Inspection Reports for
Allegria at The Fountains
114 Hayes Mill Rd, Atco, NJ 08004, United States, NJ, 08004
Back to Facility ProfileDeficiencies (last 7 years)
Deficiencies (over 7 years)
7.1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
37% worse than New Jersey average
New Jersey average: 5.2 deficiencies/yearDeficiencies per year
24
18
12
6
0
Occupancy
Latest occupancy rate
90% occupied
Based on a June 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Deficiencies: 4
Date: Jan 9, 2026
Visit Reason
The inspection was conducted based on Complaint #NJ 2704937 concerning multiple issues including failure to ensure grievance procedures, failure to provide communication devices for a resident with language barriers, failure to ensure residents attend outside physician appointments, and inadequate supervision to prevent falls.
Complaint Details
Complaint #NJ 2704937 involved issues with grievance procedures, communication barriers, missed physician appointments, and inadequate supervision leading to falls. The complaint was substantiated with findings of deficient practices affecting Resident #27 and others.
Findings
The facility failed to ensure proper grievance procedures were followed for Resident #27, failed to provide a communication device for a resident with language barriers, failed to ensure a resident attended a recommended physician appointment, and failed to provide adequate supervision and fall prevention interventions for residents at high risk of falls, resulting in multiple falls with injuries.
Deficiencies (4)
Failed to ensure grievance procedures were consistent with facility policy for Resident #27.
Failed to provide a communication device for Resident #27 with language barriers.
Failed to ensure Resident #27 attended outside physician appointments and failed to document missed appointments properly.
Failed to provide adequate supervision and fall prevention for Resident #7, #27, and #70, resulting in multiple falls including falls with injury.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 3
Falls sustained: 13
Fall risk scores: 20
Fall risk scores: 24
Fall risk scores: 21
Fall risk scores: 22
BIMS score: 2
BIMS score: 3
BIMS score: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse | Charge Nurse | Provided witness statement regarding Resident #27's missed appointment and refusal |
| Social Services Director | Grievance Officer | Tracked grievances and provided grievance logs |
| Certified Nurse Aide | CNA | Reported not being informed to prepare Resident #27 for appointment and staffing concerns |
| Assistant Director of Nursing | ADON | Interviewed regarding missed appointment and grievance process |
| Director of Nursing | DON | Interviewed regarding missed appointment, fall investigations, and care plan updates |
| Medical Doctor | Medical Director | Interviewed regarding Resident #27's medical records and missed appointment |
| Activity Aid | Activity Staff | Reported staffing shortages and inability to supervise residents adequately |
| Activity Director | Activity Director | Interviewed regarding staffing and activity supervision concerns |
Notice
Deficiencies: 0
Date: 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 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
Complaint Investigation
Census: 54
Capacity: 60
Deficiencies: 17
Date: Jun 28, 2024
Visit Reason
Complaint investigation triggered by complaint numbers NJ 160674, 165435, 165750, 174925 to determine compliance with 42 CFR Part 483, Requirements for Long Term Care Facilities.
Complaint Details
Complaint investigation based on complaint numbers NJ 160674, 165435, 165750, 174925. The facility was found not in substantial compliance with 42 CFR Part 483, Subpart B, for Long Term Care Facilities.
Findings
The facility was found not in substantial compliance with requirements based on complaint visit. Deficiencies were cited including failure to complete timely quarterly assessments, failure to develop and implement comprehensive care plans, failure to provide education and notification regarding resident treatment refusals, failure to maintain accurate medication records, food safety violations, incomplete immunization documentation, and multiple life safety code violations including staffing shortages, fire safety, emergency lighting, and electrical system maintenance.
Deficiencies (17)
Failure to complete Quarterly Minimum Data Set assessments timely for residents #43 and #4.
Failure to develop and implement comprehensive person-centered care plans with measurable objectives and timelines for residents #47, #19, and #207.
