Inspection Reports for Accelerate Skilled Nursing And Rehab Piscataway
10 Sterling Drive, NJ, 08854
Back to Facility ProfileDeficiencies per Year
16
12
8
4
0
Moderate
Unclassified
Census Over Time
Census
Capacity
Notice
Deficiencies: 0
Nov 20, 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 details the types of information covered, reasons for use and disclosure of health information, legal duties of NJDHSS, and the rights of individuals to access, amend, and restrict their health information.
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 questions about the notice |
Inspection Report
Annual Inspection
Census: 75
Capacity: 124
Deficiencies: 15
Dec 2, 2024
Visit Reason
A Recertification Survey was conducted to determine compliance with 42 CFR Part 483, Requirements for Long-Term Care Facilities. Complaint investigations were also completed during this survey.
Findings
Deficiencies were cited related to resident rights, abuse prevention, complaint reporting, accuracy of assessments, care plan implementation, medication administration, staffing ratios, infection control, immunizations, emergency preparedness, and life safety code compliance.
Complaint Details
Multiple complaints NJ00161955, NJ00168225, NJ00169881, NJ00169291, NJ00172462, NJ00177778 were investigated during this survey.
Severity Breakdown
SS=E: 6
SS=D: 5
SS=F: 4
Deficiencies (15)
| Description | Severity |
|---|---|
| Failed to maintain dignity of residents and address resident rights violations. | SS=E |
| Failed to implement abuse prevention policies including timely background checks and reference verifications for new hires. | SS=E |
| Failed to report alleged violations including injuries of unknown source to the State Department of Health in a timely manner. | SS=D |
| Failed to accurately complete Minimum Data Set (MDS) assessments, including vaccine documentation. | SS=D |
| Failed to ensure care plan implementation and timely medication administration for pressure ulcer prevention and treatment. | SS=E |
| Failed to provide sufficient nursing staff to meet minimum state staffing ratios. | SS=D |
| Medication administration error rate exceeded 5%, including improper insulin pen priming technique. | SS=D |
| Failed to store and maintain food and kitchen equipment in a sanitary manner, including soiled surfaces and undated food items. | SS=F |
| Failed to follow infection prevention and control program requirements including hand hygiene and cleaning of glucometers. | SS=E |
| Failed to offer or document pneumococcal and COVID-19 immunizations or refusals for residents. | SS=D |
| Failed to complete pre-employment health examinations and tuberculosis screening for new employees within required timeframes. | SS=E |
| Failed to inspect sprinkler system gauges monthly and maintain documentation. | SS=F |
| Penetrations in smoke barriers were unsealed and smoke dampers lacked required four-year testing documentation. | SS=F |
| Failed to conduct quarterly fire drills on all shifts as required. | SS=F |
| Failed to maintain generator weekly visual inspections and battery electrolyte and gravity checks with documentation. | SS=F |
Report Facts
Census: 75
Total Capacity: 124
Medication administration error rate: 12
Staffing ratios: 6.5
Staffing ratios: 3.7
Staffing ratios: 3.6
Staffing ratios: 4.7
Staffing ratios: 8.4
Staffing ratios: 8.3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse | RN#1 involved in medication administration errors and improper insulin pen priming technique | |
| Director of Nursing | Interviewed regarding staffing ratios, infection control, immunization policies, and corrective actions | |
| Director of Maintenance | Responsible for sprinkler system inspections, generator maintenance, and smoke barrier repairs | |
| Administrator | Responsible for staffing compliance and fire drill scheduling |
Inspection Report
Complaint Investigation
Census: 58
Deficiencies: 2
Feb 15, 2024
Visit Reason
The inspection was conducted based on complaint numbers NJ00167535, NJ00167908, and NJ00170353 to investigate facility compliance with regulatory requirements.
Findings
The facility was found not in substantial compliance with 42 CFR Part 483, Subpart B, specifically failing to provide required written notice before transfer or discharge to residents, their representatives, and the Office of the State Long-Term Care Ombudsman for 3 residents. Additionally, the facility failed to meet mandated minimum staffing ratios on multiple day shifts.
Complaint Details
The complaint investigation revealed that the facility failed to provide the required 30-day written notice of discharge to residents, their representatives, and the Office of the Long-Term Care Ombudsman for Residents #3, #5, and #6. The facility's medical records lacked notification letters for these discharges. The Administrator acknowledged the requirement but did not provide proof of notification during the survey.
