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)
12.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
137% worse than New Jersey average
New Jersey average: 5.2 deficiencies/yearDeficiencies per year
36
27
18
9
0
Occupancy
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 rate 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
Routine
Deficiencies: 17
Date: Apr 17, 2025
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements including resident care, medication administration, infection control, food safety, and facility operations.
Findings
The facility was found deficient in multiple areas including failure to notify residents about Personal Needs Account balances, lack of Saturday mail service, unsanitary resident rooms, incomplete discharge summaries, failure to revise care plans after medication changes, improper pain medication administration, inadequate fall prevention interventions, improper respiratory equipment storage, unapproved use of bed rails, medication administration errors, unsecured medication carts, improper medication storage temperatures, poor food handling and sanitation, failure to maintain resident record confidentiality, inadequate infection control during meal service, and incomplete antibiotic stewardship monitoring.
Deficiencies (17)
Failure to notify residents with Personal Needs Account balances approaching Medicaid/SSI limits.
Failure to provide Saturday mail service to residents.
Failure to maintain resident rooms in a sanitary and homelike manner.
Failure to ensure discharge summaries were completed by physicians for discharged residents.
Failure to revise resident care plans after discontinuation of psychotropic medications.
Failure to administer pain medication according to physician prescribed pain scale.
Failure to ensure fall interventions were in place for residents with history of falls.
Failure to ensure respiratory equipment was stored properly to prevent infection.
Failure to obtain physician order, consent, and perform safety assessment prior to use of four side rails on resident's bed.
Failure to administer medications according to manufacturer instructions and maintain proper medication accountability.
Failure to ensure PRN psychotropic medications had orders limited to 14 days and proper reassessment.
Failure to maintain medication error rate below 5%, with errors in medication administration.
Failure to secure medication carts when unattended and improper medication storage temperatures.
Failure to maintain proper food handling and sanitation practices in the kitchen and during meal service.
Failure to maintain confidentiality of resident medical records during medication administration.
Failure to perform proper hand hygiene and food handling during meal service.
Failure to fully implement antibiotic stewardship program including use of McGeer criteria and documentation.
Report Facts
Residents with Personal Needs Account: 171
Personal Needs Account balance: 104879.71
Residents with PNA funds over $2000: 9
Residents with PNA funds near $2000: 10
Medication error rate: 7
Medication refrigerator temperature: 26
Medication refrigerator temperature: 32
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #5 | Licensed Practical Nurse | Administered ferrous sulfate elixir without dilution and failed to offer water after inhaler. |
| LPN #3 | Licensed Practical Nurse | Failed to lock medication cart when unattended and failed to use privacy screen on laptop. |
| LPN/UM #1 | Licensed Practical Nurse/Unit Manager | Interviewed regarding medication errors, narcotic count logs, and medication cart security. |
| Consultant Pharmacist | Interviewed regarding medication administration errors and narcotic accountability. | |
| Director of Nursing | Interviewed regarding medication administration, narcotic accountability, infection control, and antibiotic stewardship. | |
| Food Service Director | Observed unsanitary kitchen conditions and improper food handling. | |
| Infection Preventionist | Interviewed regarding antibiotic stewardship and infection control practices. | |
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Observed improper hand hygiene and food handling during meal service. |
| Certified Nursing Assistant #1 | Certified Nursing Assistant | Observed touching resident food with bare hands during meal service. |
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: 1
Date: Dec 29, 2023
Visit Reason
The inspection was conducted based on complaint number 165979 to investigate the facility's documentation of Activities of Daily Living (ADL) care for Resident #3.
Complaint Details
Complaint #165979 was substantiated based on observation, interviews, and record review indicating deficient documentation of ADL care for Resident #3.
Findings
The facility failed to consistently document ADL care as being provided to Resident #3 on the ADL Documentation form, with multiple blank spaces indicating tasks were not recorded as completed. Interviews with staff confirmed that undocumented ADL care is considered not done.
Deficiencies (1)
Failure to consistently document Activities of Daily Living (ADL) care for Resident #3, with multiple blank spaces on the ADL Documentation form indicating incomplete recording of care.
Report Facts
Complaint number: 165979
Brief Interview for Mental Status (BIMS) score: 5
Dates with undocumented ADL tasks: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Assistant Director of Nursing (ADON) | Interviewed regarding CNA responsibility for ADL documentation | |
| Director of Nursing (DON) | Interviewed regarding importance of ADL documentation | |
| Licensed Practical Nurse (LPN) | Interviewed regarding ADL documentation and review of Resident #3's ADL sheets |
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
Deficiencies: 0
Date: Aug 19, 2023
Visit Reason
The inspection was conducted as a regulatory survey of Abigail House for Nursing & Rehabilitation to assess compliance with health and safety standards.
Findings
No health deficiencies were found during the inspection.
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
Deficiencies: 0
Date: Aug 7, 2023
Visit Reason
The document is a statement of deficiencies and plan of correction for Abigail House for Nursing & Rehabilitation, summarizing the findings of a regulatory survey completed on 08/07/2023.
Findings
No health deficiencies were found during the inspection.
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
Routine
Census: 164
Deficiencies: 19
Date: Apr 11, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements including resident care, infection control, medication administration, and facility safety.
Findings
The facility was found deficient in multiple areas including failure to ensure call lights were within reach for residents, failure to facilitate resident council meetings, inadequate surety bond coverage, lack of resident awareness of the State Ombudsman, incomplete advance directives, unresolved resident grievances, inaccurate PASRR screenings, incomplete care plans, inadequate assistance with activities of daily living, medication administration errors, unsafe food storage, incomplete admission records, failure to explain binding arbitration agreements properly, inadequate quality assurance oversight, and failure to properly sanitize glucometers and perform hand hygiene during blood sugar testing.
