Inspection Reports for The Atrium at Navesink Harbor
40 Riverside Avenue, NJ, 07701
Back to Facility ProfileDeficiencies per Year
12
9
6
3
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Notice
Deficiencies: 0
Nov 20, 2025
Visit Reason
This document serves to inform covered components and the public about the privacy practices related to medical information, including how information may be used, disclosed, and the rights of individuals under these practices.
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 the department 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: 36
Capacity: 43
Deficiencies: 10
Sep 19, 2024
Visit Reason
A Recertification Survey was conducted to determine compliance with 42 CFR Part 483 for Long Term Care Facilities, including a complaint investigation during the survey.
Findings
Deficiencies were cited related to resident rights, abuse/neglect policies, CPR equipment maintenance, incontinence care, pain management, drug regimen, food safety, immunizations, emergency preparedness, and life safety code violations including stairwell exit door latching and exit signage.
Complaint Details
Complaint NJ#: 176512 was investigated during the recertification survey. Deficiencies related to resident dignity, abuse prevention, emergency preparedness, and other regulatory requirements were substantiated.
Severity Breakdown
SS=D: 5
SS=E: 3
SS=F: 3
Deficiencies (10)
| Description | Severity |
|---|---|
| Facility failed to maintain the dignity of residents and protect resident rights during meal service and privacy. | SS=D |
| Facility failed to develop and implement abuse/neglect policies and ensure criminal background checks were completed prior to employment. | SS=D |
| Facility failed to maintain AED equipment and replace expired emergency supplies. | SS=E |
| Facility failed to ensure residents with urinary catheters had proper care to prevent infection. | SS=D |
| Facility failed to ensure pain management was provided consistent with professional standards and resident needs. | SS=D |
| Facility failed to ensure drug regimen was free from unnecessary drugs and properly monitored medication administration. | SS=D |
| Facility failed to maintain food safety and sanitation standards in the kitchen and food storage areas. | SS=F |
| Facility failed to ensure residents received appropriate influenza and pneumococcal immunizations. | SS=E |
| Facility failed to ensure a copy of the Emergency Preparedness Plan was sent to local and county emergency management and failed to conduct required emergency preparedness exercises. | SS=F |
| Facility failed to comply with Life Safety Code requirements including stairwell exit doors not latching and lack of illuminated exit signage. | SS=F |
Report Facts
Residents present: 36
Total licensed beds: 43
Deficiencies cited: 11
AED kits expired: 2
Residents reviewed for dignity deficiency: 2
Employees reviewed for background check deficiency: 10
Residents reviewed for medication deficiency: 5
Residents reviewed for immunization deficiency: 5
Residents at risk due to exit door deficiency: 36
Residents at risk due to exit signage deficiency: 38
Inspection Report
Routine
Census: 37
Capacity: 43
Deficiencies: 8
Jul 7, 2023
Visit Reason
The survey was conducted as a routine inspection to assess compliance with federal regulations for long term care facilities, including investigation of alleged violations, baseline care planning, nutrition and hydration status, physician supervision, pharmacy services, and life safety code compliance.
Findings
The facility was found not in substantial compliance with several regulatory requirements including failure to complete investigations of alleged violations, failure to develop baseline care plans timely, failure to maintain acceptable nutritional status and hydration, failure to ensure physician supervision and timely response to significant weight changes, failure to administer medications according to orders, and life safety code deficiencies related to means of egress, smoking regulations, and electrical equipment use.