Severity Breakdown
SS=E: 1
S 560: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to provide written notice of discharge to the resident, resident representative, and the Office of the Long-Term Care Ombudsman for 3 residents. | SS=E |
| Failure to ensure staffing ratios met the required minimum staff-to-resident ratios as mandated by the state of New Jersey for 26 of 28 day shifts. | S 560 |
Report Facts
Census: 58
Sample Size: 6
Deficient day shifts: 26
Total day shifts reviewed: 28
Minimum CNA to resident ratio: 8
Inspection Report
Routine
Census: 56
Deficiencies: 0
Jun 22, 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 CMS and CDC recommended practices to prepare for COVID-19.
Report Facts
Sample Size: 8
Inspection Report
Life Safety
Census: 53
Deficiencies: 7
Jan 12, 2023
Visit Reason
A Life Safety Code Survey was conducted by the New Jersey Department of Health on 01/12/2023 to assess compliance with fire safety and life safety code requirements for Medicare/Medicaid participation.
Findings
The facility was found not to be in compliance with several life safety code requirements including missing required signage on delayed-egress exit doors, failure to maintain kitchen range hood suppression system inspections, improper smoke detector placement near ceiling fans, missing smoke detection sensitivity tests, corridor doors with louvers allowing smoke passage, unsealed penetrations in smoke barriers, and incomplete generator testing and maintenance.
Severity Breakdown
SS=F: 5
SS=E: 2
Deficiencies (7)
| Description | Severity |
|---|---|
| Exit doors equipped with delayed-egress locking systems lacked required signage stating 'PUSH UNTIL ALARM SOUNDS. DOOR CAN BE OPENED IN 15 SECONDS' on eight stairway exit doors. | SS=F |
| Kitchen range hood suppression system was not inspected, tested, and maintained at least every six months as required. | SS=F |
| Two of 216 smoke detectors were installed less than 36 inches from ceiling fan blades, violating NFPA 72 requirements. | SS=E |
| Facility failed to complete a smoke detection sensitivity test every two years for all 216 photoelectric smoke detectors. | SS=F |
| Corridor doors on the third floor contained louvers that could not be closed, allowing passage of smoke into the main exit access corridor. | SS=E |
| Penetrations in smoke barrier walls near multiple bedrooms were not sealed, compromising smoke barrier integrity. | SS=F |
| The 600 KW diesel generator was not tested monthly under load and weekly inspections were not consistently performed as required. | SS=F |
Report Facts
Occupied beds: 53
Number of smoke detectors: 216
Number of exit stairway doors missing signage: 8
Number of unsealed holes in smoke barriers: 14
Generator load test missing months: 7
Generator weekly inspections missing: 25
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Director | Interviewed regarding deficiencies and corrective actions for smoke detectors, fire doors, smoke barriers, and generator testing | |
| Regional Director | Interviewed regarding smoke barrier penetrations and facility maintenance |
Inspection Report
Plan of Correction
Census: 64
Deficiencies: 1
Jul 26, 2022
Visit Reason
The inspection was conducted to assess compliance with New Jersey Administrative Code standards for licensure of long term care facilities, specifically focusing on staffing ratios and COVID-19 infection control practices.
Findings
The facility was found not in compliance with minimum direct care staff-to-resident ratios for the day shift on 13 of 14 days reviewed. However, the facility was found to be in compliance with COVID-19 infection control regulations.
Deficiencies (1)
| Description |
|---|
| Failed to maintain the required minimum direct care staff-to-resident ratios for the day shift as mandated by the State of New Jersey on 13 of 14 day shifts. |
Report Facts
Census: 64
Deficiency count: 13
Staffing ratios: 1
Staffing levels: 5
Staffing levels: 6
Staffing levels: 6
Staffing levels: 6
Staffing levels: 7
Staffing levels: 7
Staffing levels: 7
Staffing levels: 6
Staffing levels: 7
Staffing levels: 7
Staffing levels: 7
Staffing levels: 6
Staffing levels: 5
Inspection Report
Complaint Investigation
Census: 48
Deficiencies: 0
Jun 29, 2021
Visit Reason
The inspection was conducted as a complaint survey based on multiple complaint numbers NJ142915, NJ142413, NJ141561, NJ141343, and NJ140873.
Findings
The facility was found to be in compliance with the requirements of 42 CFR Part 483, Subpart B, for Long Term Care Facilities based on this complaint survey.
Complaint Details
The survey was triggered by multiple complaints but the facility was found compliant with no deficiencies cited.
Report Facts
Sample Size: 12
Inspection Report
Routine
Census: 108
Deficiencies: 0
Dec 8, 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: 5
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