Inspection Reports for Anchor Care & Rehabilitation Center

The facility was found deficient in multiple areas including maintaining a clean and sanitary environment, medication storage, catheter care, dialysis care documentation, infection control practices related to respiratory equipment, and proper supervision to prevent accidents. Several residents were affected by these deficiencies, with minimal harm or potential for harm noted.

Complaint # NJ 184710 was substantiated with findings of deficient CNA staffing ratios on multiple day shifts during the weeks of 03/02/2025 to 03/08/2025 and 04/13/2025 to 04/26/2025.

The facility was found not in compliance with New Jersey Administrative Code 8:39 regarding minimum staffing ratios, specifically failing to meet required CNA staffing levels on multiple day shifts over several weeks. A Plan of Correction was required to address these deficiencies.

The facility staff failed to consistently document care provided to residents in the Resident CNA Documentation Record for 3 of 5 residents reviewed. Numerous instances of missing documentation for bed mobility, eating, nutrition, and turn and position tasks were identified across multiple shifts and dates. Interviews with staff confirmed that documentation is required to be completed by the end of each shift, but this was not consistently done.

Complaint # NJ 177500 and 172217. The facility was not in substantial compliance based on these complaints regarding documentation and staffing.

The facility was found not in substantial compliance with federal and state regulations due to failure to consistently document care provided to residents and failure to maintain required minimum staff-to-resident ratios for Certified Nurse Aides (CNAs) on multiple day shifts. Documentation deficiencies were noted for 3 of 5 residents reviewed, with numerous days and shifts lacking proper ADL documentation. Staffing deficiencies were documented for multiple weeks with CNA staffing below mandated ratios.

Complaint #: NJ00168186. The complaint was substantiated as the facility failed to ensure proper CNA training enrollment and certification for a Temporary Nurse Aide who worked independently on multiple units.

The facility failed to ensure that a Temporary Nurse Aide (TNA #1) was enrolled in CNA training and had completed required training hours by specified dates. TNA #1 worked on multiple nursing units and was assigned independent resident care without proper certification. Interviews revealed that the facility allowed TNAs to work without CNA certification and lacked proper documentation and tracking of CNA enrollment.

Complaint # NJ00168186 was substantiated. The facility was found deficient for employing a non-certified Temporary Nurse Aide beyond the allowed period and failing to maintain minimum CNA staffing ratios, potentially affecting all residents.

The facility was found not in substantial compliance with 42 CFR Part 483, Subpart B, based on the complaint visit. Deficiencies included the use of a non-certified Temporary Nurse Aide (TNA) working beyond allowed timeframes without proper certification and failure to maintain required minimum direct care staff-to-resident ratios for Certified Nursing Assistants (CNAs) on multiple shifts.

The complaint survey found the facility deficient in CNA staffing ratios for 12 of 28 day shifts, with specific dates and CNA counts documented showing shortages compared to required minimums.

The facility was found to be in substantial compliance with 42 CFR 483 subpart B but failed to meet mandatory staffing ratios for Certified Nurse Aides (CNAs) on multiple day shifts, affecting all residents.

Deficiencies were cited related to failure to maintain professional standards of clinical practice for 3 residents, failure to accurately account for controlled medications, improper medication storage, and food safety violations including improper labeling and hand hygiene. The facility was also found deficient in maintaining required minimum direct care staff-to-resident ratios for the day shift.

The facility was found deficient in maintaining professional standards of clinical practice for three residents, including failure to remove an elopement alarm after discontinuation, inadequate monitoring of meal intake for a resident with excessive weight loss, and failure to complete pain assessments before and after administering pain medication. Additionally, deficiencies were found in pharmaceutical services, including inaccurate narcotic counts and improper medication storage. Food service deficiencies included improper food labeling, poor handwashing practices, and unsanitary kitchen conditions.

Complaint #NJ150368 involved allegations of abuse and misappropriation of Resident #2's assets. The complaint was substantiated as the facility failed to investigate and prevent harm. The matter is in litigation, and no actual harm was cited during the survey.

The facility failed to complete and provide an investigation of an allegation of misappropriation of Resident #2's assets through a Durable Power of Attorney (DPOA) assigned by the facility. The resident reported unauthorized sale of personal property and financial exploitation. The facility also failed to follow its policies on Resident Abuse and Resident Rights. No actual harm was cited, and the matter is in litigation.

The facility was found deficient in multiple areas including improper medication administration and clarification of physician orders, inadequate respiratory care and infection control practices, failure to act on consultant pharmacist recommendations timely, improper medication labeling and storage, failure to ensure dietary fluid restrictions were followed, poor kitchen sanitation, and inadequate hand hygiene and disinfection during COVID-19 screening and testing.

Deficiencies were cited related to physical environment approvals, medication administration errors, respiratory care, drug regimen review irregularities, medication storage, therapeutic diet compliance, food safety, and infection prevention and control practices.

The facility was found to be noncompliant with several Life Safety Code requirements including inadequate number of approved exits in corridors, obstructed exit discharge paths, lack of occupant notification devices in the enclosed courtyard, overdue fire alarm system inspection, and deficiencies in sprinkler system maintenance and smoke-resistant ceiling integrity.