Severity Breakdown
SS=D: 4
SS=G: 1
SS=E: 1
SS=F: 1
Deficiencies (8)
| Description | Severity |
|---|---|
| Failed to complete investigation for alleged abuse for 1 of 2 residents. | SS=D |
| Failed to develop a person-centered baseline care plan within 48 hours of admission for 1 of 15 residents. | SS=D |
| Failed to maintain acceptable nutritional status and hydration, including failure to monitor weight and intake, obtain dietitian assessments, and implement supplements for 1 of 4 residents. | SS=G |
| Failed to ensure physician addressed significant weight loss, monitored weekly weights, and implemented interventions timely for 1 of 4 residents. | SS=D |
| Failed to administer medication according to physician orders and standards of practice for 1 of 9 residents. | SS=D |
| Failed to maintain delayed-egress locking system on exit door to stairs on third floor, releasing immediately instead of 15 second delay. | SS=E |
| Failed to provide metal container with self-closing cover device for cigarette ashtray in smoking area. | SS=D |
| Used extension cords and power strips as substitute for fixed wiring in two TV lounges. | SS=F |
Report Facts
Census: 37
Total Capacity: 43
Weight change: 20
Weight change: 5
Weight change: 3
Meals documented: 35
Meals opportunity: 154
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| RN #1 | Registered Nurse | Administered medications to Resident #9 and involved in weight monitoring for Resident #8 |
| Director of Nursing | Director of Nursing | Involved in investigation, care plan oversight, and communication with physician |
| Registered Dietitian | Registered Dietitian | Responsible for nutrition assessment and care planning for Resident #8 |
| Licensed Practical Nurse | Licensed Practical Nurse | Supervised weight monitoring and medication administration on third floor |
| Maintenance Director | Maintenance Director | Responsible for maintenance of delayed-egress door and electrical equipment |
| Licensed Nursing Home Administrator | Administrator | Facility administrator involved in interviews and oversight |
Inspection Report
Annual Inspection
Census: 30
Deficiencies: 8
Aug 9, 2021
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 failure to investigate a facility-acquired pressure injury, inaccurate Minimum Data Set (MDS) assessments, failure to maintain required minimum direct care staff-to-resident ratios, and multiple life safety code violations including delayed egress door timing, emergency lighting, elevator inspections, generator transfer time certification, and improper oxygen storage.
Severity Breakdown
SS=D: 4
SS=E: 3
: 1
Deficiencies (8)
| Description | Severity |
|---|---|
| Facility failed to investigate the root cause of a facility-acquired pressure injury for Resident #12. | SS=D |
| Facility failed to ensure accuracy of Minimum Data Set (MDS) assessments for Residents #12 and #32. | SS=D |
| Facility failed to maintain required minimum direct care staff-to-resident ratios for 3 of 42 shifts reviewed. | — |
| Delayed egress feature on three exit discharge doors exceeded 15 seconds and signs incorrectly stated 30 seconds. | SS=E |
| Emergency lighting backup battery light missing above emergency generator transfer switch and one emergency light failed to operate. | SS=D |
| Elevators were not inspected and tested monthly as required by code. | SS=E |
| Facility failed to certify generator transfer time was within 10 seconds and did not document monthly load tests. | SS=D |
| Combustible materials stored within 5 feet of oxygen tanks exceeding 300 cubic feet. | SS=E |
Report Facts
Census: 30
Shifts reviewed: 42
Deficient shifts: 3
Delayed egress door timing: 30
Delayed egress door timing corrected to: 15
Generator transfer times missing: 11
Generator load tests missing: 3
Oxygen tanks: 31
Oxygen storage separation: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing (DON) | Interviewed regarding failure to investigate pressure injury and MDS accuracy | |
| Licensed Practical Nurse (LPN) | Interviewed regarding Resident #12 care and pressure injury | |
| Certified Nursing Aide (CNA) | Interviewed regarding Resident #12 care and pressure injury | |
| Maintenance Director | Interviewed regarding delayed egress doors, emergency lighting, elevator inspections, and oxygen storage | |
| Administrator | Notified of findings during exit conferences |
Inspection Report
Abbreviated Survey
Census: 37
Deficiencies: 1
Nov 27, 2020
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 infection control.
Findings
The facility was found not in compliance with infection control regulations, specifically regarding the role and active performance of the designated Infection Preventionist (IP). The IP did not fulfill responsibilities related to infection surveillance and participation in quality assurance meetings, and there were discrepancies in COVID-19 tracking data.
Severity Breakdown
SS=D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure the Infection Preventionist actively performed responsibilities in accordance with her designated role, including infection surveillance and participation in quality assessment and assurance committee meetings. | SS=D |
Report Facts
COVID-19 positive residents: 4
COVID-19 positive resident deaths: 1
COVID-19 positive employees: 4
Sample size: 4
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