Inspection Reports for
Ambassador Medical Day Care
619 River Avenue, Lakewood, NJ, 08701
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
3.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
29% better than New Jersey average
New Jersey average: 5.2 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
92% occupied
Based on a November 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Notice
Deficiencies: 0
Date: Nov 20, 2025
Visit Reason
This document serves as a Notice of Privacy Practices informing individuals about how their medical information may be used and disclosed by NJDHSS, and describing 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 NJDHSS's legal duties and responsibilities regarding privacy.
Report Facts
Effective date: 2011
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Devon L. Graf | Director | NJDHSS Privacy Officer named as contact for privacy practices |
Inspection Report
Complaint Investigation
Census: 83
Capacity: 90
Deficiencies: 9
Date: Nov 19, 2024
Visit Reason
The inspection was a standard survey with complaint investigation triggered by complaint #NJ 00173073. The visit aimed to assess compliance with New Jersey Administrative Code standards for licensure of Adult Day Health Services.
Complaint Details
Complaint #NJ 00173073 triggered the survey. The facility was found not in substantial compliance with standards. Specific complaint substantiation status is not explicitly stated.
Findings
The facility was found not in substantial compliance with all standards, with deficiencies in administration, pharmaceutical services, rehabilitation services, social work services, physical plant requirements, infection control, sanitation, and housekeeping. Specific issues included incomplete mandatory staff education, missed emergency drill training, untimely medication administration, inadequate physical therapy equipment, unlicensed social workers, insufficient social work hours, lack of required quiet room space, fire extinguisher maintenance failures, and inadequate infection control documentation.
Deficiencies (9)
Administrator failed to ensure all annual and ongoing mandatory staff education was completed for 7 of 15 employee files reviewed.
Facility failed to ensure a scheduled medication was administered within the proper timeframe for Participant #3.
Facility failed to provide minimum physical therapy equipment including parallel bars, mats, and stairs.
Facility hired a social worker who was not certified or licensed by the State of New Jersey Board of Social Work Examiners.
Facility failed to provide the minimum required social worker hours of 30 minutes per participant per week.
Facility failed to provide a quiet room or separate quiet area with required space and furniture for participants.
Facility failed to maintain one of three battery back-up emergency lights and four of five battery back-up illuminated exit signs in proper working condition.
Facility failed to provide documented evidence of tuberculosis testing or completed questionnaires for all 15 employees reviewed.
Facility failed to maintain sanitary and safe environment for participants including hot water temperature exceeding 120 degrees Fahrenheit.
Report Facts
Census: 82
Census: 83
Sample Size: 9
Employee Files Reviewed: 15
Participants: 9
Licensed Capacity: 90
Recliners: 9
Fire Extinguishers: 11
Social Worker Hours Required: 30
Social Worker Hours Provided: 5
Hot Water Temperature: 120
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Employee #2 | Driver | Identified with incomplete mandatory education and did not attend emergency drill training |
| Employee #3 | Social Worker | Identified with incomplete mandatory education and did not attend emergency drill training or mandatory trainings |
| Employee #5 | Program Aide | Identified with incomplete mandatory education and did not attend emergency drill training or infection control training |
| Employee #7 | Registered Nurse | Identified with incomplete mandatory education and did not attend emergency drill training |
| Employee #9 | Director of Nursing | Identified with incomplete mandatory education and did not attend emergency drill training |
| Employee #10 | Program Aide | Identified with incomplete mandatory education and did not attend emergency drill training |
| Employee #13 | Program Aide | Identified with incomplete mandatory education and did not attend emergency drill training |
| Employee #1 | Program Aide | Health file reviewed showing incomplete up-to-date questionnaire and last test |
| Employee #6 | Director of Activities | Health file reviewed showing incomplete up-to-date questionnaire and last test |
| Employee #12 | Program Aide | Health file reviewed showing incomplete up-to-date questionnaire and last test |
Inspection Report
Complaint Investigation
Census: 58
Deficiencies: 2
Date: Aug 16, 2023
Visit Reason
The inspection was conducted as a complaint investigation based on Complaint #: NJ00166421 regarding transportation services at the facility.
Complaint Details
Complaint #: NJ00166421. The complaint involved failure to follow transportation policies resulting in Participant #2 being left unattended at the wrong door and security/accountability issues during transportation.
Findings
The facility was found not in substantial compliance with standards due to failure to follow transportation policies, specifically failing to ensure a caregiver was present to receive Participant #2 during drop-off, resulting in the participant being left unattended. The facility also failed to ensure security and accountability for Participant #2 during transportation services.
Deficiencies (2)
Failure to follow transportation policy by not ensuring a caregiver was at home to receive Participant #2 during drop-off.
Failure to ensure security and accountability for Participant #2 during transportation services.
Report Facts
Census: 58
Sample Size: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Driver #5 | Driver | Named in findings related to transportation incident involving Participant #2. |
| Transportation Coordinator | Receptionist/Transportation Coordinator | Interviewed regarding transportation procedures and incident. |
| Administrator | Administrator | Named in findings related to failure to enforce transportation policies. |
| Director of Nursing | Director of Nursing | Interviewed regarding incident and communication with Participant #2's home. |
| Activities Director | Activities Director | Received calls related to the incident involving Participant #2. |
Viewing
Loading inspection reports...