Failure to provide education to resident #47 who refused treatment and failure to notify physician and family.
Failure to maintain accurate medication administration records and controlled substance accountability.
Failure to maintain food safety including unlabeled food, unclean meat slicer, and dented canned goods.
Failure to document influenza and pneumococcal immunization education and administration/refusal for resident #45.
Failure to maintain required minimum direct care staff to resident ratios for day, evening, and night shifts.
Egress door with delayed egress feature lacked required signage.
Failure to provide emergency illumination that operates automatically along means of egress.
Failure to maintain battery back-up emergency lighting over interior emergency generator and fire pump transfer switches.
Failure to ensure monthly and annual fire alarm system testing and smoke detector sensitivity testing.
Failure to ensure testing and maintenance of battery-operated smoke detectors in resident rooms.
Failure to ensure automatic sprinkler system inspected/tested at required intervals and electric fire pump monthly flow test performed.
Failure to ensure corridor walls resist passage of smoke; missing fire rated glass in corridor window.
Failure to ensure corridor doors resist passage of smoke; multiple resident room doors warped or damaged.
Failure to functionally test non-hospital grade electrical receptacles in resident rooms annually for grounding, polarity, and blade tension.
Failure to certify generator transfer time within 10 seconds and perform monthly load tests.
Report Facts
Residents present: 54
Licensed capacity: 60
Deficiency count: 16
Staffing ratios: 8
Staffing ratios: 10
Staffing ratios: 14
Inspection date: Jun 28, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Named in relation to education and oversight of care plan implementation and medication refusal | |
| Maintenance Director | Named in relation to fire safety, emergency lighting, sprinkler system, and monthly audits | |
| Staffing Coordinator | Named in relation to staffing ratio compliance | |
| Administrator | Named in relation to immunization documentation and fire safety education | |
| Registered Nurse #1 | Named in relation to care plan review and medication administration |
Inspection Report
Routine
Deficiencies: 6
Date: Jun 28, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident assessments, care planning, medication management, food safety, and immunization documentation at the nursing facility.
Findings
The facility was found deficient in timely completion of quarterly resident assessments, development and implementation of comprehensive care plans for residents with specific needs, proper education and notification regarding treatment refusals, accurate controlled substance accountability, safe food handling and labeling, and documentation of influenza vaccination status.
Deficiencies (6)
Failure to complete the Quarterly Minimum Data Set assessment in a timely manner for 2 residents.
Failure to develop and implement a comprehensive person-centered care plan with measurable objectives and interventions for residents with leg wraps, falls, and indwelling urinary catheter.
Failure to provide education to a resident refusing treatment and to notify the resident's physician and family.
Failure to maintain accurate accountability of a controlled medication and improper borrowing of a controlled drug.
Failure to handle potentially hazardous foods and maintain sanitation in a safe and consistent manner.
Failure to ensure documentation of influenza vaccination information, administration, or refusal in the resident's medical record.
Report Facts
Residents with late Quarterly Minimum Data Set assessments: 2
Medication cart Xanax pills discrepancy: 1
Residents reviewed for immunizations: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| MDS Coordinator | Acknowledged late completion of Quarterly Minimum Data Set assessments for Residents #43 and #4 | |
| Licensed Practical Nurse (LPN) Unit Manager | LPN Unit Manager | Stated responsibilities for care plan initiation and updating; described process for resident refusing treatment |
| Registered Nurse (RN) #1 | Registered Nurse | Confirmed care plan requirements for Resident #207 with indwelling urinary catheter |
| Director of Nursing (DON) | Director of Nursing | Confirmed care plan requirements, provided education to Resident #207, acknowledged deficiencies in care plans and documentation, and stated policies on medication borrowing |
| Licensed Nursing Home Administrator (LNHA) | Licensed Nursing Home Administrator | Acknowledged lack of documentation regarding refusal of leg wraps and need for improved documentation |
| Licensed Practical Nurse (LPN) | Licensed Practical Nurse | Counted narcotics and acknowledged missing Xanax pill |
| Unit Manager/Charge Nurse (UM/CN) | Unit Manager/Charge Nurse | Stated expected Xanax pill count and medication borrowing policy |
| Food Service Assistant Director (FSAD) | Food Service Assistant Director | Observed food safety and sanitation deficiencies in kitchen |
Inspection Report
Complaint Investigation
Census: 49
Deficiencies: 3
Date: Dec 6, 2023
Visit Reason
The inspection was conducted as a complaint investigation based on complaints NJ161922 and NJ169428 regarding medication delivery and staffing issues.
