | Licensed Practical Nurse/Unit Manager | Named in medication administration and medication cart security findings. |
| Licensed Practical Nurse/Unit Manager (LPN/UM) #2 | Licensed Practical Nurse/Unit Manager | Named in medication administration and medication cart security findings. |
| Licensed Practical Nurse/Unit Manager (LPN/UM) #3 | Licensed Practical Nurse/Unit Manager | Named in medication administration and medication cart security findings. |
| Nurse #3 | Nurse | Named in medication administration and medication cart security findings. |
| Nurse #5 | Nurse | Named in medication administration and medication cart security findings. |
| Cook #1 | Cook | Named in food safety and sanitation findings. |
| Administrator | Named in life safety code exit conference and fire safety findings. | |
| Director of Maintenance | Director of Maintenance | Named in fire safety and oxygen storage findings. |
| In-serviced Staffing Coordinator (SC) | Staffing Coordinator | Named in staffing ratio findings. |
| Director of Nursing (DON) | Director of Nursing | Named in staffing ratio findings. |
| Infection Preventionist | Infection Preventionist | Named in infection prevention and hand hygiene findings. |
| Pharmacy Consultant | Pharmacy Consultant | Named in medication pass observation and narcotic count findings. |
| Registered Nurse/Unit Manager (RN/UM) #1 | Registered Nurse/Unit Manager | Named in medication storage temperature and medication cart security findings. |
Inspection Report
Complaint Investigation
Census: 170
Deficiencies: 1
Date: Feb 7, 2024
Visit Reason
A complaint survey was conducted on behalf of the New Jersey Department of Health covering multiple complaint numbers between 02/05/2024 and 02/07/2024.
Complaint Details
Complaint survey conducted for complaint numbers NJ00157459, NJ00159311, NJ00161356, NJ00169797, NJ00166647, and NJ00169803. The facility was found in substantial compliance based on this complaint visit.
Findings
The facility was found to be in substantial compliance with federal requirements; however, a deficiency was identified related to failure to meet minimum staffing ratios on 4 of 14 day shifts, potentially affecting all residents. The facility has taken corrective actions including contracting additional staffing resources and monitoring staffing levels.
Deficiencies (1)
Failed to ensure staffing ratios were met to maintain the required minimum staff-to-resident ratios as mandated by the state of New Jersey for 4 of 14 day shifts.
Report Facts
Survey Census: 170
Sample Size: 11
Deficient CNA staffing shifts: 4
CNA staffing on 01/21/24: 16
CNA staffing on 01/27/24: 17
CNA staffing on 01/28/24: 17
CNA staffing on 02/03/24: 20
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Dec 27, 2023
Visit Reason
The inspection was conducted based on complaints NJ#165979, NJ#163991, and NJ#169630 to investigate compliance with federal and state regulations regarding long term care facility standards.
Complaint Details
Complaint numbers NJ#165979, NJ#163991, and NJ#169630 triggered the investigation. The facility was found not in substantial compliance based on these complaints.
Findings
The facility was found not in substantial compliance with requirements, including failure to consistently document Activities of Daily Living (ADL) care for residents and failure to maintain required minimum direct care staff to resident ratios. Deficiencies were identified related to ADL care documentation and staffing shortages.
Deficiencies (2)
Failure to consistently document Activities of Daily Living (ADL) care for Resident #3 and others.
Failure to maintain the required minimum direct care staff to resident ratios as mandated by the State of New Jersey.
Report Facts
Census: 176
Sample Size: 5
Deficient day shifts: 6
CNA staffing counts: 19
CNA staffing counts: 19
CNA staffing counts: 16
CNA staffing counts: 19
CNA staffing counts: 19
CNA staffing counts: 19
Inspection Report
Routine
Census: 181
Deficiencies: 0
Date: Aug 19, 2023
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the New Jersey Department of Health to assess compliance with infection control regulations.
Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and has implemented the CMS and CDC recommended practices to prepare for COVID-19.
Report Facts
Sample Size: 9
Inspection Report
Routine
Census: 178
Deficiencies: 0
Date: Aug 7, 2023
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the New Jersey Department of Health to assess compliance with infection control regulations and preparedness for COVID-19.
Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and has implemented the CMS and CDC recommended practices to prepare for COVID-19.
Report Facts
Sample Size: 8
Inspection Report
Annual Inspection
Census: 164
Capacity: 169
Deficiencies: 9
Date: Apr 11, 2023
Visit Reason
A recertification survey was conducted to assess compliance with federal regulations and state licensing requirements for Abigail House for Nursing & Rehabilitation.
Findings
The facility was found not to be in substantial compliance with 42 CFR 483 subpart B, with deficiencies noted in infection control, call light accessibility, resident council meetings, surety bond security, care planning, medication administration, fire safety, and other regulatory requirements. Immediate Jeopardy related to infection control was removed during the survey.
Deficiencies (9)
Failure to ensure glucometers were cleaned and sanitized between resident use, resulting in an Immediate Jeopardy.
Failure to ensure call lights were within reach of residents.
Failure to facilitate resident council meetings for three consecutive months.
Failure to have a surety bond in an amount large enough to cover the highest daily balance of residents' trust fund accounts.
