Inspection Reports for Bentley Commons at Paragon Village
425 US-46 Ste E, Hackettstown, NJ 07840, United States, NJ, 07840
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
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, the circumstances under which health information may be used or disclosed, the rights of individuals 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 | NJDHSS Privacy Officer named as contact for privacy practices |
Inspection Report
Complaint Investigation
Census: 79
Capacity: 84
Deficiencies: 5
Jan 21, 2025
Visit Reason
The inspection was conducted as a complaint investigation based on Complaint #NJ00179833 to determine compliance with New Jersey Administrative Code standards for assisted living residences.
Findings
The facility was found not in substantial compliance with standards, with deficiencies related to resident rights, personalized care, monitoring of residents, documentation of services by outside healthcare professionals, Medicaid occupancy requirements, and coordination of health care services. A removal plan was requested due to imminent danger. A re-visit confirmed corrections and implementation of systemic changes.
Complaint Details
Complaint #NJ00179833 triggered the investigation. The complaint was substantiated as the facility failed to meet multiple regulatory requirements including resident care and documentation.
Deficiencies (5)
| Description |
|---|
| Failure to ensure a resident received personalized services and care in accordance with the resident's individualized Service Plan. |
| Failure to provide a resident with a level of care and services that addressed changes in physical and psychosocial status. |
| Failure to maintain a level of Medicaid occupancy of at least 10 percent of total bed complement within three years of licensure. |
| Failure to ensure documentation of services provided by outside health care professionals was entered in the resident record. |
| Failure to coordinate health care services for residents. |
Report Facts
Complaint number: 179833
Census: 79
Total licensed capacity: 84
Sample size: 3
Deficiency count: 6
Inspection Report
Routine
Census: 73
Deficiencies: 0
Nov 15, 2023
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with New Jersey Administrative Code 8:36 infection control regulations and CDC recommended practices.
Findings
The facility was found to be in compliance with the infection control regulations and CDC recommended practices to prepare for COVID-19.
Inspection Report
Follow-Up
Census: 62
Deficiencies: 0
Dec 22, 2020
Visit Reason
A Covid-19 Revisit Focused Infection Control Survey was conducted by the State Agency to assess compliance with infection control regulations and CDC recommended practices related to COVID-19.
Findings
The facility was found to be in compliance with the New Jersey Administrative Code 8:36 infection control regulations standards for licensure of assisted living residences and CDC recommended practices to prepare for COVID-19.
Report Facts
Sample Size: 3
Inspection Report
Routine
Census: 64
Deficiencies: 5
Nov 16, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted to assess compliance with New Jersey Administrative Code infection control regulations and CDC recommended practices during the COVID-19 pandemic.
Findings
The facility was found non-compliant with infection control standards including failure to maintain dishwasher temperature gauges, inadequate use of hair restraints in the kitchen, failure to ensure staff wore surgical masks and universal eye protection in patient care areas, and failure to properly cohort and use PPE for a newly readmitted resident under investigation for COVID-19.
Deficiencies (5)
| Description |
|---|
| Dishwasher temperature gauges were not working for four days and temperatures were not logged as required. |
| Five of eight kitchen staff failed to wear hair restraints while in the kitchen. |
| Five of five health care workers wore cloth masks instead of surgical masks in patient care areas. |
| Five of five health care workers failed to wear universal eye protection when working in resident care areas. |
| Facility failed to identify and cohort a newly readmitted resident as a person under investigation and failed to ensure staff wore appropriate PPE for that resident. |
Report Facts
Census: 64
Days dishwasher gauges not working: 4
Kitchen staff observed: 8
Kitchen staff without hair restraints: 5
Health care workers observed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dishwasher #1 | Did not record dishwasher temperatures and did not report equipment failure | |
| Food Service Director | FSD | Unaware dishwasher gauges were not working and unaware of hair restraint requirements |
| Executive Director | ED | Entered kitchen without hairnet, unaware of mask and eye protection requirements, and stated plans to provide masks and face shields |
| Resident Assistant #2 | RA #2 | Wore cloth mask instead of surgical mask due to facility not providing one |
| Certified Medication Aide #1 | CMA #1 | Wore cloth mask by choice and was not wearing eye protection |
| Director of Nursing | DON | Stated resident #2 was re-admitted without quarantine and facility had not identified resident as PUI |
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