Inspection Reports for Azria Health Montclair

The notice was issued as a disciplinary action against The Banyan At Montclair Skilled Nursing Facility due to violations related to maintaining safe and comfortable temperatures in resident rooms and common areas, as evidenced by a survey report dated February 24, 2025.

The facility failed to ensure that temperatures in occupied resident rooms and common areas were maintained at a safe and comfortable level, resulting in probation and prohibition from admitting new residents until compliance is demonstrated.

The document is a Nursing Home Licensure Renewal Application and related certification for The Banyan at Montclair, indicating the facility is renewing its license to operate as a skilled nursing facility.

The documents confirm that The Banyan at Montclair meets statutory requirements for licensure renewal as a skilled nursing facility with specialized care units including Alzheimer's/Special Care. The renewal application includes facility details, ownership, accreditation, and certification information.

This Notice of Disciplinary Action was issued due to violations related to medication errors at The Banyan At Montclair Skilled Nursing Facility, resulting in the facility's license being placed on probation for 90 days starting August 7, 2024.

The facility failed to ensure a resident was free of significant medication errors, as evidenced by the CMS-2567 Report dated July 9, 2024. The Department requires submission of a Plan of Correction and ongoing reports regarding medication errors during the probation period.

This Notice of Disciplinary Action was issued due to violations found during a survey dated March 4, 2024, specifically related to failure to ensure staff were trained to check elopement prevention equipment, resulting in a resident eloping from the facility.

The facility is prohibited from admitting residents and placed on probation for 180 days starting March 30, 2024, requiring submission of a Plan of Correction and ongoing reports regarding residents with accidents. The violations were evidenced by the facility's failure to train staff on elopement prevention equipment.

An unannounced visit was conducted to investigate a complaint at Azria Health At Montclair on February 6, 2020, regarding allegations of failure to prevent skin infections, aspiration, misappropriation, and failure to make financial records available upon request.

The investigation found no violations related to the allegations. The facility provided care and services to prevent skin infections and aspiration, ensured residents were free from misappropriation, and made financial records available upon request, complying with relevant regulatory requirements.

The complaint included four allegations: failure to prevent skin infections, failure to prevent aspiration, failure to ensure residents are free from misappropriation, and failure to make financial records available upon request. All allegations were found to be unsubstantiated with no violations.

An unannounced visit was conducted to investigate a complaint regarding the facility's care and treatment related to prevention of pressure sores, promotion of healing of skin breakdown, and care for drainage devices.

The facility was found to be in compliance with regulatory requirements for all allegations after observations, record reviews, and interviews. Care and treatment for pressure sores, skin breakdown healing, and drainage devices were provided as ordered and according to standards.

The complaint alleged failure to provide care and treatment to prevent pressure sores, promote healing of skin breakdown, and care for drainage devices. The facility was found compliant with all allegations.

An unannounced visit was conducted to investigate a complaint at Azria Health At Montclair on July 1-2, 2019, triggered by multiple allegations regarding bathing, medical records, catheter care, change of condition identification, infection control, housekeeping, skin breakdown care, and resident dignity.

The investigation found the facility in compliance with all relevant regulatory requirements for each allegation, including bathing, medical records, catheter care, change of condition identification, infection control, housekeeping, skin breakdown care, and resident dignity.

The complaint included nine allegations related to failure in bathing, medical records, catheter care, change of condition identification, infection control, bathing preferences, housekeeping, skin breakdown care, and resident dignity. All were found to be unsubstantiated with the facility in compliance.

An unannounced visit was conducted to investigate a complaint at Azria Health At Montclair on June 3-4, 2019, regarding allegations of failure to provide appropriate transfers, adequate supervision, and implementation of fall interventions.

The investigation found no violations related to the allegations; the facility provided appropriate transfers, ensured adequate supervision according to care plans, and implemented planned fall interventions.

The complaint alleged failure in appropriate transfers, supervision, and fall interventions. The investigation found no violations and substantiated that the facility met regulatory requirements.

An unannounced visit was conducted to investigate a complaint at Azria Health At Montclair on October 1-2, 2018, by representatives of the Department of Health and Human Services Division of Public Health. The investigation included review of resident records, observation of care and services, and interviews with residents, family members, and staff.

The facility was found to be in compliance with all ten allegations investigated, including medication administration, catheter care, hand washing, meal delivery, notification of POA, education on colostomy/catheter care, follow-up on family complaints, interventions to prevent weight loss, treatment of residents with respect and dignity, and housekeeping.

The investigation addressed ten specific allegations related to medication administration, catheter care, hand hygiene, meal accuracy, POA notification, education on colostomy/catheter care, family complaint follow-up, weight loss prevention, resident dignity, and housekeeping. All were found to be in compliance.

An unannounced visit was conducted to investigate a complaint and annual survey at Azria Health At Montclair on September 10-17, 2018, by representatives of the Department of Health and Human Services Division of Public Health.

The facility was found to be in violation of several regulatory requirements including failure to obtain timely treatment orders for pressure ulcers, failure to notify resident representatives and ombudsman of transfers, inadequate care plan updates, medication errors, food safety and sanitation issues, infection control deficiencies, fire safety code violations including construction issues, means of egress obstructions, and electrical safety concerns.

