Inspection Reports for Alaris Health At West Orange

5 Brook End Drive, NJ, 07052

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 0.7 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

87% better than New Jersey average
New Jersey average: 5.2 deficiencies/year

Deficiencies per year

4 3 2 1 0
2021
2022
2025

Census

Latest occupancy rate 106 residents

Based on a August 2022 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Census over time

84 90 96 102 108 114 Jan 2021 Nov 2021 Aug 2022
Notice Deficiencies: 0 Nov 19, 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, individuals' rights to access and control their information, and the legal duties of NJDHSS to protect privacy.
Report Facts
Effective date: 2011
Employees Mentioned
NameTitleContext
Devon L. GrafDirector, Office of Legal and Regulatory ComplianceListed as NJDHSS Privacy Officer contact for questions about the notice
Inspection Report Follow-Up Census: 106 Deficiencies: 1 Aug 12, 2022
Visit Reason
The inspection was conducted to assess compliance with New Jersey staffing requirements for nursing homes, specifically focusing on maintaining minimum direct care staff-to-resident ratios.
Findings
The facility was found deficient in maintaining the required minimum direct care staff-to-resident ratios on multiple day shifts in July 2022, with fewer certified nurse aides (CNAs) than required. A plan of correction was submitted and later verified as completed on 09/09/2022.
Deficiencies (1)
Description
Failed to maintain the required minimum direct care staff-to-resident ratios as mandated by the state of New Jersey.
Report Facts
Residents present: 109 Residents present: 104 Residents present: 100 Residents present: 106 Residents present: 106
Employees Mentioned
NameTitleContext
Director of NursingResponsible for reviewing staffing daily and approving or denying time off requests to ensure compliance with staffing ratios
Inspection Report Complaint Investigation Census: 100 Deficiencies: 1 Nov 20, 2021
Visit Reason
The inspection was conducted as a complaint survey based on complaint intakes NJ148464, NJ147280, and NJ147162, to investigate allegations of neglect and compliance with quality of care regulations.
Findings
The facility was found not in compliance with 42 CFR Part 483, Subpart B, specifically failing to implement a physician's order to obtain lab work for a resident, indicating deficient quality of care. The facility was compliant with COVID-19 infection control regulations.
Complaint Details
Complaint investigation based on complaint intakes NJ148464, NJ147280, and NJ147162. The complaint was substantiated with findings of neglect related to failure to carry out physician's lab orders for a resident.
Severity Breakdown
SS=D: 1
Deficiencies (1)
DescriptionSeverity
Failure to implement a physician's order to obtain lab work for one resident, resulting in neglected care.SS=D
Report Facts
Sample Size: 5 Deficiency Correction Completion Date: Correction for deficiency F684 completed on 11/29/2021
Employees Mentioned
NameTitleContext
Director of NursingIn-serviced all nurses to ensure physician orders are carried out promptly
AdministratorInterviewed regarding physician order entry process and missed lab orders
Nurse Aide #1Nurse AideInterviewed about resident's condition and care
PhysicianInterviewed regarding missed lab orders and responsibility for order entry
Inspection Report Routine Census: 93 Deficiencies: 0 Jan 26, 2021
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: 7

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