Inspection Reports for Adroit Care Rehabilitation And Nursing Center
1777 Lawrence Street, NJ, 07065
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
42% better than New Jersey average
New Jersey average: 5.2 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
93% occupied
Based on a November 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
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 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 questions about the notice |
Inspection Report
Routine
Census: 113
Capacity: 122
Deficiencies: 6
Nov 13, 2024
Visit Reason
A Recertification Survey was conducted to determine compliance with 42 CFR Part 483, Requirements for Long Term Care Facilities. The survey included complaint investigations and a Life Safety Code Survey.
Findings
The facility was found not in compliance with several regulatory requirements including Resident Rights, Safe Environment, Services Provided Meet Professional Standards, Labeling/Storage of Drugs and Biologicals, Infection Prevention and Control, and Life Safety Code requirements. Deficiencies were cited related to resident dignity, privacy, housekeeping, medication administration, infection control, and fire safety.
Complaint Details
The survey included complaint investigations with complaint numbers 171414, 175944, 176124. The complaints were substantiated as evidenced by cited deficiencies related to resident care and facility environment.
Severity Breakdown
SS=D: 4
SS=E: 1
SS=F: 2
Deficiencies (6)
| Description | Severity |
|---|---|
| Resident Rights/Exercise of Rights - Facility failed to provide a resident's activities of daily living care in a dignified manner. | SS=D |
| Safe Environment - Facility failed to maintain a clean and sanitary environment for shower rooms. | SS=E |
| Services Provided Meet Professional Standards - Facility failed to maintain treatment records complete with staff signatures. | SS=D |
| Label/Store Drugs and Biologicals - Facility failed to ensure expired vaccines were removed from active inventory. | SS=D |
| Infection Prevention & Control - Facility failed to maintain infection prevention and control program including proper disposal of PPE and removal of contaminated items. | SS=D |
| Life Safety Code - Facility failed to ensure doors in a required means of egress were equipped with proper locking devices and failed to maintain fire safety systems including sprinkler system and fire alarm testing. | SS=F |
Report Facts
Census: 113
Total Capacity: 122
Sample Size: 26
Completion Date for Plan of Correction: Dec 27, 2024
Number of Deficiencies: 7
Inspection Report
Routine
Census: 110
Deficiencies: 0
Nov 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 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 CMS and CDC recommended practices to prepare for COVID-19.
Report Facts
Sample Size: 8
Inspection Report
Complaint Investigation
Census: 104
Capacity: 122
Deficiencies: 10
Sep 6, 2023
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, accuracy of assessments, comprehensive care plans, respiratory care, pharmacy services, medication error rates, drug labeling and storage, staffing ratios, and life safety code violations including stairway exit hardware and smoke barrier penetrations.
Complaint Details
Complaint investigations were completed during the survey with multiple complaint numbers listed including NJ00162831, NJ00155894, NJ00165972, NJ001162775, NJ00155713, NJ00152077, NJ00152481, NJ00166081, NJ00165025, NJ00166449.
Severity Breakdown
SS=D: 6
SS=E: 1
SS=F: 2
Deficiencies (10)
| Description | Severity |
|---|---|
| Failed to provide a homelike and dignified dining experience to residents on 2 nursing units on 3 consecutive days. | SS=D |
| Failed to complete quarterly and comprehensive Minimum Data Set (MDS) assessments in a timely manner for 5 of 23 residents reviewed. | SS=D |
| Failed to develop a comprehensive, person-centered Care Plan to address the needs for a resident with specific diagnoses. | SS=D |
| Failed to ensure a physician's order for respiratory care was complete and thorough for 1 of 1 resident reviewed. | SS=D |
| Failed to provide pharmaceutical services in accordance with professional standards including accurate blood pressure measurement, medication refusal documentation, safe medication disposal, and proper medication administration. | SS=E |
| Failed to ensure medication error rates were less than 5%, with an observed error rate of 19.3% during medication administration observation. | SS=D |
| Failed to properly label, store and dispose of medications, secure narcotic lock boxes in medication refrigerators, and secure medications in treatment carts. | SS=D |
| Failed to maintain required minimum direct care staff-to-resident ratios as mandated by the state of New Jersey. | — |
| Failed to ensure fire rated door assemblies for stairway exit doors were equipped with fire exit hardware and the releasing mechanism did not require more than one releasing operation. | SS=F |
| Failed to ensure penetrations in smoke barriers were protected by a system or material capable of restricting the transfer of smoke and smoke barriers were continuous. | SS=F |
Report Facts
Census: 104
Total Capacity: 122
Sample Size: 24
Medication Administration Opportunities: 31
Medication Errors Observed: 6
Medication Error Rate: 19.3
Staffing Deficiencies: 14
Staffing Deficiencies: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| LPN #1 | Licensed Practical Nurse | Named in medication administration errors, improper blood pressure measurement, and medication disposal deficiencies. |
| LPN #2 | Licensed Practical Nurse | Named in narcotic lock box unsecured and medication disposal deficiencies. |
| LPN #3 | Licensed Practical Nurse | Named in narcotic lock box unsecured deficiency. |
| LPN #4 | Licensed Practical Nurse | Named in medication cart left unattended with unsecured medications. |
| Director of Nursing | Director of Nursing | Named in multiple interviews and responsible for corrective actions and policy reviews. |
| Administrator | Administrator | Named in multiple interviews and responsible for corrective actions and policy reviews. |
| Consultant Pharmacist | Consultant Pharmacist | Named in medication pass audit and consultation. |
| Infection Preventionist | Infection Preventionist | Named in medication pass education and interviews. |
| Unit Manager | Unit Manager / Licensed Practical Nurse | Named in interviews regarding medication administration and blood pressure measurement. |
Inspection Report
Routine
Census: 92
Deficiencies: 1
Nov 21, 2022
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 out of compliance with infection control regulations, specifically failing to thoroughly screen all staff for COVID-19 signs and symptoms according to facility policy and CDC guidelines. Screening logs showed inadequate screening during overnight shifts.