Complaint Details
Complaint numbers NJ161922 and NJ169428 triggered the investigation. The complaint involved medication delivery errors and staffing shortages. The medication delivery complaint was substantiated, with evidence of a resident receiving an opened bottle of medication leading to emergency room transfer. Staffing shortages were documented for multiple day shifts.
Findings
The facility failed to follow proper procedures for receiving medications from an outside pharmacy, resulting in a resident receiving an opened bottle of medication and requiring emergency care. Additionally, the facility failed to provide complete access to electronic medical records for surveyors and did not meet required staffing ratios on several day shifts.
Deficiencies (3)
Failure to ensure proper process for receiving medications from an outside pharmacy, resulting in a resident receiving an opened bottle of medication.
Failure to provide complete and readily accessible electronic medical records for all residents.
Failure to meet mandatory staffing ratios for Certified Nurse Aides on 6 of 14 day shifts reviewed.
Report Facts
Census: 49
Medication quantity: 30
Staffing deficiency counts: 6
Residents on deficient shifts: 51
Residents on deficient shifts: 54
Residents on deficient shifts: 52
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Dec 6, 2023
Visit Reason
The inspection was conducted due to complaints NJ161922 and NJ169428 concerning medication delivery and access to electronic medical records at the facility.
Complaint Details
The complaint investigation was substantiated. The facility failed to follow medication delivery procedures resulting in a resident overdose on 3/4/2023. The facility also failed to provide access to electronic medical records prior to April 2023 during the survey.
Findings
The facility failed to follow proper procedures for medication package delivery, resulting in a cognitively impaired resident accessing and ingesting an entire bottle of Risperdal, causing an overdose. Additionally, the facility failed to provide full access to electronic medical records for surveyors prior to April 2023 due to a change in ownership and system access issues.
Deficiencies (2)
Failure to ensure medication packages were delivered and opened according to facility policy, leading to resident overdose.
Failure to provide complete and readily accessible electronic medical records for all residents.
Report Facts
Medication quantity: 30
BIMS score: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Social Worker Director | Social Worker Director | Reported on the incident involving Resident #2 and medication overdose |
| Registered Nurse/Supervisor | RN/Supervisor | Notified of medication overdose and coordinated emergency response |
| Certified Nursing Assistant | CNA | Observed Resident #2 with empty medication bottle and reported to nursing staff |
| Administrator | Administrator | Provided information on facility policies and acknowledged procedural failures |
| Director of Nursing | DON | Involved in policy discussion and corrective actions post-incident |
| Security Guard | Security Guard | Delivered medication package directly to Resident #2, contrary to policy |
Inspection Report
Routine
Census: 54
Deficiencies: 0
Date: Aug 15, 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: 7
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Aug 15, 2023
Visit Reason
The inspection was conducted as an annual survey of the nursing home facility to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Plan of Correction
Census: 53
Deficiencies: 1
Date: Sep 15, 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 requirements.
Findings
The facility was found not in compliance with mandatory direct care staff-to-resident ratios as required by New Jersey state law, with documented deficiencies in certified nurse aide staffing on multiple day shifts.
Deficiencies (1)
Failure to maintain the required minimum direct care staff-to-resident ratios as mandated by the state of New Jersey.
