Inspection Reports for
Alaris Health At The Chateau

The facility was found deficient in timely notification of residents' representatives regarding critical changes in condition, failure to respond to pharmacy recommendations for medication adjustments, and maintenance issues including peeling paint, broken closet doors, damaged handrails, and unsafe conditions in resident rooms and common areas. These deficiencies posed potential risks for resident harm and unmet health needs.

The visit was complaint-related with multiple complaint numbers listed (NJ163566, NJ166367, NJ167186, NJ168560, NJ169565, NJ173055, NJ178204, NJ178367, NJ178833, NJ179065, NJ180762, and NJ180949). The facility was found not to be in substantial compliance based on the recertification and complaint visit.

The facility was found not to be in substantial compliance with 42 CFR 483 subpart B. Deficiencies included failure to notify residents and representatives of changes in condition, drug regimen review irregularities, unsafe environmental conditions, and life safety code violations related to fire safety and maintenance.

The facility failed to ensure that Resident #3's medical record was complete and accurate, specifically lacking documentation of pain medication administration on 7/9/23 despite the medication being given. The Licensed Practical Nurse admitted to administering the medication but not documenting it due to being busy.

The complaint investigation was based on complaints NJ00147498, NJ00146405, and NJ00149099. The facility was found not in compliance with requirements related to resident medical records and documentation.

The facility was found not in compliance due to failure to maintain complete and accurate medical records for Resident #3, specifically related to documentation of care and medication administration. The facility policy requires complete and accurate charting, but the LPN failed to document medication administration in the resident's medical record.

The facility was found deficient in timely completion and transmission of Minimum Data Set (MDS) assessments, accurate completion of MDS data, medication administration errors including unlabeled enteral feeding and failure to follow physician orders, improper respiratory care, missing witness signatures on controlled substance records, expired and unlabeled medications, improper medication administration practices, inadequate kitchen sanitation and food labeling, and failure to adhere to infection control protocols including improper use of personal protective equipment and improper storage of urinary drainage bags and clean linens.

The facility was found not in substantial compliance with federal requirements, with deficiencies cited related to Minimum Data Set (MDS) submissions, accuracy of assessments, professional standards in care, respiratory care, pharmacy services, food safety, infection control, and life safety code violations including fire safety and electrical systems.

Complaint Intake NJ144168 found that the facility failed to provide written notice of a facility-initiated discharge for one resident who was transferred to a hospital and not permitted to return. The facility only sent an emergency transfer notice but did not send a discharge notice as required. The resident did not return to the facility.

The facility was found not in compliance due to failure to provide written notice of a facility-initiated discharge to the resident, resident representative, and the Ombudsman for one resident. The resident was transferred to a hospital and the facility decided not to permit the resident to return but failed to send the required discharge notices.