Inspection Reports for Arnold Walter Nursing & Rehabilitation Center
622 S Laurel Avenue, NJ, 07730
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Notice
Deficiencies: 0
Nov 20, 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, the circumstances under which health information may be used or disclosed, and the legal duties and rights of individuals regarding their health information 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: 151
Deficiencies: 1
Feb 15, 2024
Visit Reason
The inspection was conducted based on complaint NJ00168707 to determine compliance with New Jersey Administrative Code, Chapter 8:39, Standards for Licensure of Long Term Care Facilities.
Findings
The facility failed to meet the required minimum staff-to-resident CNA ratios for 28 of 28 day shifts and 1 of 1 evening shift during the review periods, indicating noncompliance with state staffing requirements.
Complaint Details
Complaint NJ00168707 was substantiated as the facility did not meet minimum CNA staffing ratios on multiple days during the periods 10/08/2023 to 10/21/2023 and 01/28/2024 to 02/10/2024.
Deficiencies (1)
| Description |
|---|
| Failure to ensure staffing ratios were met to maintain the required minimum staff-to-resident CNA ratios as mandated by the state of New Jersey. |
Report Facts
Residents present: 151
CNA staffing deficiency days: 28
CNA staffing deficiency days: 1
Required CNAs: 18
Actual CNAs: 10
Required CNAs: 19
Actual CNAs: 10
Required CNAs: 20
Actual CNAs: 11
Inspection Report
Annual Inspection
Census: 137
Capacity: 169
Deficiencies: 8
Dec 14, 2023
Visit Reason
A Recertification Survey was conducted to determine compliance with 42 CFR Part 483, Requirements for Long Term Care Facilities.
Findings
Deficiencies were cited related to reporting of alleged violations, investigation and prevention of abuse, accuracy of assessments, medication administration, pharmacy services, drug regimen review, infection prevention and control, and staffing ratios. A follow-up revisit report dated 2024-01-22 shows all cited deficiencies were corrected.
Complaint Details
Complaint numbers NJ 156328, NJ 160219, NJ 160755, NJ 161020, NJ 165400, NJ 166083, NJ 166916, NJ 167185 were investigated. Some deficiencies were substantiated related to abuse allegations and medication errors.
Severity Breakdown
SS=D: 7
Deficiencies (8)
| Description | Severity |
|---|---|
| Failure to report alleged violations involving abuse, neglect, exploitation or mistreatment in a timely manner. | SS=D |
| Failure to thoroughly investigate allegations of abuse and prevent further potential abuse. | SS=D |
| Failure to accurately complete the Minimum Data Set (MDS) assessment tool for residents. | SS=D |
| Failure to properly transcribe and follow physician's medication orders for residents. | SS=D |
| Failure to provide pharmaceutical services that assure accurate acquiring, receiving, dispensing, and administering of drugs. | SS=D |
| Failure to address consultant pharmacist recommendations in a timely manner. | SS=D |
| Failure to maintain infection prevention and control standards during wound care treatment. | SS=D |
| Failure to maintain required minimum direct care staff-to-resident ratios as mandated by the state of New Jersey. | — |
Report Facts
Census: 137
Total Capacity: 169
Deficiencies cited: 8
Staffing ratios: 16
Staffing ratios: 17
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie | Human Resource Director | Named in staffing deficiency and corrective action plan |
| RNS#2 | Registered Nurse Night-shift Supervisor | Witnessed resident incident and involved in medication administration |
| Interim Director of Nursing | Interim DON | Named in multiple findings including abuse investigation, medication errors, and infection control |
| Licensed Nursing Home Administrator | LNHA | Involved in investigation and corrective action discussions |
| LPN#1 | Licensed Practical Nurse | Involved in wound care and medication administration |
Inspection Report
Routine
Census: 123
Deficiencies: 0
Aug 19, 2022
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.
Report Facts
Sample size: 5
Inspection Report
Complaint Investigation
Census: 125
Deficiencies: 1
Mar 30, 2022
Visit Reason
The inspection was conducted as a complaint investigation (Complaint # NJ149829) related to a missing medication for Resident #2 at Arnold Walter Nursing & Rehabilitation Center.
Findings
The facility failed to follow professional standards by not accurately administering a prescribed medication to Resident #2 as ordered, failing to notify the physician timely, and not following facility policies on missed medication and nurse charting responsibilities. The medication was missed due to unavailability and lack of proper documentation and notification.
Complaint Details
Complaint # NJ149829. The facility was found not in substantial compliance with 42 CFR Part 483, Subpart B, based on this complaint visit. The complaint involved missed medication administration for Resident #2.
Severity Breakdown
SS=D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to follow acceptable professional standards by not accurately following a Physician's Order for medication administration and failure to notify the Physician as required. | SS=D |
Report Facts
Census: 125
Sample Size: 3
Missed Medication Doses: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practice Nurse (LPN) | Interviewed regarding medication administration and documentation for Resident #2 | |
| Director of Nursing (DON) | Interviewed about medication availability, notification procedures, and documentation | |
| Charge Nurse/LPN | Interviewed about medication unavailability and notification process | |
| Physician | Interviewed post-survey; unaware of missed medication for Resident #2 |
Inspection Report
Routine
Census: 120
Deficiencies: 0
Oct 6, 2021
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the New Jersey Department of Health to assess compliance with CMS and CDC recommended practices for COVID-19.
Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations related to COVID-19 practices.
Report Facts
Sample size: 5
Inspection Report
Deficiencies: 1
Aug 19, 2021
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 mandatory staffing requirements.
Findings
The facility was found not in compliance with state-mandated minimum direct care staff-to-resident ratios for certified nurse aides during 12 of 42 shifts reviewed. The facility was engaged in ongoing recruitment efforts including open houses, advertising, and bonuses to address staffing shortages.
Deficiencies (1)
| Description |
|---|
| Failure to maintain required minimum direct care staff-to-resident ratios as mandated by the state of New Jersey for 12 of 42 shifts reviewed (CNA day shifts). |
Report Facts
Shifts with staffing deficiency: 12
Dates of deficient shifts: 7/25, 7/26, 7/28, 7/29, 7/30, 7/31, 8/1, 8/2, 8/4, 8/5, 8/6, 8/7/2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Resident #16 | Resident | Reported concerns about insufficient staffing during the initial tour |
| Staffing Coordinator | Interviewed about staffing efforts and challenges | |
| Licensed Nursing Home Administrator | LNHA | Interviewed regarding staffing shortages and recruitment efforts |
| Human Resources Director | Interviewed about recruitment advertising and outreach efforts |
Inspection Report
Complaint Investigation
Census: 103
Deficiencies: 0
Apr 19, 2021
Visit Reason
The inspection was conducted in response to complaint #NJ 141501 to assess compliance with regulatory requirements.
Findings
The facility was found to be in substantial compliance with the requirements of 42 CFR Part 483, Subpart B, for long term care facilities based on this complaint visit.
Complaint Details
Complaint #NJ 141501 was investigated and the facility was found to be in substantial compliance.
Report Facts
Sample size: 4
Inspection Report
Routine
Census: 87
Deficiencies: 0
Jan 12, 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.
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: 5
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