The visit was complaint-related and included allegations regarding failure to assist residents in maintaining mobility, leaving residents in soiled clothing, failure to provide care according to orders, respect and dignity issues, staffing sufficiency, pest control, housekeeping, fall investigations, call light response, care plan adherence, and protection from misappropriation. Some allegations were substantiated with violations found.

An unannounced visit was conducted to investigate a complaint regarding the facility's failure to identify change in condition and failure to provide treatment for resident signs and/or symptoms of pain.

The facility was found to be in compliance with regulatory requirements as it identified changes in condition and provided treatment for residents with signs and/or symptoms of pain, including evaluation and administration of pain medications as ordered by physicians.

The complaint alleged the facility failed to identify change in condition and failed to provide treatment for resident signs and/or symptoms of pain. Both allegations were found to be unsubstantiated as the facility complied with related regulatory requirements.

An unannounced visit was conducted to investigate a complaint at Azria Health At Montclair on June 25-26, 2018, including review of resident records, observation of care, and interviews with residents, family, and staff.

The facility was found non-compliant with federal and state regulations for failing to ensure sanitary equipment (ice scoop left in ice chest), failing to submit investigations within 5 working days, and failing to immediately report allegations of neglect (Resident 4 elopement). The facility was compliant with ensuring residents had water available, were not restrained, interventions for fall risk were changed, and adequate fluid intake was provided.

The complaint investigation included allegations of unsanitary equipment, lack of water availability, failure to submit investigations timely, failure to report neglect immediately, improper restraint use, failure to change fall interventions, and inadequate fluid intake. The facility was substantiated for unsanitary equipment, failure to submit investigations timely, and failure to report neglect immediately (Resident 4 elopement).

An unannounced visit was conducted to investigate a complaint at Azria Health At Montclair on June 5-6, 2018, by representatives of the Department of Health and Human Services Division of Public Health. The investigation included review of resident records, observation of care and services, and interviews with residents, family members, and staff.

The facility failed to notify the physician of medication refusals for one resident and failed to implement interventions to prevent pressure ulcers for another resident. Specifically, Resident 45's refusals of multiple medications were not reported to the physician, and Resident 43 did not receive prescribed pressure ulcer prevention interventions including offloading heels and use of a trapeze bar.

The complaint alleged the facility failed to provide care and services according to practitioner's orders and failed to provide care and treatment to promote healing of skin breakdown. The investigation substantiated these allegations.

An unannounced visit was conducted to investigate a complaint alleging that the facility fails to prevent elopement.

The facility did prevent elopement, and there was no violation related to this issue at the time of the survey. Interventions were in place and updated as needed for residents identified at risk for elopement.

Complaint investigation regarding failure to prevent elopement; no violation found.

An unannounced visit was conducted to investigate a complaint that the facility fails to ensure comfortable temperatures in rooms.

The facility was found to ensure comfortable temperatures in rooms despite extreme cold weather, having monitored room temperatures and procured an alternate heating source. The facility was found to be in compliance with regulations.

The complaint alleged that the facility failed to ensure comfortable temperatures in rooms. The allegation was found to be unsubstantiated as the facility was in compliance.

An unannounced visit was conducted to investigate a complaint at Azria Health At Montclair from December 26, 2017 to December 28, 2017 by the Department of Health and Human Services Division of Public Health.

The facility was found to be in compliance with regulations regarding injury prevention, housekeeping, bladder elimination care, and protection from abuse. However, the facility failed to immediately report allegations of abuse involving a resident being struck by another resident, resulting in a citation.

The complaint investigation was triggered by allegations that the facility failed to put interventions in place to prevent injuries, maintain an effective housekeeping program, provide care and assistance with bladder elimination, protect residents from abuse, and immediately report allegations of abuse. The facility was found compliant on all but the failure to immediately report allegations of abuse, specifically for Resident 2 who was struck by Resident 4 on 10/18/2017. The facility did not report this incident to the State Agency as required.

An unannounced visit was conducted to investigate a complaint regarding alleged failure to protect residents from abuse and failure to ensure an effective pest control program at Azria Health At Montclair.

The facility was found to be in compliance with regulations regarding resident abuse, with no evidence of abuse observed or reported. The facility also maintained an effective pest control program, with only an isolated pest control incident that was addressed and no current pest problems identified.

The complaint alleged failure to protect residents from abuse and failure to ensure an effective pest control program. The investigation found the facility compliant with both allegations.

An unannounced visit was conducted to investigate a complaint that the facility fails to provide care and treatment to prevent skin breakdown.

The facility did provide care and treatment to prevent skin breakdown, and there was no violation related to this issue at the time of the investigation. Observations, record reviews, and interviews showed that interventions were implemented and revised as necessary to prevent further skin breakdown.

The complaint alleged failure to provide care and treatment to prevent skin breakdown. The allegation was not substantiated as the facility was found to be compliant.

An unannounced visit was conducted to investigate a complaint at Azria Health At Montclair from May 31, 2017 to June 6, 2017. The investigation included review of resident records, observation of care and services, and interviews with residents, family members, and staff.

