Inspection Reports for ArtistaCare Indian Program at Alameda Center
NJ, 08861
Back to Facility ProfileDeficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
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 details 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: 239
Deficiencies: 0
Aug 31, 2023
Visit Reason
The inspection was conducted as a complaint investigation based on complaint number NJ166736.
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 number NJ166736 was investigated and the facility was found to be in substantial compliance.
Report Facts
Sample size: 4
Inspection Report
Complaint Investigation
Census: 240
Deficiencies: 2
Jul 18, 2023
Visit Reason
The inspection was conducted based on Complaint #NJ00165655 to determine compliance with 42 CFR Part 483, Subpart B, for long term care facilities.
Findings
The facility was found not in substantial compliance due to failure to provide meals consistent with the menu and policies, and failure to ensure staffing ratios met the required minimum for 6 of 14 day shifts reviewed. Deficiencies were related to meal service and mandatory access to care staffing requirements.
Complaint Details
Complaint #NJ00165655 triggered the investigation. The complaint was substantiated as the facility was found not in substantial compliance with meal service and staffing requirements.
Severity Breakdown
SS=D: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to provide meals consistent with the menu and policies titled 'Meal Service' and 'Therapeutic Diet Orders' as evidenced by observations of residents' meals not matching meal tickets and missing items. | SS=D |
| Failure to ensure staffing ratios met the required minimum staff-to-resident ratios for certified nursing assistants on 6 of 14 day shifts reviewed. | — |
Report Facts
Census: 240
Sample Size: 3
Deficient CNA staffing days: 6
CNA staffing counts: 19
CNA staffing counts: 28
CNA staffing counts: 24
CNA staffing counts: 23
CNA staffing counts: 25
CNA staffing counts: 28
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #1 | CNA | Interviewed regarding meal service and missing oatmeal on Resident #1's tray |
| Licensed Practical Nurse / Unit Manager | LPN/UM | Interviewed about meal ticket discrepancies and meal delivery issues |
| Registered Dietitian | RD | Interviewed about kitchen meal preparation and meal delivery issues |
| Cook | Cook | Interviewed about meal delivery to nursing unit |
| Food Service Director | Food Service Director | Interviewed about meal delivery and communication with nursing staff |
| Director of Nursing | DON | Interviewed about meal tray service and staffing ratios |
| Director of Nursing | DON | Interviewed about staffing regulations and CNA school partnership |
Inspection Report
Routine
Census: 232
Deficiencies: 0
Aug 11, 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 related to COVID-19.
Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and the CMS and CDC recommended practices for COVID-19.
Report Facts
Sample size: 8
COVID+ in-house: 21
Inspection Report
Complaint Investigation
Census: 226
Deficiencies: 1
Jun 6, 2022
Visit Reason
The inspection was conducted as a complaint survey based on multiple complaint numbers NJ00150938, NJ00152256, NJ00154212, and NJ00154912 to determine compliance with 42 CFR Part 483 Subpart B for Long Term Care facilities.
Findings
The facility failed to consistently implement their policy on Charting and Documentation for 4 of 5 residents reviewed, specifically missing documentation of assistance with Activities of Daily Living (ADLs) across multiple shifts and dates. Interviews with staff confirmed that documentation was required but not consistently completed.
Complaint Details
The complaint investigation involved multiple complaint numbers NJ00150938, NJ00152256, NJ00154212, and NJ00154912. The facility was found not in compliance based on these complaints.
Severity Breakdown
SS=C: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to consistently implement policy on Charting and Documentation for assistance with ADLs for residents #1, #2, #3, and #5. | SS=C |
Report Facts
Census: 226
Sample size: 5
Audit frequency: 2
Audit sample size: 10
Audit duration: 90
QAPI reporting duration: 3
Inspection Report
Complaint Investigation
Census: 217
Deficiencies: 0
Feb 1, 2022
Visit Reason
The inspection was conducted based on a complaint visit to assess compliance with 42 CFR Part 483, Subpart B for long term care facilities.
Findings
The facility was found to be in substantial compliance with the regulatory requirements during this complaint investigation.
Complaint Details
The visit was complaint-related and the facility was found to be in substantial compliance based on this complaint visit.