Report Facts
Residents present: 52
Residents present: 48
Residents present: 53
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Sep 15, 2022
Visit Reason
The inspection was conducted as a standard annual survey of the nursing home facility to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Complaint Investigation
Census: 50
Deficiencies: 4
Date: May 18, 2022
Visit Reason
The inspection was conducted based on multiple complaints (NJ149005, NJ149006, NJ149159, NJ149310) alleging deficiencies in care and staffing at the facility.
Complaint Details
The visit was complaint-related based on complaints NJ149005, NJ149006, NJ149159, and NJ149310. The facility was found not in substantial compliance with 42 CFR Part 483, Subpart B, for long term care facilities based on these complaints.
Findings
The facility was found not in substantial compliance with federal and state regulations. Deficiencies included failure to keep call bells within reach for dependent residents, failure to develop and implement comprehensive care plans, and failure to administer medications according to physician orders with proper documentation. Additionally, the facility failed to maintain required minimum staffing ratios for Certified Nurse Aides (CNAs) over multiple shifts.
Deficiencies (4)
Failed to keep call system within reach for a resident dependent on staff for transfers and able to use call bell.
Failed to develop and implement a comprehensive person-centered care plan for a resident, including measurable objectives and timeframes.
Failed to administer medications according to physician's orders, maintain accurate medication administration documentation, and adhere to nursing practice standards.
Failed to maintain required minimum staffing ratios for Certified Nurse Aides (CNAs) on 28 of 28 day shifts.
Report Facts
Census: 50
Deficiency count: 4
Staffing deficiency days: 28
Required CNAs: 7
Actual CNAs: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Charge Nurse | Provided statements regarding call bell placement and medication administration | |
| Director of Nursing | Provided statements regarding call bell expectations, care plan updates, and medication administration deficiencies | |
| Licensed Practical Nurse (LPN) | Allegedly combined medication doses and administered incorrectly; no longer employed at facility |
Inspection Report
Complaint Investigation
Census: 47
Deficiencies: 1
Date: Jan 12, 2022
Visit Reason
The inspection was conducted based on complaint NJ150666 to investigate staffing ratio compliance at the facility.
Complaint Details
Complaint NJ150666 was investigated and the facility was found non-compliant with staffing ratio requirements, specifically failing to meet CNA staffing ratios on 11 of 14 day shifts reviewed.
Findings
The facility was found deficient in maintaining the required minimum staff-to-resident ratios for Certified Nurse Aides (CNAs) on 11 of 14 day shifts reviewed, potentially affecting all residents.
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 11 of 14 day shifts for CNAs.
Report Facts
Residents present: 47
Day shifts with deficient CNA staffing: 11
CNA staffing on 12/26/21: 5
CNA staffing on 12/27/21: 3
CNA staffing on 12/28/21: 5
CNA staffing on 12/29/21: 6
CNA staffing on 12/30/21: 6
CNA staffing on 01/02/22: 5
CNA staffing on 01/03/22: 4
CNA staffing on 01/04/22: 4
CNA staffing on 01/05/22: 6
CNA staffing on 01/06/22: 5
CNA staffing on 01/07/22: 3
Inspection Report
Complaint Investigation
Census: 52
Deficiencies: 1
Date: Sep 28, 2021
Visit Reason
The inspection was conducted as a complaint survey based on multiple complaint numbers (NJ148292, NJ147724, NJ147726, and NJ146614) to assess compliance with 42 CFR Part 483, Subpart B, for Long Term Care Facilities.
Complaint Details
The complaint investigation found that a resident was transferred alone by a CNA despite the care plan requiring two-person assistance, resulting in the resident sustaining an injury. The CNA was unaware of the injury at the time. The facility conducted interviews, reviewed medical and incident reports, and confirmed the deficiency. The CNA and other staff were re-educated on safe transfer practices.