The facility failed to administer medications as ordered, failed to provide appropriate housekeeping, and failed to notify physicians of medication errors. Other areas such as resident supervision, grooming, access to medical records, and assistance with dentures were found compliant. Several regulatory violations were cited related to medication administration, housekeeping, notification of changes, resident bathing preferences, and medication error notification.

The complaint investigation was triggered by allegations including failure to administer medications as ordered, failure to provide a safe environment for residents at risk to elope, failure to ensure supervision as per care plans, failure to maintain hygiene, failure to allow access to medical records, failure to provide appropriate housekeeping, failure to assist with dentures, and failure to notify practitioners of medication errors. The investigation substantiated medication administration errors, housekeeping deficiencies, and failure to notify physicians of medication errors.

The document is a Nursing Home Licensure Renewal Application and Alzheimer's Special Care Unit Disclosure for Azria Health at Montclair, submitted to renew the facility's license and endorsement.

The application confirms that Azria Health at Montclair meets statutory requirements for licensure renewal as a Skilled Nursing Facility with a specialized Alzheimer's/Special Care Unit. It details the facility's mission, staffing patterns, care philosophy, physical environment, and family support programs.

An unannounced visit was conducted to investigate a complaint at Azria Health At Montclair from March 15, 2017 to March 20, 2017 by the Department of Health and Human Services Division of Public Health.

The facility was found to have submitted investigations within 5 working days and implemented fall interventions for residents identified at risk for falls, resulting in no violations related to the allegations at the time of the investigation.

The investigation addressed two allegations: failure to submit investigations within 5 working days and failure to implement fall interventions for residents at risk. Both allegations were found to be unsubstantiated with no violations.

An unannounced visit was conducted to investigate a complaint at Azria Health At Montclair from February 23, 2017 to February 28, 2017, focusing on allegations related to resident safety, reporting of significant injuries, and investigation of significant events to rule out abuse.

The facility failed to report events with significant injuries for two residents and failed to notify the primary care practitioner in a timely manner following an incident for one resident. The facility did ensure residents were provided a safe environment and thoroughly investigated significant events to rule out abuse. The facility also failed to monitor bruises post incident for three residents.

The complaint investigation focused on allegations that the facility failed to provide a safe environment to protect residents from injury, failed to report events with significant injuries, and failed to investigate significant events to rule out abuse. The facility was found not in violation regarding safe environment and abuse investigation but was found deficient in reporting significant injuries and timely notification to the primary care practitioner.

An unannounced visit was conducted to investigate a complaint at Azria Health At Montclair from February 6, 2017 to February 13, 2017 by representatives of the Department of Health and Human Services Division of Public Health.

The facility was found to be in compliance with all related regulatory requirements regarding evaluation of causal factors for falls, changing fall interventions after residents were identified at risk, providing care to prevent skin sores, and addressing causal factors related to accidents.

The investigation addressed allegations that the facility failed to evaluate causal factors for falls, failed to change fall interventions after residents were identified at risk, failed to provide care and treatment to prevent skin sores, and failed to address causal factors related to accidents. All allegations were found to be unsubstantiated as the facility was in compliance.

An unannounced visit was conducted to investigate a complaint at Azria Health At Montclair on December 20-21, 2016, by representatives of the Department of Health and Human Services Division of Public Health.

The facility was found to be in compliance with regulatory guidelines for all allegations investigated, including sufficient supervision, appropriate discharge planning, safe environment for residents at risk to elope, adequate supervision for fall risk residents, proper practitioners' orders for alcohol, sufficient staffing, and assistance with activities of daily living.

The investigation addressed multiple allegations including failure to provide sufficient supervision, appropriate discharge notice or planning, safe environment for residents at risk to elope, adequate supervision for fall risk residents, practitioners’ orders for alcohol, sufficient staffing, and assistance with activities of daily living. All allegations were found to be unsubstantiated with the facility in compliance.

An unannounced visit was conducted to investigate a complaint at Azria Health At Montclair regarding residents' access to resident trust accounts, personal grooming, protection from misappropriation, and fall risk interventions.

The facility was found to be in compliance with all related regulatory requirements for all allegations investigated, including access to resident trust accounts, personal grooming, protection from misappropriation, and interventions for residents at risk of falls.

The complaint allegations included failure to ensure residents have access to their resident trust accounts, failure to ensure clean and groomed hair, skin, teeth and/or nails, failure to protect residents from misappropriation, and failure to ensure interventions for residents at risk of falls. All allegations were found to be unsubstantiated as the facility was in compliance.

An unannounced visit was conducted to investigate a complaint alleging the facility failed to protect residents from abuse and failed to report allegations of abuse.

The facility was found to protect residents from abuse, with staff knowledgeable about abuse reporting and education provided. However, the facility failed to report an incident of abuse due to a staff member not notifying supervisors, though the issue was self-corrected and no citation was issued.

The complaint alleged failure to protect residents from abuse and failure to report allegations of abuse. The failure to report was substantiated due to lack of incident reporting over a 3-month review period. The facility self-corrected and no citation was issued.

An unannounced visit was conducted to investigate a complaint alleging the facility failed to ensure residents are free from abuse.