Deficiencies (19)
Failure to ensure call lights were within reach for residents R14, R41, R65, and R68.
Failure to facilitate resident council meetings for three consecutive months and failure to respond to resident grievances.
Failure to have a surety bond large enough to cover the highest daily balance of residents' trust fund account.
Failure to provide information on the role of the State Ombudsman to residents R79, R46, and R88.
Failure to post contact information for the State Long-Term Care Ombudsman program in prominent locations.
Failure to ensure residents received assistance with formulating Advance Directives and completion of Physician's Orders for Life-Sustaining Treatment (POLST) forms for residents R18, R93, and R76.
Failure to make prompt efforts to resolve grievances and document evidence of investigations and resolutions.
Failure to complete PASRR Level 1 Screenings accurately and/or with new major mental illness diagnoses for residents R152, R34, and R141.
Failure to develop complete care plans addressing all resident needs for residents R76 and R159.
Failure to revise care plan to reflect current resident condition for resident R64.
Failure to provide assistance with nail care, facial grooming, and hair care for residents R30, R41, and R65.
Failure to provide appropriate pressure ulcer care and prevent new ulcers for resident R41.
Failure to provide adequate supervision to prevent accidents and failure to lock medication cart during medication administration.
Failure to provide adequate supervision for 12 residents who smoke and failure to assess one resident (R129) for smoking safety.
Failure to maintain medication error rate below 5%, with 5 errors/omissions out of 37 opportunities (13.51% error rate).
Failure to complete admission records for residents R18, R137, and R141.
Failure to ensure binding arbitration agreements were explained properly and residents informed of their rights to rescind within 30 days for residents R101, R103, and R152.
Failure to sanitize glucometers between uses and failure to wear gloves or perform hand hygiene during fingerstick blood sugar testing for multiple residents.
Failure to ensure a working call system was available for resident R68.
Report Facts
Residents affected by call light deficiency: 4
Residents affected by resident council deficiency: 3
Residents affected by surety bond deficiency: 164
Residents affected by ombudsman information deficiency: 3
Residents affected by advance directive deficiency: 3
Residents affected by grievance documentation deficiency: 5
Residents affected by PASRR screening deficiency: 3
Residents affected by incomplete care plans: 2
Residents affected by care plan revision deficiency: 1
Residents affected by personal care assistance deficiency: 3
Residents affected by pressure ulcer care deficiency: 1
Residents affected by smoking supervision deficiency: 12
Residents affected by medication error: 1
Residents affected by admission record deficiency: 3
Residents affected by binding arbitration deficiency: 3
Residents affected by glucometer sanitization deficiency: 10
Residents affected by call light deficiency: 1
Medication administration opportunities: 37
Medication errors: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN 3 | Licensed Practical Nurse | Named in infection control deficiency related to FSBS testing and glucometer sanitization |
| LPN 4 | Licensed Practical Nurse | Named in medication error and care plan development deficiencies |
| LPN 5 | Licensed Practical Nurse | Named in call light and smoking supervision deficiencies |
| LPN 6 | Licensed Practical Nurse | Named in glucometer sanitization deficiency |
| LPN 7 | Licensed Practical Nurse | Named in medication error and glucometer sanitization deficiencies |
| RN 1 | Registered Nurse | Named in medication error deficiency |
| RN 2 | Registered Nurse | Named in glucometer sanitization deficiency |
| CNA 1 | Certified Nursing Assistant | Named in nail care deficiency |
| CNA 4 | Certified Nursing Assistant | Named in smoking supervision deficiency |
| CNA 5 | Certified Nursing Assistant | Named in pressure ulcer care and smoking supervision deficiencies |
| Director of Nursing | Director of Nursing | Named in multiple deficiencies including infection control, call light, smoking supervision, medication errors |
| Administrator | Administrator | Named in call light, smoking supervision, binding arbitration deficiencies |
| Dietary Manager | Dietary Manager | Named in food storage deficiency |
| Maintenance Director | Maintenance Director | Named in call light deficiency |
| Social Services Director 1 | Social Services Director | Named in advance directives, PASRR, grievance, and admission record deficiencies |
| Social Services Director 2 | Social Services Director | Named in PASRR and admission record deficiencies |
| Activities Director | Activities Director | Named in resident council and smoking supervision deficiencies |
| Admissions Administrative Assistant | Admissions Administrative Assistant | Named in binding arbitration deficiency |
| Business Office Manager | Business Office Manager | Named in admission record and surety bond deficiencies |
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
Deficiencies: 4
Date: Jan 28, 2021
Visit Reason
The inspection was conducted to evaluate the facility's compliance with food safety and sanitation standards to prevent foodborne illness.
Findings
The facility failed to handle potentially hazardous foods and maintain sanitation in a safe and consistent manner, including issues with expired deli meat, food debris and rust in the walk-in freezer, and unclear cleaning responsibilities for the walk-in refrigerator floor.
Deficiencies (4)
Sliced deli ham in the refrigerator was dated 8 days old, exceeding the 3-day safe use period.
Unidentified red substance and food debris found on the floor of the walk-in freezer.
Multi-tiered wire storage racks in the walk-in freezer were covered with rust.
Dietary Cleaning Assignment did not specify staff responsible for cleaning the walk-in refrigerator floor.
Report Facts
Days deli ham stored: 8
Safe use period for sliced deli meat: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Floor Manager | Interviewed about deli ham disposal and walk-in freezer cleaning | |
| Food Service Director | Interviewed about rusted racks and cleaning responsibilities |
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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