Severity Breakdown
Level E: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to thoroughly screen all staff for COVID-19 signs and symptoms in accordance with facility policy and CDC guidelines. | Level E |
Report Facts
Census: 92
Sample Size: 5
Screening staff count: 1
Inspection Report
Complaint Investigation
Census: 68
Deficiencies: 0
Sep 9, 2021
Visit Reason
The inspection was conducted as a complaint survey based on Complaint #: NJ00147528.
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
Complaint #: NJ00147528; the survey was complaint-based and the facility was found compliant.
Report Facts
Sample Size: 3
Inspection Report
Annual Inspection
Census: 68
Deficiencies: 1
Jul 9, 2021
Visit Reason
The inspection was conducted to assess compliance with New Jersey Administrative Code, Chapter 8:39, Standards for Licensure of Long Term Care Facilities, specifically focusing on mandatory staffing requirements.
Findings
The facility failed to maintain the required minimum direct care staff-to-resident ratios as mandated by the state of New Jersey on multiple shifts and days during the inspection period. Interviews with staff confirmed staffing shortages and resident assignments exceeding state requirements.
Deficiencies (1)
| Description |
|---|
| Failure to maintain the required minimum direct care staff-to-resident ratios as mandated by the state of New Jersey. |
Report Facts
Census: 68
Staffing ratio not met: 9.7
Staffing ratio not met: 8.5
Staffing ratio not met: 13.8
Staffing ratio not met: 17.25
Staffing ratio not met: 9.8
Staffing ratio not met: 10.8
Staffing ratio not met: 16.25
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| CNA #1 | Certified Nurse Aide | Interviewed regarding staffing and resident assignments on 07/08/21 |
| CNA #2 | Certified Nurse Aide | Interviewed regarding staffing and resident assignments on 07/08/21 |
| LPN #1 | Licensed Practical Nurse | Interviewed regarding staffing and resident assignments on 07/08/21 |
| CNA #3 | Certified Nurse Aide | Interviewed regarding staffing and resident assignments on 07/08/21 |
| CNA #4 | Certified Nurse Aide | Interviewed regarding staffing and resident assignments on 07/08/21 |
| LPN #2 | Licensed Practical Nurse | Interviewed regarding staffing and resident assignments on 07/08/21 |
| Business Office Manager | Business Office Manager | Interviewed regarding staffing scheduling and state required ratios on 07/08/21 |
| Administrator | Administrator | Interviewed regarding state required staffing ratios on 07/08/21 |
Inspection Report
Complaint Investigation
Census: 56
Deficiencies: 0
Jan 7, 2021
Visit Reason
The inspection was conducted as a complaint survey based on Complaint #: NJ00139888.
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
Complaint #: NJ00139888; the facility was found compliant with no deficiencies cited.
Report Facts
Sample Size: 5
Inspection Report
Routine
Census: 56
Deficiencies: 0
Jan 7, 2021
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted at Alaris Health At Riverton from 01/05/2021 to 01/07/2021 to assess compliance with Medicare regulations and CDC recommended practices for COVID-19 preparation.
Findings
The facility was found to be in substantial compliance with Medicare regulations at 42 CFR Part 483, Subpart B, and had implemented the CMS and CDC recommended practices to prepare for COVID-19.
Report Facts
Sample Size: 8
Inspection Report
Routine
Census: 61
Deficiencies: 0
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: 8
Sample size: 3
Inspection Report
Complaint Investigation
Census: 59
Deficiencies: 0
Nov 23, 2020
Visit Reason
The inspection was conducted based on a complaint survey to assess compliance with regulatory requirements for long term care facilities.
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 complaint-based and the facility was found compliant; no deficiencies were cited.
Report Facts
Sample size: 3
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