The facility was found to ensure residents are free from abuse based on observations, record reviews, and interviews with residents, family members, and staff. Staff were aware of abuse reporting protocols and no concerns were expressed.

The complaint alleged the facility failed to ensure residents are free from abuse. The complaint was not substantiated as the facility was found in compliance with regulatory guidelines.

An unannounced visit was conducted to investigate a complaint at Azria Health At Montclair on August 17-18, 2016, by representatives of the Department of Health and Human Services Division of Public Health.

The facility failed to maintain an effective housekeeping program as evidenced by a resident bathroom not being thoroughly cleaned after discharge, with a strong urine odor and a garbage bag with a urinary catheter left hanging in the bathroom. Other allegations related to bathing preferences, misappropriation, protection from adverse behaviors, abuse reporting, and injury prevention were found to be in compliance.

The complaint alleged failure to maintain an effective housekeeping program, failure to accommodate bathing preferences, failure to ensure residents are free from misappropriation, failure to protect residents from adverse behaviors, failure to report incidents of abuse, and failure to protect residents from injury. The facility was found non-compliant only with the housekeeping allegation; all other allegations were substantiated as compliant.

An unannounced visit was conducted to investigate a complaint at Montclair Nursing And Rehabilitation Center regarding multiple allegations including meal temperature, prompt response to calls, staffing sufficiency, housekeeping, grievance filing without retaliation, timely written investigations, resident abuse prevention, nail trimming assistance, and bladder elimination care.

The facility was found to be in compliance with regulatory guidelines for all allegations investigated, including meal temperatures, call light response times, staffing levels, housekeeping, grievance processes, investigation timeliness, abuse prevention, nail care, and bladder elimination treatment.

The complaint investigation addressed multiple allegations including failure to ensure meals served at appropriate temperatures, prompt response to calls for assistance, sufficient staffing, effective housekeeping, grievance filing without retaliation, timely written investigations, resident abuse prevention, assistance with nail trimming, and care for bladder elimination. All allegations were found to be unsubstantiated with the facility in compliance.

An unannounced visit was conducted to investigate a complaint and annual survey at Montclair Nursing And Rehabilitation Center on May 11, 2016-May 17, 2016, by representatives of the Department of Health and Human Services Division of Public Health.

The facility failed to protect residents from abuse and failed to follow physician orders for IV fluids. The facility also failed to ensure clean and groomed hair, skin, teeth, and/or nails for one resident. Other allegations such as misappropriation, pressure sore prevention, ostomy care, oral care, staff credentials, skin breakdown prevention, and resident records accuracy were found to be in compliance.

The complaint investigation included allegations of failure to protect residents from abuse, misappropriation, pressure sore prevention, ostomy care, IV fluid orders, oral care, staff credentials, skin breakdown prevention, grooming, and resident records accuracy. Abuse was substantiated in one case with immediate corrective action taken. Failure to follow IV fluid orders and grooming deficiencies were found. Other allegations were found to be in compliance.

An unannounced visit was conducted to investigate multiple complaints at Montclair Nursing And Rehabilitation Center on March 2, 2016.

The investigation found the facility to be in compliance with all related regulatory requirements across multiple allegations including medication appropriateness, equipment adequacy, bathing preferences, staff credentials, room temperatures, care according to practitioners' orders, skin integrity protection, resident choice in daily routines, safe transfers, change in condition identification, grievance resolution, and housekeeping/maintenance.

The investigation was complaint-related, addressing allegations about medication appropriateness, equipment adequacy, bathing preferences, staff credentials, room temperatures, care provision, skin integrity, resident choice, safe transfers, change in condition identification, grievance resolution, and housekeeping. All allegations were found to be without violation.

The document is related to the nursing home licensure renewal application and associated renewal process for Montclair Nursing and Rehabilitation Center.

The renewal application was reviewed and found to be missing the rate sheet for the cost of care and additional fees, which was subsequently provided. The facility meets statutory requirements for licensure renewal.

An unannounced visit was conducted to investigate a complaint and annual survey at Montclair Nursing And Rehabilitation Center on November 16-19, 2015, by representatives of the Department of Health and Human Services Division of Public Health.

The complaint investigation found the facility was in compliance with regulatory guidelines for protecting residents from injury, abuse, misappropriation, discharge planning, fall interventions, and complaint resolution. However, violations were found related to failure to ensure prompt response to calls for assistance, failure to follow practitioner orders, and failure to answer call notification systems promptly. The annual survey identified multiple life safety and fire safety deficiencies including fire door issues, exit hardware, emergency lighting, fire alarm system deficiencies, sprinkler system maintenance, fire extinguisher issues, kitchen hood maintenance, emergency generator issues, and electrical wiring problems.

The complaint investigation included allegations that the facility failed to protect residents from injury, failed to submit investigations in 5 working days, failed to ensure residents were free from misappropriation, failed to give appropriate notice of discharge, failed to protect residents from abuse, failed to do discharge planning, failed to respond to change in condition, failed to resolve complaints/grievances, failed to use fall interventions to prevent injuries, failed to ensure prompt response to calls for assistance, failed to follow practitioner orders, failed to answer call notification systems promptly, and failed to develop a plan of care to address identified needs. The facility was found compliant with all allegations except for failure to ensure prompt response to calls for assistance, failure to follow practitioner orders, and failure to answer call notification systems promptly.