Failure to maintain complete and accurate medical records for residents.
Failure to maintain fire safety requirements including smoke detector sensitivity testing and obstruction-free egress.
Failure to maintain a medication error rate below five percent.
Failure to maintain a functioning call light system for residents.
Failure to maintain infection prevention and control program including sanitizing equipment and hand hygiene.
Report Facts
Survey Census: 164
Total Capacity: 169
Sample Size: 47
Medication Error Rate: 13.51
Number of Residents Affected by Staffing Deficiency: 164
Number of CNAs Required: 21
Number of CNAs Present: 15
Number of CNAs Present: 20
Number of CNAs Present: 16
Number of CNAs Present: 19
Number of CNAs Present: 18
Number of CNAs Present: 14
Number of CNAs Present: 10
Number of Residents Affected by Fire Safety Deficiency: 169
Number of Smoke Detectors Affected: 5
Number of Smoke Zones: 9
Number of Photo Electric Smoke Detectors: 244
Number of Residents Affected by Call Light Deficiency: 68
Number of Residents Sampled for Deficiencies: 47
Inspection Report
Complaint Investigation
Census: 170
Deficiencies: 0
Date: Mar 6, 2023
Visit Reason
The inspection was conducted as a complaint investigation based on complaint number NJ161700.
Complaint Details
Complaint number NJ161700 was investigated and the facility was found to be in substantial compliance.
Findings
The facility was found to be in substantial compliance with the requirements of 42 CFR Part 483, Subpart B, for long term care facilities based on this complaint visit.
Report Facts
Sample size: 3
Inspection Report
Complaint Investigation
Census: 170
Deficiencies: 2
Date: Aug 5, 2022
Visit Reason
The inspection was conducted as a complaint investigation based on complaints NJ150951, NJ154909, and NJ156691 regarding infection prevention and quality of care issues at Abigail House for Nursing & Rehabilitation.
Complaint Details
The complaint investigation was based on complaints NJ150951, NJ154909, and NJ156691. The facility was found not in substantial compliance with 42 CFR Part 483, Subpart B, for long term care facilities. The COVID-19 screening deficiency was substantiated. The shower deficiency was related to complaint NJ154909.
Findings
The facility was found not in substantial compliance with infection prevention and control requirements due to failure to thoroughly screen all visitors for COVID-19 symptoms according to facility policy and CDC guidelines. Additionally, the facility failed to provide a resident with weekly showers as per the facility's shower schedule and policy.
Deficiencies (2)
Failure to thoroughly screen all visitors for COVID-19 signs and symptoms in accordance with facility policy and CDC guidelines.
Failure to provide a resident with weekly showers according to the facility's shower schedule and policy.
Report Facts
Census: 170
Sample Size: 3
Deficiency Completion Date: Sep 9, 2022
Deficiency Completion Date: Sep 22, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Admissions Coordinator/Receptionist | Did not screen survey team for COVID-19 symptoms upon entry | |
| Director of Nursing | Provided information about COVID-19 screening process and monitoring | |
| Administrator | Acknowledged the failure to screen surveyors and described computerized screening process trial | |
| Unit Manager | Interviewed regarding resident shower schedule and compliance |
Inspection Report
Complaint Investigation
Census: 153
Deficiencies: 1
Date: Jun 22, 2021
Visit Reason
Complaint investigation NJ #144826 to determine compliance with 42 CFR Part 483, Subpart B, for long term care facilities.
Complaint Details
Complaint NJ #144826. The facility was not in substantial compliance based on this complaint visit.
Findings
The facility was found not in substantial compliance due to failure to follow Physician's Orders and Care Plan interventions for medication and treatment administration for 3 of 4 residents reviewed. Documentation omissions and failure to follow facility policies were noted.
Deficiencies (1)
Failure to follow Physician's Orders and Care Plan interventions for medication and treatment administration for residents #1, #2, and #3.
Report Facts
Sample Size: 4
Deficiency Completion Date: Jul 9, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN)/Unit Manager (UM) | Interviewed regarding documentation and medication/treatment administration |
Inspection Report
Annual Inspection
Census: 154
Deficiencies: 1
Date: Jan 28, 2021
Visit Reason
A Recertification Survey was conducted to determine compliance with 42 CFR Part 483, Requirements for Long Term Care Facilities.
Findings
The facility was found deficient in food procurement, storage, preparation, and sanitation practices, including handling outdated food items and maintaining cleanliness in the walk-in freezer and refrigerator areas.
Deficiencies (1)
Facility failed to handle potentially hazardous foods and maintain sanitation in a safe and consistent manner, evidenced by outdated sliced deli ham stored for 8 days and unsanitary conditions in the walk-in freezer including food debris and rusted storage racks.
Report Facts
Census: 154
Sample size: 31
Days outdated: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Floor Manager | Interviewed regarding food handling and sanitation practices | |
| Food Service Director | Interviewed and involved in corrective actions for food storage and sanitation |
Inspection Report
Routine
Census: 153
Deficiencies: 0
Date: Dec 2, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the New Jersey Department of Health to assess compliance with infection control regulations related to COVID-19.
Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and has implemented the CMS and CDC recommended practices for COVID-19.
Report Facts
Sample size: 3
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