Report Facts
Sample size: 3
Document
Deficiencies: 0
Nov 3, 2021
Visit Reason
This document does not contain any visit or inspection reason as it is not related to regulatory oversight.
Findings
No findings or inspection content are present in this document.
Inspection Report
Life Safety
Deficiencies: 4
Nov 3, 2021
Visit Reason
A Life Safety Code Survey was conducted by the New Jersey Department of Health on 11/03/2021 to assess compliance with Medicare/Medicaid participation requirements related to Life Safety from Fire and the 2012 NFPA 101 Life Safety Code for existing health care occupancies.
Findings
The facility was found to be in noncompliance with several Life Safety Code requirements including emergency lighting, portable fire extinguishers, HVAC ventilation in resident bathrooms, and elevator emergency communications. Specific deficiencies included failure to maintain 5 of 10 emergency lighting battery backups, one fire extinguisher with a discharged gauge, 7 of 9 resident bathroom exhaust systems not functioning properly, and emergency telephones in 2 of 3 elevators not working.
Severity Breakdown
SS=D: 2
SS=E: 2
Deficiencies (4)
| Description | Severity |
|---|---|
| Failed to maintain 5 of 10 battery backup emergency lights in proper working order. | SS=D |
| Failed to maintain 1 of 40 portable fire extinguishers in proper working condition; kitchen extinguisher gauge in red discharge zone. | SS=D |
| Failed to ensure proper maintenance of 7 of 9 resident bathroom exhaust systems. | SS=E |
| Failed to maintain elevator emergency communications for 2 of 3 elevators tested. | SS=E |
Report Facts
Battery backup emergency lights not functioning: 5
Portable fire extinguishers not maintained: 1
Resident bathroom exhaust systems not functioning: 7
Elevators with non-functioning emergency communications: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Maintenance | Present during observations of emergency lighting, fire extinguishers, HVAC, and elevator deficiencies; confirmed findings | |
| Assistant Administrator | Present during HVAC bathroom exhaust system inspection and confirmed deficiencies | |
| Administrator | Informed of findings at Life Safety Code exit conference on 11/03/2021 |
Inspection Report
Routine
Census: 201
Deficiencies: 0
Oct 5, 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 and preparedness for COVID-19.
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: 5
Inspection Report
Complaint Investigation
Census: 205
Deficiencies: 0
Sep 30, 2021
Visit Reason
The inspection was conducted as a complaint survey based on complaints NJ146631, NJ146115, and NJ145923.
Findings
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 Details
Complaint numbers NJ146631, NJ146115, and NJ145923 were investigated and found to be without deficiencies.
Report Facts
Sample Size: 10
Inspection Report
Complaint Investigation
Census: 179
Deficiencies: 0
Apr 13, 2021
Visit Reason
The inspection visit was conducted in response to complaint #NJ 144645 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 144645 was investigated and the facility was found to be in substantial compliance.
Report Facts
Sample size: 4
Inspection Report
Complaint Investigation
Census: 173
Deficiencies: 0
Jan 5, 2021
Visit Reason
The inspection was conducted as a complaint survey based on complaint number NJ00135083.
Findings
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 Details
Complaint number NJ00135083 was investigated and found to be unsubstantiated as the facility was in compliance.
Report Facts
Sample Size: 3
Inspection Report
Abbreviated Survey
Census: 173
Deficiencies: 3
Jan 5, 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 related to COVID-19.
Findings
The facility was found not to be in compliance with 42 CFR §483.80 infection control regulations, specifically regarding influenza and pneumococcal immunizations. Deficiencies included failure to obtain written consent, provide education on benefits and risks, and document immunization status for several residents.
Severity Breakdown
SS=C: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to obtain written consent for influenza and pneumococcal immunizations for sampled residents. | SS=C |
| Failure to provide education to residents or their representatives regarding benefits and potential side effects of influenza and pneumococcal immunizations. | SS=C |
| Failure to document immunization status and refusal or contraindications in residents' medical records. | SS=C |
Report Facts
Census: 173
Deficiencies cited: 3
Completion date for plan of correction: 2021
Inspection Report
Routine
Census: 177
Deficiencies: 0
Dec 8, 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 related to COVID-19.
Findings
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.
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