An unannounced visit was conducted to investigate a complaint alleging the facility failed to put interventions in place to prevent injuries.

The facility implemented interventions to prevent injuries, with observations confirming fall prevention measures were in place and operational. Staff demonstrated knowledge of fall risks and interventions, and records showed thorough investigation of falls and staff training on fall prevention. The facility was found to be in compliance with relevant regulatory requirements.

The complaint alleged the facility failed to put interventions in place to prevent injuries. The investigation found no violation of regulations related to this allegation.

An unannounced visit was conducted to investigate multiple complaints regarding staffing sufficiency, notification of family and healthcare practitioners of changes in condition, housekeeping effectiveness, and identification of changes in condition at Montclair Nursing And Rehabilitation Center.

The facility was found to be in compliance with all related regulatory requirements for each allegation investigated, including sufficient staffing, timely notification of family and healthcare practitioners, effective housekeeping, and proper identification of changes in condition. Observations, record reviews, and interviews supported these findings.

The investigation was complaint-related, addressing allegations about staffing, notification of family and healthcare practitioners, housekeeping, and identification of change in condition. All allegations were found to be unsubstantiated with the facility in compliance.

An unannounced visit was conducted to investigate a complaint regarding the facility's failure to identify changes in resident condition, notify family or responsible parties of changes, use appropriate interventions to prevent injuries, and submit written reports within five working days.

The investigation found the facility was in compliance with relevant regulatory requirements in all areas reviewed, including identifying changes in resident condition, notifying family/responsible parties, using appropriate interventions to prevent injuries, and timely submission of reports for allegations of potential abuse.

The complaint alleged failure to identify change in condition, failure to notify family or responsible party of change in condition, failure to use appropriate interventions to prevent injuries, and failure to send written reports within five working days. The facility was found to be in compliance with all allegations.

An unannounced visit was conducted to investigate a Complaint Survey at Montclair Nursing And Rehabilitation Center from July 14, 2015 to July 16, 2015, triggered by multiple allegations regarding resident care and facility compliance.

The investigation found that the facility was in compliance with all regulatory requirements related to the allegations, including addressing resident complaints, treating residents with respect and dignity, using fall interventions, responding promptly to calls for assistance, following practitioner orders, protecting residents from abuse, submitting investigations timely, providing colostomy care according to standards, and maintaining an ongoing activities program.

The complaint investigation addressed multiple allegations including failure to review and revise interventions for patient complaints, failure to treat residents with respect and dignity, failure to use fall interventions, failure to respond promptly to calls, failure to follow practitioner orders, failure to protect residents from abuse, failure to submit investigations within 5 working days, failure to provide proper colostomy care, failure to maintain activities program, and failure to ensure availability of outside activities. All allegations were found to be unsubstantiated with no violations.

Annual inspection of Montclair Nursing and Rehabilitation Center to assess compliance with state and federal regulations including resident care, safety, and facility conditions.

The facility had multiple deficiencies including failure to provide operable windows in resident rooms, failure to ensure resident bathing preferences were met, lack of individualized activities for residents, maintenance issues in resident rooms, failure to hold care plan conferences timely, medication administration errors, inadequate snack provision, poor food handling practices, dental service deficiencies, infection control lapses, ventilation system failures, life safety code violations including fire safety and emergency preparedness, and electrical safety concerns.

Periodic on-site review of Civil Rights Compliance with Title VI of the Civil Rights Act of 1964 and related laws at Montclair Nursing & Rehab Center.

The facility was found to be in full compliance with all civil rights provisions, including non-discrimination in admission, care, policies, and referrals.

This document is an application form for Medicare and Medicaid participation for Montclair Nursing & Rehab Center, including facility ownership, special care units, and staffing details.

The document provides detailed information about the facility's ownership, special care units, and staffing hours for various services and roles. No inspection findings or deficiencies are reported.

An unannounced visit was conducted to investigate a complaint survey regarding the facility's failure to change fall interventions after residents were identified at risk for falls.

The facility did change fall interventions after residents were identified at risk for falls. Fall Root Cause Investigation Reports were completed following each fall, new interventions were implemented, and staff were knowledgeable of fall interventions. The facility was found to be in compliance with related requirements.

The allegation was that the facility failed to change fall interventions after residents were identified at risk for falls. The complaint was found to be unsubstantiated as the facility was in compliance.

An unannounced visit was conducted to investigate a complaint at Montclair Nursing And Rehabilitation Center on January 20-22, 2015, regarding allegations including insufficient staff, failure to follow bed hold policy, failure to identify change in condition, failure to prevent skin breakdown, insufficient supplies, grooming issues, non-functional equipment, delayed call light response, inappropriate staff credentials, and staff performing duties beyond scope of practice.

The facility was found compliant with staffing, change in condition identification, supplies, grooming, equipment functionality, call light response, and staff scope of practice. The facility failed to follow bed hold policy for 3 residents, failed to prevent skin breakdown for 1 resident, and failed to ensure appropriate staff credentials for 1 staff member. A significant medication error involving methotrexate overdose was identified for 1 resident, and failure to implement isolation precautions for that resident was also noted.

