Inspection Reports for Aristacare At Manchester

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The inspection was conducted in response to complaint NJ176392 to determine compliance with staffing ratio requirements and other regulatory standards.

The facility was found not in compliance with New Jersey Administrative Code 8:39 regarding staffing ratios, failing to meet required CNA staffing levels on multiple day and evening shifts. The facility was required to submit a Plan of Correction to address these deficiencies.

Complaint #: NJ176392. The facility was found deficient in CNA staffing for residents on 3 of 14 day shifts during the two weeks prior to the survey, specifically on 09/08/24, 09/15/24, and 09/18/24. The complaint was substantiated with findings of noncompliance.

Recertification survey conducted from 04/11/24 through 04/25/24 to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facility, including complaint investigations.

The facility was found in substantial compliance with emergency preparedness but had multiple deficiencies including Immediate Jeopardy related to failure to provide physician ordered treatment and adequate supervision, care plan deficiencies, failure to meet professional standards for orthotic devices and skin tear treatments, inadequate dialysis communication, medication administration errors, infection control lapses, staffing shortages, and life safety code violations.

Complaint #s: 158574, 158700, 159171, 159192, 163170, 165621, 168216, 169055, 169435, 171625. Complaint investigation revealed multiple deficiencies including Immediate Jeopardy related to failure to provide physician ordered treatment and adequate supervision.

The inspection was conducted based on Complaint #NJ 158362 regarding allegations of abuse, neglect, or mistreatment at the facility.

The facility was found not in substantial compliance with 42 CFR Part 483, Subpart B, due to failure to report an accident/incident resulting in serious bodily injury of a resident (Resident #2) to the New Jersey Department of Health and failure to follow the facility's policy on Unusual Occurrence Reporting.

Complaint #NJ 158362 was substantiated as the facility failed to report a serious injury incident involving Resident #2 to the NJDOH and did not follow their own reporting policy.

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.

The facility was found not in compliance with infection control regulations, specifically failing to ensure proper removal and disposal of personal protective equipment (PPE) by housekeeping staff exiting rooms of residents under COVID-19 precautions. Additionally, the facility failed to maintain required minimum direct care staff to resident ratios for several shifts.

A Recertification Survey was conducted to determine compliance with 42 CFR Part 483, Requirements for Long Term Care Facilities.

Deficiencies were cited related to expired medical supplies in emergency carts and improper labeling and maintenance of kitchen food items and equipment.

A Life Safety Code Survey was conducted by the New Jersey Department of Health to assess compliance with Medicare/Medicaid participation requirements related to fire safety and life safety code standards.

The facility was found to be in noncompliance with several Life Safety Code requirements including missing instructional signage on delayed egress doors, obstructions in stairwells, incomplete sprinkler coverage in stairwells, lack of monthly elevator firefighter service testing documentation, and failure to certify generator transfer time within 10 seconds.

The inspection was conducted as a complaint survey based on complaints NJ146180 and NJ147873 to investigate staffing ratio compliance.

The facility was found not in substantial compliance with New Jersey staffing requirements, failing to meet minimum staffing ratios for 30 of 35 shifts reviewed, including deficiencies in total staff for four of 35 overnight shifts. Despite recruitment efforts and increased pay rates, staffing shortages persisted.

Complaint #: NJ146180 and NJ147873. The facility was found not in substantial compliance with staffing requirements as per NJDOH memo dated 01/28/2021. The Nursing Home Administrator acknowledged failure to meet staffing directives due to staff not reporting to work or calling out sick.

A COVID-19 Focused Infection Control Survey was conducted by the New Jersey Department of Health due to a current COVID-19 outbreak in the facility.

The facility failed to implement timely transmission-based precautions for residents during a COVID-19 outbreak, did not ensure hand hygiene was performed before meals, and had improper PPE use and disposal practices by staff, including a Certified Nursing Aide who removed PPE incorrectly and disposed of used PPE improperly. The receptionist conducting COVID-19 testing also failed to follow proper infection control procedures.

The inspection was conducted as a complaint survey based on complaints NJ139665 and NJ143554.

The facility was found to be in compliance with the requirements of 42 CFR Part 483, Subpart B, for Long Term Care Facilities based on this complaint survey.

Complaint numbers NJ139665 and NJ143554 were investigated and found to be unsubstantiated as the facility was in compliance.

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.

The facility was found not to be in compliance with 42 CFR §483.80 infection control regulations due to a staff member failing to don appropriate Personal Protective Equipment (PPE) while entering a resident's room under droplet precautions. The deficiency was isolated to one staff member who was subsequently terminated, and corrective actions including staff education and audits were implemented.

A COVID-19 Focused Infection Control Survey was conducted by the New Jersey Department of Health to assess compliance with infection control regulations.

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.

A COVID-19 Focused Infection Control Survey was conducted by the New Jersey Department of Health to assess compliance with infection control regulations.

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented the CMS and CDC recommended practices for COVID-19.

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.

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented the CMS and CDC recommended practices for COVID-19.

Initial inspection for licensure of a renovated long term care facility, including final phase of a 3-phase renovation project.

No deficiencies were noted during the inspection. The project included a renovated physical therapy gym, addition of a new pool, and new finishes such as MEP fixtures, ceiling grid, flooring, and ceiling tiles.

A COVID-19 Focused Infection Control Survey was conducted by the New Jersey Department of Health to assess compliance with infection control regulations.

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.