Findings
The facility failed to ensure adequate supervision and adherence to the care plan for resident transfers, resulting in a resident being transferred alone despite requiring two-person assistance, which caused injury. The facility re-educated staff and implemented audits to prevent recurrence.
Deficiencies (1)
Failure to ensure each resident received adequate supervision to prevent accidents, specifically failure to ensure a two-person transfer for a resident who sustained an injury during transfer.
Report Facts
Census: 52
Sample Size: 8
Residents potentially affected: 16
Audit sample: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #2 | Certified Nurse Aide | Transferred resident alone despite care plan requiring two-person assistance; acknowledged the error during interview |
| Director of Nurses | DON | Provided statements regarding facility safety priorities and staff education on transfer protocols |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 3
Date: Jun 16, 2021
Visit Reason
The inspection was conducted based on complaint intakes NJ144279 and NJ143061 to investigate staffing ratio compliance and related regulatory requirements at the facility.
Complaint Details
Complaint intakes NJ144279 and NJ143061 triggered the investigation. The complaints involved staffing ratio deficiencies and failure to post and report staffing information. The facility was found non-compliant with these requirements.
Findings
The facility failed to meet required staffing ratios for all 63 shifts reviewed, did not post required direct resident care staffing information prior to shifts, and failed to report staff-to-resident ratios monthly to the New Jersey Department of Health web-based portal. These deficiencies potentially affected all residents.
Deficiencies (3)
Failure to ensure staffing ratios were met for 63 of 63 shifts reviewed, resulting in inability to meet residents' needs timely.
Failure to complete and post direct resident care staffing information prior to the start of shifts as required.
Failure to report staff-to-resident ratios monthly to the NJDOH web-based portal.
Report Facts
Number of shifts with unmet staffing ratios: 63
Facility licensed capacity: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nurse Assistant #4 | Interviewed and reported staffing shortages and inability to meet resident needs timely. | |
| Administrator | Interviewed; acknowledged failure to calculate and report staffing ratios and lack of awareness of posting requirements. | |
| Unit Clerk/Scheduler | Interviewed; responsible for scheduling and staffing report completion, but lacked training initially. |
Inspection Report
Annual Inspection
Census: 43
Deficiencies: 2
Date: May 3, 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 to have been in Immediate Jeopardy for infection control deficiencies related to COVID-19 PPE use, signage, and disposal. The Immediate Jeopardy was removed after the facility implemented a removal plan. Additional deficiencies included failure to ensure pharmacist recommendations were properly documented and acted upon, and failure to maintain an effective infection prevention and control program consistent with CDC and NJ DOH guidelines.
Deficiencies (2)
Failure to ensure rationale was provided in response to Consultant Pharmacist recommendations during monthly medication review.
Failure to implement appropriate infection control practices related to hand hygiene and use of PPE, post appropriate transmission-based precaution signage, and provide appropriate PPE storage and disposal bins to prevent COVID-19 transmission.
Report Facts
Census: 43
Sample Size: 18
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #4 | Licensed Practical Nurse | Described process for handling Consultant Pharmacist recommendations |
| Director of Nursing | Director of Nursing | Interviewed regarding medication review process and infection control practices |
| Infection Preventionist | Infection Preventionist | Interviewed regarding PPE requirements and infection control program |
| Licensed Nursing Home Administrator | LNHA | Interviewed regarding COVID-19 testing and quarantine policies |
| Admissions Nurse Liaison | Admissions Nurse Liaison | Interviewed regarding COVID-19 testing and exposure assessment for admissions |
Inspection Report
Life Safety
Deficiencies: 4
Date: May 3, 2021
Visit Reason
The inspection was conducted to assess the facility's compliance with Life Safety Code 101:2012 and other regulatory requirements related to fire safety, emergency preparedness, and facility maintenance.