The complaint investigation included allegations of insufficient staffing, failure to follow bed hold policy, failure to identify change in condition, failure to prevent skin breakdown, insufficient supplies, grooming issues, non-functional equipment, delayed call light response, inappropriate staff credentials, and staff performing duties beyond scope of practice. The facility was found compliant on most allegations except for bed hold policy, skin breakdown prevention, staff credentials, medication error, and infection control.

An unannounced visit was conducted to investigate a complaint regarding the facility's failure to change fall interventions after residents were identified at risk for falls and failure to follow fall interventions as identified in the plan of care.

The facility was found to be in compliance with related regulatory requirements as fall interventions were changed after residents were identified at risk and care planned fall prevention interventions were being implemented.

The complaint alleged that the facility failed to change fall interventions after residents were identified at risk for falls and failed to follow fall interventions as identified in the plan of care. The investigation found the facility compliant with these allegations.

An unannounced visit was conducted to investigate multiple complaints at Montclair Nursing And Rehabilitation Center, including failure to prevent accidents, protect residents from abuse, timely submission of investigations, and medication administration errors.

The facility was found to have interventions in place to prevent accidents and protect residents from abuse, with staff education provided. However, the facility failed to submit four investigations within five working days and had a medication administration error, both substantiated without deficiencies as corrective actions were taken.

The complaint investigation substantiated allegations that the facility failed to submit investigations within 5 working days and failed to administer medications according to practitioner's orders. The medication error was substantiated without a deficiency as corrective actions were taken. The failure to submit investigations was substantiated without a deficiency due to ongoing plan of correction.

Annual survey and complaint investigation conducted to assess compliance with state and federal regulations for Montclair Nursing and Rehabilitation Center.

The facility had multiple deficiencies including failure to maintain operable windows in resident rooms, failure to report a fall with injury to the state agency, failure to provide weighted utensils and bathing per resident preference, failure to assist a resident to get up per preference, failure to notify residents of roommate changes, nonfunctional night lights and caulking issues, failure to develop initial care plans, failure to provide restorative programs, unsafe water temperatures, failure to transfer a resident per plan of care, failure to offer influenza and pneumococcal vaccines, dishwasher leaks, gas line leak, inadequate water supply procedures, ventilation system failures, outdated disaster preparedness plan, and ineffective quality assurance committee.

Complaint investigation revealed failure to report a fall with injury to the state agency for one resident. Facility failed to submit investigations within 5 working days. Other allegations related to abuse, medication administration, staffing, care, and environment were found to be in compliance.

An unannounced visit was conducted to investigate a complaint survey at Montclair Nursing And Rehabilitation Center from May 27, 2014 to May 29, 2014.

The investigation found no violations related to the allegations concerning window operability, resident cleanliness and grooming, and provision of food according to the menu. Observations and interviews confirmed compliance in these areas.

The complaint allegations were that the facility failed to ensure windows were operative, residents were clean and groomed, and food was provided according to the menu. All allegations were found to be unsubstantiated.

The notice was issued to impose disciplinary action on Montclair Nursing And Rehabilitation Center for violations related to unplanned weight loss and failure to implement corrective interventions, resulting in probation for 90 days starting April 24, 2014.

The facility failed to re-evaluate and implement interventions to prevent weight loss among residents, violating licensure regulations. The Department required submission of a Plan of Correction, regular reports on residents with weight loss, and employment of an outside consultant to oversee quality assurance.

An unannounced visit was conducted to investigate a complaint and annual survey at Montclair Nursing And Rehabilitation Center on March 20-27, 2014, by representatives of the Department of Health and Human Services Division of Public Health.

The facility was found to be in compliance with regulations related to narcotics misappropriation, abuse, and reporting. Deficiencies were found related to failure to ensure residents were clean and groomed, failure to provide care to promote healing of skin breakdown, failure to implement or follow the plan of care, failure to provide appropriate care and treatment of indwelling catheters, failure to have sufficient staff to meet resident needs, and failure to provide necessary services to meet resident needs. Several residents' care plans were incomplete or not implemented. Environmental and maintenance issues were also noted.

The complaint investigation was conducted due to allegations including failure to ensure staff credentials remain current, failure to ensure residents are clean and groomed, failure to provide care and treatment to promote healing of skin breakdown, failure to provide care and treatment for bladder elimination, failure to provide sufficient staff to meet resident needs, failure to provide necessary services to meet resident needs, failure to investigate injuries of unknown origin, failure to report allegations of resident abuse, failure to maintain an adequate pest control program, failure to ensure sanitary equipment is not reused, failure to ensure resident call alarm system is within reach, and failure to provide timely notification of changes in resident condition.

An unannounced visit was conducted to investigate a complaint regarding failure to follow isolation procedures for infectious diseases, use of sanitary equipment for catheterization, and completion of treatments according to practitioner's orders.

The facility failed to follow isolation procedures for infectious diseases and failed to ensure proper infection control practices during catheter care for two residents. The facility did use sanitary equipment for catheterization and completed treatments according to practitioners' orders.

The complaint alleged failure to follow isolation procedures for infectious diseases, failure to use sanitary equipment for catheterization, and failure to complete treatments according to practitioner's orders. The investigation confirmed the failure to follow isolation procedures but found no violation regarding sanitary equipment use or treatment completion.

An unannounced complaint investigation survey was conducted to investigate allegations related to failure to revise and review plans of care, failure to ensure residents' nails are kept clean, failure to protect residents from abuse, failure to change fall interventions after residents were identified at risk for falls, failure to report falls with injury, and failure to have sufficient supplies to meet residents' needs.

The facility was found to be in compliance with allegations related to care plan revisions, grooming, abuse protection, fall interventions, and supply sufficiency. However, the facility failed to report a fall with significant injury to the required state agencies within the required timeframe, resulting in a deficiency at tag F225.

The complaint investigation included allegations of failure to revise and review plans of care, failure to ensure residents' nails are kept clean, failure to protect residents from abuse, failure to change fall interventions after residents were identified at risk for falls, failure to report falls with injury, and failure to have sufficient supplies. The facility was found compliant with all except the failure to report a fall with injury, which was substantiated.

The inspection was conducted as a routine survey to assess compliance with regulations governing licensure of skilled nursing facilities, nursing facilities, and intermediate care facilities.

The facility was found deficient in resolving resident grievances promptly, notifying residents or their responsible parties of the bed-hold policy upon hospital transfer, and preventing cross-contamination during wound care treatments. Specific failures included unresolved grievances for one resident, failure to provide written bed-hold policy information to three residents or their representatives, and improper infection control practices during wound dressing changes for one resident.

The inspection was conducted as a survey of Montclair Nursing and Rehabilitation Center to assess compliance with Nebraska regulations governing licensure of skilled nursing facilities, focusing on care and services provided to residents.

The facility failed to document the administration and effectiveness assessment of pain medication for one resident out of 149, specifically for Resident 1 who received Dilaudid 8 mg as needed without proper documentation.

Revisit survey conducted to correct citations issued during the April 2013 annual survey.

The facility was cited for multiple deficiencies including failure to notify physicians of pressure ulcers, failure to prevent abuse, failure to report abuse investigations timely, failure to implement abuse policies, dignity and respect issues, failure to provide bathing choices, housekeeping and maintenance deficiencies, incomplete assessments, failure to revise care plans, inadequate pressure ulcer treatment, catheter evaluation, accident prevention, unnecessary drug use, medication errors, dietary preparation issues, infection control, dental services, and quality assurance program deficiencies.

The inspection was conducted as a routine survey to assess compliance with regulations governing skilled nursing facilities, including care provision and medication administration.

The facility failed to establish a contract with a dialysis center for one resident and failed to administer pain medication on time for another resident, resulting in increased pain.

Re-inspection of Montclair Nursing and Rehabilitation Center to verify correction of previously cited deficiencies and compliance with state and federal regulations.

The facility demonstrated multiple deficiencies including failure to maintain resident records, failure to notify physicians of changes in condition, inadequate care planning, medication errors, failure to maintain equipment and environment, and ineffective quality assurance processes. Some deficiencies from prior surveys remained uncorrected.

The notice was issued to inform Montclair Nursing And Rehabilitation Center of disciplinary action placing their license on probation for 90 days due to failure to evaluate and treat a resident's decline in Activities of Daily Living.

The Department of Health and Human Services found that the facility violated licensure regulations related to assessment and treatment of residents' Activities of Daily Living, requiring a Plan of Correction and periodic reports during the probation period.

The inspection was conducted as an annual survey to assess compliance with state and federal regulations governing skilled nursing facilities.

The facility was found deficient in multiple areas including failure to promptly resolve resident grievances, failure to update comprehensive care plans related to hydration, failure to prevent decline in activities of daily living, failure to maintain nutritional status and hydration, failure to provide routine and emergency dental services, and failure to maintain complete and accurate clinical records.

The inspection was the annual survey conducted on March 3, 2011, to assess compliance with federal Medicare and Medicaid requirements and state regulations for Montclair Nursing and Rehabilitation Center.

The facility was found to have multiple deficiencies including failure to notify physicians of abnormal lab results, lack of a readily accessible survey results book, inadequate policies on abuse and neglect, housekeeping and maintenance issues, failure to provide proper personal hygiene care, unsecured chemicals, and multiple life safety code violations related to fire safety and emergency preparedness.

The inspection was conducted to investigate a complaint regarding the facility's failure to complete an investigation into an accident involving Resident 1, specifically related to accident hazards, supervision, and devices.

The facility failed to complete an investigation into an accident involving Resident 1, who suffered a fracture after a hoyer lift tipped over. The investigation lacked documentation of staff presence during the incident and no changes were made to the care plan to prevent recurrence.

Complaint investigation found that Resident 1 suffered a fracture due to a fall when a hoyer lift tipped over. The investigation was incomplete and did not document staff presence or transfer details during the incident.

The letter serves as an official amendment to the Health Insurance Benefits Agreement to update the certified bed counts and room assignments effective April 1, 2007.

The letter details the updated certified bed counts and room assignments for Medicare certified beds at the facility, increasing from 87 beds in 2004 to 175 beds in 2007 as requested by the facility.