Findings
The facility was found not in substantial compliance with the Life Safety Code 101:2012 due to deficiencies including improper locking arrangements on egress doors, inadequate fire sprinkler coverage in certain areas, failure to document monthly visual inspections of fire extinguishers, and failure to maintain clean filters in Packaged Terminal Air Conditioner (PTAC) units.
Deficiencies (4)
Facility failed to provide exit access that was readily accessible due to locking arrangements on 1 of 4 exit discharge doors, which only staff could open using a coded keypad and push button lockset, not compliant with Life Safety Code.
Facility failed to provide proper fire sprinkler coverage in housekeeping closet and residents' shower room; sprinkler head placement did not meet NFPA 13 requirements.
Facility failed to perform and document monthly visual inspections on 4 of 11 fire extinguishers as required by NFPA 10.
Facility failed to maintain PTAC units in safe and optimal condition; clogged and dirty filters were observed in sampled resident rooms, and cleaning logs were missing.
Report Facts
Number of exit discharge doors with locking issues: 1
Number of fire extinguishers lacking documented monthly inspection: 4
Number of residential sleeping rooms on unit: 32
Distance from sprinkler deflector to ceiling in housekeeping closet: 13
Shower stall dimensions lacking sprinkler coverage: 3 feet wide by 3 feet 4-inch deep shower stall without sprinkler coverage
Number of PTAC units inspected for filter condition: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Maintenance | Present during observations and involved in corrective actions | |
| Licensed Nursing Home Administrator | Present during survey entrance and notified of deficiencies |
Inspection Report
Annual Inspection
Deficiencies: 2
Date: May 3, 2021
Visit Reason
The inspection was conducted as a recertification survey to assess compliance with regulatory requirements including medication management and infection prevention and control practices.
Findings
The facility was found deficient in ensuring a licensed pharmacist provided rationale for medication recommendations, and failed to implement appropriate infection prevention and control practices on the COVID-19 observation unit, including inadequate PPE use, lack of proper signage, and improper PPE disposal, posing immediate jeopardy to resident health and safety.
Deficiencies (2)
Failure to ensure a rationale was provided in response to a Consultant Pharmacist recommendation during the Monthly Medication Review for Resident #12.
Failure to implement appropriate infection control practices related to hand hygiene, PPE use, transmission-based precaution signage, and PPE storage and disposal on the COVID-19 Persons Under Investigation (PUI) unit.
Report Facts
Residents reviewed for unnecessary medications: 5
Residents affected by infection control deficiency: 3
Residents not fully vaccinated on PUI unit: 2
Quarantine duration for new admissions/readmissions: 14
COVID-19 test timeframe prior to admission: 72
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding Consultant Pharmacist reports and infection control practices |
| Licensed Practical Nurse #4 | Licensed Practical Nurse | Described process for handling Consultant Pharmacist recommendations |
| Licensed Nursing Home Administrator | Licensed Nursing Home Administrator (LNHA) | Interviewed about COVID-19 policies and infection control guidance |
| Infection Preventionist | Infection Preventionist (IP) | Interviewed about infection control practices and consultant recommendations |
| Admissions Nurse Liaison | Admissions Nurse Liaison | Interviewed about COVID-19 testing and exposure assessment prior to admission |
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Observed and interviewed regarding PPE use on PUI unit |
| Licensed Practical Nurse #2 | Licensed Practical Nurse | Observed and interviewed regarding hand hygiene and PPE use |
| Licensed Practical Nurse #3 | Licensed Practical Nurse | Interviewed about hand hygiene practices |
| Certified Nursing Assistant #1 | Certified Nursing Assistant (CNA) | Observed providing care with inadequate PPE on PUI unit |
| Certified Nursing Assistant #2 | Certified Nursing Assistant (CNA) | Observed providing care with inadequate PPE on PUI unit |
| Occupational Therapist | Occupational Therapist | Interviewed about PPE requirements on PUI unit |
Inspection Report
Routine
Census: 23
Deficiencies: 0
Date: Nov 16, 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.
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.
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