This document serves as a licensure renewal application and certification for Azria Health at Montclair, verifying the facility's license and endorsement for Alzheimer's/Special Care Unit.

The documents confirm the facility's licensure renewal status, maximum licensed capacity of 175 beds, and endorsement for Alzheimer's/Special Care Unit. No inspection findings or deficiencies are reported.

The document set serves as a licensure renewal application and certification for Azria Health at Montclair, including renewal of nursing home license and Alzheimer's Special Care Unit endorsement.

The documents certify that Azria Health at Montclair meets statutory requirements for licensure renewal and special care endorsement, provide facility ownership and staffing information, and include fire marshal occupancy approval.

The document serves as a renewal application for the nursing home license of Azria Health at Montclair, including verification of licensure, occupancy permit, and Alzheimer's Special Care Unit endorsement.

The document contains licensing renewal information, ownership details, occupancy permit with a maximum capacity of 175 beds, and detailed disclosures about the Alzheimer's Special Care Unit philosophy, policies, and care programs.

The document includes a nursing home licensure renewal application, occupancy permit, and Alzheimer's special care unit disclosure and memory care endorsement application for Azria Health Montclair.

No inspection findings or deficiencies are reported. The document primarily contains administrative and licensing information, facility capacity, ownership details, and care program descriptions.

This Notice of Disciplinary Action informs Montclair Nursing And Rehabilitation Center of the extension of probation from 90 to 180 days due to failure to implement interventions to prevent and promote healing of pressure sores, and outlines required corrective actions and reporting.

The facility failed to implement interventions to prevent the redevelopment of pressure sores and promote healing, resulting in disciplinary action and probation extension. The CMS-2567 Report dated June 10, 2014 is referenced as evidence of violations.

The documents serve to verify licensing, renewal, and certification status for Azria Health Montclair, including renewal of skilled nursing facility license, occupancy permit issuance, and Alzheimer's Special Care Unit endorsement renewal.

No inspection findings or deficiencies are reported; the documents primarily consist of administrative and licensing information, facility capacity, ownership details, and program disclosures.

This Notice of Disciplinary Action informs Montclair Nursing and Rehabilitation Center of the extension of probation from 90 to 180 days due to violations related to care and treatment, requiring submission of a Plan of Correction and ongoing reports regarding residents with pain.

The facility failed to correct and maintain compliance related to the development and treatment of pressure sores, management of pain, and implementation of an effective Quality Assurance/Quality Improvement program, resulting in disciplinary action and probation extension.

This document set includes a Nursing Home Licensure Renewal Application for Azria Health Montclair, renewal verification, occupancy permit, and Alzheimer's Special Care Unit Disclosure.

The documents verify licensure renewal, facility ownership, capacity, and certification for specialized care services including Alzheimer's care. No inspection findings or deficiencies are reported.

This document serves as a renewal application for the nursing home license of The Banyan at Montclair, including verification of licensure and occupancy permit details.

The documents confirm that The Banyan at Montclair meets statutory requirements for licensure renewal as a skilled nursing facility with specified services and a licensed capacity of 175 beds.

This Notice of Disciplinary Action was issued due to violations of the Health Care Facility Licensure Act, including failure to maintain compliance causing detrimental practices to residents' health and safety.

The facility was found to have violations that warranted disciplinary action including probation for one year and prohibition from admitting new residents until compliance is met. A revisit confirmed correction of violations and termination of the admission prohibition.

The documents relate to the issuance and renewal of a Skilled Nursing Facility license for Azria Health at Montclair, including a change of ownership and facility name, and related regulatory compliance information.

The documents confirm licensure issuance, ownership details, fire marshal occupancy permits for 175 beds, and provide information on Alzheimer's special care unit philosophy, staffing, and room rates. No inspection findings or deficiencies are reported.

The document serves as a Notice of Disciplinary Action placing the facility on probation for 90 days starting March 29, 2012, due to failure to identify causal factors and implement interventions to prevent resident accidents, followed by a Modification of Disciplinary Action extending probation to 180 days ending September 25, 2012, adding requirements related to pressure sore prevention.

The facility failed to identify causal factors for resident accidents and to implement effective interventions, and later failed to attain compliance related to deficiencies cited in a February 29, 2012 survey, including failure to prevent and promote healing of pressure sores.

This Notice of Disciplinary Action informs the facility of disciplinary measures due to violations related to failure to implement interventions to prevent and treat pressure ulcers, referencing a prior survey dated March 26, 2024.

The facility was found to have violated licensure regulations by failing to implement interventions to prevent and treat pressure sores, resulting in a prohibition from admitting new residents and continued probation until compliance is demonstrated.

This Notice of Disciplinary Action was issued to place the Skilled Nursing Facility on probation for 90 days beginning May 24, 2013, due to violations related to pressure sore prevention and quality assurance. The probation was later extended to 180 days ending November 20, 2013, with additional requirements related to pain management and quality improvement.

The facility failed to evaluate, monitor, and provide treatment to prevent and/or heal pressure sores, lacked a Quality Assurance Committee to maintain regulatory compliance, and failed to develop and implement effective quality assurance and improvement programs. These violations were documented in CMS-2567 reports dated May 9, 2013, and June 20, 2013.

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